Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings

Andrea M. Yevchak, Donna M. Fick, Jane McDowell, Todd Monroe, Kanah May, Lori Grove, Ann M. Kolanowski, Jennifer L Waller, Sharon K. Inouye

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Delirium occurs in more than half of hospitalized older adults with dementia, substantially worsening outcomes. The use of multiple strategies and a local opinion leader, unit champion, has cumulative and lasting effects compared with single-strategy interventions. The purpose of this article is to describe the early barriers and facilitators to rounding with unit champions in a cluster randomized clinical trial in Year 2 of a 5-year trial (5R01NR011042-02). This is a mixed-method study nested within an ongoing multisite cluster-randomized, controlled clinical trial. Descriptive and comparative statistics were collected on N = 192 nursing rounds. Qualitative data were thematically analyzed. On average, rounds lasted 25.54 min (SD = 13.18) and were conducted with the unit champion 64% of the time. This is one of the first studies to systematically address quantitative and qualitative barriers and facilitators to nurse-led delirium rounds, demonstrating the gradual adoption of an intervention in diverse clinical settings.

Original languageEnglish (US)
Pages (from-to)201-215
Number of pages15
JournalClinical Nursing Research
Volume23
Issue number2
DOIs
StatePublished - Apr 1 2014

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Delirium
Randomized Controlled Trials
Clinical Trials
Dementia
Nursing
Nurses

Keywords

  • acute care
  • delirium
  • evidence-based practice

ASJC Scopus subject areas

  • Nursing(all)

Cite this

Yevchak, A. M., Fick, D. M., McDowell, J., Monroe, T., May, K., Grove, L., ... Inouye, S. K. (2014). Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings. Clinical Nursing Research, 23(2), 201-215. https://doi.org/10.1177/1054773813505321

Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings. / Yevchak, Andrea M.; Fick, Donna M.; McDowell, Jane; Monroe, Todd; May, Kanah; Grove, Lori; Kolanowski, Ann M.; Waller, Jennifer L; Inouye, Sharon K.

In: Clinical Nursing Research, Vol. 23, No. 2, 01.04.2014, p. 201-215.

Research output: Contribution to journalArticle

Yevchak, AM, Fick, DM, McDowell, J, Monroe, T, May, K, Grove, L, Kolanowski, AM, Waller, JL & Inouye, SK 2014, 'Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings', Clinical Nursing Research, vol. 23, no. 2, pp. 201-215. https://doi.org/10.1177/1054773813505321
Yevchak, Andrea M. ; Fick, Donna M. ; McDowell, Jane ; Monroe, Todd ; May, Kanah ; Grove, Lori ; Kolanowski, Ann M. ; Waller, Jennifer L ; Inouye, Sharon K. / Barriers and Facilitators to Implementing Delirium Rounds in a Clinical Trial Across Three Diverse Hospital Settings. In: Clinical Nursing Research. 2014 ; Vol. 23, No. 2. pp. 201-215.
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