TY - JOUR
T1 - The 2023 World delirium awareness and quality Survey
T2 - A Canadian substudy
AU - Krewulak, Karla
AU - Lee, Laurie A.
AU - Strayer, Kathryn
AU - Armstrong, Jennifer
AU - Baig, Nadia
AU - Brouillette, Judith
AU - Deemer, Kirsten
AU - Jaworska, Natalia
AU - Kissel, Katherine A.
AU - Macdonald, Christine
AU - Mailhot, Tanya
AU - Rewa, Oleska G.
AU - Sy, Eric
AU - Nydahl, Peter
AU - von Haken, Rebecca
AU - Lindroth, Heidi
AU - Liu, Keibun
AU - Fiest, Kirsten M.
N1 - Nydahl: Institute of Nursing Science and Development, Paracelsus Medical University, Salzburg, Austria
PY - 2025/6
Y1 - 2025/6
N2 - OBJECTIVE: This study aimed to evaluate the proportion of screened patients with delirium and the strategies used for its management in Canadian hospitals caring for critically ill children or adults.METHODS: This is a secondary analysis of a cross-sectional study completed on World Delirium Awareness Day (March 15, 2023). Respondents completed a 35-question survey on the proportion of screened patients with delirium (at 8:00 am and 8:00 pm), treatment, and management strategies employed.RESULTS: A total of 27 ICUs (22 adult and 5 pediatric) participated. Among adult ICU patients assessed for delirium, 18 % (n = 34/194) had delirium at 8:00 am and 18 % (32/181) had delirium at 8:00 pm. In pediatric ICUs, the proportion of screened patients with delirium was higher, with 50 % (n = 8/16) at 8:00 am and 44 % (n = 7/16) at 8:00 pm. Delirium management strategies varied: with non-pharmacological approaches such as multi-professional rounds (100 %), pain management (96 %), and mobilization (85 %) being most common. The most reported written delirium management protocols included spontaneous breathing trials in adult ICUs and physical restraint and sedation management in PICUs. Few ICUs reported written protocols for family engagement and empowerment.CONCLUSIONS: Delirium remains a prevalent issue in Canadian ICUs, with variability in assessment and management strategies. Gaps in family engagement and pediatric-specific protocols persist. Addressing barriers like staff shortages and lack of training is critical to improving care.IMPLICATIONS FOR CLINICAL PRACTICE: Improving delirium management requires standardized protocols, especially in PICUs, and better integration of family engagement in care. Addressing workforce challenges (e.g., staff shortages and educating new staff on delirium) will be crucial for enhancing delirium prevention and treatment in Canadian ICUs. Further research should focus on pediatric-specific interventions and pharmacological management.
AB - OBJECTIVE: This study aimed to evaluate the proportion of screened patients with delirium and the strategies used for its management in Canadian hospitals caring for critically ill children or adults.METHODS: This is a secondary analysis of a cross-sectional study completed on World Delirium Awareness Day (March 15, 2023). Respondents completed a 35-question survey on the proportion of screened patients with delirium (at 8:00 am and 8:00 pm), treatment, and management strategies employed.RESULTS: A total of 27 ICUs (22 adult and 5 pediatric) participated. Among adult ICU patients assessed for delirium, 18 % (n = 34/194) had delirium at 8:00 am and 18 % (32/181) had delirium at 8:00 pm. In pediatric ICUs, the proportion of screened patients with delirium was higher, with 50 % (n = 8/16) at 8:00 am and 44 % (n = 7/16) at 8:00 pm. Delirium management strategies varied: with non-pharmacological approaches such as multi-professional rounds (100 %), pain management (96 %), and mobilization (85 %) being most common. The most reported written delirium management protocols included spontaneous breathing trials in adult ICUs and physical restraint and sedation management in PICUs. Few ICUs reported written protocols for family engagement and empowerment.CONCLUSIONS: Delirium remains a prevalent issue in Canadian ICUs, with variability in assessment and management strategies. Gaps in family engagement and pediatric-specific protocols persist. Addressing barriers like staff shortages and lack of training is critical to improving care.IMPLICATIONS FOR CLINICAL PRACTICE: Improving delirium management requires standardized protocols, especially in PICUs, and better integration of family engagement in care. Addressing workforce challenges (e.g., staff shortages and educating new staff on delirium) will be crucial for enhancing delirium prevention and treatment in Canadian ICUs. Further research should focus on pediatric-specific interventions and pharmacological management.
KW - Humans
KW - Delirium/therapy
KW - Cross-Sectional Studies
KW - Canada
KW - Surveys and Questionnaires
KW - Female
KW - Male
KW - Intensive Care Units/organization & administration
KW - Adult
KW - Middle Aged
KW - Awareness
KW - Child
UR - https://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=pmu_pure&SrcAuth=WosAPI&KeyUT=WOS:001438799900001&DestLinkType=FullRecord&DestApp=WOS_CPL
U2 - 10.1016/j.iccn.2025.103980
DO - 10.1016/j.iccn.2025.103980
M3 - Original Article
C2 - 40024089
SN - 0964-3397
VL - 88
SP - 103980
JO - INTENSIVE AND CRITICAL CARE NURSING
JF - INTENSIVE AND CRITICAL CARE NURSING
M1 - 103980
ER -