ABSTRACT
PURPOSE: To explore and synthesize literature related to the nursing process addressing the focus "Delusion". DESIGN AND METHODS: This literature review is integrated with a scoping study framework. From the total 252 papers found, 39 were selected. FINDINGS: Relevant data and diagnostic activities, hypothetic nursing diagnoses, and interventions addressing the focus "Delusion" were identified. PRACTICE IMPLICATIONS: This literature review allowed the development of a clinical data model addressing the focus "Delusion", based on the steps of the nursing process identified. This clinical data model may contribute towards improving nursing clinical decision-making and nursing care quality in relation to a client suffering from delusion as well as producing more reliable nursing-sensitive indicators.
Subject(s)
Delusions/diagnosis , Delusions/nursing , Delusions/therapy , Nursing Process , Clinical Decision-Making , Humans , Primary Care NursingABSTRACT
PURPOSE: This study aimed to describe nurses' knowledge and practices toward patients with acute or chronic confusion. DESIGN AND METHODS: A cross-sectional design was used, and 249 nurses engaged in clinical practice fulfilled an online self-report questionnaire. FINDINGS: Tools for diagnosing acute confusion/delirium are never used by 57.80% of the nurses. Between 80% and 81% of nursing interventions involve managing patients' physical environment and between 62% and 71% deal with managing communication. Theoretical training in the use of tools for assessing and intervening in cases of confusion was significantly associated with nurses' knowledge and practices. PRACTICE IMPLICATIONS: These results suggest the need for increased investment in nurses' training.
