• Christina Aggar, Alison Craswell, Kasia Bail, Roslyn M Compton, Mark Hughes, Golam Sorwar, James Baker, Jennene Greenhill, Lucy Shinners, Belinda Nichols, Rachel Langheim, Allison Wallis, Karen Bowen, and Hazel Bridgett.
• Faculty of Health, Southern Cross University, Bilinga, QLD, Australia. christina.aggar@scu.edu.au.
• J Gen Intern Med. 2024 Aug 1; 39 (11): 200120082001-2008.

BackgroundDelirium is frightening for people experiencing it and their carers, and it is the most common hospital-acquired complication worldwide. Delirium is associated with higher rates of morbidity, mortality, residential care home admission, dementia, and carer stress and burden, yet strategies to embed the prevention and management of delirium as part of standard hospital care remain challenging. Carers are well placed to recognize subtle changes indicative of delirium, and partner with nurses in the prevention and management of delirium.ObjectiveTo evaluate a Prevention & Early Delirium Identification Carer Toolkit (PREDICT), to support partnerships between carers and nurses to prevent and manage delirium.DesignA pre-post-test intervention and observation study.Main MeasuresChanges in carer knowledge of delirium; beliefs about their role in partnering with nurses and intended and actual use of PREDICT; carer burden and psychological distress. Secondary measures were rates of delirium.ParticipantsParticipants were carers of Indigenous patients aged 45 years and older and non-Indigenous patients aged 65 years and older.InterventionNurses implemented PREDICT, with a view to provide carers with information about delirium and strategies to address caregiving stress and burden.Key ResultsParticipants included 25 carers (43% response rate) (n = 17, 68% female) aged 29-88 (M = 65, SD = 17.7 years). Carer delirium knowledge increased significantly from pre-to-post intervention (p =  < .001; CI 2.07-4.73). Carers' intent and actual use of PREDICT was (n = 18, 72%; and n = 17, 68%). Carer burden and psychological distress did not significantly change. The incidence of delirium in the intervention ward although not significant, decreased, indicating opportunity for scaling up.ConclusionThe prevention and management of delirium are imperative for safe and quality care for patients, carers, and staff. Further comprehensive and in-depth research is required to better understand underlying mechanisms of change and explore facets of nursing practice influenced by this innovative approach.© 2024. The Author(s).

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