• Aging & mental health · Mar 2014

    Review

    A family approach to delirium: a review of the literature.

    • Shannon Halloway.
    • a College of Nursing , Rush University , Chicago , IL , USA.
    • Aging Ment Health. 2014 Mar 1;18(2):129-39.

    ObjectivesThe literature was reviewed to gather original research on a family approach to delirium and determine its applicability to current practice. The review had the following objectives: (1) evaluate the current state of research into delirium management (prevention, identification, or treatment of delirium) with family approaches or involvement, (2) identify gaps and areas that require investigation, and (3) determine a future course of research.MethodA comprehensive search of original research was conducted in six major databases using seven keywords in 2012.ResultsThe literature search yielded a total of 2160 articles. Criteria for eligibility were met by a total of 11 articles. The articles were evaluated in regards to purpose, sample, research design, level of evidence, variables, and results.ConclusionThe literature review revealed that this topic is emergent and requires substantial additional research. The aspects of delirium care that researchers investigated were diverse and included bedside interventions (n = 3), screening strategies (n = 4), family education (n = 2), and care that employed multiple components (n = 2). Delirium outcomes improved significantly in two high-quality studies: one multi-component intervention and one bedside intervention program. Other noteworthy findings of lower quality studies warrant further examination. The review of the articles did not determine if the involvement of families in delirium management improves patient outcomes; however, the review revealed potential for program development and future courses of research.

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