Abstract:

Objective To survey the current status of ICU nurses’ competency in delirium care，and to analyze and explore the influencing factors of ICU nurses’ delirium care competency. Methods A convenience sampling method was used to select ICU nurses from five general hospitals in Zhejiang Province from January to May 2024 as the study subjects. A cross-sectional survey was conducted using the general information questionnaire and the Chinese version of the Nurse Delirium Competence Care Scale as research tools. The current status of nurses’ delirium care competency was analyzed，and univariate analysis and multiple linear regression analysis were used to explore the related factors influencing nurses’ delirium care competency. Results The total score of nurses’ delirium care competency was（88.41 ± 15.11）. Among the dimensions，the scores for items in the management process dimension were the lowest at（3.15 ± 0.75），while the scores for items in the prevention dimension were the highest at（3.35 ± 0.62）. The analysis of influencing factors showed that the degree of hospital，whether the nurse was a specialist nurse，and whether the nurse had participated in delirium-related training were independent influencing factors of nurses’ delirium care competency（P<0.05）. Conclusion The overall level of delirium care competency among ICU nurses is relatively high，but there is still room for improvement in the management process dimension. The degree of hospital，whether the nurse is a specialist nurse，and whether the nurse has participated in delirium-related training are the main factors influencing nurses’ delirium care competency. Different dimensions are affected by different factors，and targeted improvement strategies should be adopted.

Key words: Delirium, Nurses, Competency, Intensive Care Unit, Route Cause Analysis