eISSN 2097-6046
ISSN 2096-7446
CN 10-1655/R
Responsible Institution：China Association for Science and Technology
Sponsor：Chinese Nursing Association
中华急危重症护理杂志

Chinese Journal of Emergency and Critical Care Nursing >

2025 , Vol. 6 >Issue 9: 1112 - 1117

DOI: https://doi.org/10.3761/j.issn.2096-7446.2025.09.016

Quality and Safety

The current status of ICU nurses’ competence in delirium care and analysis of influencing factors

  • WANG Ping ,
  • LAO Yuewen ,
  • CHEN Xiangping ,
  • DONG Lianlian ,
  • GONG Xiaoyan ,
  • ZHUANG Yiyu
Expand

Received date: 2025-01-03

  Online published: 2025-09-02

Fold

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

Cite this article

WANG Ping , LAO Yuewen , CHEN Xiangping , DONG Lianlian , GONG Xiaoyan , ZHUANG Yiyu . The current status of ICU nurses’ competence in delirium care and analysis of influencing factors[J]. Chinese Journal of Emergency and Critical Care Nursing, 2025 , 6(9) : 1112 -1117 . DOI: 10.3761/j.issn.2096-7446.2025.09.016

References

[1] Jackson TA, Wilson D, Richardson S, et al. Predicting outcome in older hospital patients with delirium:a systematic literature review[J]. Int J Geriatr Psychiatry, 2016, 31(4):392-399.
[2] Stollings JL, Kotfis K, Chanques G, et al. Delirium in critical illness:clinical manifestations,outcomes,and management[J]. In-tensive Care Med, 2021, 47(10):1089-1103.
[3] Pun BT, Balas MC, Barnes-Daly MA, et al. Caring for critically ill patients with the ABCDEF bundle:results of the ICU liberation collaborative in over 15,000 adults[J]. Crit Care Med, 2019, 47(1):3-14.
[4] Wesley Ely E. The ABCDEF bundle:science and philosophy of how ICU liberation serves patients and families[J]. Crit Care Med, 2017, 45(2):321-330.
[5] Roh YS. The training needs of Korean intensive care unit nurses regarding delirium[J]. Intensive Crit Care Nurs, 2021, 62:102954.
[6] Krupa S, Friganovi? A, Oomen B, et al. Nurses’ knowledge about delirium in the group of intensive care units patients[J]. Int J Environ Res Public Health, 2022, 19(5):2758.
[7] LeBlanc A, Bourbonnais FF, Harrison D, et al. The experience of intensive care nurses caring for patients with delirium:a phenomenological study[J]. Intensive Crit Care Nurs, 2018, 44:92-98.
[8] 汪萍, 劳月文, 陈香萍, 等. 护士谵妄护理能力量表的汉化及信效度检验[J]. 中国实用护理杂志, 2024, 40(14):1066-1072.
  Wang P, Lao YW, Chen XP, et al. Validity and reliability test of the Chinese version of nurse delirium care competency scale[J]. Chin J Pract Nurs, 2024, 40(14):1066-1072.
[9] 宁佩, 陈幸子, 詹鹏程, 等. PICU护士谵妄管理行为意向及影响因素的质性研究[J]. 护理学杂志, 2024, 39(5):53-56.
  Ning P, Chen XZ, Zhan PC, et al. Qualitative study on beha-vioral intention and influencing factors of PICU nurses’ mana-gement of delirium[J]. J Nurs Sci, 2024, 39(5):53-56.
[10] 李梅, 付沫, 丁永艳. 临床护士老年谵妄知信行现状及影响因素研究[J]. 护理管理杂志, 2023, 23(8):618-623.
  Li M, Fu M, Ding YY. Clinical nurses’ knowledge,attitude and practice about delirium in the elderly:current status and associated factors[J]. J Nurs Adm, 2023, 23(8):618-623.
[11] 焦雪萍, 刘瑞云, 李文娟, 等. 家庭干预在ICU患者谵妄防治中的研究进展[J]. 中华急危重症护理杂志, 2022, 3(2):173-176.
  Jiao XP, Liu RY, Li WJ, et al. Research progress of family intervention in the prevention and treatment of delirium in ICU patients[J]. Chin J Emerg Crit Care Nurs, 2022, 3(2):173-176.
[12] 余梦婷, 米洁, 张婉竹. ICU护士对活动减少型谵妄的知信行现状及影响因素分析[J]. 中华急危重症护理杂志, 2024, 5(1):68-73.
  Yu MT, Mi J, Zhang WZ. Status quo and influencing factors analysis of knowledge,attitude,behavior of hypoactive deli-rium among ICU nurses[J]. Chin J Emerg Crit Care Nurs, 2024, 5(1):68-73.
[13] Franken A, Sebbens D, Mensik J. Pediatric delirium:early iden-tification of barriers to optimize success of screening and prevention[J]. J Pediatr Health Care, 2019, 33(3):228-233.
[14] Norman SL, Taha AA. Delirium knowledge,self-confidence,and attitude in pediatric intensive care nurses[J]. J Pediatr Nurs, 2019, 46:6-11.
[15] 谢静颖, 陈佳丽, 宁宁, 等. 骨科护士对患者术后谵妄管理知信行现状及学习需求的调查研究[J]. 中华护理教育, 2022, 19(2):150-155.
  Xie JY, Chen JL, Ning N, et al. Knowledge,attitude,practice and learning needs on postoperative delirium management in nurses of orthopedic departments[J]. Chin J Nurs Educ, 2022, 19(2):150-155.
[16] Piao JS, Jin YJ, Lee SM. Triggers and nursing influences on delirium in intensive care units[J]. Nurs Crit Care, 2018, 23(1):8-15.
[17] Oberai T, Laver K, Woodman R, et al. The effect of an educa-tional intervention to improve orthopaedic nurses’ knowledge of delirium:a quasi-experimental study[J]. Int J Orthop Trauma Nurs, 2021, 42:100862.
[18] Buijs-Spanjers KR, Hegge HH, Cnossen F, et al. Reasons to engage in and learning experiences from different play strate-gies in a web-based serious game on delirium for medical students:mixed methods design[J]. JMIR Serious Games, 2020, 8(3):e18479.
[19] Chen TJ, Traynor V, Ho MH, et al. Effects of simulation-based education module on delirium care in undergraduate nursing students:a quasi-experimental study[J]. Nurse Educ Pract, 2024, 74:103852.
[20] 付聪慧, 徐婷婷, 杨晓亚, 等. 儿科ICU护士谵妄护理能力培训实践[J]. 中华护理教育, 2023, 20(5):529-533.
  Fu CH, Xu TT, Yang XY, et al. Delirium nursing ability training practice for pediatric ICU nurses[J]. Chin J Nurs Educ, 2023, 20(5):529-533.
[21] 宋春梅, 吴娟. ICU护士对谵妄病人管理经验质性研究的Meta整合[J]. 护理研究, 2020, 34(4):613-620.
  Song CM, Wu J. Meta-synthesis of qualitative researches on ICU nurses’ management experience for delirium patients[J]. Chin Nurs Res, 2020, 34(4):613-620.
[22] Ashana DC, Jan A, Parish A, et al. Interpersonal perception:fa-mily- and physician-reported conflict in the intensive care unit[J]. Ann Am Thorac Soc, 2022, 19(11):1937-1942.
[23] 乔丽杰, 陈香萍, 劳月文, 等. ICU谵妄评估信息化模块的设计及临床应用[J]. 中国实用护理杂志, 2019, 35(30):2368-2373.
  Qiao LJ, Chen XP, Lao YW, et al. Design and clinical appli-cation of an information module for delirium assessment in ICU[J]. Chin J Pract Nurs, 2019, 35(30):2368-2373.
[24] 薛瑾, 王清, 蒋玲, 等. ICU患者谵妄管理临床决策支持系统的构建与应用研究[J]. 中华护理杂志, 2023, 58(9):1037-1042.
  Xue J, Wang Q, Jiang L, et al. Construction and application of a clinical decision support system for delirium management in ICU patients[J]. Chin J Nurs, 2023, 58(9):1037-1042.
[25] Sosnowski K, Lin F, Chaboyer W, et al. The effect of the ABCDE/ABCDEF bundle on delirium,functional outcomes,and quality of life in critically ill patients:a systematic review and meta-analysis[J]. Int J Nurs Stud, 2023, 138:104410.
Options
Outlines

/

〈 〉