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    Identifying and responding to delirium in acute stroke: Clinical team members’ understandings

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    Accepted Version (607.7Kb)
    Date
    2020-09-24
    Author
    Carin-Levy, Gail
    Nicol, Kath
    van Wijck, Frederike
    Mead, Gillian
    McVittie, Chris
    Metadata
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    Citation
    Carin-Levy, G., Nicol, K., van Wijck, F., Mead, G. & McVittie, C. (2020) Identifying and responding to delirium in acute stroke: Clinical team members’ understandings. Qualitative Health Research, 31(1), pp. 137-147.
    Abstract
    Delirium is associated with increased mortality, morbidity and length of hospital stay. In the acute stroke setting, delirium identification is challenging due to the complexity of cognitive screening in this patient group. The aim of this study was to explore how members of interprofessional stroke unit teams identified and responded to a potential delirium in a patient. Online focus groups and interviews utilizing case vignettes were conducted with 15 participants: nurses, occupational therapists, speech and language therapists, and physiotherapists working in acute stroke services. Participants’ understandings of delirium varied, most participants did not identify the symptoms of a possible hypoactive delirium, and nearly all participants discussed delirium symptoms in tentative terms. Aspects of interprofessional working were discussed through the expression of distinct roles around delirium identification. Although participants demonstrated an ethos of person-focused care, there are ongoing challenges involved in early identification and management of delirium in stroke survivors.
    Official URL
    https://doi.org/10.1177/1049732320959295
    URI
    https://eresearch.qmu.ac.uk/handle/20.500.12289/10676
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    • Occupational Therapy and Arts Therapies

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