Cent Eur J Nurs Midw 2018, 9(3):897-904 | DOI: 10.15452/CEJNM.2018.09.0021

Use of measurement tools for screening of postoperative delirium in nursing practice

Mária Balková*, Martina Tomagová
Department of Nursing, Jessenius Faculty of Medicine in Martin, Commenius University in Bratislava, Slovakia

Aim: The aim of the literary overview was to search quantitative research studies focusing on screening for postoperative patient delirium by nurses with the aid of measurement tools; and, afterwards, to compare the tools used with respect to their psychometric characteristics and use in clinical nursing practice.

Design: Overview study - literary review.

Methods: Electronic databases were searched for relevant documents (i.e., Web of Science, SCOPUS, Science Direct, and Summon Discovery Tool), from the period 1990-2017. Key words used for databases were: postoperative delirium, screening, tool, validity, reliability, psychometric characteristic, and nursing, combined with Boolean operators.

Results: A total of 253 documents were identified. Based on the chosen selection criteria, eight studies dealing with screening of postoperative delirium were included in the analysis and overview. The following measurement tools were used in the studies: the Confusion Assessment Method for Intensive Care Units - CAM-ICU, the Nursing Delirium Screening Scale - Nu-DESC, the NEECHAM Confusion Scale, the Delirium Observation Screening Scale - DOSS, and the Intensive Care Delirium Screening Checklist - ICDSC. The tool with the optimum psychometric characteristics for detection of postoperative delirium is the CAM-ICU tool.

Conclusion: The results of the studies analysed indicate the importance of the implementation of a relevant tool for screening of postoperative delirium. It is essential to examine the psychometric characteristics and usability of screening tools in Slovak clinical practice.

Keywords: nursing, postoperative delirium, psychometric characteristic, reliability, screening, tool, validity

Received: October 11, 2017; Accepted: March 21, 2018; Published: September 30, 2018  Show citation

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Balková M, Tomagová M. Use of measurement tools for screening of postoperative delirium in nursing practice. Central European Journal of Nursing and Midwifery. 2018;9(3):897-904. doi: 10.15452/CEJNM.2018.09.0021.
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