Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board D...Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board Database for a university affiliated general hospital. A geriatric risk scoring system developed in the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125 psychogeriatric inpatients who were discharged in 2017, [mean age 82.8 (±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample, mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index predicted death. A post hoc probit analysis found two factors significantly associated with predicted mortality: metastatic cancer (Chi-square = 5.6;p Conclusions: A geriatric 1-year mortality scoring system accurately predicted mortality among psychogeriatric inpatients. Predicting psychogeriatric mortality should be considered a guideline for ensuring quality of care and appropriate discharge and advanced care planning.展开更多
This paper aims at reviewing literature on nurses’ knowledge of delirium, dementia and depression (3Ds) which are rapidly increasing worldwide as the population ages, and to identify interventions that have shown eff...This paper aims at reviewing literature on nurses’ knowledge of delirium, dementia and depression (3Ds) which are rapidly increasing worldwide as the population ages, and to identify interventions that have shown effectiveness in improving nurses’ knowledge level of these diseases. Nurses’ knowledge of delirium, dementia and depression is essential to providing quality patient care. To access the literature, online databases including Medline (OVID), CINAHL (EBSCO), Nursing and Allied Health Source (ProQuest), and Health and Medicine (ProQuest), in addition to Google scholar search engine, were searched using key words “delirium”, “dementia”, “depression”, “nurse*”, “knowledge” and their alternative words. Overall, 20 articles were found to meet the criteria for inclusion in the review. The study found that nurses’ knowledge of the 3Ds was generally low, and they were not particularly able to differentiate between the three diseases. It is important that health care systems are adequately resourced to meet this growing challenge. Nurses should receive appropriate training about the 3Ds, and their knowledge be reinforced through continuing education.展开更多
Aim: This study aims at testing registered nurses’ knowledge while working at mental health facilities and general care hospitals, through an exploratory non-experimental study using a random sample of nurse populati...Aim: This study aims at testing registered nurses’ knowledge while working at mental health facilities and general care hospitals, through an exploratory non-experimental study using a random sample of nurse population across Saudi health facilities. Materials and Methods: The study participants were asked to complete a questionnaire consisting of four sections. Section 1 consisted of 21 questions, requesting participants to provide their background and demographic information, followed by a delirium-knowledge-assessment questionnaire (Section 2) consisting of 15 questions of which eight of them required true/false answers, and the remaining questions were multiple-choice. In Section 3, the research tool was a dementia-knowledge-assessment survey consisted of 27 questions that required true/false answers to a given statement about dementia. In Section 4, the depression-knowledge assessment survey provided multiple-choice answers. A total of 265 registered staff nurses (SNs) were included in the study, and were chosen from three Saudi healthcare centers, with an age range of 24 - 57 years. The participants consisted of 73% females and 27% males. Results: The knowledge of delirium, among the sampled nurses, was not high (M = 6.8906, SD = 2.13363). The employing health center influenced the delirium knowledge significantly, in addition to the job title of the participant, and their highest level of education, in addition to the fact of whether the participant has an immediate family member who has ever been diagnosed with any of the 3Ds. The averages significantly differed across the study sample with immediate family members who have been diagnosed with any of the 3Ds and those without (ANOVA, p = 0.019). Similar to the delirium knowledge, dementia knowledge, among the study participants, was not high (M = 69.2576, SD = 11.29327), and was significantly influenced by the health center, each participant’s gender, nationality, job title, highest level of education, and the country where they had completed their highest level of education. The scores, obtained for dementia knowledge, were positively and significantly correlated to how individual participants rated their current dementia knowledge (ANOVA, p p p p p p p p < 0.001). Conclusion: Saudi registered nurses’ knowledge of dementia and delirium was found to be limited compared to their knowledge of depression.展开更多
文摘Background: To validate a predictive scoring system for 1-year mortality among psychogeriatric inpatients admitted for acute psychiatric care. Methods: Computerized data were extracted from the District Health Board Database for a university affiliated general hospital. A geriatric risk scoring system developed in the USA was employed to validate mortality within 1-year of hospital discharge. Results: Among 125 psychogeriatric inpatients who were discharged in 2017, [mean age 82.8 (±8.9) years, 82 (65.6%) women] 33 died within 1-year [26.4% of the sample, mean age, 87.7 (±11.1) years, 25 (75.7%) women]. Levine’s mortality index predicted death. A post hoc probit analysis found two factors significantly associated with predicted mortality: metastatic cancer (Chi-square = 5.6;p Conclusions: A geriatric 1-year mortality scoring system accurately predicted mortality among psychogeriatric inpatients. Predicting psychogeriatric mortality should be considered a guideline for ensuring quality of care and appropriate discharge and advanced care planning.
文摘This paper aims at reviewing literature on nurses’ knowledge of delirium, dementia and depression (3Ds) which are rapidly increasing worldwide as the population ages, and to identify interventions that have shown effectiveness in improving nurses’ knowledge level of these diseases. Nurses’ knowledge of delirium, dementia and depression is essential to providing quality patient care. To access the literature, online databases including Medline (OVID), CINAHL (EBSCO), Nursing and Allied Health Source (ProQuest), and Health and Medicine (ProQuest), in addition to Google scholar search engine, were searched using key words “delirium”, “dementia”, “depression”, “nurse*”, “knowledge” and their alternative words. Overall, 20 articles were found to meet the criteria for inclusion in the review. The study found that nurses’ knowledge of the 3Ds was generally low, and they were not particularly able to differentiate between the three diseases. It is important that health care systems are adequately resourced to meet this growing challenge. Nurses should receive appropriate training about the 3Ds, and their knowledge be reinforced through continuing education.
文摘Aim: This study aims at testing registered nurses’ knowledge while working at mental health facilities and general care hospitals, through an exploratory non-experimental study using a random sample of nurse population across Saudi health facilities. Materials and Methods: The study participants were asked to complete a questionnaire consisting of four sections. Section 1 consisted of 21 questions, requesting participants to provide their background and demographic information, followed by a delirium-knowledge-assessment questionnaire (Section 2) consisting of 15 questions of which eight of them required true/false answers, and the remaining questions were multiple-choice. In Section 3, the research tool was a dementia-knowledge-assessment survey consisted of 27 questions that required true/false answers to a given statement about dementia. In Section 4, the depression-knowledge assessment survey provided multiple-choice answers. A total of 265 registered staff nurses (SNs) were included in the study, and were chosen from three Saudi healthcare centers, with an age range of 24 - 57 years. The participants consisted of 73% females and 27% males. Results: The knowledge of delirium, among the sampled nurses, was not high (M = 6.8906, SD = 2.13363). The employing health center influenced the delirium knowledge significantly, in addition to the job title of the participant, and their highest level of education, in addition to the fact of whether the participant has an immediate family member who has ever been diagnosed with any of the 3Ds. The averages significantly differed across the study sample with immediate family members who have been diagnosed with any of the 3Ds and those without (ANOVA, p = 0.019). Similar to the delirium knowledge, dementia knowledge, among the study participants, was not high (M = 69.2576, SD = 11.29327), and was significantly influenced by the health center, each participant’s gender, nationality, job title, highest level of education, and the country where they had completed their highest level of education. The scores, obtained for dementia knowledge, were positively and significantly correlated to how individual participants rated their current dementia knowledge (ANOVA, p p p p p p p p < 0.001). Conclusion: Saudi registered nurses’ knowledge of dementia and delirium was found to be limited compared to their knowledge of depression.
