The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit
Abstract
:1. Introduction
2. Methods
2.1. Study Design
2.2. Sample
2.3. Nursing Delirium-Screening Scale-NuDESC
2.4. Setting and Procedure
2.5. Ethical Considerations
2.6. The Translation Process
2.6.1. Forward Translation
2.6.2. Reconciliation
2.6.3. Back Translation
2.6.4. Back Translation Review
2.6.5. Cognitive Debriefing
2.6.6. Final Report
2.7. Statistics
2.8. Other Scales and Parameters Used in the Study
2.8.1. Numerical Rating Scale (NRS)
2.8.2. Central Venous Pressure (CVP)
2.8.3. Level of Sodium and Potassium in Blood of Cardiac Surgery Patients
2.8.4. Insomnia Severity Index
3. Results
3.1. Clinical Characteristics of the Respondent
Other Variables Related to the Study Population
3.2. Delirium and Preliminary Analysis according to NuDesc PL
3.3. Characteristics of the Most Common Problems of Patients Diagnosed with Delirium
4. Discussion
5. Practical Implications
6. Study Limitations
7. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
- Gaudreau, J.D.; Gagnon, P.; Harel, F.; Tremblay, A.; Roy, M.A. Fast, systematic, and continuous delirium assessment in hospitalized patients: The nursing delirium screening scale. J. Pain Symptom Manag. 2005, 29, 368–375. [Google Scholar] [CrossRef]
- Marra, A.; Ely, E.W.; Pandharipande, P.P.; Patel, M.B. The ABCDEF Bundle in Critical Care. Crit. Care Clin. 2017, 33, 225–243. [Google Scholar] [CrossRef] [Green Version]
- Neufeld, K.J.; Leoutsakos, J.S.; Sieber, F.E.; Joshi, D.; Wanamaker, B.L.; Rios-Robles, J.; Needham, D.M. Evaluation of two delirium screening tools for detecting post-operative delirium in the elderly. J. Anaesth. 2013, 111, 612–618. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Palese, A.; Comisso, I.; Burra, M.; Di Taranto, P.P.; Peressoni, L.; Mattiussi, E.; Lucchini, A. Nursing Activity Score for estimating nursing care need in intensive care units: Findings from a face and content validity study. J. Nurs. Manag. 2016, 24, 549–559. [Google Scholar] [CrossRef] [PubMed]
- Fasoi, G.; Patsiou, E.C.; Stavropoulou, A.; Kaba, E.; Papageorgiou, D.; Toylia, G.; Goula, A.; Kelesi, M. Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale. Int. J. Environ. Res. Public Health 2020, 18, 79. [Google Scholar] [CrossRef] [PubMed]
- Bruyneel, A.; Tack, J.; Droguet, M.; Maes, J.; Wittebole, X.; Miranda, D.R.; Pierdomenico, L.D. Measuring the nursing workload in intensive care with the Nursing Activities Score (NAS): A prospective study in 16 hospitals in Belgium. J. Crit. Care 2019, 54, 205–211. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Krupa, S.; Ozga, D.; Kolowca, M.; Widenka, K. Effect of the ‘Enhanced Recovery after Surgery Protocol’ on the workload of nurses in cardiac patients. Kontakt 2020, 22, 146–151. [Google Scholar] [CrossRef]
- Bruyneel, A.; Gallani, M.C.; Tack, J.; d’Hondt, A.; Canipel, S.; Franck, S.; Reper, P.; Pirson, M. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit. Care Nurs. 2021, 62, 102967. [Google Scholar] [CrossRef]
- Wild, D.; Grove, A.; Martin, M.; Eremenco, S.; McElroy, S.; Verjee-Lorenz, A.; Erikson, P. Principles of Good Practice for the Translation and Cultural Adaptation Process for Patient-Reported Outcomes (PRO) Measures: Report of the ISPOR Task Force for Translation and Cultural Adaptation. Value Health 2005, 8, 94–104. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Agostinelli, A.; Specchia, M.L.; Liguori, G.; Parlato, A.; Siliquini, R.; Nante, N.; Di Thiene, D.; Ricciardi, W.; Boccia, A.; La Torre, G. Data display format and hospital ward reports: Effects of different presentations on data interpretation. Eur. J. Public Health 2013, 23, 82–86. [Google Scholar] [CrossRef] [Green Version]
- Elasy, T.A.; Gaddy, G. Measuring subjective outcomes: Rethinking reliability and validity. J. Gen. Intern. Med. 1998, 13, 757–761. [Google Scholar] [CrossRef] [Green Version]
- Yazdi, G.M.; Shoghli, A.; Faghihi, S.; Baratloo, A. Central Venous Pressure Monitoring; Introduction of a New Device. Emerg. (Tehran) 2016, 4, 52–54. [Google Scholar]
- Magder, S. Central venous pressure: A useful but not so simple measurement. Crit. Care Med. 2006, 34, 2224–2227. [Google Scholar] [CrossRef]
- Morin, C.M. Insomnia: Psychological Assessment and Management; Guilford: New York, NY, USA, 1993. [Google Scholar]
- Roberts, M.; Russell, L.B.; Paltiel, A.D.; Chambers, M.; McEwan, P.; Krahn, M. ISPOR-SMDM Modeling Good Research Practices Task Force. Conceptualizing a model: A report of the ISPOR-SMDM Modeling Good Research Practices Task Force-2. Value Health 2012, 15, 804–811. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Hägi-Pedersen, D.; Thybo, K.H.; Holgersen, T.H.; Jensen, J.J.; Gaudreau, J.D.; Radtke, F.M. Nu-DESC DK: The Danish version of the nursing delirium screening scale (nu-DESC). BMC Nurs. 2017, 16, 75. [Google Scholar] [CrossRef]
- Daou, M.; Telias, I.; Younes, M.; Brochard, L.; Wilcox, M.E. Abnormal Sleep, Circadian Rhythm Disruption, and Delirium in the ICU: Are They Related? Front. Neurol. 2020, 11, 549908. [Google Scholar] [CrossRef] [PubMed]
- Ely, E.W.; Siegel, M.D. Inouye SK. Delirium in the intensive care unit: An underrecognized syndrome of organ dysfunction. Semin. Respir. Crit. Care Med. 2001, 22, 115–126. [Google Scholar] [CrossRef] [PubMed]
- Inouye, S.K.; Bogardus, S.T.; Charpentier, P.A.; Leo-Summers, L.; Acampora, D.; Holford, T.R.; Cooney, L.M. A multicomponent intervention to prevent delirium in hospitalized older patients. N. Engl. J. Med. 1999, 340, 669–676. [Google Scholar] [CrossRef]
- Pandharipande, P.; Jackson, J.; Ely, E.W. Delirium: Acute cognitive dysfunction in the critically ill. Curr. Opin. Crit. Care 2005, 11, 360–368. [Google Scholar] [CrossRef]
- Inouye, S.K. The dilemma of delirium: Clinical and research controversies regarding diagnosis and evaluation of delirium in hospitalized elderly medical patients. Am. J. Med. 1994, 97, 278–288. [Google Scholar] [CrossRef]
- Aldecoa, C.; Bettelli, G.; Bilotta, F.; Sanders, R.D.; Audisio, R.; Borozdina, A.; Cherubin, I.A.; Jones, C.; Kehlet, H.; MacLullich, A.; et al. European Society of Anaesthesiology evidence-based and consensus-based guideline on postoperative delirium. Eur. J. Anaesthesiol. 2017, 34, 192–214. [Google Scholar] [CrossRef] [PubMed]
- Çınara, F.; Eti Aslan, F. Evaluation of Postoperative Delirium: Validity and Reliability of the Nursing Delirium Screening Scale in the Turkish Language. Dement Geriatr. Cogn. Dis. Extra 2019, 9, 362–373. [Google Scholar] [CrossRef]
- Leung, L. Validity, reliability, and generalizability in qualitative research. J. Fam. Med. Prim. Care 2015, 4, 324–327. [Google Scholar] [CrossRef] [PubMed]
- Radtke, F.M.; Franck, M.; Schneider, M.; Luetz, A.; Seeling, M.; Heinz, A.; Wernecke, K.D.; Spies, C.D. Comparison of three scores to screen for delirium in the recovery room. Br. J. Anaesth. 2008, 101, 338–343. [Google Scholar] [CrossRef] [PubMed] [Green Version]
- Radtke, F.M.; Franck, M.; Schust, S.; Boehme, L.; Pascher, A.; Bail, H.J.; Seeling, M.; Luetz, A.; Wernecke, K.D.; Heinz, A.; et al. A comparison of three scores to screen for delirium on the surgical ward. World J. Surg. 2010, 34, 487–494. [Google Scholar] [CrossRef]
- Devlin, J.W.; Fong, J.J.; Howard, E.P.; Skrobik, Y.; McCoy, N.; Yasuda, C.; Marshall, J. Assessment of delirium in the intensive care unit: Nursing practices and perceptions. Am. J. Crit. Care 2008, 17, 555–565. [Google Scholar] [CrossRef] [PubMed]
- Lewandowska, K.; Malkiewicz, M.A.; Sieminski, M.; Cubala, W.J.; Winklewski, P.J.; Medrzycka-Dabrowska, W.A. The role of melatonin and melatonin receptor agonist in the prevention of sleep disturbances and delirium in intensive care unit—A clinical review. Sleep Med. 2020, 69, 127–134. [Google Scholar] [CrossRef]
NRS | Pain Requiring Intervention Is a Number of Five or More | p | |||
---|---|---|---|---|---|
First Day | Second Day | ||||
N | % | N | % | ||
NRS 8:00 | 65 | 32.2 | 93 | 46.0 | 0.007 |
NRS 12:00 | 94 | 46.5 | 93 | 46.0 | 1.000 |
NRS 15:00 | 61 | 30.2 | 91 | 45,0 | 0.003 |
NRS 18:00 | 75 | 37.1 | 112 | 55.4 | <0.001 |
NRS 22:00 | 146 | 72.3 | 86 | 42.6 | <0.001 |
NRS 2:00 | 135 | 66.8 | 85 | 42.1 | <0.001 |
NRS 6:00 | 134 | 66.3 | 85 | 42.1 | <0.001 |
NuDesc | ISI First Day | ISI Second Day | ||
---|---|---|---|---|
R | p | R | p | |
Day | −0.060 | 0.393 | 0.006 | 0.927 |
Night | 0.001 | 0.990 | −0.052 | 0.463 |
Other | −0.051 | 0.475 | −0.024 | 0.729 |
Points | First Day | First Night | Second Other | |||
N | % | N | % | N | % | |
Nu-DESC negative (<2) | 153 | 75.7 | 66 | 32.7 | 192 | 95.0 |
Nu-DESC positive (≥2) | 49 | 24.3 | 136 | 67.3 | 10 | 5.0 |
All | 202 | 100.0 | 202 | 100.0 | 202 | 100.0 |
Points | Second Day | Second Night | Second Other | |||
N | % | N | % | N | % | |
Nu-DESC negative (<2) | 113 | 55.9 | 118 | 58.4 | 181 | 89.6 |
Nu-DESC positive (≥2) | 89 | 44.1 | 84 | 41.6 | 21 | 10.4 |
All | 202 | 100.0 | 202 | 100.0 | 202 | 100.0 |
DAY 1 | |||||
Medium | Median | Standard Deviation | Minimum | Maximum | |
Disorientation | 0.77 | 1.00 | 0.90 | 0.00 | 5.00 |
Behavior problems | 0.49 | 0.00 | 0.73 | 0.00 | 3.00 |
Problems with communication | 0.72 | 0.00 | 0.92 | 0.00 | 5.00 |
Illusions/hallucinations | 0.62 | 0.00 | 0.83 | 0.00 | 4.00 |
Psychomotor delay | 0.65 | 0.00 | 0.87 | 0.00 | 5.00 |
Result Day | 1.00 | 1.00 | 0.96 | 0.00 | 6.00 |
Result Night | 2.09 | 2.00 | 1.65 | 0.00 | 8.00 |
Result Other | 0.17 | 0.00 | 0.79 | 0.00 | 6.00 |
DAY 2 | |||||
Medium | Median | Standard deviation | Minimum | Maximum | |
Disorientation | 0.62 | 0.00 | 0.73 | 0.00 | 3.00 |
Behavior problems | 0.54 | 0.00 | 0.74 | 0.00 | 3.00 |
Problems with communication | 0.65 | 0.00 | 0.84 | 0.00 | 4.00 |
Illusions/hallucinations | 0.47 | 0.00 | 0.77 | 0.00 | 4.00 |
Psychomotor delay | 0.55 | 0.00 | 0.80 | 0.00 | 4.00 |
Result Day | 1.32 | 1.00 | 0.89 | 0.00 | 5.00 |
Result Night | 1.28 | 1.00 | 1.13 | 0.00 | 6.00 |
Result Other | 0.24 | 0.00 | 0.66 | 0.00 | 4.00 |
Day 1 | Day 2 | Statistics | ||||
---|---|---|---|---|---|---|
Medium | Standard Deviation | Medium | Standard Deviation | t | p | |
Disorientation | 0.77 | 0.90 | 0.62 | 0.73 | 1.783 | 0.076 |
Behavior problems | 0.49 | 0.73 | 0.54 | 0.74 | −0.831 | 0.407 |
Problems with communication | 0.72 | 0.92 | 0.65 | 0.84 | 0.885 | 0.377 |
Illusions/hallucinations | 0.62 | 0.83 | 0.47 | 0.77 | 1.984 | 0.049 |
Psychomotor delay | 0.65 | 0.87 | 0.55 | 0.80 | 1.344 | 0.180 |
Result Day | 1.00 | 0.96 | 1.32 | 0.89 | −3.647 | 0.000 |
Result Night | 2.09 | 1.65 | 1.28 | 1.13 | 5.839 | 0.000 |
Result Other | 0.17 | 0.79 | 0.24 | 0.66 | −0.935 | 0.351 |
Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. |
© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Share and Cite
Krupa, S.; Dorota, O.; Friganovic, A.; Mędrzycka-Dąbrowska, W.; Jurek, K. The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit. Int. J. Environ. Res. Public Health 2021, 18, 10108. https://doi.org/10.3390/ijerph181910108
Krupa S, Dorota O, Friganovic A, Mędrzycka-Dąbrowska W, Jurek K. The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit. International Journal of Environmental Research and Public Health. 2021; 18(19):10108. https://doi.org/10.3390/ijerph181910108
Chicago/Turabian StyleKrupa, Sabina, Ozga Dorota, Adriano Friganovic, Wioletta Mędrzycka-Dąbrowska, and Krzysztof Jurek. 2021. "The Polish Version of the Nursing Delirium Screening Scale (NuDESC PL)-Experience of Using in Nursing Practice in Cardiac Surgery Intensive Care Unit" International Journal of Environmental Research and Public Health 18, no. 19: 10108. https://doi.org/10.3390/ijerph181910108