A Clinical Practice Guideline for the Recognition, Diagnosis, and Management of Neonatal Delirium

Update item information
Identifier 2018_Schulte
Title A Clinical Practice Guideline for the Recognition, Diagnosis, and Management of Neonatal Delirium
Creator Schulte, Krista
Subject Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Practice Guidelines as Topic; Stakeholder Participation; Delirium; Infant, Newborn; Intensive Care, Health Knowledge, Attitudes, Practice; Risk Factors; Neonatal; Neonatal Delirium; Pediatric Delirium; Cornell Assessment of Pediatric Delirium
Description Purpose. The objective of this project was to create a clinical practice guideline (CPG) in order to standardize the assessment and treatment of neonatal delirium in a newborn intensive care unit (NICU) environment. Methods. An evidence-based CPG was developed using literature pertaining to pediatric and neonatal delirium within the past 10 years. Key stakeholders were invited to participate in the educational program. Participants included neonatologists, neonatal fellows, neonatal nurse practitioners (NNPs), child psychiatrists, and palliative care practitioners. Pre- and posttest questionnaire results were analyzed using a paired t-test to assess learning of participants. Results. The results from the pre- and post-education surveys showed that all but two participants agreed or strongly agreed that neonatal delirium is a disease process with recognizable symptoms that requires intervention. The educational presentation significantly increased knowledge and confidence in recognizing signs and symptoms of delirium, identifying risk factors, using the CAPD screening tool to aid in diagnosis of delirium, understanding environmental measures that prevent and treat delirium, and pharmacologic management principles for delirium. An unexpected finding was that participants with fewer than five years' experience had greater confidence than more experienced practitioners in recognizing the signs and symptoms of delirium, identifying risk factors, identifying environmental measures that prevent and treat delirium, and using pharmacologic management. Conclusions. The results suggest that providing education to key stakeholders increased the recognition, diagnosis and management of neonatal delirium. The CPG will need to be evaluated after implementation into the NICU setting to assess its effectiveness in recognizing and managing neonatal delirium.
Relation is Part of Graduate Nursing Project, Doctor of Nursing Practice
Publisher Spencer S. Eccles Health Sciences Library, University of Utah
Date 2018
Type Text
Rights Management © 2018 College of Nursing, University of Utah
Holding Institution Spencer S. Eccles Health Sciences Library, University of Utah
Collection Nursing Practice Project
Language eng
ARK ark:/87278/s6643wgx
Metadata Cataloger AMT
Setname ehsl_gradnu
Date Created 2018-08-30
Date Modified 2019-03-06
ID 1367073
Reference URL https://collections.lib.utah.edu/ark:/87278/s6643wgx
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