Abstract
Introduction: Delirium is a qualitative impairment of consciousness, one of the most common organ dysfunctions at the ICU, with an incidence of up to 60-80% of ventilated patients. It is an independent predictor of higher mortality and is associated with the development of post-ICU neurocognitive deficits.
In adult critically ill patients it is recommended to routinely monitor delirium using validated screening tests (CAM-ICU or ICDSC). If a nurse is educated and equipped with appropriate diagnostic tools, then it can participate in the prevention, diagnosis and delirium therapies.
Aim: The aim of the diploma thesis was to determine the level of knowledge of nurses in the Czech Republic about delirium and clinical practice in the care of these patients. Methods: Quantitative method of questionnaire survey, questionnaire filled in by ICU nurses of two faculty and one regional hospital in the Czech Republic from August to September 2017.
Results: 130 questionnaires, return of 110 pieces (84%). 63% of respondents have enough information about the delirium, 66% would welcome educational events. 51% do not take steps to prevent delirium, 35% do not know. Screening is performed by 2% of respondents, 63% of screening is not performed, 35% are unaware of any of the tests. 84% of respondents consider care for a patient with delirium to be more demanding than care about another patient, 70% would prefer to take care of another. 37% of nurses do not have the opportunity to express their opinion on care or their opinions are not taken into account.
Conclusion: Research has shown the need for further training of staff and the need to implement diagnostic tools and preventive measures in ICU delirium therapy.