DELIRIUM RECOGNITION AND MANAGEMENT AMONG IRAQI NURSES IN THI-QAR GOVERNORATE: CROSS-SECTIONAL STUDY
Abstract
Background: Delirium poses a significant challenge in healthcare, particularly for older hospitalized adults. Early recognition and intervention are crucial to mitigate its adverse effects. Nurses play a critical role in delirium management, yet knowledge gaps persist. This study aimed to assess nurses’ knowledge about delirium in the context.
Materials & Methods: A descriptive cross-sectional study was conducted with 210 nurses from Al-Nasiriyah Teaching Hospital in Thi-Qar, Iraq. Through the use of an adapted questionnaire, the socio-demographic characteristics, perception of knowledge, and different specific concepts related to delirium were measured by means of multiple-choice questions. Descriptive statistics and logistic regression as the methods of the data analysis were exploited.
Results: Of the total 210 nurses, 53.8 percent were women, 32.9 percent were between the ages of 20 and 25, and 50% had bachelor’s degrees. The majority (77.1%) reported that they were not knowledgeable enough about delirium, and two third (70%) didn’t have specialized training. Although there was a clear awareness of the fundamental description and preventative methods, there were notable gaps in the knowledge of possible environmental triggers and settings, how to use diagnostic instruments, and what treatments were available for different forms of delirium. Age, experience, and educational attainment all had a big impact on delirium training.
Conclusion: This research shows a lack of awareness of delirium among nurses, which provides evidence for developing such education and training programs. Updating-oriented trainings with professional growth prospects are the key to enhancing the competence of nurses to cope with delirium, which eventually leads to better results for the patients.
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Wilson JE, Mart MF, Cunningham C, Shehabi Y, Girard TD, MacLullich AM, et al. Delirium. Nat Rev Dis Primers. 2020;6(1):90. https://doi.org/10.1038/s41572-020-00223-4
Marquetand J, Bode L, Fuchs S, Ernst J, von Känel R, Boettger S. Predisposing and precipitating factors for delirium in the very old (≥80 years): a prospective cohort study of 3,076 patients. Gerontology. 2021;67(5):599-607. https://doi.org/10.1159/000514298
Nitchingham A, Caplan GA. Current challenges in the recognition and management of delirium superimposed on dementia. Neuropsychiatr Dis Treat. 2021;17:1341-52. https://doi.org/10.2147/NDT.S247957
Al Farsi RS, Al Alawi AM, Al Huraizi AR, Al-Saadi T, Al-Hamadani N, Al Zeedy K, et al. Delirium in medically hospitalized patients: prevalence, recognition and risk factors: a prospective cohort study. J Clin Med. 2023;12(12):3897. https://doi.org/10.3390/jcm12123897
Echeverría MdLR, Schoo C, Paul M. Delirium. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470399/
Wu CR, Chang KM, Tranyor V, Chiu HY. Global incidence and prevalence of delirium and its risk factors in medically hospitalized older patients: a systematic review and meta-analysis. Int J Nurs Stud. 2025;162:104959. https://doi.org/10.1016/j.ijnurstu.2024.104959
Park CM, Shi S, Jones RN, Metzger ED, Vasunilashorn SM, Fong T, et al. Persistence of delirium in postacute care at skilled nursing facilities. JAMA Netw Open. 2025;8(3):e250860. https://doi.org/10.1001/jamanetworkopen.2025.0860
Ornago AM, Pinardi E, Ferrara MC, Timmons S, Okoye C, Finazzi A, et al. Epidemiology and assessments of delirium in nursing homes and rehabilitation facilities: a cross-country perspective. Eur Geriatr Med. 2025. https://doi.org/10.1007/s41999-025-01207-x
Spiegelberg J, Song H, Pun B, Webb P, Boehm LM. Early identification of delirium in intensive care unit patients: improving the quality of care. Crit Care Nurse. 2020;40(2):33-43. https://doi.org/10.4037/ccn2020706
de Souza-Talarico JN, da Silva FC, de Motta Maia FO, Sichieri K, Cardoso D, Garcia P, et al. Screening and detection of delirium in an adult critical care setting: a best practice implementation project. JBI Evid Implement. 2021;19(4):337-46. https://doi.org/10.1097/XEB.0000000000000267
Mart MF, Roberson SW, Salas B, Pandharipande PP, Ely EW. Prevention and management of delirium in the intensive care unit. Semin Respir Crit Care Med. 2021. https://doi.org/10.1055/s-0040-1710572
Ceccarelli A, Ballarin M, Montalti M, Ceccarelli P, Mazzini S, Minotti A, et al. Delirium diagnosis, complication recognition, and treatment knowledge among nurses in an Italian local hospital: a cross-sectional study. Nurs Rep. 2024;14(2):767-76. https://doi.org/10.3390/nursrep14020059
Faustino TN, Suzart NA, dos Santos Rabelo RN, Santos JL, Batista GS, de Freitas YS, et al. Effectiveness of combined non-pharmacological interventions in the prevention of delirium in critically ill patients: a randomized clinical trial. J Crit Care. 2022;68:114-20. https://doi.org/10.1016/j.jcrc.2021.12.015
Abdullah SO, Darweesh AEDM, Mohammed NAEM. Assessment of nurses' knowledge and practices regarding care of patients with delirium at AL-Thawra Hospital, Yemen. Assiut Sci Nurs J. 2020;8(22):86-98.
Lange S, Mȩdrzycka-Da̧browska W, Tomaszek L, Wujtewicz M, Krupa S. Nurses' knowledge, barriers and practice in the care of patients with delirium in the intensive care unit in Poland: a cross-sectional study. Front Public Health. 2023;11:1119526. https://doi.org/10.3389/fpubh.2023.1119526
Yu M, Mi J, Zhang C, Chen H, Luo X. Knowledge, attitude and practice regarding hypoactive delirium among ICU nurses: a nationwide cross-sectional study. Nurse Educ Pract. 2023;72:103749. https://doi.org/10.1016/j.nepr.2023.103749
Grover S, Mehra A, Sharma N, Sahoo S, Dua D. Knowledge and attitude of nurses toward delirium. Ann Indian Psychiatry. 2022;6(1):73-81. https://doi.org/10.4103/aip.aip_134_21
Solberg LM, Campbell CS, Jones K, Vaughn I, Suryadevara U, Fernandez C, et al. Training hospital inpatient nursing to know (THINK) delirium: a nursing educational program. Geriatr Nurs. 2021;42(1):16-20. https://doi.org/10.1016/j.gerinurse.2020.10.018
Emme C. "It should not be that difficult to manage a condition that is so frequent": a qualitative study on hospital nurses' experience of delirium guidelines. J Clin Nurs. 2020;29(15-16):2849-62. https://doi.org/10.1111/jocn.15300
Hercus C, Hudaib AR. Delirium misdiagnosis risk in psychiatry: a machine learning-logistic regression predictive algorithm. BMC Health Serv Res. 2020;20:1-7. https://doi.org/10.1186/s12913-020-5005-1
Liang S, Chau JPC, Lo SHS, Zhao J, Liu W. Non-pharmacological delirium prevention practices among critical care nurses: a qualitative study. BMC Nurs. 2022;21(1):235. https://doi.org/10.1186/s12912-022-01019-5
Tovar LG, Henao-Castano A, Troche-Gutiérrez I. Prevention and treatment of delirium in intensive care: hermeneutics of experiences of the nursing team. Enferm Intensiva (Engl Ed). 2022;33(3):113-25. https://doi.org/10.1016/j.enfie.2021.05.001
Lim XM, Lim ZHT, Ignacio J. Nurses' experiences in the management of delirium among older persons in acute care ward settings: a qualitative systematic review and meta-aggregation. Int J Nurs Stud. 2022;127:104157. https://doi.org/10.1016/j.ijnurstu.2021.104157
Balasanova AA, Park D. Nursing insights on delirium in the intensive care unit: a quality improvement study. Crit Care Nurs Q. 2021;44(2):277-86. https://doi.org/10.1097/CNQ.0000000000000361
Kim SH, Moon KJ. Exploring influential factors on patient safety culture in delirium nursing care within long-term care facilities: a cross-sectional survey. BMC Health Serv Res. 2023;23(1):1411. https://doi.org/10.1186/s12913-023-10452-4
DOI: https://doi.org/10.46903/gjms/23.2.1757
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