Nurses' management of older patients with post-anesthesia delirium: A Q methodology approach
- Authors
- Kang, Minyeong; Kim, Eun Young; Chang, Sung Ok
- Issue Date
- Nov-2022
- Publisher
- 한국노인간호학회
- Keywords
- Aged; Postoperative period; Emergence delirium
- Citation
- Journal of Korean Gerontological Nursing, v.24, no.4, pp 454 - 463
- Pages
- 10
- Indexed
- SCOPUS
KCI
- Journal Title
- Journal of Korean Gerontological Nursing
- Volume
- 24
- Number
- 4
- Start Page
- 454
- End Page
- 463
- URI
- https://scholarworks.korea.ac.kr/kumedicine/handle/2021.sw.kumedicine/62034
- DOI
- 10.17079/jkgn.2022.24.4.454
- ISSN
- 2384-1877
2383-8086
- Abstract
- Purpose
This is an analysis of the experiences of nurses in Post Anesthesia Care Units (PACUs) in caring for older patients with emergence delirium using the Q-methodology.
Methods
The Q-methodology, which is used to explore and understand human subjectivity, was applied. Thirty nurses who had experiences in providing nursing for delirium in older patients after surgery in a PACU participated in this study.
Results
This study revealed three factors regarding the frame of reference of PACU nurses in detecting and managing older patients' emergence delirium: “detect the deviant changes leading to instability”, “focus on the patient’s degree of cognitive recovery within the framework of recovery time”, and “awareness of possible clues based on the patient’s underlying disease(s)”.
Conclusion
These findings are expected to be utilized as a basis for more practical and accessible PACU nurse delirium education that reflects nurses’ subjective viewpoints explained by the three identified factors.
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