Yıl: 2021 Cilt: 12 Sayı: 1 Sayfa Aralığı: 50 - 58 Metin Dili: İngilizce DOI: 10.14744/phd.2020.36693 İndeks Tarihi: 10-05-2021

Delirium determination form for children: A delphi method study

Öz:
Objectives: This study aims to develop a form capable of identifying delirium in children.Methods: To develop this form, the Delphi method was used in this study and involved the participation of specialistswho have conducted scientific studies and health professionals who have previously worked in the field of pediatricsintensive care. A total of 47 items were selected from the responses given in the first stage, and these items were thenprepared in the form of a five-point Likert-type questionnaire for the second stage and delivered to 46 people who participated in the first stage. The second stage was completed with 38 respondents. After the completion of the secondstage, the items underwent statistical analysis and were delivered to the same 38 people. Central tendency measures,including percentage, mean, standard deviation, median, first quarter and third quarter, and range were used to evaluate the data. Median, First Quarter (Q1), Third Quarter (Q3) and Width (Q3-Q1) are the statistical measures used toidentify compromised items in the analysis of data collected by the Delphi method.Results: According to the results from the Delphi method, the participants agreed on 32 items for delirium determination in children. The most important diagnostic criteria for delirium in children was defined by the consensus derivedfrom the Delphi method.Conclusion: It was concluded that the delirium diagnosis form for children that was developed using the Delphimethod may be suitable for nurses working in intensive care units. As this study was strictly qualitative in nature, itis recommended that the form this study developed based on the opinions of experts, be quantitatively analyzed tofurther confirm its suitability for the diagnosis of delirium, which is difficult for nurses to diagnose in pediatric patientshospitalized in intensive care units.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1. Grover S, Kate N. Assessment scales for delirium: A review. World J Psychiatry 2012;2:58–70.
  • 2. Silver G, Traube C, Gerber LM, Sun X, Kearney J, Patel A, et al. Pediatric delirium and associated risk factors: a single-center prospective observational study. Pediatr Crit Care Med 2015;16:303–9.
  • 3. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th Ed. Washington DC: American Psychiatric Association; 2000.
  • 4. Schieveld JN, Leentjens AF. Delirium in severely ill young children in the pediatric intensive care unit (PICU). J Am Acad Child Adolesc Psychiatry 2005; 44:392–4.
  • 5. Pereira JM, Barradas FJD, Sequeira RMC, Marques MDCMP, Batista MJ, Galhardas M, et al. M. Delirium in critically ill patients: risk factors modifi able by nurses. Revista de Enfermagem Referência Journal of Nursing Referência 2016;4:29–36.
  • 6. Creten CS, Van Der Zwaan S, Blankespoor RJ, Leroy PLJM, Schieveld. Pediatric delirium in the pediatric intensive care unit: a systematic review and an update on key issues and research questions. Minerva Anestesiologica 2011;77:1099– 107.
  • 7. Bettencourt A, Mullen JE. Delirium in Children: Identification, Prevention, and Management. Crit Care Nurse 2017;37:e9– e18.
  • 8. Schieveld J, Ista E, Knoester H, Molag ML. Pediatric delirium: a practical approach. In: Rey J, ed. IACAPAP e-Textbook of Child and Adolescent Mental Health. Geneva, Switzerland: International Association for Child and Adolescent Psychiatry and Allied Professions; 2015. p. 1–17.
  • 9. Smith HA, Fuchs DC, Pandharipande PP, Barr FE, Ely EW. Delirium: an emerging frontier in the management of critically ill children. Crit Care Clin 2009;25:593–614.
  • 10. Schieveld JN, Janssen NJ, van Cauteren YJ. On the Cornell Assessment for Pediatric Delirium and both the diagnostic and statistical manual, 5th edition, and International Classification of Diseases, 11th revision: quo vadis?*. Crit Care Med 2014;42:751–2.
  • 11. Silver G, Kearney J, Traube C, Hertzig M. Delirium screening anchored in child development: The Cornell Assessment for Pediatric Delirium. Palliat Support Care 2015;13:1005–11.
  • 12. Smith HA, Boyd J, Fuchs DC, Melvin K, Berry P, Shintani A, et al. Diagnosing delirium in critically ill children: Validity and reliability of the Pediatric Confusion Assessment Method for the Intensive Care Unit. Crit Care Med 2011;39:150–7.
  • 13. Traube C, Silver G, Kearney J, Patel A, Atkinson TM, Yoon MJ, et al. Cornell Assessment of Pediatric Delirium: a valid, rapid, observational tool for screening delirium in the PICU*. Crit Care Med 2014;42:656–63.
  • 14. McKenna HP. The Delphi technique: a worthwhile research approach for nursing? J Adv Nurs 1994;19:1221–5.
  • 15. Brenner M, Hilliard C, Regan G, Coughlan B, Hayden S, Drennan J, et al. Research priorities for children's nursing in Ireland: a Delphi study. J Pediatr Nurs 2014;29:301–8.
  • 16. Şahin AE. Eğitim araştırmalarında delphi tekniği ve kullanımı. Hacettepe Üniversitesi Eğitim Fakültesi Dergisi 2001;20:215–20.
  • 17. Aydın CH. Application of delphi technique in the field of educational communication, Anadolu University e-archive 1999;16:225–41.
  • 18. Silver G, Traube C, Kearney J, Kelly D, Yoon MJ, Nash Moyal W, et al. Detecting pediatric delirium: development of a rapid observational assessment tool. Intensive Care Med 2012;38:1025–31.
  • 19. Smith HA, Gangopadhyay M, Goben CM, Jacobowski NL, Chestnut MH, Savage S, et al. The Preschool Confusion Assessment Method for the ICU: Valid and Reliable Delirium Monitoring for Critically Ill Infants and Children. Crit Care Med 2016;44:592–600.
  • 20. Ista E, van Beusekom B, van Rosmalen J, Kneyber MCJ, Lemson J, Brouwers A, et al. Validation of the SOS-PD scale for assessment of pediatric delirium: a multicenter study. Crit Care 2018;22:309.
  • 21. Martini DR. Delirium in the pediatric em ergency departm ent. Clin Ped Emerg Med 2004;5:173–80.
  • 22. Brenner M, Hilliard C, Regan G, Coughlan B, Hayden S, Drennan J, et al. Research priorities for children's nursing in Ireland: a Delphi study. J Pediatr Nurs 2014;29:301–8.
  • 23. Tume LN, van den Hoogen A, Wielenga JM, Latour JM. An electronic delphi study to establish pediatric intensive care nursing research priorities in twenty European countries*. Pediatr Crit Care Med 2014;15:e206–13.
  • 24. Ramelet AS, Gill F; ACCCN Paediatric Intensive Care Special Interest Group. A Delphi study on National PICU nursing research priorities in Australia and New Zealand. Aust Crit Care 2012;25:41–57.
  • 25. Kim HJ, Kim DH Factors associated with Pediatric Delirium in the Pediatric Intensive Care Unit. Child Health Nursing Research 2019;25:103–11.
  • 26. Paterson R, Long D, Schibler A, De Young A, Dow B, Warren J, Kenardy J. Risk Factors for Delirium in an Australian Paediatric Intensive Care Unit. Australian Critical Care 2018;31:117 .
APA Turan e, manav g, baran g (2021). Delirium determination form for children: A delphi method study. , 50 - 58. 10.14744/phd.2020.36693
Chicago Turan engin,manav gülay,baran gulbeyaz Delirium determination form for children: A delphi method study. (2021): 50 - 58. 10.14744/phd.2020.36693
MLA Turan engin,manav gülay,baran gulbeyaz Delirium determination form for children: A delphi method study. , 2021, ss.50 - 58. 10.14744/phd.2020.36693
AMA Turan e,manav g,baran g Delirium determination form for children: A delphi method study. . 2021; 50 - 58. 10.14744/phd.2020.36693
Vancouver Turan e,manav g,baran g Delirium determination form for children: A delphi method study. . 2021; 50 - 58. 10.14744/phd.2020.36693
IEEE Turan e,manav g,baran g "Delirium determination form for children: A delphi method study." , ss.50 - 58, 2021. 10.14744/phd.2020.36693
ISNAD Turan, engin vd. "Delirium determination form for children: A delphi method study". (2021), 50-58. https://doi.org/10.14744/phd.2020.36693
APA Turan e, manav g, baran g (2021). Delirium determination form for children: A delphi method study. Psikiyatri Hemşireliği Dergisi, 12(1), 50 - 58. 10.14744/phd.2020.36693
Chicago Turan engin,manav gülay,baran gulbeyaz Delirium determination form for children: A delphi method study. Psikiyatri Hemşireliği Dergisi 12, no.1 (2021): 50 - 58. 10.14744/phd.2020.36693
MLA Turan engin,manav gülay,baran gulbeyaz Delirium determination form for children: A delphi method study. Psikiyatri Hemşireliği Dergisi, vol.12, no.1, 2021, ss.50 - 58. 10.14744/phd.2020.36693
AMA Turan e,manav g,baran g Delirium determination form for children: A delphi method study. Psikiyatri Hemşireliği Dergisi. 2021; 12(1): 50 - 58. 10.14744/phd.2020.36693
Vancouver Turan e,manav g,baran g Delirium determination form for children: A delphi method study. Psikiyatri Hemşireliği Dergisi. 2021; 12(1): 50 - 58. 10.14744/phd.2020.36693
IEEE Turan e,manav g,baran g "Delirium determination form for children: A delphi method study." Psikiyatri Hemşireliği Dergisi, 12, ss.50 - 58, 2021. 10.14744/phd.2020.36693
ISNAD Turan, engin vd. "Delirium determination form for children: A delphi method study". Psikiyatri Hemşireliği Dergisi 12/1 (2021), 50-58. https://doi.org/10.14744/phd.2020.36693