NR 439 Week 3 Discussion The Literature Review and Searching for Evidence
NR439 Week 3 Discussion The Literature Review and Searching for Evidence
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... [Show More] 439 Week 3 Discussion
Week 3 Discussion: The Literature Review and Searching for Evidence
After reading the article Baker, N., Taggart, H., Nivens, A. & Tillman, P. (2015). Delirium: Why are nurses confused? MedSurg Nursing, I concluded that the authors of the article were interested in investigating whether delirium is under-diagnosed and under-recognized by the nursing professionals. The authors were also interested in researching the whether the frequent assessments by nursing professionals is key to early detection and treatment. According to the authors of the article, one of the literature findings of the ability of the nurses to recognize delirium in patients is by Voyer (2008). According to this study, there is a significant evidence to show that nurses under-recognize delirium in the long-term care of the older patients (adults)
Voyer (2008) observed that the incidence of delirium in the patient participants was 71.5%. Among the identified participants, nurses could only identify delirium in only 13% of the participants. In their review of the research, Baker, Taggart, Nivens, & Tillman (2015) were able to support their research of the problem.
As I read through the literature review section of the article, one thing that was interesting to me is that despite taking over 15 hours of dementia detection and instruction on delirium, the nurse investigators still ended up with poor results that could not identify the condition. This is interesting and worrying at the same time because it implies that the possibility of misdiagnosis or un-recognition of delirium is high.
One strategy that I learned and that would help in creating a strong literature review/search for evidence is the use of appropriate resources obtained from reliable databases. For instance, I would use Cumulative Index to Nursing and Allied Health Literature (CINAHL) to review the nursing research because it is one of the most important databases available for nursing research professionals (Houser, 2018).
References
Baker, N., Taggart, H., Nivens, A. & Tillman, P. (2015). Delirium: Why are nurses confused? MedSurg Nursing, 24(1), 15-22.
Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th Ed.). Burlington, MA: Jones & Bartlett Learning. [Show Less]