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Abstract：
BACKGROUND: The experiences and perceptions of geriatric specialist nurses are pivotal to understanding the complexities of managing delirium and to developing effective nursing interventions. This qualitative study aims to explore these experiences and perceptions to inform the enhancement of clinical geriatric nursing and care practices.
METHODS: Utilizing a qualitative exploratory design, this research engaged a convenience sample of geriatric specialist nurses at a tertiary hospital in Shanghai, China through focus groups and semi-structured interviews. Data were rigorously analyzed using Colaizzi\'s phenomenological method, which facilitated the identification of themes that emerged from the narratives of the geriatric specialist nurses.
RESULTS: The thematic analysis yielded three major themes that encapsulate the nurses\' experiences and perceptions. Theme 1: Understanding of Delirium, highlighted the nurses\' awareness of the condition\'s significance, yet it was often deprioritized due to the pressing demands of managing more acute and immediately life-threatening conditions. Theme 2: Barriers in Application, brought to light the multifaceted challenges faced by nurses, including language barriers, the frequency and consistency of delirium assessments, the social determinants of health, and the nurses\' own competencies in assessment. Theme 3: Evolution of Nursing Approaches, detailed the adaptive strategies employed by nurses, such as managing nursing adverse events, improving communication with patients\' families, and adopting a proactive stance towards long-term patient outcomes.
CONCLUSIONS: The findings suggest that while geriatric specialist nurses recognize the importance of delirium assessment, there are several barriers to effective application. The study underscores the imperative for the advancement of more refined delirium assessment and care protocols, tailored to address the unique requirements of geriatric nursing care.
METHODS: Utilizing a qualitative exploratory design, this research engaged a convenience sample of geriatric specialist nurses at a tertiary hospital in Shanghai, China through focus groups and semi-structured interviews. Data were rigorously analyzed using Colaizzi\'s phenomenological method, which facilitated the identification of themes that emerged from the narratives of the geriatric specialist nurses.
RESULTS: The thematic analysis yielded three major themes that encapsulate the nurses\' experiences and perceptions. Theme 1: Understanding of Delirium, highlighted the nurses\' awareness of the condition\'s significance, yet it was often deprioritized due to the pressing demands of managing more acute and immediately life-threatening conditions. Theme 2: Barriers in Application, brought to light the multifaceted challenges faced by nurses, including language barriers, the frequency and consistency of delirium assessments, the social determinants of health, and the nurses\' own competencies in assessment. Theme 3: Evolution of Nursing Approaches, detailed the adaptive strategies employed by nurses, such as managing nursing adverse events, improving communication with patients\' families, and adopting a proactive stance towards long-term patient outcomes.
CONCLUSIONS: The findings suggest that while geriatric specialist nurses recognize the importance of delirium assessment, there are several barriers to effective application. The study underscores the imperative for the advancement of more refined delirium assessment and care protocols, tailored to address the unique requirements of geriatric nursing care.
摘要：
背景：老年专科护士的经验和观念对于理解谵妄管理的复杂性和制定有效的护理干预措施至关重要。这项定性研究旨在探索这些经验和看法，以告知加强临床老年护理和护理实践。
方法：利用定性探索性设计，这项研究调查了上海一家三级医院的老年专科护士的便利样本，中国通过焦点小组和半结构化访谈。使用Colaizzi的现象学方法对数据进行了严格的分析，这有助于确定从老年专科护士的叙述中出现的主题。
结果：主题分析产生了三个主要主题，这些主题概括了护士的经验和看法。主题1：理解谵妄，强调了护士对病情意义的认识，然而，由于迫切需要管理更严重和立即危及生命的疾病，它经常被贬低。主题2：应用中的障碍，揭示了护士面临的多方面挑战，包括语言障碍,谵妄评估的频率和一致性，健康的社会决定因素，和护士自己的能力评估。主题3：护理方法的演变，详细介绍了护士采用的适应性策略，例如管理护理不良事件，改善与患者家属的沟通，并采取积极的态度对待长期的患者结果。
结论：研究结果表明，虽然老年专科护士认识到谵妄评估的重要性，有效应用有几个障碍。该研究强调了推进更精细的谵妄评估和护理方案的必要性，为满足老年护理的独特要求而量身定制。
方法：利用定性探索性设计，这项研究调查了上海一家三级医院的老年专科护士的便利样本，中国通过焦点小组和半结构化访谈。使用Colaizzi的现象学方法对数据进行了严格的分析，这有助于确定从老年专科护士的叙述中出现的主题。
结果：主题分析产生了三个主要主题，这些主题概括了护士的经验和看法。主题1：理解谵妄，强调了护士对病情意义的认识，然而，由于迫切需要管理更严重和立即危及生命的疾病，它经常被贬低。主题2：应用中的障碍，揭示了护士面临的多方面挑战，包括语言障碍,谵妄评估的频率和一致性，健康的社会决定因素，和护士自己的能力评估。主题3：护理方法的演变，详细介绍了护士采用的适应性策略，例如管理护理不良事件，改善与患者家属的沟通，并采取积极的态度对待长期的患者结果。
结论：研究结果表明，虽然老年专科护士认识到谵妄评估的重要性，有效应用有几个障碍。该研究强调了推进更精细的谵妄评估和护理方案的必要性，为满足老年护理的独特要求而量身定制。
