L'utilisation du RADAR en centre d'hébergement et de soins de longue durée (CHSLD) pendant sept journées consécutives

Authors: Pelletier, Isabelle
Advisor: Voyer, Philippe
Abstract: The prevalence of delirium in nursing homes is about 25%. Delirium is associated with increased mortality, morbidity, costs, workload and family distress. The fast delirium detection and the resulting interventions can reduce these consequences. However, the rate of delirium detection by nurses is low, ranging from 26% to 83%. The purpose of this research was to determine the validity of the RADAR (Recognizing Acute Delirium As part of your Routine) to detect delirium when used during seven consecutive days in nursing homes. To this end, it was administered by nursing assistants during the scheduled distribution of medication. The results obtained using RADAR were compared to those obtained by the student-researcher with CAM. Results from classical estimation of the parameters had a sensitivity of 100% and a specificity of 72%, while the Bayesian analysis of data resulted in a sensitivity of 68% and a specificity of 71%. The interrater agreement varied from 94% to 97% for the three RADAR items. This screening tool would therefore have added value for nursing practice in the context of delirium detection in nursing homes.
Document Type: Mémoire de maîtrise
Issue Date: 2017
Open Access Date: 24 April 2018
Permalink: http://hdl.handle.net/20.500.11794/27765
Grantor: Université Laval
Collection:Thèses et mémoires

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