Understanding the Gap in Saudi Nurses’ Knowledge of Dementia, Depression and Delirium (the 3Ds), and Investigating Their Relevant Experience: An Exploratory Study

Aim: This study aims at testing registered nurses’ knowledge while working at mental health facilities and general care hospitals, through an exploratory non-experimental study using a random sample of nurse population across Saudi health facilities. Materials and Methods: The study participants were asked to complete a questionnaire consisting of four sections. Section 1 consisted of 21 questions, requesting participants to provide their background and demographic information, followed by a delirium-knowledge-assessment questionnaire (Section 2) consisting of 15 questions of which eight of them required true/false answers, and the remaining questions were multiple-choice. In Section 3, the research tool was a dementia-knowledge-assessment survey consisted of 27 questions that required true/false answers to a given statement about dementia. In Section 4, the depression-knowledge assessment survey provided multiple-choice answers. A total of 265 registered staff nurses (SNs) were included in the study, and were chosen from three Saudi healthcare centers, with an age range of 24 - 57 years. The participants consisted of 73% females and 27% males. Results: The knowledge of delirium, among the sampled nurses, was not high (M = 6.8906, SD = 2.13363). The employing health center influenced the delirium knowledge significantly, in addition to the job title of the participant, and their highest level of education, in addition to the fact of whether the participant has an immediate family member who has ever been diagnosed with any of the 3Ds. The averages significantly differed across the study sample with immediate family members who have been diagnosed with any of the 3Ds and those without (ANOVA, p = 0.019). Similar to the delirium knowledge, dementia knowledge, among the study participants, was not high (M = 69.2576, SD = 11.29327), and was significantly influenced by the health center, each participant’s gender, nationality, job title, highest level of education, and the country where they had completed their highest level of education. The scores, obtained for dementia knowledge, were positively and significantly correlated to how individual participants rated their current dementia knowledge (ANOVA, p p p p p p p p < 0.001). Conclusion: Saudi registered nurses’ knowledge of dementia and delirium was found to be limited compared to their knowledge of depression.

[1]  C. Wagner,et al.  The effect of an e-learning course on nursing staff’s knowledge of delirium: a before-and-after study , 2015, BMC medical education.

[2]  P. Davidson,et al.  Palliative care nurses' recognition and assessment of patients with delirium symptoms: a qualitative study using critical incident technique. , 2014, International journal of nursing studies.

[3]  C. Stirling,et al.  Who Knows, who Cares? Dementia Knowledge among Nurses, Care Workers, and Family members of People Living with Dementia , 2014, Journal of palliative care.

[4]  K. Rice,et al.  Mixed-methods approach to understanding nurses' clinical reasoning in recognizing delirium in hospitalized older adults. , 2014, Journal of continuing education in nursing.

[5]  M. Christensen An exploratory study of staff nurses' knowledge of delirium in the medical ICU: an Asian perspective. , 2014, Intensive & critical care nursing.

[6]  A. Cashin,et al.  Addressing the mental health nurse shortage: undergraduate nursing students working as assistants in nursing in inpatient mental health settings. , 2013, International journal of nursing practice.

[7]  Pierre-Hugues Carmichael,et al.  Relationship between delirium and behavioral symptoms of dementia , 2012, International Psychogeriatrics.

[8]  P. Davidson,et al.  Recognition and referral of depression in patients with heart disease , 2012, European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology.

[9]  R. Chaplin,et al.  Adequacy of training in dementia care for acute hospital staff. , 2012, Nursing older people.

[10]  M. Humphreys,et al.  Evaluation of a caregiver education program to support memory and communication in dementia: a controlled pretest-posttest study with nursing home staff. , 2011, International journal of nursing studies.

[11]  D. Conley The gerontological clinical nurse specialist's role in prevention, early recognition, and management of delirium in hospitalized older adults. , 2011, Urologic nursing.

[12]  J. Fitzpatrick,et al.  Effect of a geriatric nurse education program on the knowledge, attitudes, and certification of hospital nurses. , 2011, Journal of continuing education in nursing.

[13]  H. Thompson,et al.  Orthopaedic Nurses' Knowledge of Delirium in Older Hospitalized Patients , 2011, Orthopedic nursing.

[14]  A. Hamdan-Mansour,et al.  Knowledge and nursing practice of critical care nurses caring for patients with delirium in intensive care units in Jordan. , 2010, Journal of continuing education in nursing.

[15]  S. Valente,et al.  Psychiatric Nurses’ Expertise, Interest in End-of-Life Care, and Requests for Continuing Education on End of Life , 2010, The American journal of hospice & palliative care.

[16]  A. Long,et al.  Depression: a psychiatric nursing theory of connectivity. , 2009, Journal of psychiatric and mental health nursing.

[17]  M. D. de Vugt,et al.  Efficacy of integrated interventions combining psychiatric care and nursing home care for nursing home residents: a review of the literature , 2009, International journal of geriatric psychiatry.

[18]  Dan G. Blazer,et al.  The American Psychiatric Publishing Textbook of Geriatric Psychiatry (5th ed.) , 2009 .

[19]  E. Quayle,et al.  Training primary care nurses in late-life depression: knowledge, attitude and practice changes. , 2007, International journal of older people nursing.

[20]  Frank Lawrence,et al.  Recognizing Delirium Superimposed on Dementia , 2008 .

[21]  J. Moye,et al.  Geropsychology Training in a VA Nursing Home Setting , 2005, Gerontology & geriatrics education.

[22]  K. Hyer,et al.  Development of nurse competencies to improve dementia care. , 2005, Geriatric nursing.

[23]  Stephen L. Pinals,et al.  The American Psychiatric Publishing Textbook of Geriatric Psychiatry, 3rd Edition , 2005 .

[24]  B. Robertsson Assessment Scales in Delirium , 1999, Dementia and Geriatric Cognitive Disorders.

[25]  D. Blenkinsop Time for teamwork. , 1974, Nursing times.

[26]  O. Van den Bergh,et al.  Home nurses and patient depression. Attitudes, competences and the effects of a minimal intervention. , 2015, Journal of advanced nursing.

[27]  Nidsa Baker,et al.  Delirium: Why Are Nurses Confused? , 2015, Medsurg nursing : official journal of the Academy of Medical-Surgical Nurses.

[28]  A. Monsch,et al.  [Delirium and dementia]. , 2010, Therapeutische Umschau. Revue therapeutique.

[29]  D. Steffens,et al.  Textbook of Geriatric Psychiatry , 2009 .

[30]  Susan A. Pickett-Schenk,et al.  Improving knowledge about mental illness through family-led education: the journey of hope. , 2008, Psychiatric services.

[31]  D. Steffens,et al.  American Psychiatric Publishing Textbook of Geriatric Psychiatry, 4th Edition , 2008 .

[32]  P. Augspurger,et al.  Geriatric depression: a survey of nurses' knowledge and assessment practices. , 1996, Issues in mental health nursing.