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Table 6 Observational Outcome Data - observations across all time-pointsc

From: CogChamps: impact of a project to educate nurses about delirium and improve the quality of care for hospitalized patients with cognitive impairment

  Intervention Hospital Control Hospital χ2 P-value
PATIENT BEHAVIOR
Patient activity:
Patient doing nothing, versus 170 (45%) 81 (52%) 1.99 0.16
Patient engaged in some activity 206 (55%) 75 (48%)
(n; % of total observations) Total obs = 376 Total obs = 156
Patient showed signs of agitation/ pain (n; % of total observations) 59 (12%) 25 (14%) 0.69 0.41
Total obs = 497 Total obs = 175
Patient showed confusion/ disorientation (n; % of total observations) 184 (38%) 74 (38%) 0.012 0.91
Total obs = 484 Total obs = 197
Number of occasions, patients experienced meal-time difficulty (n; % of total observations) 128 (62%) 55 (70%) 1.28 0.27
Total obs = 205 Total obs = 70
NURSE BEHAVIOR
Number of occasions patients who showed confusion were reoriented by nurse (n; % of total observations) 109 (63%) 36 (58%) 0.47 0.49
Total obs = 173 Total obs = 62
Number of occasions patients who experienced meal-time difficulty 96 (76%) 47 (87%) 3.0 0.56
received appropriate assistancea(n; % of total observations) Total obs = 127 Total obs = 54
How often did the nurse introduce themselves when they approached the 39 (10%) 34 (25%) 6.8 0.009*
patient (n; % of total observations) Total obs = 384 Total obs = 135
How often, did the nurse address the patient by his/her name when they approached the patient (n; % of total observations) 221 (57%) 67 (49%) 2.35 0.13
Total obs = 386 Total obs = 135
Nurse explained action/ procedure in easy to understand terms (n; % of total observations) 283 (71%) 97 (73%) 0.16 0.69
Total obs = 398 Total obs = 133
Intervention Hospital Control Hospital χ2 P-value
Total patients = 130 Total patients = 51
Number of patients who received a newly prescribed antipsychotic within the last 24 h (n; % of patients) 29 (21%) 12 (23%) 0.03 0.86
Number of patients who received a newly prescribed benzodiazepine within the last 24 h (n; % of patients) 21b (16%) 3 (6%) 3.36 0.07
Number of patients who were administered analgesia (n; % of patients) 36 (28%) 25 (49%) 7.46 0.006*
Assessment of patient’s cognitive function within 24 h of admission using a standardized assessment tool? (n; % of patients) 70 (54%) 13 (25%) 11.86 0.001**
Informal assessment of patient’s cognitive function (n; % of patients) 88 (68%) 31 (61%) 0.78 0.38
  1. aAppropriate assistance was provided by nurses on a majority of occasions (91%); Others who provided assistance included family members /other staff
  2. bOne patient had experienced a seizure and two were undergoing alcohol/ drug detoxification
  3. cThe data presented in this Table have been collapsed across all time-points (Baseline, Data Collections 2 and 3, and Follow-Up); The number of observations differs as cases where the event did not occur (e.g. there was no nurse – patient interaction during the observation) were excluded from the analyses
  4. *p < 0.05; **p < 0.001