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The Multiple Segment Factorial Vignette design was used to explore and compare nursing home nurses' detection of such discrepancies.
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Prior cognitive impairment is associated with higher rates of nurse detection.
Other studies on nurse-detection of delirium among older adults have been carried in hospital settings.
The objectives of the present study are: 1) To determine the rates for nurse-detection of delirium among seniors with pre-existing dementia in LTC facilities.
41 42 Nonetheless, we did not expect such a large discrepancy between research-driven screening and nurse-led detection.
The research-driven screening to select trial participants appeared to be inconsistent with nurse-led detection in routine practice.
3. The time interval between the researcher-led screening and the nurse-led detection procedure needs to be limited.
Extra consultations for SMS were provided for 11 participants, of whom there were only two patients with a nurse-led detection score of DFT >4 and DS >3.
In the planning of the study, we considered avoiding research-driven screening by inserting the nurse-led detection phase of SMS into both study arms.
This may have resulted in study participants scoring less extreme values at nurse-led detection compared to values at research-driven screening.
Differences between the self-administered screening outcomes and the nurse-led detection could be explained by the fluctuation in distress symptoms and the phenomenon of regression towards the mean.
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