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Tables for bivariate associations between demographic variables, burnout, and resilience

Survey information sheet and questions, excluding copyrighted instruments

Supplemental material, sj-pdf-1-pmj-10.1177_02692163221113163 for Stakeholder perspectives of a pilot multicomponent delirium prevention intervention for adult patients with advanced cancer in palliative care units: A behaviour change theory-based qualitative study by Anna Green, Annmarie Hosie, Jane L Phillips, Slavica Kochovska, Beverly Noble, Meg Brassil, Anne Cumming, Peter G Lawlor, Shirley H Bush, Jan Maree Davis, Layla Edwards, Jane Hunt, Julie Wilcock, Carl Phillipson, Eugene Wesley Ely, Cynthia Parr, Melanie Lovell and Meera Agar in Palliative Medicine

Additional file 2. Completed Template for Intervention Description and Replication (TIDieR) checklist. Provides manuscript location for checklist items.

Supplemental material, sj-pdf-2-pmj-10.1177_02692163221113163 for Stakeholder perspectives of a pilot multicomponent delirium prevention intervention for adult patients with advanced cancer in palliative care units: A behaviour change theory-based qualitative study by Anna Green, Annmarie Hosie, Jane L Phillips, Slavica Kochovska, Beverly Noble, Meg Brassil, Anne Cumming, Peter G Lawlor, Shirley H Bush, Jan Maree Davis, Layla Edwards, Jane Hunt, Julie Wilcock, Carl Phillipson, Eugene Wesley Ely, Cynthia Parr, Melanie Lovell and Meera Agar in Palliative Medicine

Additional file 3. Delirium Clinical Practice Guideline Survey for Palliative Care Unit (PCU) nurses. Evaluation survey administered to Palliative Care Unit nurses.

Supplemental material, sj-pdf-3-pmj-10.1177_02692163221113163 for Stakeholder perspectives of a pilot multicomponent delirium prevention intervention for adult patients with advanced cancer in palliative care units: A behaviour change theory-based qualitative study by Anna Green, Annmarie Hosie, Jane L Phillips, Slavica Kochovska, Beverly Noble, Meg Brassil, Anne Cumming, Peter G Lawlor, Shirley H Bush, Jan Maree Davis, Layla Edwards, Jane Hunt, Julie Wilcock, Carl Phillipson, Eugene Wesley Ely, Cynthia Parr, Melanie Lovell and Meera Agar in Palliative Medicine

Additional file 4. Delirium clinical practice guideline focus group/interview guide for Palliative Care Unit (PCU) nurses. Focus group/interview guide used with Palliative Care Unit nurses in interviews to understand their experiences of using the delirium clinical practice guideline.

Additional file 1. Completed Standards for Quality Improvement Reporting Excellence (SQUIRE) 2.0 checklist. Provides manuscript location for checklist items.

BACKGROUND: Delirium is a distressing neuropsychiatric disorder affecting patients in palliative care. Although many delirium screening tools exist, their utility, and validation within palliative care settings has not undergone systematic review. AIM: To systematically review studies that validate delirium screening tools conducted in palliative care settings. DESIGN: Systematic review with narrative synthesis (PROSPERO ID: CRD42019125481). A risk of bias assessment via Quality Assessment Tool for Diagnostic Accuracy Studies-2 was performed. DATA SOURCES: Five electronic databases were systematically searched (January 1, 1982-May 3, 2020). Quantitative studies validating a screening tool in adult palliative care patient populations were included. Studies involving alcohol withdrawal, critical or perioperative care were excluded. RESULTS: Dual-reviewer screening of 3749 unique titles and abstracts identified 95 studies for full-text review and of these, 17 studies of 14 screening tools were included (n = 3496 patients). Data analyses revealed substantial heterogeneity in patient demographics and variability in screening and diagnostic practices that limited generalizability between study populations and care settings. A risk of bias assessment revealed methodological and reporting deficits, with only 3/17 studies at low risk of bias. CONCLUSIONS: The processes of selecting a delirium screening tool and determining optimal screening practices in palliative care are complex. One tool is unlikely to fit the needs of the entire palliative care population across all palliative care settings. Further research should be directed at evaluating and/or adapting screening tools and practices to fit the needs of specific palliative care settings and populations.

Supplemental material, sj-docx-2-pmj-10.1177_0269216321994730 for Delirium screening tools validated in the context of palliative care: A systematic review by Christine L Watt, Mary Scott, Colleen Webber, Lindsey Sikora, Shirley H Bush, Monisha Kabir, Jason W Boland, Rebecca Woodhouse, Megan B Sands and Peter G Lawlor in Palliative Medicine

Supplemental material, sj-docx-1-pmj-10.1177_0269216321994730 for Delirium screening tools validated in the context of palliative care: A systematic review by Christine L Watt, Mary Scott, Colleen Webber, Lindsey Sikora, Shirley H Bush, Monisha Kabir, Jason W Boland, Rebecca Woodhouse, Megan B Sands and Peter G Lawlor in Palliative Medicine

Additional file 1: Figure 1. Cohort creation figure. Table 1. Median/IQR cost per day in each level of palliative involvement and hospital length of stay.

Purpose. Delirium frequently affects critically ill patients in the intensive care unit (ICU). The purpose of this study is to evaluate the impact of delirium on ICU and hospital length of stay (LOS) and perform a cost analysis. Materials and Methods. Prospective studies and randomized controlled trials of patients in the ICU with delirium published between January 1, 2015, and December 31, 2020, were evaluated. Outcome variables including ICU and hospital LOS were obtained, and ICU and hospital costs were derived from the respective LOS. Results. Forty-one studies met inclusion criteria. The mean difference of ICU LOS between patients with and without delirium was significant at 4.77 days (p