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Background: In papers published by nurses, there is no consensus on the most appropriate concept to describe the clinical condition known as delirium, but also as acute confusion. Objective: To determine the coherence in use of the concepts of delirium and acute confusion by nurses. Data sources: The bibliographic search covered the international literature published between 2000 and 2010. The sample was composed of 7 free access articles. Discussion: The results highlight a lack of rigor in the use of concepts, lack of knowledge of the characteristics of delirium and the preferential use of ‘confusion’ by nurses, and difficulties in research because of theoretical differences between investigators and care providers. Implications for nursing: We suggest that research should focus on defining the concept that best defines the problem, clarifying the differences and characteristics and the clinical utility of concept(s) for nurses; this information should be incorporated in the training of nurses; measuring instruments should be used in clinical practice; and a common language should be disseminated among nurses. Conclusion: The importance of this field is undeniable if the care provided is to meet the aims of quality and excellence. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Enfermagem Referência is the property of Escola Superior de Enfermagem de Coimbra and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Context: Acute confusion is a common and serious problem in older hospitalized patients, and is associated with serious complications, mortality, re-hospitalization and institutionalization. Nurses still have difficulty in its identification and management. Objectives: In this research, we sought to identify information about patients with acute confusion that is important for nursing clinical practice, and on this basis to build an algorithm which supports the nurse decision. Methods: From the methodological point of view this was a qualitative, exploratory and descriptive study. As proposed by Strauss & Corbin, we used a comparative and iterative analysis of the nurses' interview data. Results: The results point to the importance of linking acute confusion with behavioral responses and functional status. Making this connection allows improvements in nursing care. Conclusions: The structure of decision support that emerged is new knowledge whose development may enable significant advances in the science and practice of nursing. [ABSTRACT FROM AUTHOR]

Context: Acute confusion is a common and serious problem in older hospitalized patients, and is associated with serious complications, mortality, re-hospitalization and institutionalization. Nurses still have difficulty in its identification and management. Objectives: In this research, we sought to identify information about patients with acute confusion that is important for nursing clinical practice, and on this basis to build an algorithm which supports the nurse decision. Methods: From the methodological point of view this was a qualitative, exploratory and descriptive study. As proposed by Strauss & Corbin, we used a comparative and iterative analysis of the nurses' interview data. Results: The results point to the importance of linking acute confusion with behavioral responses and functional status. Making this connection allows improvements in nursing care. Conclusions: The structure of decision support that emerged is new knowledge whose development may enable significant advances in the science and practice of nursing. [ABSTRACT FROM AUTHOR]

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The article discusses how a pathophysiology course is being affected by problem-based learning (PBL) clinical cases. Pathophysiology refers to a core course in nursing curricula which aims to bridge the gap between pathological concepts and clinical reasoning. It notes that the pathophysiology course is composed of six European Credit Transfer System credits.

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)