2018 Volume 14 Pages 47-56
It is essential to clarify a delirious patient when claiming for appropriate medical service fee. We made a survey of the current situation for delirium assessment/delirium care after 2016 revision of medical service fee with all the members of the critical care nursing specialist organization (Critical care nursing specialist, certified nurse in intensive care, and certified nurse in emergency nursing) often providing medical care to patients with "the requirement of a highly-intensive medical treatment". We conducted a Web-based anonymous questionnaire survey, simple totaling, and then qualitative/descriptive analysis. The number of the study subjects was 1,798 respondents with the response rate 9.6% and the valid response rate 100%. Delirium assessment with validity/reliability was not continuously conducted throughout the entire perioperative period. Thus, it is important to maintain a tool assessment accuracy in addition to introduction of delirium assessment tool to improve claiming for appropriate medical service fee and also necessary to provide an educational support through academic conference. Furthermore, a support for establishing a medically-economical/political delirium assessment with a nursing need degree possibly promotes a patient care while encouraging to set a common language of delirium care during the progress of interdisciplinary collaboration/team collaboration.
