Development and evaluation of clinical practice guideline for delirium in long-term care

Eunhye Jeong, Jinkyung Park, Sung Ok Chang

Research output: Contribution to journalArticlepeer-review

4 Citations (Scopus)


Delirium is highly prevalent and leads to several bad outcomes for older long-term care (LTC) residents. For a more successful translation of delirium knowledge, Clinical Practice Guidelines (CPGs) tailored to LTC should be developed and applied based on the understanding of the barriers to implementation. This study was conducted to develop a CPG for delirium in LTC and to determine the barriers perceived by healthcare professionals related to the implementation of the CPG. We followed a structured, evidence-and theory-based procedure during the development process. After a systematic search, quality appraisal, and selection for eligible up-to-date CPGs for delirium, the recommendations applicable to the LTC were drafted, evaluated, and confirmed by an external group of experts. To evaluate the barriers to guideline uptake from the users’ perspectives, semi-structured interviews were conducted which resulted in four major themes: (1) a lack of resources, (2) a tendency to follow mindlines rather than guidelines, (3) passive attitudes, and (4) misunderstanding delirium care in LTC. To minimize adverse prognoses through prompt delirium care, the implementation of a CPG with an approach that comprehensively considers various barriers at the system, practice, healthcare professional, and patients/family levels is necessary.

Original languageEnglish
Article number8255
Pages (from-to)1-14
Number of pages14
JournalInternational journal of environmental research and public health
Issue number21
Publication statusPublished - 2020 Nov 1

Bibliographical note

Funding Information:
Funding: This research was supported by a National Research Foundation of Korea (NRF) grant funded by the Korean government (Ministry of Education, Science and Technology) (NRF-2017R1A2B4007896 and NRF-2019R1A2C1086122).

Publisher Copyright:
© 2020 by the authors. Licensee MDPI, Basel, Switzerland.


  • Aged
  • Delirium
  • Guideline
  • Long-term care
  • Nursing home

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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