Exploring the use of digital technologies in the management of delirium in acute hospital settings: A scoping review.

BACKGROUND

Delirium is a complex cognitive syndrome commonly observed in hospital settings. While non-pharmacological approaches are recommended for its management, delirium-related behaviours can present significant challenges to nursing care. Digital technologies are being increasingly used to predict risk of delirium, however there is limited evidence regarding the use of digital technologies to support delirium management. Understanding the impact of digital technologies on nursing workflow and patient outcomes can help to inform and support the effective implementation of these tools in delirium management.

AIM: To examine the use of digital technologies in supporting nurses to care for adult patients with delirium in acute hospital settings.

METHODS

A scoping review following the Joanna Briggs Institute (JBI) methodology for scoping reviews undertaken. Tailored search strategies were applied across MEDLINE, CINAHL, APA PsycINFO, and Embase.

RESULTS

Fifteen studies were included, examining technologies such as clinical decision systems, mobile apps, family simulations, music interventions, web-based platforms, and EMR-integrated tools. Reported benefits included reductions in delirium incidence and duration, decreased anxiety and agitation, and shorter hospital stays. Technologies improved nurses' adherence to guidelines, offered real-time decision support, and reduced cognitive burden. Interventions featuring personalisation through tailored care plans or familiar sensory stimuli were effective in enhancing patient engagement and outcomes.

CONCLUSIONS

This review highlights the potential role of digital technologies in optimising delirium management within hospital settings. Findings emphasise the potential for improving patient care and guiding future research and integration strategies in clinical practice.