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On-line version ISSN 1988-348X


PEREZ-SOLIS, Olivia Milagros; RAMIREZ-SANCHEZ, Sylvia Claudine  and  LOZANO-RANGEL, Olga. Nursing competences in the non-pharmacological treatment of delirium in the elderly. Ene. [online]. 2019, vol.13, n.1, 1317.  Epub Oct 01, 2019. ISSN 1988-348X.


The nursing staff is a primary element in the care of the elderly with Delirium, highlighting not only knowledge but also the ability and attitude to approach non-pharmacological treatment. The competences allow to identify areas of opportunity that direct strategies to raise the quality of attention to the beneficiaries.


To establish the competence level of the nursing staff in the non-pharmacological treatment of delirium, in the elderly in a third level unit.

Material and methods:

an analytical cross-sectional study was carried out from October to November 2018, in areas of hospitalization, emergency, intensive cardiovascular therapy, intensive post-surgical therapy, and alternate role of the Cardiology Hospital of the National Medical Center Siglo XXI. An instrument with 48 items was designed, divided into two sections: the first sociodemoinline-graphic data, labor data and training (21 items); the second with a structured clinical case (27 items) that evaluates the phases of knowledge, skills and attitudes, valuing the competences according to the model of Patricia Benner in its five levels: novice (<6), advanced beginner (7 -12), competent (13-18), efficient19-25) and expert (26-27). The instrument was validated in expert round 3 of 5, Alpha de Cronbach .814. We used descriptive and non-parametric statistics, Kruskall-Wallis test, Sperman test and square chi test.


110 nurses were interviewed. The age, the average was of 40.71 ± 9.13, the feminine sex formed 70%, the academic level of the degree reflected 35.5%. The levels of competence were: beginner 1%, competent 39% and efficient 60%, according to the phases that integrate the competences the qualifications: knowledge 7.1 skills 6.9, and attitudes 7.9. The level of competence was correlated with the academic degree (p <0.005).


The nursing staff, their level of competence was efficient, in the non-pharmacological treatment of Delirium. An area of opportunity was identified with respect to the skills that must be possessed in the non-pharmacological treatment of Delirium, which will allow the teaching-learning processes to be redirected in the nursing staff.

Keywords : Nursing; Competencies; Delirium in the elderly.

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