Towards understanding the nature and need of delirium guidelines across nations and cultures.
Culture
Delirium
Guidelines
Hofstede’s cultural model
Journal
Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995
Informations de publication
Date de publication:
Mar 2022
Mar 2022
Historique:
received:
10
07
2021
accepted:
31
08
2021
pubmed:
10
9
2021
medline:
8
3
2022
entrez:
9
9
2021
Statut:
ppublish
Résumé
Delirium is associated with a variety of adverse healthcare outcomes but is highly predictable, preventable and treatable. For this reason, numerous guidelines have been developed for delirium recognition, prevention and management across different countries and disciplines. Although research is adduced as evidence for these guidelines, a constant finding is the lack of implementation if they exist at all. Implementation is a human behaviour that can be influenced by various factors including culture at a micro- and macro-level. Hofstede's model proposes that national cultures vary along six consistent dimensions. Using this model, we examined the nature of delirium guidelines across countries in relation to Hofstede's six cultural dimensions. Data collected for each country on: the six dimensions of Hofstede's model, number of delirium guidelines approved by a National professional body of each country (through searching databases), the annual old-age dependency ratio for each country. Sixty-four countries had the completed six dimensions of Hofstede's model. Twenty of them (31%) had one or more delirium guidelines. The total number of different delirium guidelines was 45. Countries with formal delirium guidelines have significantly lower power distance among their members, are more individualistic societies, have lower levels of uncertainty avoidance and higher old-age dependency ratio compared to those without delirium guidelines. The development and implementation of delirium guidelines vary across countries. Specific combinations of cultural dimensions influence the production of delirium guidelines. Understanding these important cultural differences can facilitate more widespread acceptance and implementation of guidelines.
Sections du résumé
BACKGROUND
BACKGROUND
Delirium is associated with a variety of adverse healthcare outcomes but is highly predictable, preventable and treatable. For this reason, numerous guidelines have been developed for delirium recognition, prevention and management across different countries and disciplines. Although research is adduced as evidence for these guidelines, a constant finding is the lack of implementation if they exist at all. Implementation is a human behaviour that can be influenced by various factors including culture at a micro- and macro-level. Hofstede's model proposes that national cultures vary along six consistent dimensions.
AIM
OBJECTIVE
Using this model, we examined the nature of delirium guidelines across countries in relation to Hofstede's six cultural dimensions.
METHODS
METHODS
Data collected for each country on: the six dimensions of Hofstede's model, number of delirium guidelines approved by a National professional body of each country (through searching databases), the annual old-age dependency ratio for each country.
RESULTS
RESULTS
Sixty-four countries had the completed six dimensions of Hofstede's model. Twenty of them (31%) had one or more delirium guidelines. The total number of different delirium guidelines was 45. Countries with formal delirium guidelines have significantly lower power distance among their members, are more individualistic societies, have lower levels of uncertainty avoidance and higher old-age dependency ratio compared to those without delirium guidelines.
DISCUSSION/CONCLUSION
CONCLUSIONS
The development and implementation of delirium guidelines vary across countries. Specific combinations of cultural dimensions influence the production of delirium guidelines. Understanding these important cultural differences can facilitate more widespread acceptance and implementation of guidelines.
Identifiants
pubmed: 34499343
doi: 10.1007/s40520-021-01978-w
pii: 10.1007/s40520-021-01978-w
pmc: PMC8427916
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
633-642Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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