***Comment this**

1. Gélinas, C., Bérubé, M., Chevrier, A., Pun, B. T., Ely, E. W., Skrobik, Y., & Barr, J. (2018). Delirium Assessment Tools for Use in Critically Ill Adults: A Psychometric Analysis and Systematic Review. Critical Care Nurse, 38(1), 38–49. https://doi-org.lopes.idm.oclc.org/10.4037/ccn2018633

This source is a study conducted to analyze the development and psychometric properties of delirium assessment tools for critically ill adults to determine their effectiveness and efficiency. The study focused on five different existing assessment tools including the (Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), Cognitive Test for Delirium, Delirium Detection Score, Intensive Care Delirium Screening Checklist (ICDSC), and Nursing Delirium Screening Scale. Two individuals then set a standard scoring scale and sored each tool from 0-20 based on effectiveness, quality, implementation, etc. It was found that the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU), with a score of 19.6, and the Intensive Care Delirium Screening Checklist (ICDSC) with a score of 19.2, were teh most effective tools. The ranking continues with the Nursing Delirium Screening Scale (13.6), the Delirium Detection Score (11.2), and the lowest scored, less effective tool, the Cognitive Test for Delirium with only 8.2. This source will be able to help me with my change proposal because I can analyze why these certain tools scored so high and develop similar tools to implement in my facility. The negative with this article is that it did not really consider outside factors aside from the assessment tool that may affect how they are used.