Proposing a Scientific and Technological Approach to the Summaries of Clinical Issues of Inpatient Elderly with Delirium: A Viewpoint.

Despite mounting evidence about delirium, this complex geriatric syndrome is still not well managed in clinical contexts. The aging population creates a very demanding area for innovation and technology in healthcare. For instance, an outline of an aging-friendly healthcare environment and clear guidance for technology-supported improvements for people at delirium risk are lacking.

[Near-decisions undertaken by clinical nurses in their daily practice: a concept analysis.].

In recent years, nursing autonomy has increased: clinical nurses in their daily practice undertake several independent and collaborative decisions. In addition, during nursing surveillance, clinical nurses collect data, intercept signs and/or symptoms of decline, early detect emerging problems and trigger a decision-making process by identifying interventions that lead to the attention of physicians, in advance - in order to be allowed to undertake the intervention; or after having implemented the intervention - in order to get an endorsement. The "near-decision making" process in a non-nursing field of autonomy, daily occurs, as a complex process that involves several aspects: individual, interpersonal, and organizational factors.