Training hospital inpatient nursing to know (THINK) delirium: A nursing educational program.

Autor: Solberg LM; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States; University of Florida College of Nursing, FL, United States. Electronic address: Laurence.Solberg@va.gov., Campbell CS; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States., Jones K; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States., Vaughn I; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States; University of Florida College of Public Health and Health Professions, Department of Health Services Research, Management and Policy, FL, United States., Suryadevara U; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Department of Mental Health Services, Gainesville, FL, United States; University of Florida College of Medicine, Department of Psychiatry, Gainesville, FL, United States., Fernandez C; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States., Shorr R; North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States.
Jazyk: angličtina
Zdroj: Geriatric nursing (New York, N.Y.) [Geriatr Nurs] 2021 Jan-Feb; Vol. 42 (1), pp. 16-20. Date of Electronic Publication: 2020 Nov 14.
DOI: 10.1016/j.gerinurse.2020.10.018
Abstrakt: Background/objectives: Recognition and documentation of delirium is a challenge in the hospital. Education programs lack standardized screening tools. The presence of dementia or depression contribute to poor recognition of delirium. Many front-line healthcare workers attribute delirium to dementia, often misidentifying or delaying a correct diagnosis and in turn, treatment. Unrecognized and untreated delirium is costly. Non-pharmacologic interventions improve patient outcomes and decrease costs. Without delirium education, nurses are vulnerable to injury and low job satisfaction when caring for delirious patients. We describe an education program improving recognition and attitudes towards patients experiencing delirium.
Design: An education program about screening, documenting, and treating delirium.
Setting: A large Veterans Health System Hospital.
Participants: Healthcare professionals(n = 389) participated in the education program. 355 Nurses and patient-care assistants took the pre and post-test, and 43 returned the post program follow-up survey. A delirium education program with three steps; 1) self-directed online module; 2) dementia simulation experience; and 3) a multi-station delirium skills fair. Pre and post-tests were conducted after step 2, as well as a four-month follow-up survey.
Measurements: Changes in attitude toward patients with cognitive impairment and their abilities. Self-assessment of attitudes toward patients with delirium.
Results: Statistically significant differences in pre and post-testing suggested increased understanding of the experience and abilities of people experiencing cognitive impairment . The four-month follow-up survey showed a continued understanding of the importance of recognizing, documenting, and treating delirium.
Conclusion: Nursing Education about delirium that includes instruction on a standardized screening tool, documentation, and non-pharmacologic interventions improved knowledge and recognition of delirium and may have changed attitudes surrounding delirium in the hospital.
Competing Interests: Declaration of Competing Interest The authors note no conflicts of interest at the time of this research.
(Published by Elsevier Inc.)
Databáze: MEDLINE
Externí odkaz: