Multimodal Education Program to Improve Nurses' Knowledge and Confidence on Delirium Recognition in a Surgical-Trauma Intermediate-Care Setting
| Autor: | Cheri S. Blevins, Min Choi, Regina M. DeGennaro |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Health Knowledge Attitudes Practice medicine.medical_specialty Nurses knowledge Disease Nursing Staff Hospital Coaching Young Adult 03 medical and health sciences Education Nursing Continuing 0302 clinical medicine Orientation (mental) medicine Humans 030212 general & internal medicine General Nursing Trauma Nursing 030504 nursing business.industry Health Policy Delirium Middle Aged United States Practice Guidelines as Topic Physical therapy Female Clinical Competence High incidence medicine.symptom Intermediate Care Facilities 0305 other medical science business Educational program Intermediate care |
| Zdroj: | Journal of Doctoral Nursing Practice. 13:31-41 |
| ISSN: | 2380-9426 2380-9418 |
| DOI: | 10.1891/2380-9418.jdnp-d-19-00030 |
| Popis: | BackgroundHigh incidence of delirium in hospitalized patients has been reported in the United States and is significantly associated with increased morbidity and mortality. The lack of knowledge and confidence in performing delirium assessment (KCDA) has led to significant underrecognition of delirium by nurses regardless of evidence-based education intervention.ObjectiveThe purpose of this study was to determine the effectiveness of a multimodal educational program (MEP) to enhance nurses' KCDA.MethodsA MEP including an online didactic with a video-simulation and 1:1 bedside coaching with delirium screening (DS) was conducted in the surgical intermediate-care unit of an academic medical center. A quasi-experimental pre- and post-test design was used.ResultsOf 23 nurses, the majority were p < .001). A positive correlation was noted between the changes of the KCDA scores (p = .009).ConclusionsThe MEP demonstrated improvement in nurses' KCDA. The MEP should focus on an individualized learning approach with a targeted patient population, using current delirium screening tools.Implications for NursingEducational programs are recommended in either an orientation or continuing education program on nursing units. This is also recommended for use in other academic centers that encompass similar clinical settings and could possibly be considered for use in other disease processes. |
| Databáze: | OpenAIRE |
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