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.
North Florida/South Georgia Veterans Health System, Malcom Randall VAMC, Geriatrics Research, Education, and Clinical Center (GRECC), Gainesville, FL, United States.
Geriatr Nurs. 2021 Jan-Feb;42(1):16-20. doi: 10.1016/j.gerinurse.2020.10.018. Epub 2020 Nov 14.
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.
An education program about screening, documenting, and treating delirium.
A large Veterans Health System Hospital.
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.
Changes in attitude toward patients with cognitive impairment and their abilities. Self-assessment of attitudes toward patients with delirium.
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.
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.
背景/目的：在医院中，识别和记录谵妄是一项挑战。教育计划缺乏标准化的筛查工具。痴呆或抑郁的存在导致对谵妄的识别能力下降。许多一线医护人员将谵妄归因于痴呆，常常错误识别或延迟正确诊断，进而延误治疗。未被识别和未经治疗的谵妄代价高昂。非药物干预可改善患者预后并降低成本。如果没有谵妄教育，护士在护理谵妄患者时容易受伤且工作满意度低。我们描述了一项可提高对谵妄患者的识别和态度的教育计划。
一项关于筛查、记录和治疗谵妄的教育计划。
一家大型退伍军人健康系统医院。
医疗保健专业人员（n=389）参加了该教育计划。355 名护士和患者护理助理参加了预测试和后测试，43 人返回了方案后的随访调查。该谵妄教育计划分为三个步骤；1）自我指导的在线模块；2）痴呆模拟体验；3）多站式谵妄技能展览会。在完成第 2 步后进行了预测试和后测试，以及为期四个月的随访调查。
对认知障碍患者及其能力的态度变化。对自己对谵妄患者的态度的自我评估。
预测试和后测试之间的统计学显著差异表明，对经历认知障碍的人的体验和能力的理解有所增加。四个月的随访调查显示，对识别、记录和治疗谵妄的重要性的理解仍在继续。
针对包括标准化筛查工具、记录和非药物干预措施的谵妄的护理教育提高了对谵妄的认识和识别能力，并且可能改变了医院中对谵妄的态度。
