北爱尔兰本科护理专业学生谵妄认知播客的评估:一项前后测研究。

Evaluation of a delirium awareness podcast for undergraduate nursing students in Northern Ireland: a pre-/post-test study.

作者信息

Mitchell Gary, Scott Jessica, Carter Gillian, Wilson Christine Brown

机构信息

Queen's University Belfast, School of Nursing and Midwifery, Medical Biology Centre, 97 Lisburn Road, Belfast, County Antrim, BT9 7BL, Northern Ireland.

出版信息

BMC Nurs. 2021 Jan 13;20(1):20. doi: 10.1186/s12912-021-00543-0.

Abstract

BACKGROUND

Delirium is a common disorder affecting several people in primary, secondary, and tertiary settings. The condition is frequently under-diagnosed leading to long-lasting physical and cognitive impairment or premature death. Despite this, there has been limited research on the impact of innovative approaches to delirium education amongst undergraduate nursing students. The aim of this study was to evaluate the effect of a delirium awareness podcast on undergraduate nursing student knowledge and confidence related to the condition in Northern Ireland.

METHODS

The intervention was a 60-min delirium awareness podcast, available throughout May 2020, to a convenience sample of year one undergraduate nursing students (n = 320) completing a BSc Honours Nursing degree programme in a Northern Ireland University. The podcast focused on how nursing students could effectively recognise, manage, and prevent delirium. Participants had a period of 4 weeks to listen to the podcast and complete the pre and post questionnaires. The questionnaires were comprised of a 35-item true-false Delirium Knowledge Questionnaire (DKQ), a 3-item questionnaire about professional confidence and a 7-item questionnaire evaluating the use of podcasting as an approach to promote knowledge and confidence about delirium. Data were analysed using paired t-tests and descriptive statistics.

RESULTS

Students improved across all three core areas in the post-test questionnaire, demonstrating improvements in knowledge about symptoms of delirium (7.78% increase), causes and risk factors of delirium (13.34% increase) and management of delirium (12.81% increase). In relation to perceived confidence, students reported a 46.50% increase in confidence related to recognition of delirium, a 48.32% increase in relation to delirium management and a 50.71% increase their ability to communicate about delirium. Both questionnaires were statistically significant (P < 0.001). The final questionnaire illustrated that nursing students positively evaluated the use of podcast for promoting their knowledge and confidence about delirium and 96.32% of nursing students believed that the podcast met their learning needs about delirium.

CONCLUSIONS

A 60-min podcast on delirium improved first year student nurse knowledge about delirium. Nursing students also expressed that this approach to delirium education was effective in their learning about the condition.

摘要

背景

谵妄是一种常见病症,在初级、二级和三级医疗机构中均有不少人受其影响。该病症常常未得到充分诊断,从而导致长期的身体和认知障碍或过早死亡。尽管如此,针对本科护理专业学生开展的创新性谵妄教育方法的影响的研究却很有限。本研究的目的是评估谵妄认知播客对北爱尔兰本科护理专业学生有关该病症的知识和信心的影响。

方法

干预措施是一个时长60分钟的谵妄认知播客,在2020年5月期间提供给在北爱尔兰一所大学攻读护理学荣誉学士学位课程的一年级本科护理专业学生(n = 320)的便利样本。该播客聚焦于护理专业学生如何能够有效地识别、管理和预防谵妄。参与者有4周时间收听播客并完成前后调查问卷。问卷包括一份由35道是非题组成的谵妄知识问卷(DKQ)、一份关于专业信心的3题问卷以及一份评估将播客作为一种促进有关谵妄的知识和信心的方法的使用情况的7题问卷。数据采用配对t检验和描述性统计进行分析。

结果

学生在测试后问卷的所有三个核心领域均有进步,在谵妄症状知识方面有改善(增加7.78%)、谵妄病因和风险因素方面有改善(增加13.34%)以及谵妄管理方面有改善(增加12.81%)。在感知信心方面,学生报告称在识别谵妄方面的信心增加了46.50%,在谵妄管理方面增加了48.32%,在就谵妄进行沟通的能力方面增加了50.71%。两份问卷均具有统计学显著性(P < 0.001)。最后一份问卷表明,护理专业学生对使用播客来促进他们有关谵妄的知识和信心给予了积极评价,96.32%的护理专业学生认为该播客满足了他们对谵妄的学习需求。

结论

一个时长60分钟的关于谵妄的播客提高了一年级护理专业学生对谵妄的知识水平。护理专业学生还表示这种谵妄教育方法对他们了解该病症很有效。

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