Department of Orthopedic Surgery and Trauma, College of Medicine and Public Health Flinders University, Bedford Park, South Australia, 5042, Australia.
Department of Rehabilitation, Aged and Extended Aged Care, College of Medicine and Public Health, Flinders University, Bedford Park, South Australia, 5042, Australia.
Int J Orthop Trauma Nurs. 2021 Jul;42:100862. doi: 10.1016/j.ijotn.2021.100862. Epub 2021 Mar 24.
Lack of delirium knowledge and its clinical repercussions contributes to the absence of delirium prevention activities in routine clinical practice.
The aim of this study was to investigate the effectiveness of a delirium awareness educational program on nurses' knowledge about delirium prevention and management.
A quasi-experimental (pre-intervention, post-intervention test) design was used to test the effectiveness of an educational intervention using a knowledge survey.
There was no difference in the knowledge scores between the 2 periods for domains 1, 2 3 and 4. However, the median (IQR) knowledge scores for domain 5 (risk factors) and domain 6 (recognising delirium) was higher at post-intervention compared to pre-intervention.
A multi-step educational intervention had a positive but small impact on nurses' knowledge of delirium. However, the training was not mandatory and uptake of the training was not as high as hoped. Most nurses preferred ward-based education - combination of formal knowledge delivery and informal practice discussion. Future studies should focus on programs which are ward-based including various of teaching styles.
缺乏对谵妄的认识及其临床影响导致谵妄预防活动在常规临床实践中缺失。
本研究旨在调查一项关于谵妄意识的教育计划对护士预防和管理谵妄的知识的有效性。
采用准实验（干预前、干预后测试）设计，使用知识调查测试教育干预的效果。
在第 1、2、3 和 4 个领域，两个时间段的知识得分没有差异。然而，在干预后，第 5 个领域（危险因素）和第 6 个领域（识别谵妄）的知识得分中位数（IQR）高于干预前。
多步骤的教育干预对护士对谵妄的知识有积极但较小的影响。然而，培训并非强制性的，且培训的参与率并不如预期的高。大多数护士更喜欢基于病房的教育——正规知识传授和非正式实践讨论相结合。未来的研究应侧重于包括各种教学方式的基于病房的项目。
