Faculty of Science, Medicine and Health, School of Medicine, University of Wollongong, Wollongong, NSW, Australia.
Faculty of Science, Medicine and Health, School of Nursing, University of Wollongong, Wollongong, NSW, 2522, Australia.
Aging Clin Exp Res. 2023 May;35(5):995-1003. doi: 10.1007/s40520-023-02390-2. Epub 2023 Apr 4.
Postoperative delirium (POD) is a major complication following a surgical procedure. There is evidence that improving knowledge about POD could enhance POD care and patient outcomes.
The study aimed to evaluate whether the amount of delirium education among registered nurses working in post-anaesthetics care units (PACU) impacts on their self-reported confidence and competence in recognising and managing delirium as well as prior knowledge on factors that influence the risk of delirium onset for older people.
The current study utilised an online survey on delirium care practice among registered nurses in PACUs. The survey consisted of 27 items. There were questions about confidence and competence in delirium care, knowledge about delirium risk factors, and ranked responses to two case scenario questions to evaluate the application of POD care. There were also demographic questions, including previous experience with delirium care education.
A total of 336 responses were generated from registered nurses working in PACU. Our findings found substantial variability among the respondents about their delirium care education. The amount of delirium education did not influence the PACU registered nurses' confidence or competence in delirium care. In addition, previous education did not have an impact on their knowledge about delirium risk factors.
These findings suggested that the quantity of prior education about delirium did not improve the confidence, competence, knowledge, or case scenario questions of PACU registered nurses. Thus, delirium care education needs to be transformed to ensure it has a positive effect on delirium care clinical practice by registered nurses in PACU.
术后谵妄（POD）是手术后的主要并发症。有证据表明，提高对 POD 的认识可以改善 POD 的护理和患者的结局。
本研究旨在评估在麻醉后护理单元（PACU）工作的注册护士接受的谵妄教育量是否会影响他们识别和处理谵妄的自我报告信心和能力，以及他们对影响老年人谵妄发生风险的因素的先前知识。
本研究采用了一项关于 PACU 注册护士谵妄护理实践的在线调查。该调查包括 27 个项目。有关于谵妄护理信心和能力的问题，关于谵妄风险因素的知识，以及对两个案例情景问题的排序回答，以评估 POD 护理的应用。还有人口统计学问题，包括之前对谵妄护理教育的经验。
从 PACU 工作的注册护士中产生了 336 份回复。我们的研究结果发现，受访者对其谵妄护理教育的看法存在很大差异。谵妄教育的数量并不影响 PACU 注册护士对谵妄护理的信心或能力。此外，以前的教育对他们对谵妄风险因素的知识没有影响。
这些发现表明，先前关于谵妄的教育数量并没有提高 PACU 注册护士的信心、能力、知识或案例情景问题。因此，需要对谵妄护理教育进行改革，以确保其对 PACU 注册护士的谵妄护理临床实践产生积极影响。
