School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan; School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia.
School of Nursing, Faculty of Science, Medicine and Health, University of Wollongong, Northfields Ave, Wollongong, NSW 2522, Australia; Illawarra Health and Medical Research Institute, Northfields Ave, Wollongong, NSW 2522, Australia.
Nurse Educ Pract. 2024 Jan;74:103852. doi: 10.1016/j.nepr.2023.103852. Epub 2023 Dec 1.
To examine the effects of a delirium education module on undergraduate nursing students' knowledge of and perceived confidence and competence in delirium care.
Delirium is common in intensive care units (ICUs) and leads to poor clinical outcomes. The under recognition of delirium is a major problem in ICU medicine. Nurses, as first-line health care providers, can address this by recognizing patients who are experiencing delirium. Since undergraduate nursing students will be the future ICU nurses, it is important to deliver the knowledge regarding delirium care. However, education about assessing delirium in ICUs among undergraduate nursing students is lacking.
Quasi-experimental study.
A total of 74 undergraduate students were divided into an intervention group (n=34) and a comparison group (n=40). A 2-hour simulation-based delirium education module integrated into a critical care curriculum was delivered to the intervention group only. The classroom-based intervention was administered at a medical university in northern Taiwan. Study outcomes were measured using a structured survey including (1) a 16-item delirium care knowledge quiz, (2) confidence in delirium care scale and (3) competence in delirium care scale. The survey was distributed to students before and after the module in December 2020. The Mann-Whitney U test, chi-square test and Fisher's exact test were adopted to test the differences of all variables between groups. A generalized estimating equation model was used to investigate the adjusted treatment effects.
The participants had a median age of 22 years and 81% were female. The delirium education module yielded greater knowledge (B = 3.04, 95% confidence interval = 2.20-3.88), confidence (B = 4.20, 95% confidence interval = 2.67-5.73) and competence (B = 4.82, 95% confidence interval = 3.33-6.30) in delirium care when the treatment and control groups were compared.
For undergraduate nursing students, simulation-based education module is effective in improving the knowledge of and confidence and competence in delirium care. It is recommended that this be included in critical care nursing curricula.
研究谵妄教育模块对本科护理学生对谵妄护理知识的掌握程度、信心和能力的影响。
谵妄在重症监护病房（ICU）中很常见，会导致不良的临床结局。ICU 医学中一个主要问题是对谵妄的识别不足。护士作为一线医护人员，可以通过识别出现谵妄的患者来解决这个问题。由于本科护理学生将成为未来的 ICU 护士，因此传授有关谵妄护理的知识非常重要。然而，本科护理学生对 ICU 中评估谵妄的教育却很缺乏。
准实验研究。
共有 74 名本科学生被分为干预组（n=34）和对照组（n=40）。仅对干预组进行了 2 小时基于模拟的谵妄教育模块，该模块整合到了重症护理课程中。该课堂干预在台湾北部的一所医科大学进行。研究结果通过一项包括（1）16 项谵妄护理知识测验，（2）谵妄护理信心量表和（3）谵妄护理能力量表的结构化调查进行衡量。该调查于 2020 年 12 月在模块前后分发给学生。采用 Mann-Whitney U 检验、卡方检验和 Fisher 精确检验来检验组间所有变量的差异。采用广义估计方程模型来研究调整后的治疗效果。
参与者的中位年龄为 22 岁，81%为女性。与对照组相比，接受谵妄教育模块的学生在谵妄护理知识（B=3.04，95%置信区间=2.20-3.88）、信心（B=4.20，95%置信区间=2.67-5.73）和能力（B=4.82，95%置信区间=3.33-6.30）方面都有显著提高。
对于本科护理学生来说，基于模拟的教育模块在提高谵妄护理知识、信心和能力方面是有效的。建议将其纳入重症护理护理课程中。
