跨学科数字资源的共同设计和混合方法评估,以提高爱尔兰本科卫生专业学生对谵妄的预防、识别和管理:一项研究方案。

Co-design and mixed methods evaluation of an interdisciplinary digital resource for undergraduate health profession students to improve the prevention, recognition, and management of delirium in Ireland: a study protocol.

机构信息

School of Nursing and Midwifery, Queen's University Belfast, Belfast, UK.

Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.

出版信息

BMC Med Educ. 2024 Apr 30;24(1):475. doi: 10.1186/s12909-024-05468-1.

Abstract

BACKGROUND

Delirium is a common symptom of acute illness which is potentially avoidable with early recognition and intervention. Despite being a growing concern globally, delirium remains underdiagnosed and poorly reported, with limited understanding of effective delirium education for undergraduate health profession students. Digital resources could be an effective approach to improving professional knowledge of delirium, but studies utilising these with more than one profession are limited, and no evidence-based, interdisciplinary, digital delirium education resources are reported. This study aims to co-design and evaluate a digital resource for undergraduate health profession students across the island of Ireland to improve their ability to prevent, recognise, and manage delirium alongside interdisciplinary colleagues.

METHODS

Utilising a logic model, three workstreams have been identified. Workstream 1 will comprise three phases: (1) a systematic review identifying the format, methods, and content of existing digital delirium education interventions for health profession students, and their effect on knowledge, self-efficacy, and behavioural change; (2) focus groups with health profession students to determine awareness and experiences of delirium care; and (3) a Delphi survey informed by findings from the systematic review, focus groups, and input from the research team and expert reference group to identify resource priorities. Workstream 2 will involve the co-design of the digital resource through workshops (n = 4) with key stakeholders, including health profession students, professionals, and individuals with lived experience of delirium. Lastly, Workstream 3 will involve a mixed methods evaluation of the digital resource. Outcomes include changes to delirium knowledge and self-efficacy towards delirium care, and health profession students experience of using the resource.

DISCUSSION

Given the dearth of interdisciplinary educational resources on delirium for health profession students, a co-designed, interprofessional, digital education resource will be well-positioned to shape undergraduate delirium education. This research may enhance delirium education and the self-efficacy of future health professionals in providing delirium care, thereby improving practice and patients' experiences and outcomes.

TRIAL REGISTRATION

Not applicable.

摘要

背景

谵妄是急性疾病的常见症状,如果能及早识别和干预,这种症状是可以避免的。尽管谵妄在全球范围内受到越来越多的关注,但它的诊断仍然不足,报告也很差,对于本科医疗专业学生的有效谵妄教育,人们的理解也很有限。数字资源可能是提高专业人员对谵妄认识的有效方法,但利用这些资源的研究仅限于一个以上的专业,而且没有基于证据的跨学科数字谵妄教育资源的报道。本研究旨在为爱尔兰岛的本科医疗专业学生共同设计和评估一种数字资源,以提高他们与跨学科同事一起预防、识别和管理谵妄的能力。

方法

利用逻辑模型,确定了三个工作流程。工作流程 1 将包括三个阶段:(1)系统综述,确定针对医疗专业学生的现有数字谵妄教育干预措施的格式、方法和内容,以及它们对知识、自我效能和行为改变的影响;(2)与医疗专业学生进行焦点小组讨论,以确定他们对谵妄护理的认识和经验;(3)根据系统综述、焦点小组以及研究团队和专家参考小组的意见进行德尔菲调查,确定资源重点。工作流程 2 将涉及通过与关键利益相关者(包括医疗专业学生、专业人员以及有谵妄经历的个人)的研讨会(n=4)共同设计数字资源。最后,工作流程 3 将涉及对数字资源的混合方法评估。结果包括对谵妄知识和对谵妄护理的自我效能的变化,以及医疗专业学生使用资源的体验。

讨论

鉴于针对医疗专业学生的跨学科谵妄教育资源稀缺,共同设计的跨专业数字教育资源将很好地定位在本科谵妄教育上。这项研究可以增强未来医疗专业人员提供谵妄护理的教育和自我效能,从而改善实践和患者的体验和结果。

试验注册

不适用。

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