Rohmah Iftitakhur, Pangarsih Diah Sukmawati, Rahayu Sri, Widodo Akhmad Fajri, Chang Kai-Mei, Ho Mu-Hsing, Tseng Yu-Hsin, Chiu Hsiao-Yean
School of Nursing, Taipei Medical University, Taipei, Taiwan.
Department of Nursing, Universitas Airlangga Teaching Hospital, Surabaya, Indonesia.
Intensive Crit Care Nurs. 2025 Apr;87:103938. doi: 10.1016/j.iccn.2024.103938. Epub 2025 Jan 8.
To evaluate the effects of a 4-week Delirium Introduction and Maintenance programme based on the knowledge-to-action framework on nurses' knowledge, self-confidence, attitudes, and screening accuracy for delirium in the paediatric intensive care unit (PICU).
RESEARCH METHODOLOGY/DESIGN: A quasi-experimental study with a pretest-posttest design.
This study was conducted between January and February 2024 with nurses in two Indonesian PICUs.
Nursing knowledge, self-confidence and attitudes were measured at baseline and the third and fourth weeks (maintenance period) after the intervention was implemented. The Cornell Assessment of Pediatric Delirium (CAPD) was used to evaluate the screening accuracy for delirium at the third and fourth weeks postintervention.
A total of 44 nurses with a mean age of 28 years participated in the intervention. At weeks 3 and 4 after the intervention, the intervention group exhibited substantial improvements in knowledge (B = 1.35 and 1.39), self-confidence and attitudes (B = 1.26 and 1.29), and screening accuracy (B = 0.25 and 0.27) compared with the control group (all P < 0.05). The nurses' screening accuracy for delirium by using the CAPD improved from 50 % (week 1) to 86 % (week 3) and 100 % (week 4) in the intervention group, whereas the nurses' screening accuracy for delirium in the control group modestly increased from 17 % to 33 % (week 3) and 37 % (week 4).
The theory-driven, multimodal intervention improved the nurses' knowledge of delirium, self-confidence and attitudes, and screening accuracy for delirium. Implementing comprehensive delirium education programmes can enhance delirium recognition and management in PICUs. Future studies should investigate the long-term effects of delirium education programmes on patient outcomes.
An integrated instructional approach was employed to improve nurses' knowledge, self-confidence, attitudes, and screening accuracy for delirium.
基于知识转化为行动框架，评估一项为期4周的谵妄引入与维持计划对儿科重症监护病房（PICU）护士关于谵妄的知识、自信心、态度及筛查准确性的影响。
研究方法/设计：采用前后测设计的准实验研究。
本研究于2024年1月至2月在印度尼西亚的两个PICU对护士开展。
在干预实施前、干预实施后的第三周和第四周（维持期）测量护理知识、自信心和态度。在干预实施后的第三周和第四周，使用康奈尔儿科谵妄评估量表（CAPD）评估谵妄的筛查准确性。
共有44名平均年龄为28岁的护士参与了干预。与对照组相比，在干预后的第3周和第4周，干预组在知识（B = 1.35和1.39）、自信心和态度（B = 1.26和1.29）以及筛查准确性（B = 0.25和0.27）方面均有显著改善（所有P < 0.05）。干预组护士使用CAPD筛查谵妄的准确性从第1周的50%提高到第3周的86%和第4周的100%，而对照组护士筛查谵妄的准确性从17%适度提高到第3周的33%和第4周的37%。
该理论驱动的多模式干预提高了护士对谵妄的知识、自信心和态度以及谵妄的筛查准确性。实施全面的谵妄教育计划可加强PICU中对谵妄的识别和管理。未来研究应调查谵妄教育计划对患者结局的长期影响。
采用综合教学方法提高护士对谵妄的知识、自信心、态度及筛查准确性。
