Education for Recognition and Management of Delirium

NCT03642249 | Completed

• 1 other identifier: N201803104
• Study Type: interventional
• Target: 72
• Locations: 1 country
• Sites: 1

Brief Summary

Delirium is a disturbance in consciousness with reduced ability to focus, sustain, or shift attention that occurs over a short period of time and tends to fluctuate over the course of the day. 50% to 81.7% had delirium during their ICU hospitalization. Delirium is associated with increased physical restraint, ventilation use, length of ICU stay, and mortality. However, there is no established delirium care pathway in target hospital. Chen et al. (2014) demonstrated that structured assessment stations with immediate feedback may improve overall learning efficiency over an EBP workshop alone. However, no published delirium care education study has used OSCEs as an intervention for healthcare professionals. The aim is to evaluate the effects of implementing a Scenario-based education intervention, including objective structured clinical examinations (OSCEs) on delirium care among healthcare professionals. This is a knowledge translation research, builds on eight years of delirium care research in University of Wollongong, Australia. The research will be undertaken at ICUs in a medical center in northern of Taiwan. There are two phases: (1) systematic review to identify delirium screen tool, and (2) a randomized controlled trial was conducted to determine the effects of implementing a Scenario-based education intervention, including OSCE (experimental group), and on-line education only (control group) focused on recognition and management of delirium. The hypothesis is: Scenario-based education intervention, including OSCE can increase the competence and self-efficacy among healthcare professionals in delirium care.

Conditions

Delirium; Intensive Care Unit Syndrome; Nurse-Patient Relations

Keywords

delirium; knowledge translation; Objective Structured Clinical Examination; evidence-based practice

Outcome Measures

Primary Outcomes (1)

• Change from Baseline Delirium Knowledge and Skills at the time Immediately after the intervention and Six weeks

  Delirium Knowledge and Skills Test (included 18 questions)

  T0(Baseline), T1(Immediately after the intervention), T2(Six weeks after the intervention)

Study Arms (2)

experimental group

EXPERIMENTAL

1. face-to-face delirium care session (30 minutes in duration); 2. online learning delirium care activities (20 minutes in duration); and 3. delirium care OSCE and reflective activity (30 minutes in duration).

Behavioral: OSCEs; Behavioral: Lecture; Behavioral: E-learning

control group

ACTIVE COMPARATOR

1. face-to-face delirium care session (30 minutes in duration); 2. online learning delirium care activities (20 minutes in duration)

Behavioral: Lecture; Behavioral: E-learning

Interventions

OSCEs BEHAVIORAL

Scenario-based education intervention, including objective structured clinical examinations (OSCEs)

experimental group

Lecture BEHAVIORAL

Face-to-face Education using Delirium Care Flip Chart

control group; experimental group

E-learning BEHAVIORAL

delirium care video

control group; experimental group

Eligibility Criteria

• Age: 20 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Registered nurse worked in acute care unit and care with critical patients
• Age \> 20 years old.

You may not qualify if:

• Unwilling to involved the research

Sponsors & Collaborators

• Taipei Medical University: lead

Study Sites (1)

Wan Fang Hospital

Taipei, 116, Taiwan

Location

Related Publications (23)

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MeSH Terms

Conditions

Delirium

Condition Hierarchy (Ancestors)

Confusion; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Neurocognitive Disorders; Mental Disorders

Study Officials

• Kee-Hsin Chen, PhD

  Taipei Medical University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: INVESTIGATOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: August 16, 2018
• First Posted: August 22, 2018
• Study Start: November 5, 2019
• Primary Completion: December 24, 2019
• Study Completion: December 31, 2019
• Last Updated: March 21, 2023

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)