Effects of Scenario-based Education Initiative and OSCE for Recognition and Management of Delirium

NCT05623475 | Completed Results

• 1 other identifier: N20210318
• Study Type: interventional
• Target: 100
• 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

Keywords

Intensive Care Unit Syndrome; Delirium; OSCE

Outcome Measures

Primary Outcomes (1)

• Delirium Knowledge

  1. The "ICU Delirium Care Knowledge Quiz" (Traditional Chinese version ) developed by Ho et al. (2021) was used in this study. 2. The "ICU Delirium Care Knowledge Quiz" (Traditional Chinese version ) consists of 16 multiple-choice questions, with 1 point awarded for each correct answer, and a maximum score of 16 points. The total score of the participants is analyzed as a continuous variable. The total range from 0 to 16 (minimum score: 0 point; and maximum score 16 points). Higher points represent better ICU Delirium Care Knowledge. 3. The overall KR-20 coefficient of the questionnaire is 0.85, the intra-class correlation coefficient over a 30-day interval is 0.97, the content validity index (CVI) is 83%, and the exploratory factor analysis (EFA) demonstrates appropriate structural validity, with four factors explaining 60.87% of the total variance, indicating good reliability and validity.

  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
• Licensed physician which undertake the post graduate year program worked in acute care unit and care with critical patients

You may not qualify if:

• Unwilling to involved the research

Sponsors & Collaborators

• Taipei Medical University: lead

Study Sites (1)

Taipei Medical University Hospital

Taipei, 11031, Taiwan

Location

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

Results Point of Contact

• Title: Kee-Hsin Chen, R.N., Ph.D.
• Organization: College of Nursing, Taipei Medical University, Taiwan

keehsin@tmu.edu.tw

+886-2-27361661

Study Officials

• Kee-Hsin Chen, PhD

  Taipei Medical University

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 13, 2022
• First Posted: November 21, 2022
• Study Start: October 25, 2021
• Primary Completion: February 21, 2023
• Study Completion: February 21, 2023
• Last Updated: October 26, 2024
• Results First Posted: October 26, 2024

Record last verified: 2022-10

Data Sharing

• IPD Sharing: Will not share

Locations

TW (1)