Evidence map›Paper›PMID 25653115›Full record

ArticleBMC medical education2015

The effect of an e-learning course on nursing staff's knowledge of delirium: a before-and-after study.

Lotte van de Steeg, Roelie IJkema, Cordula Wagner, Maaike Langelaan

Open access · goldAbstract read
In one paragraph

Article in BMC medical education, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
4.8field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 64 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. An e-Problem-Based Learning Program for Infection Control in Nursing Homes: A Quasi-Experimental Study.International journal of environmental research and public health · 2022
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  11. Optimizing delirium care in the era of Age-Friendly Health System.Journal of the American Geriatrics Society · 2024
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  17. Iranian Nurses Perception and Practices for Delirium Assessment in Intensive Care Units.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Lotte van de SteegNIVEL Netherlands institute for health services research, Utrecht, the Netherlands. l.vandesteeg@nivel.nl.
Roelie IJkemaNIVEL Netherlands institute for health services research, Utrecht, the Netherlands. r.ijkema@gmail.com.
Cordula WagnerNIVEL Netherlands institute for health services research, Utrecht, the Netherlands. c.wagner@nivel.nl.
Maaike LangelaanNIVEL Netherlands institute for health services research, Utrecht, the Netherlands. m.langelaan@nivel.nl.
Netherlands Institute for Health Services Research · NLErasmus MC · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelirium is a common condition in hospitalized patients, associated with adverse outcomes such as longer hospital stay, functional decline and higher mortality, as well as higher rates of nursing home placement. Nurses often fail to recognize delirium in hospitalized patients, which might be due to a lack of knowledge of delirium diagnosis and treatment. The objective of the study was to test the effectiveness of an e-learning course on nurses' delirium knowledge, describe nursing staff's baseline knowledge about delirium, and describe demographic factors associated with baseline delirium knowledge and the effectiveness of the e-learning course.

methodsA before-and-after study design, using an e-learning course on delirium. The course was introduced to all nursing staff of internal medicine and surgical wards of 17 Dutch hospitals.

results1,196 invitations for the e-learning course were sent to nursing staff, which included nurses, nursing students and healthcare assistants. Test scores on the final knowledge test (mean 87.4, 95% CI 86.7 to 88.2) were significantly higher than those on baseline (mean 79.3, 95% CI 78.5 to 80.1). At baseline, nursing staff had the most difficulty with questions related to the definition of delirium: what are its symptoms, course, consequences and which patients are at risk. The mean score for this category was 74.3 (95% CI 73.1 to 75.5).

conclusionsThe e-learning course significantly improved nursing staff's knowledge of delirium in all subgroups of participants and for all question categories. Contrary to other studies, the baseline knowledge assessment showed that, overall, nursing staff was relatively knowledgeable regarding delirium.

trial registrationThe Netherlands National Trial Register (NTR). TRIAL NUMBER: NTR 2885 , 19 April 2011.

Indexed as

Competency-Based EducationComputer-Assisted InstructionDeliriumEducation, NursingAdultClinical CompetenceFemaleHumansMaleMiddle AgedNetherlandsNursing Staff, Hospital

Identifiers

PMID25653115
PMCPMC4327788
OpenAlexW2117528596

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.