ArticleBMC medical education2018
Can education improve clinical practice concerning delirium in older hospitalised patients? Results of a pre-test post-test study on an educational intervention for nursing staff.
Article in BMC medical education, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 33 citations in OpenAlex.
- Delirium Prevention in Acute Care Telemetry: An Evidence-Based Practice Project.Worldviews on evidence-based nursing · 2026Article
- Assessing delirium knowledge among health care professionals: findings from a scoping review.BMC nursing · 2025Article
- Knowledge of Delirium Among ICU Nursing Staff: A Cross-sectional Study.Indian journal of psychological medicine · 2024Article
- Nurse anesthetists' perceptions and experiences of managing emergence delirium: A qualitative study.World journal of psychiatry · 2024Article
- Evidence-based geriatric knowledge among healthcare providers in Vietnam: adaptation, validation, and pilot of the knowledge about older patients quiz.BMC geriatrics · 2023Article
- Delirium education and post-anaesthetics care unit nurses' knowledge on recognising and managing delirium in older patients.Aging clinical and experimental research · 2023Article
- Nurses' Knowledge about Delirium in the Group of Intensive Care Units Patients.International journal of environmental research and public health · 2022Article
- Quality Improvement in Delirium Health Literacy in Older Adult Patients and Their Caregivers Attending a Geriatric Clinic.Clinical interventions in aging · 2022Article
- The opinions and experiences of nurses on frailty screening among older hospitalized patients. An exploratory study.BMC geriatrics · 2021Article
- Family and healthcare staff's perception of delirium.European geriatric medicine · 2020Review
- The Impact of an Educational Programme on Jordanian Intensive Care Nurses' Knowledge, Attitudes, and Practice Regarding Delirium and their Levels of Self-Efficacy: A Quasi-Experimental Design.Iranian journal of nursing and midwifery researchArticle
- Delirium Screening of Patients on a Neuroscience Step-Down Unit.Medsurg nursing : official journal of the Academy of Medical-Surgical NursesArticle
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDelirium is a common and serious complication of hospitalisation in older adults. It can lead to prolonged hospital stay, institutionalisation, and even death. However, it often remains unrecognised or is not managed adequately. The aim of this study was to evaluate the effects of an educational intervention for nursing staff on three aspects of clinical practice concerning delirium in older hospitalised patients: the frequency and correctness of screening for delirium using the 13-item Delirium Observation Screening score (DOS), and the frequency of geriatric consultations requested for older patients. The a priori expectations were that there would be an increase in all three of these outcomes.
methodsWe designed an educational intervention and implemented this on two inpatient hospital units. Before providing the educational session, the nursing staff was asked to fill out two questionnaires about delirium in older hospitalised patients. The educational session was then tailored to each unit based on the results of these questionnaires. Additionally, posters and flyers with information on the screening and management of delirium were provided and participants were shown where to find additional information. Relevant data (outcomes, demographics and background patient data) were collected retrospectively from digital medical files. Data was retrospectively collected for four different time points: three pre-test and one post-test.
resultsThere was a significant increase in frequency of delirium screening (P = 0.001), and both units showed an increase in the correctness of the screening. No significant effect of the educational intervention was found for the proportion of patients who received a geriatric consultation (P = 0.083).
conclusionThe educational intervention was fairly successful in making positive changes in clinical practice: after the educational session an improvement in the frequency and correctness of screening for delirium was observed. A trend, though not significant, towards an increase in the proportion of geriatric consultations for older hospitalised patients was also observed.
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