Evidence map›Paper›PMID 32297244›Full record

SynthesisEuropean geriatric medicine2020

Developing delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings.

Song Yuin Lee, James Fisher, Anne P F Wand, Koen Milisen, Elke Detroyer, Sanjeev Sockalingam, Meera Agar, Annmarie Hosie, Andrew Teodorczuk

Open access · greenAbstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European geriatric medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
5.2field-weighted citation impact, top 4% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.

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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

9 authors at 7 institutions in 4 countries.

Song Yuin LeeDepartment of General Medicine, Sutherland Hospital and Community Services, Sydney, Australia.
James FisherNorthumbria Healthcare NHS Foundation Trust, North Tyneside, UK.
Anne P F WandDepartment of Aged Care Psychiatry, Prince of Wales Hospital, Sydney, Australia.
Koen MilisenDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Elke DetroyerDepartment of Public Health and Primary Care, Academic Centre for Nursing and Midwifery, KU Leuven, Leuven, Belgium.
Sanjeev SockalingamCentre for Addiction and Mental Health, University of Toronto, Toronto, Canada.
Meera AgarIMPACCT, University of Technology Sydney, Ultimo, Australia.
Annmarie HosieIMPACCT, University of Technology Sydney, Ultimo, Australia.
Andrew TeodorczukSchool of Medicine, Griffith University, Gold Coast, Australia. a.teodorczuk@griffith.edu.au.ORCID http://orcid.org/0000-0003-0802-718X
KU Leuven · BEUniversity of Technology Sydney · AUCentre for Addiction and Mental Health · CAGriffith University · AUNorthumbria Healthcare NHS Foundation Trust · GBSutherland Hospital · AUUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeUnderstanding the quality of evidence of delirium education studies will assist in designing future education interventions that seek to improve the well-known deficits in delirium prevention, detection and care. The aim of this study is to systematically review the methodological strengths and limitations, as well as the impact of delirium educational interventions for healthcare professionals working in inpatient settings.

methodsMEDLINE, EMBASE, The Cochrane Library, PsychINFO and CINAHL databases were searched according to PRISMA guidelines for delirium educational interventions in hospital inpatient settings from 2007 to 2017. Identified studies were rated using a standardised quality assessment criteria checklist (Kmet). Reported outcomes were organised by level on the Kirkpatrick model for educational outcomes. The search was repeated in March 2018.

results1354 papers were screened, of which 42 studies met the inclusion criteria. Interventions delivered included face-to-face education (n = 34), e-learning (n = 8) and interprofessional education (n = 8). Quality of studies varied in Kmet score (14-96%). There were 17 high-quality studies (Kmet > 80%) and 4 very high-quality studies (Kmet over > 90%). Thirty-eight studies (90%) reported improved outcomes post-intervention. In terms of Kirkpatrick level of educational outcomes, 6 studies were rated at level 1; 13 studies at level 2; 15 studies at level 3; and 8 studies at level 4. Thirteen studies measured intervention sustainability with variable impacts.

conclusionsHealthcare professional education has benefits for inpatient delirium care, as shown by the high number of good-quality studies and the majority demonstrating improved outcomes post-intervention. The sustainability of educational interventions warrants further exploration.

Indexed as

DeliriumInpatientsDelivery of Health CareHealth PersonnelHumansLearningDeliriumEducationHealthcare professionalsHospitalProfessionalStaffTeachingTraining

Identifiers

PMID32297244
OpenAlexW2999586971

What OpenQuestion holds

Textmetadata
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.