ArticleBMC medical education2026
Improving delirium knowledge and recognition confidence in nursing homes through an e-learning program: a pre-post study.
Article in BMC medical education, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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7 authors.
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Abstract
backgroundDelirium is a neuropsychiatric syndrome associated with serious complications. Residents of nursing homes are particularly vulnerable to developing delirium. Nurses play a key role in the prevention, detection, and management of delirium but often report a lack of specific knowledge and understanding. The aim of this study was to develop and evaluate a tailored e-learning programme on delirium for nurses working in German nursing homes.
methodsThis pilot study employed a single-group pre-post design. Between January and March 2025, nurses from German nursing homes completed a delirium-specific e-learning program consisting of five modules on risk factors, causes, prevention, symptoms, diagnosis, and treatment. Participants completed a delirium knowledge questionnaire and rated their confidence in recognizing delirium before and after training. Evaluation questions assessed usability and relevance.
resultsA total of 80 nurses completed the e-learning program as well as the pre- and posttests. Delirium-specific knowledge improved from a median of 32 to 40 correct answers (interquartile range [IQR] = 9.25 vs. 7.5; p < 0.001). Subjective confidence in recognizing delirium increased from 5 to 7 (IQR = 2.25 vs. 1; p < 0.001) on a 10-point scale. Both improvements showed large effect sizes (knowledge: r = 0.86; subjective confidence: r = 0.92). Most nurses rated the training as highly relevant and usable.
conclusionsResidents of nursing homes are at increased risk of delirium, while nursing staff report a clear need for delirium-specific expertise. Findings from this pilot study suggest that the tailored e-learning program may enhance nurses’ knowledge and confidence in recognizing delirium. The program represents a promising foundation for structured delirium training in nursing homes and warrants further evaluation in larger and long-term studies.
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