Developing effective educational approaches for Liaison Old Age Psychiatry teams: A literature review of the learning needs of hospital staff in relation to managing the confused older patient

International Psychogeriatrics

Volumn 22, Issue 6, 2010, Pages 874-885

  Teodorczuk, Andrew ^a   Welfare, Mark ^a   Corbett, Sally ^a   Mukaetova Ladinska, Elizabeta ^b  

^a NORTH TYNESIDE GENERAL HOSPITAL   (United Kingdom)

^b NEWCASTLE UNIVERSITY   (United Kingdom)

Author keywords

confusion; delirium; dementia; education; hospital; learning needs; liaison; training

Indexed keywords

ANTIHISTAMINIC AGENT; BENZODIAZEPINE DERIVATIVE; PSYCHOTROPIC AGENT;

CLINICAL COMPETENCE; COGNITIVE DEFECT; CONFUSION; CURRICULUM; DATA BASE; DELIRIUM; DEMENTIA; DISEASE SEVERITY; EDUCATIONAL THEORY; GERIATRIC PATIENT; GERONTOPSYCHIATRY; HEALTH PERSONNEL ATTITUDE; HOSPITAL; HOSPITAL PERSONNEL; HUMAN; INTERVENTION STUDY; LEARNING; LENGTH OF STAY; MEDICAL EDUCATION; NATURALISTIC INQUIRY; NURSE; NURSE ATTITUDE; PHYSICIAN; PRESCRIPTION; PROFESSIONAL KNOWLEDGE; REVIEW; VISUAL IMPAIRMENT;

AGED; ALZHEIMER DISEASE; ATTITUDE OF HEALTH PERSONNEL; CLINICAL COMPETENCE; CONFUSION; CURRICULUM; DELIRIUM; EDUCATION, MEDICAL, CONTINUING; EDUCATION, NURSING, CONTINUING; GERIATRIC NURSING; GERIATRIC PSYCHIATRY; HEALTH SERVICES NEEDS AND DEMAND; HUMANS; INSERVICE TRAINING; MEDICAL STAFF, HOSPITAL; NURSING STAFF, HOSPITAL; PATIENT CARE TEAM; REFERRAL AND CONSULTATION;

EID: 77957291500     PISSN: 10416102     EISSN: 1741203X     Source Type: Journal    
DOI: 10.1017/S1041610209991475     Document Type: Review

References (64)

1. Albert, S. M., Costa, R., Merchant, C., Small, S., Jenders, R. A. and Stern, Y. (1999). Hospitalization and Alzheimer's disease: results from a community-based study. Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 54, M267-271.
2. Armstrong, S. C., Cozza, K. L. and Watanabe, K. S. (1997). The misdiagnosis of delirium. Psychosomatics, 38, 433-439.
3. Armstrong-Esther, C. A., Browne, K. D. and McAffee, J. G. (1999). Investigation into nursing staff knowledge and attitude to dementia. International Journal of Psychiatric Nursing Research, 4, 489-497.
4. Atkin, K., Holmes, J. and Martin, C. (2005). Provision of care for older people with co-morbid mental illness in general hospitals: general nurses" perceptions of their training needs. International Journal of Geriatric Psychiatry, 20, 1081-1083.
5. Aylward, S., Stolee, P., Keat, N. and Johncox, V. (2003). Effectiveness of continuing education in long-term care: a literature review. Gerontologist, 43, 259-271.
6. Baldwin, R., Pratt, H., Goring, H., Marriott, A. and Roberts, C. (2004). Does a nurse-led mental health liaison service for older people reduce psychiatric morbidity in acute general medical wards? A randomised controlled trial. Age and Ageing, 33, 472-478.
7. Berkowitz, H. L. (1981). House officer knowledgeability of organic brain syndromes: a pilot study. General Hospital Psychiatry, 3, 321-326.
8. Billett, S. (1996). Towards a model of workplace learning: the learning curriculum. Studies in Continuing Education, 18, 43-58.
9. Borbasi, S., Jones, J., Lockwood, C. and Emden, C. (2006). Health professionals" perspectives of providing care to people with dementia in the acute setting: toward better practice. Geriatric Nursing, 27, 300-308.
10. Brymer, C., Cavanagh, P., Denomy, E., Wells, K. and Cook, C. (2001). The effect of a geriatric education program on emergency nurses. Journal of Emergency Nursing, 27, 27-32.
11. Carpenter, J. and Dickinson, H. (2008). Interprofessional Education and Training. Bristol: Policy Press.
12. Davis, D. A., Thomson, M. A., Oxman, A. D. and Haynes, R. B. (1992). Evidence for the effectiveness of CME: a review of 50 randomized controlled trials. JAMA, 268, 1111-1117.
13. Davis, D. A., Thomson, M. A., Oxman, A. D. and Haynes, R. B. (1995). Changing physician performance: a systematic review of the effect of continuing medical education strategies. JAMA, 274, 700-705.
14. Department of Health (2009). Living Well with Dementia. London: Stationery Office.
15. Dunnion, M. E. and Kelly, B. (2005). From the emergency department to home. Journal of Clinical Nursing, 14, 776-785.
16. Ekman, S. L., Norberg, A., Viitanen, M. and Winblad, B. (1991). Care of demented patients with severe communication problems. Scandinavian Journal of Caring Sciences, 5, 163-170.
17. Eriksson, C. and Saveman, B. I. (2002). Nurses" experiences of abusive/non-abusive caring for demented patients in acute care settings. Scandinavian Journal of Caring Sciences, 16, 79-85.
18. Feldman, J., Yaretzky, A., Kaizimov, N., Alterman, P. and Vigder, C. (1999). Delirium in an acute geriatric unit: clinical aspects. Archives of Gerontology and Geriatrics, 28, 37-44.
19. Fessey, V. (2007). Patients who present with dementia: exploring the knowledge of hospital nurses. Nursing Older People, 19, 29-33.
20. Fick, D. M., Hodo, D. M., Lawrence, F. and Inouye, S. K. (2007). Recognizing delirium superimposed on dementia: assessing nurses" knowledge using case vignettes. Journal of Gerontology Nursing, 33, 40-47; quiz 48-49.
21. Freeth, D. (2007). Interprofessional Education. Understanding Medical Education Booklet. Edinburgh: ASME.
22. Fuller, A., Hodkinson, H., Hodkinson, P. and Unwin, L. (2005). Learning as peripheral participation in communities of practice: a reassessment of key concepts in workplace learning. British Educational Research Journal, 31, 49-68.
23. Harding, R., Martin, C. and Holmes, J. (2008). Dazed and confused: making sense of delirium after hip fracture. International Journal of Geriatric Psychiatry, 23, 984-986.
24. Hobson, J. P., Coyle, J. M., Leeds, L. and Meara, R. J. (2001). Health professionals" knowledge about Alzheimer's disease. International Journal of Geriatric Psychiatry, 16, 822-823.
25. Holden, J., Jayathissa, S. and Young, G. (2008). Delirium among elderly general medical patients in a New Zealand hospital. Internal Medicine Journal, 38, 629-634.
26. Hutchinson, L. (1999). Evaluating and researching the effectiveness of educational interventions. BMJ, 318, 1267-1269.
27. Inouye, S. K., Acampora, D., Miller, R. L., Fulmer, T., Hurst, L. D. and Cooney, L. M. Jr. (1993). The Yale Geriatric Care Program: a model of care to prevent functional decline in hospitalized elderly patients. Journal of the American Geriatrics Society, 41, 1345-1352. (Pubitemid 23353946)
28. Inouye, S. K., Foreman, M. D., Mion, L. C., Katz, K. H. and Cooney, L. M. Jr. (2001). Nurses" recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Archives of Internal Medicine, 161, 2467-2473.
29. Jewell, D., Turpie, I., Patterson, C., Lewis, D. and Baxter, J. (2003). A one minute survey of learning needs for Regional Geriatric Program Central Personnel. Geriatrics and Aging, 6, 59-61.
30. Kales, H. C., Kamholz, B. A., Visnic, S. G. and Blow, F. C. (2003). Recorded delirium in a national sample of elderly inpatients: potential implications for recognition. Journal of Geriatric Psychiatry and Neurology, 16, 32-38.
31. Kaufmann, D. (2003). Applying educational theory in practice. In P. Cantillon (ed.), ABC of Learning and Teaching in Medicine. London: BMJ Books.
32. Kelly, A. V. (2004). The Curriculum: Theory and Practice. London: Sage.
33. Kirkpatrick, D. L. (1994). Evaluating Training Programs: The Four Levels. San Francisco: Berrett-Koehler.
34. Lave, J. and Wenger, E. (1991). Situated Learning: Legitimate Peripheral Participation. Cambridge: Cambridge University Press.
35. Lockyer, J. (1998). Needs assessment: lessons learned. Journal of Continuing Education in the Health Professions, 18, 190-192.
36. Lundstrom, M., Edlund, A., Karlsson, S., Brannstrom, B., Bucht, G. and Gustafson, Y. (2005). A multifactorial intervention program reduces the duration of delirium, length of hospitalization, and mortality in delirious patients. Journal of the American Geriatrics Society, 53, 622-628.
37. Marcantonio, E. R., Simon, S. E., Bergmann, M. A., Jones, R. N., Murphy, K. M. and Morris, J. N. (2003). Delirium symptoms in post-acute care: prevalent, persistent, and associated with poor functional recovery. Journal of the American Geriatrics Society, 51, 4-9.
38. Marshall, M. (1999). "They should not really be here" - people with dementia in the acute sector. Age and Ageing, 28 (Suppl. 2), 9-11.
39. McCarthy, M. (2003a). Situated clinical reasoning: distinguishing acute confusion from dementia in hospitalized older adults. Research in Nursing and Health, 26, 90-101.
40. McCarthy, M. (2003b). Detecting acute confusion in older adults: comparing clinical reasoning of nurses working in acute, long-term, and and community health care environments. Research in Nursing and Health, 26, 203-212.
41. McCartney, J. R. and Palmateer, L. M. (1985). Assessment of cognitive deficit in geriatric patients: a study of physician behavior. Journal of the American Geriatrics Society, 33, 467-471.
42. Milisen, K. et al. (2001). A nurse-led interdisciplinary intervention program for delirium in elderly hip-fracture patients. Journal of the American Geriatrics Society, 49, 523-532.
43. Miller, J., Campbell, J., Moore, K. and Schofield, A. (2004). Elder care supportive interventions protocol: reducing discomfort in confused, hospitalized older adults. Journal of Gerontological Nursing, 30, 10-8; quiz 54-55.
44. National Audit Office (2007). Improving Services and Support for People with Dementia. London: National Audit Office.
45. National Institute for Health and Clinical Excellence (2006). Dementia: Supporting People with Dementia and their Carers in Health and Clinical Care. NICE Clinical Guideline 42. London: NICE.
46. Naughton, B. J., Saltzman, S., Ramadan, F., Chadha, N., Priore, R. and Mylotte, J. M. (2005). A multifactorial intervention to reduce prevalence of delirium and shorten hospital length of stay. Journal of the American Geriatrics Society, 53, 18-23.
47. Nolan, L. (2007). Caring for people with dementia in the acute setting: a study of nurses" views. British Journal of Nursing, 16, 419-422.
48. Normann, H. K., Asplund, K. and Norberg, A. (1999). Attitudes of registered nurses towards patients with severe dementia. Journal of Clinical Nursing, 8, 353-359.
49. Palmateer, L. M. and McCartney, J. R. (1985). Do nurses know when patients have cognitive deficits? Journal of Gerontological Nursing 11, 6-7, 10-12, 15-16.
50. Pulsford, D., Hope, K. and Thompson, R. (2007). Higher education provision for professionals working with people with dementia: a scoping exercise. Nurse Education Today, 27, 5-13.
51. Rockwood, K. (1999). Educational interventions in delirium. Dementia and Geriatric Cognitive Disorders, 10, 426-429.
52. Rockwood, K., Cosway, S., Stolee, P., Kydd, D., Carver, D., Jarrett, P. and O'Brien, B. (1994). Increasing the recognition of delirium in elderly patients. Journal of the American Geriatrics Society, 42, 252-256.
53. Royal College of Psychiatrists (2005). Who Cares Wins: Improving the Care of Elderly People Admitted to General Hospital. London: Royal College of Psychiatrists. Available at: http://www.bgs.org.uk/PDF%20Downloads/ WhoCaresWinspdf.
54. Ryan, D., Blackburn, P., Lawley, D., Ellis, A., Musil, J. and Kendrick, D. (1995). Depression and dementia in geriatric inpatients: diagnostic comparisons between psychiatrists, geriatricians and test scores. International Journal of Geriatric Psychiatry, 10, 447-456.
55. Schiro, M. (2008). Curriculum Theory: Conflicting Visions and Enduring Concerns. Thousand Oaks, CA: Sage.
56. Simon, L., Jewell, N. and Brokel, J. (1997). Management of acute delirium in hospitalized elderly: a process improvement project. Geriatric Nursing, 18, 150-154.
57. Smith, S. (2007). Raising the profile of older people's care in hospital through training. Nursing Older People, 19, 27-31.
58. Somerfield, M. R., Weisman, C. S., Ury, W., Chase, G. A. and Folstein, M. F. (1991). Physician practices in the diagnosis of dementing disorders. Journal of the American Geriatrics Society, 39, 172-175.
59. Speciale, S., Bellelli, G. and Trabucchi, M. (2005). Staff training and use of specific protocols for delirium management. Journal of the American Geriatrics Society, 53, 1445-1446.
60. Tabet, N., Hudson, S., Sweeney, V., Sauer, J., Bryant, C., MacDonald, A. and Howard, R. (2005). An educational intervention can prevent delirium on acute medical wards. Age and Ageing, 34, 152-156.
61. Teodorczuk, A., Welfare, M., Corbett, S. and
62. Mukaetova-Ladinska, E. (2009). Education, hospital staff and the confused older patient. Age and Ageing, 38, 252-253.
63. Tolson, D., Smith, M. and Knight, P. (1999). An investigation of the components of best nursing practice in the care of acutely ill hospitalized older patients with coincidental dementia: a multi-method design. Journal of Advanced Nursing, 30, 1127-1136.
64. Wanich, C. K., Sullivan-Marx, E. M., Gottlieb, G. L. and Johnson, J. C. (1992). Functional status outcomes of a nursing intervention in hospitalized elderly. Image: Journal of Nursing Scholarship, 24, 201-207.