Delirium knowledge and recognition: A randomized controlled trial of a web-based educational intervention for acute care nurses

Nurse Education Today

Volumn 34, Issue 6, 2014, Pages 912-917

  McCrow, Judy ^a   Sullivan, Karen A ^a   Beattie, Elizabeth R ^a  

^a QUEENSLAND UNIVERSITY OF TECHNOLOGY   (Australia)

Author keywords

Delirium; Delirium superimposed on dementia; Nursing; Web based learning

Indexed keywords

ACUTE DISEASE; ADULT; AGED; CLINICAL COMPETENCE; CONTROLLED STUDY; DELIRIUM; EDUCATION; FEMALE; HUMAN; INTERNET; MALE; MULTIVARIATE ANALYSIS; NURSE; NURSING; NURSING EDUCATION; QUEENSLAND; RANDOMIZED CONTROLLED TRIAL; TEACHING;

ACUTE DISEASE; ADULT; AGED; CLINICAL COMPETENCE; COMPUTER-ASSISTED INSTRUCTION; DELIRIUM; EDUCATION, NURSING, CONTINUING; EDUCATIONAL MEASUREMENT; FEMALE; HUMANS; INTERNET; MALE; MULTIVARIATE ANALYSIS; NURSES; QUEENSLAND;

EID: 84900449461     PISSN: 02606917     EISSN: 15322793     Source Type: Journal    
DOI: 10.1016/j.nedt.2013.12.006     Document Type: Article

References (39)

1. Adamis D., Treloar A., Martin F.C., Macdonald A.J.D. Recovery and outcome of delirium in elderly medical inpatients. Arch. Gerontol. Geriatr. 2006, 43(2):289-298. 10.1016/j.archger.2005.11.005.
2. Alemagno S., Guten S., Warthman S., Young E., Mackay D. Online learning to improve hand hygiene knowledge and compliance among health care workers. J. Contin. Educ. Nurs. 2010, 41(10):463-471. 10.3928/00220124-20100610-06.
3. Australian Health Ministers' Advisory Council (AHMAC) Clinical Practice Guidelines for the Management of Delirium in Older People 2006, Victorian Government Department of Human Services, Melbourne, (Retrieved from www.health.vic.gov.au).
4. Bergmann M., Murphy K., Kiely D., Jones R., Marcantonio E. A model for management of delirious postacute care patients. J. Am. Geriatr. Soc. 2005, 53(10):1817. 10.1111/j.1532-5415.2005.53519.x.
5. Bollinger R.C., McKenzie-White J., Gupta A. Building a global health education network for clinical care and research: the benefits and challenges of distance learning tools. Infect. Dis. Clin. North Am. 2011, 25(2):385. 10.1016/j.idc.2011.02.006.
6. Brown S., Kirkpatrick M., Greer A., Matthias A., Swanson M. The use of innovative pedagogies in nursing education: an international perspective. Nurs. Educ. Perspect. 2009, 30(3):153-158. 10.1043/1536-5026-030.003.0153.
7. Cottrell S., Donaldson J.H. Exploring the opinions of registered nurses working in a clinical transfusion environment on the contribution of e-learning to personal learning and clinical practice: results of a small scale educational research study. Nurse Educ. Pract. 2013, 13(3):221-227. 10.1016/j.nepr.2013.01.014.
8. Dahlke S., Phinney A. Caring for hospitalized older adults at risk for delirium: the silent, unspoken piece of nursing practice. J. Gerontol. Nurs. 2008, 34(6):41-47. 10.3928/00989134-20080601-03.
9. Eeles E.M.P., Hubbard R.E., White S.V., O'Mahony M.S., Savva G.M., Bayer A.J. Hospital use, institutionalisation and mortality associated with delirium. Age Ageing 2010, 39(4):470-475. 10.1093/ageing/afq052.
10. Farrell K., Ganzini L. Misdiagnosing delirium as depression in medically ill elderly patients. Arch. Intern. Med. 1995, 155(22):2459-2464. 10.1001/archinte.1995.00430220119013.
11. Fick D., Hodo D., Lawrence F., Inouye K. Recognizing delirium superimposed on dementia: assessing nurses' knowledge using case vignettes. J. Gerontol. Nurs. 2007, 33(2):40-47.
12. Forrest J., Willis L., Holm K., Kwon M., Anderson M., Foreman M. Reducing the risk: recognizing quiet delirium. Am. J. Nurs. 2007, 107(4):35-39.
13. Hare M., Wynaden D., McGowan S., Landsborough I., Speed G. A questionnaire to determine nurses' knowledge of delirium and its risk factors. Contemp. Nurse 2008, 29(1):23-31.
14. Inouye S.K. Delirium in older persons. N. Engl. J. Med. 2006, 354(11):1157-1165. 10.1056/NEJMra052321.
15. Inouye S.K., van Dyck C.H., Alessi C.A., Balkin S., Siegal A.P., Horwitz R.I. Clarifying confusion: the confusion assessment method. A new method for detection of delirium. Ann. Intern. Med. 1990, 113(12):941-948. 10.7326/0003-4819-113-12-941.
16. Inouye S.K., Foreman M.D., Mion L., Katz K., Cooney L. Nurses' recognition of delirium and its symptoms: comparison of nurse and researcher ratings. Arch. Intern. Med. 2001, 161(20):2467-2473. 10.1001/archinte.161.20.2467.
17. Leslie D., Marcantonio E., Zhang Y., Leo-Summers L., Inouye S. One-year health care costs associated with delirium in the elderly population. Arch. Intern. Med. 2008, 168(1):27-32. 10.1001/archinternmed.2007.4.
18. Lundstrom M., Edlund A., Karlsson S., Brannstrom B., Bucht G., Gustafson Y. A multifactorial intervention program reduces the duration of delirium, length of hospitalization, and mortality in delirious patients. J. Am. Geriatr. Soc. 2005, 53(4):622-628. 10.1111/j.1532-5415.2005.53210.x.
19. Lundstrom M., Olofsson B., Stenvall M., Karlsson S., Nyberg L., Englund U., et al. Postoperative delirium in old patients with femoral neck fracture: a randomized intervention study. Aging Clin. Exp. Res. 2007, 19(3):178-186.
20. McCord L., McCord W. Online learning: getting comfortable in the cyber class. Teach. Learn. Nurs. 2010, 5(1):27-32.
21. McCrow J., Beattie E., Sullivan K., Fick D.M. Development and Review of Vignettes Representing Older People with Cognitive Impairment 2013, Geriatric Nursing.
22. McCusker J., Voyer P., Monette J., Champoux N., Ciampi A., Vu M., Belzile E. Use of nurse-observed symptoms of delirium in long-term care: effects on prevalence and outcomes of delirium. Int. Psychogeriatr. 2011, 23(4):602. 10.1017/S1041610210001900.
23. Meako M.E., Thompson H.J., Cochrane B.B. Orthopaedic nurses' knowledge of delirium in older hospitalized patients. Orthop. Nurs. 2011, 30(4):241-248. 10.1097/NOR.0b013e3182247c2b.
24. Means B., Toyama Y., Murphy R., Bakia M., Jones K. Evaluation of Evidence-based Practices in Online Learning: A Meta-analysis and Review of Online Learning Studies 2010, Retrieved 20/07/2012 http://eprints.cpkn.ca/7/.
25. Meyer E., Lees A., Humphris D., Connell N. Opportunities and barriers to successful learning transfer: impact of critical care skills training. J. Adv. Nurs. 2007, 60(3):308-316. 10.1111/j.1365-2648.2007.04422.x.
26. Milisen K., Lemiengre J., Braes T., Foreman M.D. Multicomponent intervention strategies for managing delirium in hospitalized older people: systematic review. J. Adv. Nurs. 2005, 52(1):79-90. 10.1111/j.1365-2648.2005.03557.x.
27. Naughton B.J., Saltzman S., Ramadan F., Chadha N., Priore R., Mylotte J.M. A multifactorial intervention to reduce prevalence of delirium and shorten hospital length of stay. J. Am. Geriatr. Soc. 2005, 53(1):18-23. 10.1111/j.1532-5415.2005.53005.x.
28. Paavilainen E., Salminen-Tuomaala M. Web-based learning for continuing nursing education of emergency unit staff. J. Nurses Staff Dev. 2010, 26(4):159-163. 10.1097/NND.0b013e31819945ae.
29. Rankin J.A., Then K.L., Atack L. Can emergency nurses' triage skills be improved by online learning? Results of an experiment. J. Emerg. Nurs. 2013, 39(1):20-26. 10.1016/j.jen.2011.07.004.
30. Rice K.L., Bennett M., Gomez M., Theall K.P., Knight M., Foreman M.D. Nurses' recognition of delirium in the hospitalized older adult. Clin. Nurse Spec. 2011, 25(6):299-311. 10.1097/NUR.0b013e318234897b.
31. Smith A. Learning styles of registered nurses enrolled in an online nursing program. J. Prof. Nurs. 2010, 26(1):49-53. (doi: S8755-7223(09)00069-6).
32. Software Inc.GraphPad GraphPad Software: Quick Calcs Retrieved 10th October, 2010 http://www.graphpad.com/quickcalcs/randomize1.cfm.
33. Spronk P.E., Riekerk B., Hofhuis J., Rommes J.H. Occurrence of delirium is severely underestimated in the ICU during daily care. Intensive Care Med. 2009, 35(7):1276-1280. 10.1007/s00134-009-1466-8.
34. Straight M. One strategy to reduce medication errors: the effect of an online continuing education module on nurses' use of the Lexi-Comp Feature of the Pyxis MedStation 2000. Comput. Inform. Nurs. 2008, 26:23-30. 10.1097/01.NCN.0000304761.56671.ad.
35. Tabet N., Hudson S., Sweeney V., Sauer J., Bryant C., MacDonald A., Howard R. An educational intervention can prevent delirium on acute medical wards. Age Ageing 2005, 34(2):152-156. 10.1093/ageing/afi031.
36. Watkins R., Leigh D., Triner D. Assessing readiness for E-learning. Perform. Improv. Q. 2004, 17(4):66-79. 10.1111/j.1937-8327.2004.tb00321.x.
37. Webster J., Chew R., Mailliard L., Moran M. Improving clinical and cost outcomes in delirium: use of practice guidelines and a delirium care team. Ann. Long Term Care 1999, 7(4):128-134.
38. West B.T. Analyzing longitudinal data with the linear mixed models procedure in SPSS. Eval. Health Prof. 2009, 32(3):207.
39. Witlox J., Eurelings L., de Jonghe J., Kalisvaart K., Eikelenboom P., van Gool W. Delirium in elderly patients and the risk of postdischarge mortality, institutionalization, and dementia: a meta-analysis. JAMA 2010, 304(4):443-451. 10.1001/jama.2010.1013.