None listed
Conditions
Brief summary
This study will be a clustered randomised control trial comparing a multi-modal delirium education intervention to traditional didactic education on translating delirium knowledge into clinical practice. The study will be conducted across three private hospital sites, with inpatient medical and surgical wards randomised into the intervention or control group. All participants will be invited to complete a survey at two time points, (i) immediately prior to the intervention and (ii) 6 weeks post intervention. The surveys consist of four questions asking the participants to rate their self- perceived confidence and competence on delirium assessment and knowledge using a 5-point Likert scale. The surveys also consist of a 20 questions delirium knowledge quiz. Six weeks post intervention participants will be observed in clinical practice undertaking a delirium assessment.
Interventions
The intervention consists of a four part mutli-modal delirium care education program (total of 2 hours):
(i) Didactic group face to face education session delivered by a Nurse Practitioner or Clinical Nurse Consultant, including a 'take away' Delirium Care Booklet entitled 'Delirium Care-what you need to know' (60 mins).
The 'Delirium Care-what you need to know' booklet was first developed by delirium clinical experts in 2014 and is available online at http://adhere.org.au/deliriumcare.html
(ii)
The intervention consists of a four part mutli-modal delirium care education program (total of 2 hours): (i) Didactic group face to face education session delivered by a Nurse Practitioner or Clinical Nurse Consultant, including a 'take away' Delirium Care Booklet entitled 'Delirium Care-what you need to know' (60 mins). The 'Delirium Care-what you need to know' booklet was first developed by delirium clinical experts in 2014 and is available online at http://adhere.org.au/deliriumcare.html (ii) Online learning activity involving watching filmed delirium care vignettes (15 mins). Available online at http://adhere.org.au/deliriumcare-videos.html (iii) Paper-based Individual Self-reflection exercise (15 mins) consisting of 4 questions to prompt participants to reflect on their experience with a patient who experienced delirium. (iv) One-on-one objective structured clinical examination (OSCE) conducted by a Nurse Practitioner, Clinical Nurse Specialist or Clinical Nurse Educator using a simulated patient scenario role played by an 'actor' (30 minutes). The multi-modal program will be delivered over a two month period, with participants undertaking each activity once. Participants will approximately undertake one activity every 2 weeks during a 2 month period.
Sponsors
Professor Victoria Traynor
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Blinded (masking used) (Outcomes Assessor)
Eligibility
Sex/Gender
All
Age
17 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Registered healthcare staff: medical doctor, enrolled nurse, registered nurse or allied healthcare practitioner (physiotherpist or occupational therapist) 2. Staff member working in: medical or surgical units at one of the three participating hospitals 3. Permanent and casual staff are eligible
Exclusion criteria
1. Unregistered staff: assistants in nursing, allied healthcare aids, hotel services and 2. Staff members working in: outpatient, maternity, paediatric, day stay, operating theatre, recovery, or critical care units
Outcome results
None listed