Delirium and staff education Mental and Behavioural Disorders Delirium and staff education
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients: 1. Dutch speaking 2. 70 years or older 3. Consecutively admitted to the geriatric ward Nurses: All geriatric nurses of the participating unit.
Exclusion criteria
Exclusion criteria: Patients: 1. Severe hearing or visual problems 2. Very poor health condition (e.g. palliative patients, patients with unstable cardiac or respiratory problems) 3. Isolation because of infectious disease 4. Unable to hold a conversation 5. Readmitted during the study period 6. Expected discharge within 24 hours after admission
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. In-hospital prevalence of delirium is measured using the Confusion Assessment Method (CAM) at days one, three, five, seven, 14 and 21 after admission to the geriatric ward. If the patient had delirium on one of the measurement points (positive CAM score), the patient was followed up daily until a negative CAM score was obtained 2. Duration and severity of delirium in patients is measured using the 7-item delirium index at days one, three, five, seven, 14, and 21 after admission to the geriatric ward 3. Duration of delirium in patients is measured as the number of days on which a positive CAM score was obtained | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Mortality in patients is measured by the number of deaths while being hospitalised at the geriatric unit 2. Twelve-month mortality is measured as the number of deaths occurring within 12 months after admission, including cases of in-hospital mortality 3. Geriatric nurses' delirium-related knowledge is assessed with the 35-item true-false Delirium Knowledge Questionnaire (DKQ) at baseline and at the end of the 4 month after study 4. Geriatric nurses’ ability to recognize delirium is assessed with standardized ‘case vignettes’ at baseline and at the end of the 4 month after study | — |
Countries
Belgium