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Delirium training program for nurses
Tatsuo Akechi1, Chieko Ishiguro, Toru Okuyama
1Department of Psychiatry and Cognitive-Behavioral Medicine, Nagoya City University Graduate School of Medical Sciences, Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. takechi@med.nagoya-cu.ac.jp
Background:
Delirium is a common and serious clinical problem for hospitalized patients and is associated with an increased risk of morbidity and mortality and increased healthcare costs.
Objective:
The objective of this study was to investigate the preliminary usefulness of a novel delirium training program to improve nurses' self-confidence in caring for patients with delirium.
Method:
One or more nurses were selected from each ward to become the "delirium-link nurses," and these nurses would then pass on their special training to the other nurses in their ward.
Results:
The outcome was evaluated with a self-reported 15-item measure to assess self-confidence. A total of 390 nurses, including 32 delirium-link nurses, participated in this program. A significant effect was observed for 12 of the 15 items.
Conclusion:
This brief program can improve nurses' self-confidence in treating delirium patients; however, more work is needed to improve nurses' ability to detect delirium early.
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