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Educational Intervention to Improve Delirium Recognition by Nurses.

Cheri S Blevins1, Regina DeGennaro2

  • 1Cheri S. Blevins is a clinical nurse specialist in the medical intensive care unit, University of Virginia Health System and adjunct faculty in graduate programs, University of Virginia School of Nursing, Charlottesville, Virginia. Regina DeGennaro is an associate professor, University of Virginia School of Nursing. cms5q@virginia.edu.

American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses
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PubMed
Summary

A targeted educational intervention significantly improved nurses' knowledge and skills in recognizing delirium using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU). This improved delirium screening and patient care in the ICU.

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Area of Science:

  • Critical Care Medicine
  • Nursing Education
  • Geriatric Medicine

Background:

  • Delirium is a significant risk factor for increased morbidity and mortality in hospitalized patients.
  • Underrecognition of delirium by healthcare providers leads to suboptimal patient outcomes.
  • Limited research exists on effective methods for educating healthcare providers on delirium screening using the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU).

Purpose of the Study:

  • To assess the effectiveness of a multimodal educational intervention designed to enhance nurses' knowledge and skills in delirium recognition within a medical intensive care unit.

Main Methods:

  • A quasi-experimental design was employed, with pre- and post-intervention assessments conducted.
  • The educational intervention involved small-group sessions for nurses in an academic medical center's medical intensive care unit.
  • Procedural correctness of CAM-ICU delirium screening was evaluated.

Main Results:

  • A significant improvement in overall and knowledge subscale scores was observed post-intervention (P < .001).
  • No demographic correlations were found with score improvements.
  • Following the intervention, 79% of nurses correctly utilized the CAM-ICU screening tool.

Conclusions:

  • The educational intervention effectively improved nurses' ability to screen for delirium.
  • Educational content should be tailored to the specific clinical setting, patient population risk factors, and the chosen delirium screening tool.