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Delirium Knowledge, Self-Confidence, and Attitude in Pediatric Intensive Care Nurses

Sharon L Norman1, Asma A Taha2

  • 1Randall Children's Hospital, Legacy Emanuel, United States of America; OHSU School of Nursing, United States of America.

Journal of Pediatric Nursing
|February 26, 2019
PubMed

Insights

Multifaceted education significantly improved pediatric intensive care unit (PICU) nurses' knowledge, confidence, and attitudes toward pediatric delirium. This educational approach, combined with plan-do-study-act cycles, enhances care for critically ill children.

Area of Science:

  • Pediatric critical care medicine
  • Nursing education
  • Quality improvement science

Background:

  • Delirium in critically ill children increases morbidity and mortality.
  • Pediatric intensive care units (PICUs) have low rates of delirium screening due to knowledge gaps.
  • Existing barriers include deficits in understanding delirium and screening tools.

Purpose of the Study:

  • Implement delirium screening in a PICU setting.
  • Evaluate the impact of multifaceted education on nurses' delirium knowledge, self-confidence, and attitudes.
  • Improve the quality of care for critically ill children by addressing delirium.

Main Methods:

  • Utilized three plan-do-study-act (PDSA) cycles for implementation.
  • Delivered multifaceted educational interventions during PDSA cycles.
  • Assessed changes in nurses' knowledge, self-confidence, and attitudes using pre- and post-education questionnaires and ANOVA for analysis.

Main Results:

  • Forty-two PICU nurses completed questionnaires across PDSA cycles.
  • Significant increases in delirium knowledge, self-confidence, and positive attitudes were observed post-education (p < .05).
  • Sustained improvements were noted 3 months post-implementation of delirium screening (p < .05).

Conclusions:

  • Multifaceted education effectively enhances nurses' understanding and confidence regarding pediatric delirium.
  • PDSA cycles provide a systematic framework for quality improvement in PICUs.
  • Improved nursing knowledge and attitudes can mitigate adverse outcomes associated with delirium in critically ill children.
Abstract

Keywords:
AttitudeDeliriumDelirium knowledgeNurseSelf-confidence

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