Effects of simulation-based education module on delirium care in undergraduate nursing students: A quasi-experimental study

被引：0

作者：

Chen, Ting-Jhen ^{[1
,2
]}

Traynor, Victoria ^{[2
,3
]}

Ho, Mu-Hsing ^{[4
]}

Chang, Hui-Chen ^{[2
,5
]}

Rolls, Kaye ^{[2
]}

Pratt, Helen ^{[2
]}

Chiu, Hsiao-Yean ^{[1
,6
,7
,8
,9
,10
]}

机构：

[1] Taipei Med Univ, Coll Nursing, Sch Nursing, Taipei, Taiwan

[2] Univ Wollongong, Fac Sci Med & Hlth, Sch Nursing, Northfields Ave, Wollongong, NSW 2522, Australia

[3] Illawarra Hlth & Med Res Inst, Northfields Ave, Wollongong, NSW 2522, Australia

[4] Univ Hong Kong, Li Ka Shing Fac Med, Sch Nursing, Pokfulam, Hong Kong, Peoples R China

[5] Western Sydney Univ, Sch Nursing & Midwifery, Parramatta South Campus, Penrith, NSW 2150, Australia

[6] Taipei Med Univ Hosp, Nursing Dept, Taipei, Taiwan

[7] Taipei Med Univ, Coll Med, Res Ctr Sleep Med, Taipei, Taiwan

[8] Taipei Med Univ Hosp, Dept Psychiat, Taipei, Taiwan

[9] Taipei Med Univ Hosp, Sleep Ctr, Taipei, Taiwan

[10] 250 Wuxing St, Taipei City 110, Taiwan

来源：

NURSE EDUCATION IN PRACTICE | 2024年 / 74卷

关键词：

Critical care; Delirium; Knowledge; Confidence; Competence; Undergraduate; Design: Quasi -experimental study; NURSES; UNIT;

D O I：

10.1016/j.nepr.2023.103852

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Aim: To examine the effects of a delirium education module on undergraduate nursing students' knowledge of and perceived confidence and competence in delirium care.Background: Delirium is common in intensive care units (ICUs) and leads to poor clinical outcomes. The under recognition of delirium is a major problem in ICU medicine. Nurses, as first-line health care providers, can address this by recognizing patients who are experiencing delirium. Since undergraduate nursing students will be the future ICU nurses, it is important to deliver the knowledge regarding delirium care. However, education about assessing delirium in ICUs among undergraduate nursing students is lacking.Design: Quasi-experimental study.Methods: A total of 74 undergraduate students were divided into an intervention group (n=34) and a comparison group (n=40). A 2-hour simulation-based delirium education module integrated into a critical care curriculum was delivered to the intervention group only. The classroom-based intervention was administered at a medical university in northern Taiwan. Study outcomes were measured using a structured survey including (1) a 16-item delirium care knowledge quiz, (2) confidence in delirium care scale and (3) competence in delirium care scale. The survey was distributed to students before and after the module in December 2020. The Mann-Whitney U test, chi-square test and Fisher's exact test were adopted to test the differences of all variables between groups. A generalized estimating equation model was used to investigate the adjusted treatment effects.Results: The participants had a median age of 22 years and 81% were female. The delirium education module yielded greater knowledge (B = 3.04, 95% confidence interval = 2.20-3.88), confidence (B = 4.20, 95% confidence interval = 2.67-5.73) and competence (B = 4.82, 95% confidence interval = 3.33-6.30) in delirium care when the treatment and control groups were compared.Conclusions: For undergraduate nursing students, simulation-based education module is effective in improving the knowledge of and confidence and competence in delirium care. It is recommended that this be included in critical care nursing curricula.

引用

页数：6

共 32 条

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American Psychiatric Association, 2022, Diagnostic and Statistical Manual of Mental Disorders Text Revision, V5th ed., text rev.

[2] Clinical Practice Guidelines for the Management of Pain, Agitation, and Delirium in Adult Patients in the Intensive Care Unit [J].