Developing delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings

Lee, Song Yuin; Fisher, James; Wand, Anne; Milisen, Koen; Detroyer, Elke; Sockalingam, Sanjeev; Agar, Meera; Hosie, Annmarie; Teodorczuk, Andrew

doi:10.1007/s41999-019-00278-x

Cited by 45 publications

(39 citation statements)

References 76 publications

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“…For example, a combination of staff education and use of the Think, Investigate, Manage, Engage (TIME) bundle 241 , which targets delirium treatment actions in the first 2 hours following diagnosis, led to improvements in the assessment of delirium causes and exacerbating factors 272 . Furthermore, educational interventions can lead to improvements in the process of care; a systematic review of 42 studies involving educational interventions found that 90% of these studies demonstrated a beneficial effect on one or more measures, some of which were related to the delivery of delirium treatment 273 . Although definitive evidence is lacking, these reviews suggest that educational interventions may be an effective approach to improving implementation that should be evaluated in larger trials.…”

Section: Multidomain Treatment Of Deliriummentioning

confidence: 99%

Delirium

Wilson

Mart

Cunningham

et al. 2020

Nat Rev Dis Primers

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Section: Multidomain Treatment Of Deliriummentioning

confidence: 99%

Delirium

Wilson

Mart

Cunningham

et al. 2020

Nat Rev Dis Primers

585

602

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“…The remaining 18 studies were then rated by the second author. Of the 21 studies, 12 met the criteria for high-quality studies (Kmet score > 80%), with seven studies reaching the very high–quality threshold (Kmet score > 90%) [ 17 ]. Table 1 shows the quality ratings for each study, as well as the percentage of missing or incomplete information for each rating criterion.…”

Section: Methodsmentioning

confidence: 99%

Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Soklaridis

Lin

Lalani

et al. 2020

General Hospital Psychiatry

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Background Novel coronavirus pneumonia (COVID-19) is a global reminder of the need to attend to the mental health of patients and health professionals who are suddenly facing this public health crisis. In the last two decades, a number of medical pandemics have yielded insights on the mental health impact of these events. Based on these experiences and given the magnitude of the current pandemic, rates of mental health disorders are expected to increase. Mental health interventions are urgently needed to minimize the psychological sequelae and provide timely care to affected individuals. Method We conducted a rapid systematic review of mental health interventions during a medical pandemic, using three electronic databases. Of the 2404 articles identified, 21 primary research studies are included in this review. Result We categorized the findings from the research studies using the following questions: What kind of emotional reactions do medical pandemics trigger? Who is most at risk of experiencing mental health sequelae? What works to treat mental health sequelae (psychosocial interventions and implementation of existing or new training programs)? What do we need to consider when designing and implementing mental health interventions (cultural adaptations and mental health workforce)? What still needs to be known? Conclusion Various mental health interventions have been developed for medical pandemics, and research on their effectiveness is growing. We offer recommendations for future research based on the evidence for providing mental health interventions and supports to those most in need.

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“…Promoting awareness and improving healthcare professional knowledge about delirium prevention, recognition and management is therefore a key global public healthcare priority. It is demonstrated in research that the education of healthcare professional audiences is strongly correlated with improvements in knowledge about delirium and improvements in the care of people experiencing the condition [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Evaluation of a delirium awareness podcast for undergraduate nursing students in Northern Ireland: a pre−/post-test study

et al. 2021

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Background Delirium is a common disorder affecting several people in primary, secondary, and tertiary settings. The condition is frequently under-diagnosed leading to long-lasting physical and cognitive impairment or premature death. Despite this, there has been limited research on the impact of innovative approaches to delirium education amongst undergraduate nursing students. The aim of this study was to evaluate the effect of a delirium awareness podcast on undergraduate nursing student knowledge and confidence related to the condition in Northern Ireland. Methods The intervention was a 60-min delirium awareness podcast, available throughout May 2020, to a convenience sample of year one undergraduate nursing students (n = 320) completing a BSc Honours Nursing degree programme in a Northern Ireland University. The podcast focused on how nursing students could effectively recognise, manage, and prevent delirium. Participants had a period of 4 weeks to listen to the podcast and complete the pre and post questionnaires. The questionnaires were comprised of a 35-item true-false Delirium Knowledge Questionnaire (DKQ), a 3-item questionnaire about professional confidence and a 7-item questionnaire evaluating the use of podcasting as an approach to promote knowledge and confidence about delirium. Data were analysed using paired t-tests and descriptive statistics. Results Students improved across all three core areas in the post-test questionnaire, demonstrating improvements in knowledge about symptoms of delirium (7.78% increase), causes and risk factors of delirium (13.34% increase) and management of delirium (12.81% increase). In relation to perceived confidence, students reported a 46.50% increase in confidence related to recognition of delirium, a 48.32% increase in relation to delirium management and a 50.71% increase their ability to communicate about delirium. Both questionnaires were statistically significant (P < 0.001). The final questionnaire illustrated that nursing students positively evaluated the use of podcast for promoting their knowledge and confidence about delirium and 96.32% of nursing students believed that the podcast met their learning needs about delirium. Conclusions A 60-min podcast on delirium improved first year student nurse knowledge about delirium. Nursing students also expressed that this approach to delirium education was effective in their learning about the condition.

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Developing delirium best practice: a systematic review of education interventions for healthcare professionals working in inpatient settings

Cited by 45 publications

References 76 publications

Delirium

Delirium

Mental health interventions and supports during COVID- 19 and other medical pandemics: A rapid systematic review of the evidence

Evaluation of a delirium awareness podcast for undergraduate nursing students in Northern Ireland: a pre−/post-test study

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