Effectiveness of Delirium Simulation Education of Nurses in Intensive Care Unit

Chang Gung Medical Foundation

Status: Not yet enrolling

Conditions: Simulation of Physical Illness; Self Efficacy; Intensive Care Unit Delirium; Nursing Caries

Treatments: Other: education strategy

Study type: Interventional

Funder types: Other

Identifiers

NCT05333354

MOST109-2314-B-182-009-MY3

Details and patient eligibility

About

Delirium is a common symptom in the intensive care unit, which greatly affects the prognosis of critically ill patients and increases medical costs. Although many studies have implemented preventive measures, they have not been able to significantly improve the prevalence of delirium, because many medical measures devises in the intensive care unit are still necessary for patients. Therefore, early detection of patients with delirium symptoms, risk factors, and immediate Delirium management is important. Nurses are the first line of clinically important roles in assessing delirium symptoms. So, design a delirium simulation education for nurses is important.

Full description

Through literature review, the investigators found that research on delirium in the intensive care unit simulated education interventions are insufficient, and longitudinal studies to explore how long the effect can be maintained or delirium assessment and delirium management are designed dependent on theory are lacking. Therefore, the purpose of this study was to investigate the effect of delirium simulation education on delirium knowledge, delirium critical thinking, delirium care self-efficacy and satisfaction among nurses in intensive care units, and to explore the influencing factors.

Enrollment: 120 estimated patients

Sex: All

Ages: 20+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

1. Nurses who have worked in the intensive care unit for more than 3 months,
2. No physical or mental illness or recent major family events,
3. Never received delirium simulation training.

Exclusion criteria

1. Those who are not working in the intensive care unit for less than 3 months,
2. Those who have recently suffered from physical and mental illness or a major family event recently,
3. Those who have received delirium simulation training,
4. Those who are currently working as nursing supervisors.

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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120 participants in 2 patient groups

Experimental(simulation education group)

Experimental group

Description:

The experimental group (simulation teaching group), the content of simulation teaching is based on the simulation model, and includes five important elements: Instructor, student, educational practice, simulation situation design and characteristics, and result that design covering the four stages of learning, concrete experience, reflective observation, abstract conceptualization and action experience, and design lesson plans, which include delirium assessment and delirium risk factor detection. Delirium prevention and management (PADIS guidelines). The main objectives of the teaching plan design of the experimental group are: to be able to confirm delirium by assessment of the Delirium Assessment Scale; to confirm the risk factors by the history taking; to propose treatment and measures according to the assessment results. Secondary goals: Be able to perform handovers.

Treatment:

Other: education strategy

Control(traditional group)

No Intervention group

Description:

Nurses in the control group did not receive simulated situational teaching, but received classroom teaching 3 times (once every other week) (delirium assessment, risk factor assessment; PADIS treatment), each session of about 2 hours. In order to avoid inconsistent teaching content, the control group and the experimental group are not to be together in classroom.