We can Do it: Nursing Educational Intervention to Increase Delirium Documentation
Stephanie Chow*, Nadia Mujahid, Kristen Butterfield and Lynn McNicoll
Warren Alpert Medical School of Brown University, Providence, RI, USA
- *Corresponding Author:
- Stephanie Chow
Warren Alpert Medical School
of Brown University,Providence, RI, USA
E-mail: [email protected]
Received Date: January 04, 2015; Accepted Date: May 27, 2015; Published Date: May 29, 2015
Citation: Chow S, Mujahid N, Butterfield K, McNicoll L (2015) We can Do it: Nursing Educational Intervention to Increase Delirium Documentation. J Gerontol Geriat Res S3:002. doi:10.4172/2167-7182.S3-002
Copyright: © 2015 Chow S, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Background/Objectives: Delirium is a widely recognized complication during hospitalization, but poorly documented. We examined the effectiveness of a geriatrician-guided delirium training intervention to increase nurses’ delirium documentation, knowledge, and self- confidence. Design: Prospective cohort study Setting: Orthopedic surgical inpatient unit Participants: Twenty-six nursing staff Intervention: Nurses participated in a geriatrician-guided delirium training intervention. Each nurse received two 45-minute didactic sessions on delirium causes, screening, and prevention using the Confusion Assessment Method (CAM). Measurements: Nursing delirium documentation pre- and post-educational intervention was determined during the months of March and June 2013. Nurses also completed a pre- and 3-month post-interventional survey to assess confidence and knowledge of delirium detection. Results: Nursing mean age was 46 years, with 17 years of experience. Patients with CAM documentation increased significantly post-intervention from 13 to 91% (p<0.001). On average, rate of nursing CAM documentation per shift increased from 5.5 to 70.8%, (p<0.001). Post-interventional nursing knowledge scores significantly improved from 44 to 73% correct (p<0.001). As compared to pre-intervention, nurses scored significantly higher on number of delirium risk factors from 32 to 71% (p<0.001), medications to avoid in the elderly from 20 to 70% (p<0.001), and correct management strategies for patients with delirium from 52 to 84% (p<0.001). Nurses’ confidence in detecting delirium increased significantly post-intervention from 7.8 to 8.6 points out of a 10-point scale (p=0.021). Conclusion: Nursing knowledge and documentation of delirium using the CAM, as well as nursing confidence in identifying delirium all significantly increased after formal geriatrician-guided educational intervention.