Comparing the delirium objective structured clinical examination (OSCE) education package to standard education for post-registration nurses: A randomised controlled trial
- PMID: 38676962
- DOI: 10.1016/j.nedt.2024.106211
Comparing the delirium objective structured clinical examination (OSCE) education package to standard education for post-registration nurses: A randomised controlled trial
Abstract
Background: A recent pilot study demonstrated that an interactive delirium educational intervention, The Delirium OSCE Education Package, had a positive impact on self-perceptions of confidence and competence in the use of delirium assessment tools and delirium knowledge; delirium knowledge scores; clinical practice; and planned practice change for participants. However, it is not known if The Delirium OSCE Education Package is superior to standard methods of professional development education.
Objective: To determine if The Delirium OSCE Education Package is superior to standard methods of professional development education on observations of delirium care in practice scores for post-registration nurses.
Design: Clustered randomised, controlled, and observer-blinded, multisite superiority trial with two parallel groups at each site.
Settings: Three private hospitals across New South Wales, Australia.
Participants: Registered nurses (RNs) (n = 153) or enrolled nurses (ENs) (n = 37) working in the eligible inpatient medical or surgical wards at each site.
Methods: Within each hospital site wards were clusters, with wards rather than individuals being randomised for The Delirium OSCE Education Package or standard professional development education at a ratio of 1:1. The primary outcome was observations of delirium care in practice, 6-weeks post (T1) allocated intervention. Secondary outcomes were self-perceived confidence and competence (self-efficacy) in delirium assessment tools and delirium knowledge; and delirium knowledge scores.
Results: A total of 51.3 % (n = 20) in the intervention group obtained a satisfactory observation of delirium care in practice score, compared to 34.9 % (n = 15) in the control group (p = 0.134, χ2). The odds of a satisfactory observation of delirium care in practice score for the intervention group was 10.1 times higher than the control (p = 0.009). The mean MCQ score and perceptions of confidence and competence in the intervention and control group increased from baseline to six-weeks post-intervention, however, there was no significant difference between the groups.
Conclusion: The Delirium OSCE Education Package provides the foundation for facilitating change in delirium care. It is recommended that The Delirium OSCE Education Package is implemented as part of a multicomponent strategy involving a validation delirium screening and assessment tool, hospital-specific policy, interprofessional education, and delirium champions. Future studies are needed to evaluate the sustainability of the intervention and if there is a positive impact on patient-level outcomes.
Keywords: Delirium; Education; Knowledge; Nurses; Randomised Controlled Trail.
Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.
Conflict of interest statement
Declaration of competing interest No conflicts to declare.
Similar articles
-
Teaching delirium to undergraduate medical students: Exploring the effects of a cross-professional group objective structured clinical examination compared to standard education.Australas J Ageing. 2023 Mar;42(1):118-126. doi: 10.1111/ajag.13144. Epub 2022 Oct 27. Australas J Ageing. 2023. PMID: 36300802 Clinical Trial.
-
Effects of a simulation-based education programme on delirium care for critical care nurses: A randomized controlled trial.J Adv Nurs. 2021 Aug;77(8):3483-3493. doi: 10.1111/jan.14938. Epub 2021 Jun 22. J Adv Nurs. 2021. PMID: 34155687 Clinical Trial.
-
The Prevention of Delirium system of care for older patients admitted to hospital for emergency care: the POD research programme including feasibility RCT.Southampton (UK): NIHR Journals Library; 2021 Mar. Southampton (UK): NIHR Journals Library; 2021 Mar. PMID: 33819001 Free Books & Documents. Review.
-
An Innovative Evaluation in Fundamental Nursing Curriculum for Novice Nursing Students: An Observational Research.J Prof Nurs. 2018 Sep-Oct;34(5):412-416. doi: 10.1016/j.profnurs.2018.05.002. Epub 2018 May 2. J Prof Nurs. 2018. PMID: 30243698 Review.
-
Delirium knowledge and recognition: a randomized controlled trial of a web-based educational intervention for acute care nurses.Nurse Educ Today. 2014 Jun;34(6):912-7. doi: 10.1016/j.nedt.2013.12.006. Epub 2013 Dec 22. Nurse Educ Today. 2014. PMID: 24393287 Clinical Trial.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical