EFFECT OF AN INTERACTIVE E-LEARNING TOOL FOR DELIRIUM ON PATIENT AND NURSING OUTCOMES

摘要

A before-after study (sequential design) was used to evaluate the effect of a delirium e-learning tool on: (1) presence and duration of delirium in geriatric patients, and (2) nurses’ delirium recognition and knowledge. The intervention consisted of (1) a one-hour information session to offer oral and written information about the use of the e-learning tool, which included 11 e-modules integrating knowledge and skill development in delirium prevention, detection and management, and (2) a three-month self-active e-learning program. End points were presence and duration of delirium (Confusion Assessment Method) and delirium recognition (Case vignettes) and knowledge (Delirium Knowledge Questionnaire) for nurses. In geriatric patients, there was no significant difference in presence (21.5% versus 25.9%; P=0.51) and duration of delirium (mean 4.2±SD 4.8 days versus 4.9±SD 4.8 days; P=0.8) between the intervention (n=81) and non-intervention (n=79) cohorts, respectively. Also, no benefits were found for nurses’ delirium knowledge (P=0.43) and recognition (P=1.0).