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Education for Recognition and Management of Delirium

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT03642249
Recruitment Status : Completed
First Posted : August 22, 2018
Last Update Posted : March 30, 2020
Sponsor:
Information provided by (Responsible Party):
Taipei Medical University

Study Description
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Brief Summary:
Delirium is a disturbance in consciousness with reduced ability to focus, sustain, or shift attention that occurs over a short period of time and tends to fluctuate over the course of the day. 50% to 81.7% had delirium during their ICU hospitalization. Delirium is associated with increased physical restraint, ventilation use, length of ICU stay, and mortality. However, there is no established delirium care pathway in target hospital. Chen et al. (2014) demonstrated that structured assessment stations with immediate feedback may improve overall learning efficiency over an EBP workshop alone. However, no published delirium care education study has used OSCEs as an intervention for healthcare professionals. The aim is to evaluate the effects of implementing a Scenario-based education intervention, including objective structured clinical examinations (OSCEs) on delirium care among healthcare professionals. This is a knowledge translation research, builds on eight years of delirium care research in University of Wollongong, Australia. The research will be undertaken at ICUs in a medical center in northern of Taiwan. There are two phases: (1) systematic review to identify delirium screen tool, and (2) a randomized controlled trial was conducted to determine the effects of implementing a Scenario-based education intervention, including OSCE (experimental group), and on-line education only (control group) focused on recognition and management of delirium. The hypothesis is: Scenario-based education intervention, including OSCE can increase the competence and self-efficacy among healthcare professionals in delirium care.

Condition or disease Intervention/treatment Phase
Delirium Intensive Care Unit Syndrome Nurse-Patient Relations Behavioral: OSCEs Behavioral: Lecture Behavioral: E-learning Not Applicable

Detailed Description:
OSCEs are an integral aspect of all levels of medical education but limited to undergraduate nursing and allied health education. OSCEs are rarely used in the workplace as learning activities with nursing and allied health clinicians. This is the reason why this education initiative was innovative. OSCEs are simulated 'real life' clinical scenarios presented to clinicians who are required to demonstrate to an assessor the clinical tasks which form an OSCE scenario.
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 72 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Investigator)
Primary Purpose: Health Services Research
Official Title: Evaluating the Effects of Implementing an Scenario-based Education Initiative and OSCE for Recognition and Management of Delirium in Adult Intensive Care Unit: Randomised Controlled Trial
Actual Study Start Date : November 5, 2019
Actual Primary Completion Date : December 24, 2019
Actual Study Completion Date : December 31, 2019

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Delirium

Arms and Interventions
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Arm Intervention/treatment
Experimental: experimental group
  1. face-to-face delirium care session (30 minutes in duration);
  2. online learning delirium care activities (20 minutes in duration); and
  3. delirium care OSCE and reflective activity (30 minutes in duration).
 Behavioral: OSCEs
Scenario-based education intervention, including objective structured clinical examinations (OSCEs)

Behavioral: Lecture
Face-to-face Education using Delirium Care Flip Chart

Behavioral: E-learning
Including 7 parts of delirium care video
Active Comparator: control group
  1. face-to-face delirium care session (30 minutes in duration);
  2. online learning delirium care activities (20 minutes in duration)
 Behavioral: Lecture
Face-to-face Education using Delirium Care Flip Chart

Behavioral: E-learning
Including 7 parts of delirium care video


Outcome Measures
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Primary Outcome Measures :
  1. Change from Baseline Delirium Knowledge and Skills at the time Immediately after the intervention and Six weeks [ Time Frame: T0(Baseline), T1(Immediately after the intervention), T2(Six weeks after the intervention) ]
    Delirium Knowledge and Skills Test (included 18 questions)


Eligibility Criteria
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Information from the National Library of Medicine

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Ages Eligible for Study:   Child, Adult, Older Adult
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Registered nurse worked in acute care unit and care with critical patients
  • Licensed physician which undertake the post graduate year program worked in acute care unit and care with critical patients

Exclusion Criteria:

  • Unwilling to involved the research
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03642249


Locations
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Taiwan
Wan Fang Hospital
Taipei, Taiwan, 116
Sponsors and Collaborators
Taipei Medical University
Investigators
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Study Director: Kee-Hsin Chen, PhD Taipei Medical University
More Information
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Publications:

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Responsible Party: Taipei Medical University
ClinicalTrials.gov Identifier: NCT03642249    
Other Study ID Numbers: N201803104
First Posted: August 22, 2018    Key Record Dates
Last Update Posted: March 30, 2020
Last Verified: September 2019
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Taipei Medical University:
delirium
knowledge translation
Objective Structured Clinical Examination
evidence-based practice
Additional relevant MeSH terms:
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Delirium
Confusion
Neurobehavioral Manifestations
Neurologic Manifestations
 Nervous System Diseases
Neurocognitive Disorders
Mental Disorders