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Effectiveness of Delirium Simulation Education of Nurses in Intensive Care Unit

Primary Purpose

Self Efficacy, Nursing Caries, Intensive Care Unit Delirium

Status
Not yet recruiting
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
education strategy
Sponsored by
Chang Gung Memorial Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional prevention trial for Self Efficacy focused on measuring intensive care unit,nurses,delirium,simulation

Eligibility Criteria

20 Years - undefined (Adult, Older Adult)All SexesAccepts 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.

Sites / Locations

    Arms of the Study

    Arm 1

    Arm 2

    Arm Type

    Experimental

    No Intervention

    Arm Label

    Experimental(simulation education group)

    Control(traditional group)

    Arm 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.

    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.

    Outcomes

    Primary Outcome Measures

    Effectiveness change of delirium care knowledge after simulation teaching
    Effectiveness of participants with simulation teaching as assessed by delirium knowledge questioner, change from baseline in knowledge scores on delirium knowledge questioner at 3,6,12 months
    Effectiveness change of delirium care self-efficacy after simulation teaching
    Effectiveness of participants with simulation teaching as assessed by delirium care self-efficacy questioner, change from baseline in self-efficacy scores on delirium care self-efficacy questioner at 3,6,12 months
    Effectiveness change of delirium critical thinking skills after simulation teaching
    Effectiveness of participants with simulation teaching as assessed by delirium critical thinking skills questioner, change from baseline in critical thinking skills scores on delirium critical thinking skills questioner at 3,6,12 months

    Secondary Outcome Measures

    Full Information

    First Posted
    February 16, 2022
    Last Updated
    July 19, 2022
    Sponsor
    Chang Gung Memorial Hospital
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    1. Study Identification

    Unique Protocol Identification Number
    NCT05333354
    Brief Title
    Effectiveness of Delirium Simulation Education of Nurses in Intensive Care Unit
    Official Title
    Effectiveness of Delirium Simulation Education on the Self-efficacy and Critical Thinking Skill of Nurses in Intensive Care Unit- Randomized Clinical Trial
    Study Type
    Interventional

    2. Study Status

    Record Verification Date
    July 2022
    Overall Recruitment Status
    Not yet recruiting
    Study Start Date
    August 1, 2022 (Anticipated)
    Primary Completion Date
    July 31, 2023 (Anticipated)
    Study Completion Date
    July 31, 2023 (Anticipated)

    3. Sponsor/Collaborators

    Responsible Party, by Official Title
    Principal Investigator
    Name of the Sponsor
    Chang Gung Memorial Hospital

    4. Oversight

    Studies a U.S. FDA-regulated Drug Product
    No
    Studies a U.S. FDA-regulated Device Product
    No
    Data Monitoring Committee
    No

    5. Study Description

    Brief Summary
    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.
    Detailed 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.

    6. Conditions and Keywords

    Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
    Self Efficacy, Nursing Caries, Intensive Care Unit Delirium, Simulation of Physical Illness
    Keywords
    intensive care unit,nurses,delirium,simulation

    7. Study Design

    Primary Purpose
    Prevention
    Study Phase
    Not Applicable
    Interventional Study Model
    Parallel Assignment
    Masking
    None (Open Label)
    Allocation
    Randomized
    Enrollment
    120 (Anticipated)

    8. Arms, Groups, and Interventions

    Arm Title
    Experimental(simulation education group)
    Arm Type
    Experimental
    Arm 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.
    Arm Title
    Control(traditional group)
    Arm Type
    No Intervention
    Arm 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.
    Intervention Type
    Other
    Intervention Name(s)
    education strategy
    Intervention Description
    The educational course of the experimental group will last for 6 weeks, including classroom teaching and simulated situational teaching. The classroom teaching will be divided into 3 times, a course of about 2 hours at a time; after the class, simulated situational teaching is also arranged for 4 hours at a time/ Caring for many patients with delirium, and performing related research. The simulated scenario lesson plan plans to design 3 major themes (delirium assessment, delirium risk factors, delirium prevention, each major theme will have 2 scenarios, each The simulation teaching exercise starts with pre-briefing, and after the end, debriefing reflection and discussion with the students.
    Primary Outcome Measure Information:
    Title
    Effectiveness change of delirium care knowledge after simulation teaching
    Description
    Effectiveness of participants with simulation teaching as assessed by delirium knowledge questioner, change from baseline in knowledge scores on delirium knowledge questioner at 3,6,12 months
    Time Frame
    change from baseline in delirium knowledge and 3, 6, 12 months after intervention
    Title
    Effectiveness change of delirium care self-efficacy after simulation teaching
    Description
    Effectiveness of participants with simulation teaching as assessed by delirium care self-efficacy questioner, change from baseline in self-efficacy scores on delirium care self-efficacy questioner at 3,6,12 months
    Time Frame
    change from baseline in delirium care self-efficacy and 3, 6, 12 months after intervention
    Title
    Effectiveness change of delirium critical thinking skills after simulation teaching
    Description
    Effectiveness of participants with simulation teaching as assessed by delirium critical thinking skills questioner, change from baseline in critical thinking skills scores on delirium critical thinking skills questioner at 3,6,12 months
    Time Frame
    change from baseline in delirium critical thinking skills and 3, 6, 12 months after intervention

    10. Eligibility

    Sex
    All
    Minimum Age & Unit of Time
    20 Years
    Accepts Healthy Volunteers
    Accepts Healthy Volunteers
    Eligibility Criteria
    Inclusion Criteria: Nurses who have worked in the intensive care unit for more than 3 months, No physical or mental illness or recent major family events, Never received delirium simulation training. Exclusion Criteria: Those who are not working in the intensive care unit for less than 3 months, Those who have recently suffered from physical and mental illness or a major family event recently, Those who have received delirium simulation training, Those who are currently working as nursing supervisors.

    12. IPD Sharing Statement

    Plan to Share IPD
    No

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