Evaluation of implementing an innovative delirium care intervention in acute healthcare settings,
specifically perception of confidence and competence in delirium care and experiences of
undertaking the education.
A pre-post quasi-experimental design was used to evaluate the education using surveys and
reflective accounts. The education consisted of face-to-face and online learning, an Objective
Structured Examinations (OSCE) and a reflective activity. The setting was aged care units
(regional and urban), NSW, Australia. The education was delivered by senior clinicians and
assistants in nursing role played the OSCE scenarios. The participants were registered nurses,
medical interns, physiotherapists and occupational therapists.
A total of 113 clinicians completed the education. Statistically significant improvements were
recorded at the regional hospital in perceived confidence (p≤ 0.000) and competence (p≤ 0.000) in
delirium care. At the urban hospital the pre and post test scores were high (no statistically
significant changes). Participants were overwhelmingly highly satisfied with the education
(87.50%). At the urban hospital, the senior nurses amended their annual education programme to
include this intervention as usual business.
The inclusion of an OSCE in an education intervention resulted in increased perceived in the
confidence and competence of delirium care. This study was extended in 2018 to be undertaken
in intensive care units in Taipei, Taiwan where a randomised controlled trial with non-OSCE
education as the control. In NSW, Australia, the private sector will implement this study with the
addition of a post-intervention observation of practice to the real-life effects of the intervention.