Evaluating an innovative delirium care clinical simulation education intervention: “The scenarios allow nurses
to practice what they need to do”
Evaluate the implementation of innovative delirium care clinical simulation education, specifically perceptions
of confidence and competence about delirium care and experiences of using scenarios.
The intervention was a multi-modal delirium education programme using face-to-face and online sessions
and Objective Structured Clinical Examinations (OSCEs). A pre-post quasi-experimental design was
adopted: surveys at baseline, immediately post and six-weeks post and reflections. Settings were public
(regional and urban) and private (urban) aged care units in NSW. The intervention was delivered by senior
clinicians and the OSCE scenarios were role played by assistants in nursing.
A total of 118 clinicians (enrolled nurses, medical officers, occupational therapists, physiotherapists and
registered nurses) participated. We will present survey results. After six weeks, the regional public hospital
had significant improvements in perceived competence (p≤ 0.000) in delirium care and at the urban public
hospital high results were maintained in perceived confidence (p=.262) and competence (p=.206). Most
participants rated their satisfaction with the intervention as high (mean 82%). Results from the urban private
hospital will be available in September.
It was possible to incorporate the OSCEs into the usual education programme at each site which ensures
the long-term feasibility of the intervention in clinical settings. In 2018, the study was extended in NSW to UG medical students and in Taipei, Taiwan, with a comparison of non-OSCE education as part of an RCT in intensive care units.