Effects of Scenario-based Education Initiative and OSCE for Recognition and Management of Delirium

NCT ID: NCT05623475

Last Updated: 2024-10-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 100 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-10-25
• Study Completion Date: 2023-02-21

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.

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.

Conditions

Delirium

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

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).

Group Type: EXPERIMENTAL

OSCEs

Intervention Type: BEHAVIORAL

Scenario-based education intervention, including objective structured clinical examinations (OSCEs)

Lecture

Intervention Type: BEHAVIORAL

Face-to-face Education using Delirium Care Flip Chart

E-learning

Intervention Type: BEHAVIORAL

Delirium care video

control group

1. face-to-face delirium care session (30 minutes in duration);

2. online learning delirium care activities (20 minutes in duration)

Group Type: ACTIVE_COMPARATOR

Lecture

Intervention Type: BEHAVIORAL

Face-to-face Education using Delirium Care Flip Chart

E-learning

Intervention Type: BEHAVIORAL

Delirium care video

Interventions

OSCEs

Scenario-based education intervention, including objective structured clinical examinations (OSCEs)

Intervention Type: BEHAVIORAL

Lecture

Face-to-face Education using Delirium Care Flip Chart

Intervention Type: BEHAVIORAL

E-learning

Delirium care video

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

1. Registered nurse worked in acute care unit and care with critical patients

2. Licensed physician which undertake the post graduate year program worked in acute care unit and care with critical patients

Exclusion Criteria

1.Unwilling to involved the research

• Minimum Eligible Age: 20 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Taipei Medical University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Kee-Hsin Chen, PhD

Role: PRINCIPAL_INVESTIGATOR

Taipei Medical University

Locations

Taipei Medical University Hospital

Taipei, , Taiwan

Countries

Taiwan

Provided Documents

Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

N20210318

Identifier Type: -

Identifier Source: org_study_id