Delirium knowledge, self-confidence, and attitude in pediatric intensive care nurses

Sharon L. Norman, Asma Taha

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Purpose: A diagnosis of delirium places a critically ill child at risk of increased morbidity/mortality. Although delirium is common in critically ill children, only 2% of pediatric intensive care units (PICU) screen for delirium. The impediments to screening include knowledge deficits regarding delirium and delirium screening tools. The purpose of this improvement science project was two-fold. The first was to implement delirium screening in a PICU. The second was to evaluate the impact of multifaceted education on PICU nurses' delirium knowledge, self-confidence and attitude towards delirium. Design & method: A series of three plan-do-study-act cycles (PDSA) were used to implement this practice change. Multifaceted education was provided during the PDSA cycles. Two questionnaires were used to assess for changes in delirium knowledge, self-confidence and attitude towards delirium among PICU nurses. Analysis of variance (ANOVA) was used for data analysis. Results: Forty-two PICU nurses completed a questionnaire measuring delirium knowledge, self-confidence, and attitude during each PDSA cycle. A significant increase in delirium knowledge, self-confidence, and attitude towards delirium was found after education (p = .003; p < .001; p = .036) and 3 months post implementation of delirium screening (p = .023; p < .001; p = .027) as compared to pre-education. Conclusion & practice implications: Multifaceted education is a successful tool in improving nurses' knowledge, self-confidence and attitude regarding delirium. The use of PDSA cycles is a practical systematic method to improve quality of care. Improving knowledge, self-confidence and attitude have the potential to mitigate adverse effects of delirium in the critically ill child.

Original languageEnglish (US)
Pages (from-to)6-11
Number of pages6
JournalJournal of pediatric nursing
Volume46
DOIs
StatePublished - May 1 2019

Fingerprint

Delirium
Critical Care
Nurses
Pediatrics
Pediatric Intensive Care Units
Education
Critical Illness
Quality of Health Care

Keywords

  • Attitude
  • Delirium
  • Delirium knowledge
  • Nurse
  • Self-confidence

ASJC Scopus subject areas

  • Pediatrics

Cite this

Delirium knowledge, self-confidence, and attitude in pediatric intensive care nurses. / Norman, Sharon L.; Taha, Asma.

In: Journal of pediatric nursing, Vol. 46, 01.05.2019, p. 6-11.

Research output: Contribution to journalArticle

@article{d8a801023418424eadbd160feb4f31c1,
title = "Delirium knowledge, self-confidence, and attitude in pediatric intensive care nurses",
abstract = "Purpose: A diagnosis of delirium places a critically ill child at risk of increased morbidity/mortality. Although delirium is common in critically ill children, only 2{\%} of pediatric intensive care units (PICU) screen for delirium. The impediments to screening include knowledge deficits regarding delirium and delirium screening tools. The purpose of this improvement science project was two-fold. The first was to implement delirium screening in a PICU. The second was to evaluate the impact of multifaceted education on PICU nurses' delirium knowledge, self-confidence and attitude towards delirium. Design & method: A series of three plan-do-study-act cycles (PDSA) were used to implement this practice change. Multifaceted education was provided during the PDSA cycles. Two questionnaires were used to assess for changes in delirium knowledge, self-confidence and attitude towards delirium among PICU nurses. Analysis of variance (ANOVA) was used for data analysis. Results: Forty-two PICU nurses completed a questionnaire measuring delirium knowledge, self-confidence, and attitude during each PDSA cycle. A significant increase in delirium knowledge, self-confidence, and attitude towards delirium was found after education (p = .003; p < .001; p = .036) and 3 months post implementation of delirium screening (p = .023; p < .001; p = .027) as compared to pre-education. Conclusion & practice implications: Multifaceted education is a successful tool in improving nurses' knowledge, self-confidence and attitude regarding delirium. The use of PDSA cycles is a practical systematic method to improve quality of care. Improving knowledge, self-confidence and attitude have the potential to mitigate adverse effects of delirium in the critically ill child.",
keywords = "Attitude, Delirium, Delirium knowledge, Nurse, Self-confidence",
author = "Norman, {Sharon L.} and Asma Taha",
year = "2019",
month = "5",
day = "1",
doi = "10.1016/j.pedn.2019.01.013",
language = "English (US)",
volume = "46",
pages = "6--11",
journal = "Journal of Pediatric Nursing",
issn = "0882-5963",
publisher = "W.B. Saunders Ltd",

}

TY - JOUR

T1 - Delirium knowledge, self-confidence, and attitude in pediatric intensive care nurses

AU - Norman, Sharon L.

AU - Taha, Asma

PY - 2019/5/1

Y1 - 2019/5/1

N2 - Purpose: A diagnosis of delirium places a critically ill child at risk of increased morbidity/mortality. Although delirium is common in critically ill children, only 2% of pediatric intensive care units (PICU) screen for delirium. The impediments to screening include knowledge deficits regarding delirium and delirium screening tools. The purpose of this improvement science project was two-fold. The first was to implement delirium screening in a PICU. The second was to evaluate the impact of multifaceted education on PICU nurses' delirium knowledge, self-confidence and attitude towards delirium. Design & method: A series of three plan-do-study-act cycles (PDSA) were used to implement this practice change. Multifaceted education was provided during the PDSA cycles. Two questionnaires were used to assess for changes in delirium knowledge, self-confidence and attitude towards delirium among PICU nurses. Analysis of variance (ANOVA) was used for data analysis. Results: Forty-two PICU nurses completed a questionnaire measuring delirium knowledge, self-confidence, and attitude during each PDSA cycle. A significant increase in delirium knowledge, self-confidence, and attitude towards delirium was found after education (p = .003; p < .001; p = .036) and 3 months post implementation of delirium screening (p = .023; p < .001; p = .027) as compared to pre-education. Conclusion & practice implications: Multifaceted education is a successful tool in improving nurses' knowledge, self-confidence and attitude regarding delirium. The use of PDSA cycles is a practical systematic method to improve quality of care. Improving knowledge, self-confidence and attitude have the potential to mitigate adverse effects of delirium in the critically ill child.

AB - Purpose: A diagnosis of delirium places a critically ill child at risk of increased morbidity/mortality. Although delirium is common in critically ill children, only 2% of pediatric intensive care units (PICU) screen for delirium. The impediments to screening include knowledge deficits regarding delirium and delirium screening tools. The purpose of this improvement science project was two-fold. The first was to implement delirium screening in a PICU. The second was to evaluate the impact of multifaceted education on PICU nurses' delirium knowledge, self-confidence and attitude towards delirium. Design & method: A series of three plan-do-study-act cycles (PDSA) were used to implement this practice change. Multifaceted education was provided during the PDSA cycles. Two questionnaires were used to assess for changes in delirium knowledge, self-confidence and attitude towards delirium among PICU nurses. Analysis of variance (ANOVA) was used for data analysis. Results: Forty-two PICU nurses completed a questionnaire measuring delirium knowledge, self-confidence, and attitude during each PDSA cycle. A significant increase in delirium knowledge, self-confidence, and attitude towards delirium was found after education (p = .003; p < .001; p = .036) and 3 months post implementation of delirium screening (p = .023; p < .001; p = .027) as compared to pre-education. Conclusion & practice implications: Multifaceted education is a successful tool in improving nurses' knowledge, self-confidence and attitude regarding delirium. The use of PDSA cycles is a practical systematic method to improve quality of care. Improving knowledge, self-confidence and attitude have the potential to mitigate adverse effects of delirium in the critically ill child.

KW - Attitude

KW - Delirium

KW - Delirium knowledge

KW - Nurse

KW - Self-confidence

UR - http://www.scopus.com/inward/record.url?scp=85061759196&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061759196&partnerID=8YFLogxK

U2 - 10.1016/j.pedn.2019.01.013

DO - 10.1016/j.pedn.2019.01.013

M3 - Article

C2 - 30802805

AN - SCOPUS:85061759196

VL - 46

SP - 6

EP - 11

JO - Journal of Pediatric Nursing

JF - Journal of Pediatric Nursing

SN - 0882-5963

ER -