Effectiveness of an intensive care unit family education intervention on delirium knowledge: a pre-test post-test quasi-experimental study

Krewulak, Karla D.; Bull, Margaret J.; Ely, E. Wesley; Davidson, Judy E.; Stelfox, Henry T.; Fiest, Kirsten M.

doi:10.1007/s12630-020-01810-5

Cited by 12 publications

(12 citation statements)

References 51 publications

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“…Future work is needed to find out how these interventions impact delirium management and reduce incidence, length, and severity of ICU delirium. 22 Interestingly, within our study we found that one patient and their partner did not agree with the clinician's ICU delirium diagnosis. This was only mentioned in the interview once, but it would have been interesting to explore this contradicting finding.…”

Section: Discussioncontrasting

confidence: 59%

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Exploring perceptions regarding family-based delirium management in the intensive care unit

Pandhal

Wardt

2021

Journal of the Intensive Care Society

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Background Delirium is a common complication in patients treated in the intensive care unit (ICU). Family members can help alleviate patient anxiety and may be able to aid in the management of delirium. This study aimed to explore the perceptions of former ICU patients and their families together, regarding the involvement of family in delirium management. Method Nine audio-recorded, semi-structured interviews took place with former ICU patients together with a family member. Participants were interviewed after their intensive care follow-up clinic appointment in an East Midlands hospital in England. Interviews were transcribed, coded and analysed using thematic analysis. Results Three themes were identified: ‘understanding about delirium’; ‘influencers of delirium management: family and healthcare professionals’ and ‘family-based delirium care’. Participants expressed that family have a valuable role to play in the management of delirium in the ICU. However, education and guidance is needed to support the family in how delirium can be managed and the current treatment options available. It is important for ICU staff to gain an understanding of the patient’s life and personality to personalise delirium management to the needs of the patient and their family. Conclusion This study found that family presence and knowledge about the patient may be beneficial to delirium management in the ICU. Further research should investigate the effectiveness of the strategies and interventions to understand their influence on delirium management in ICU patients.

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Section: Discussioncontrasting

confidence: 59%

“…Future work is needed to find out how these interventions impact delirium management and reduce incidence, length, and severity of ICU delirium. 22…”

Section: Discussionmentioning

confidence: 99%

Exploring perceptions regarding family-based delirium management in the intensive care unit

Pandhal

Wardt

2021

Journal of the Intensive Care Society

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“…En relación a los conocimientos, tanto la capacitación presencial de pacientes de ACV (20) como los videos en cuidadores de pacientes con asma (15) , niños con epilepsia (16) y pacientes en cuidados intensivos (17) , han incrementado los conocimientos sobre la patología, condición de salud, o manejo, a pesar que para la evaluación de los conocimientos se haya usado adaptaciones de cuestionarios validados, cuestionarios validados, o cuestionarios desarrollados para la investigación sin un proceso de validación formal. En algunos estudios no se han considerado el nivel de instrucción de los cuidadores, y en otros, al igual que en éste, se ha encontrado que la mayoría de cuidadores tenían al menos el nivel secun-dario.…”

Section: Discussionunclassified

“…Los videos dirigidos a pacientes con enfermedad pulmonar obstructiva crónica (EPOC) han mejorado el conocimiento y la técnica en el uso de inhaladores (13) . De igual forma, los videos han aumentado los conocimientos de pacientes con ACV (14) , cuidadores de pacientes con asma (15) , niños con epilepsia (16) y pacientes en unidades de cuidados intensivos (17) . Por otro lado, el entrenamiento presencial entre los mismos cuidadores o con actores que hacen de pacientes, sumado a retroalimentación por parte del profesional de salud, han incrementado el conocimiento y autocompetencia de cuidadores de pacientes con demencia (18) , y la autoeficacia y preparación para el cuidado de los cuidadores de pacientes con cáncer (19) , de igual manera, los conocimientos y prácticas reportadas en cuidadores de pacientes con ACV (20) .…”

Section: Mensajes Clave Introducciónunclassified

Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular

Sánchez-Huamash

Cárcamo-Cavagnaro

2021

Rev Peru Med Exp Salud Publica

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Objetivo: Evaluar el efecto de videos educativos para mejorar las habilidades prácticas y conocimientos de los cuidadores informales de pacientes con accidente cerebrovascular. Materiales y métodos: Estudio pretest/postest. Los participantes fueron diez cuidadores de 18 a 65 años y de ambos sexos de pacientes en fase subaguda del accidente cerebrovascular. Se desarrollaron ocho videos educativos relacionados aposicionamientos, movilizaciones y transferencias, que se implementaron en la casa de los cuidadores y/o pacientes a lo largo de tres días (en el primer día, tres videos; segundo día, tres videos; y tercer día, dos videos). Cada video fue visualizado en una tableta por 30 minutos. Las habilidades prácticas y conocimientos se evaluaron antes y después de cada video, y finalmente, la satisfacción de los cuidadores. Se usaron tres instrumentos, una lista de chequeo para evaluar las habilidades prácticas, un cuestionario para evaluar los conocimientos y otro para la satisfacción. Resultados: El puntaje de las habilidades prácticas incrementó de 21,6 a 56,1 puntos (p0,001) y los conocimientos de 11,6 a 21,6 puntos (p0,001). Además, 7/10 de los cuidadores estaban muy satisfechos con los videos, 7/10 consideró fácil las palabras, 7/10 consideró fácil poner en práctica las indicaciones, 9/10 definitivamente recomendaría los videos y todos los consideraban útiles. Conclusión: Los videos educativos mejoran las habilidades prácticas y conocimientos de los cuidadores informales de pacientes con accidente cerebrovascular. Los videos educativos desarrollados podrían usarse para capacitar a los cuidadores sobre el manejo de estos pacientes.

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“…definition, type, risk factors, symptoms, treatment, prevention, differentiation from other diseases, coping strategies, communication skills, prognosis and the role of the family caregiver) from nurses or researchers through educational interventions (Black et al, 2011; Boltz et al, 2014; Bull et al, 2017; Eghbali‐Babadi et al, 2017; Hwang & Kim, 2021; Keyser et al, 2012; Krewulak et al, 2020; Martinez et al, 2012; Rosenbloom & Fick, 2014). Family caregivers practised handling delirium by reviewing delirium case episodes (Bull et al, 2017; Krewulak et al, 2020; Rosenbloom & Fick, 2014). Education was administered one or more times for 10 min to 2 h depending on the location and method of education (Eghbali‐Babadi et al, 2017; Keyser et al, 2012; Martinez et al, 2012; Rosenbloom & Fick, 2014).…”

Section: Resultsmentioning

confidence: 99%

Educational intervention for family caregivers of older adults with delirium: An integrative review

Yeom

Yoo

Hong

2023

Journal of Clinical Nursing

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AimTo propose educational strategies to prevent delirium in older adults.DesignIntegrative review.MethodsThis review followed the methodology of Whittemore and Knafl (J Adv Nurs 52(5):546–553, 2005. 10.1111/j.1365‐2648.2005.03621.x).Data SourcesA literature search was performed of the PubMed, CINAHL, Embase, Cochrane Library CENTRAL, and Scopus databases on 8 July 2022.ResultsThree themes of educational interventions were identified: capacity building, resource provision and enhancement of relationships, collectively termed Fa‐CARE. Educational interventions improved family caregivers' knowledge about delirium, their anxiety; depression; self‐efficacy; and attitudes. Among older adults, these interventions improved the duration, severity and incidence of delirium; functional abilities; and length of hospital stay.ConclusionProviding education to family caregivers benefits both those caregivers and the older adults. When planning educational intervention, diverse and innovative approaches need to be considered.Implications for the profession and/or patient careThis study can guide family education regarding the care of older adults with delirium.Impact Educational interventions positively impacted both family caregivers and older adults with delirium. Educational interventions provide family caregivers with resources, improve their capacity for delirium management, and enhance their relationships with older adults. This study suggests future directions in education for family caregivers of older adults with delirium. Reporting methodThis review adhered to the EQUATOR guidelines by using the PRISMA 2020 checklist.Patient or public contributionNo patient or public contribution.

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Effectiveness of an intensive care unit family education intervention on delirium knowledge: a pre-test post-test quasi-experimental study

Cited by 12 publications

References 51 publications

Exploring perceptions regarding family-based delirium management in the intensive care unit

Exploring perceptions regarding family-based delirium management in the intensive care unit

Videos para mejorar las habilidades prácticas y conocimientos de cuidadores de pacientes con accidente cerebrovascular

Educational intervention for family caregivers of older adults with delirium: An integrative review

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