Implementation of guidelines on delirium in a General Hospital: a before-after study of their impact on caregivers' knowledge and clinical skills

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State: Public
Version: author
Serval ID
serval:BIB_CB9DCB9751BB
Type
Article: article from journal or magazin.
Collection
Publications
Title
Implementation of guidelines on delirium in a General Hospital: a before-after study of their impact on caregivers' knowledge and clinical skills
Journal
Schweizer Archiv für Neurologie und Psychiatrie = Archives suisses de neurologie et de psychiatrie = Swiss archives of neurology and psychiatry
Author(s)
Voellinger Rachel, Stiefel Friedrich, Michaud Laurent, Michel Patrik, Dorogi Yves, Burnand Bernard, Berney Alexandre
ISSN
1661-3686
Publication state
Published
Issued date
2011
Peer-reviewed
Oui
Volume
162
Number
1
Pages
31-34
Language
english
Abstract
INTRODUCTION: Delirium is a highly prevalent disorder, with serious consequences for the hospitalised patient. Nevertheless, it remains under-diagnosed and under-treated. We developed evidence-based clinical practice guidelines (CPGs) focusing on prevention, screening, diagnosis, and treatment of delirium in a general hospital. This article presents the implementation process of these CPGs and a before-after study assessing their impact on healthcare professionals' knowledge and on clinical practice.
METHODS: CPGs on delirium were first implemented in two wards (Neurology and Neurosurgery) of the Lausanne university hospital. Interactive one-hour educational sessions for small groups of nurses and physicians were organised. Participants received a summary of the guidelines and completed a multiple choice questionnaire, assessing putative changes in knowledge, before and three months after the educational session. Other indicators such as "diagnosis of delirium" reported in the discharge letters, and mean duration of patients' hospital stay before and after implementation were compared.
RESULTS: Eighty percent of the nurses and physicians from the Neurology and Neurosurgery wards attended the educational sessions. Both nurses and physicians significantly improved their knowledge after the implementation (+9 percentage-points). Other indicators were not modified by the intervention.
CONCLUSION: A single interactive intervention improved both nurses' and physicians' knowledge on delirium. Sustained and repeated interventions are probably needed to demonstrate changes in clinical practice.
Keywords
delirium , clinical practice guideline , implementation , knowledge transfer , general hospital , questionnaires
Create date
07/03/2011 12:49
Last modification date
20/08/2019 16:46
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