Toward better care of delirious patients at the end of life: A pilot study of an interprofessional educational intervention.

Symptom distress with end-of-life delirium (EOLD) is complex and multidimensional, and interprofessional (IP) teams require knowledge and skill to effectively care for these patients and their families. The purpose of this pilot study was to test an educational intervention about EOLD for IP teams a...

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Publicado en:Journal of Interprofessional Care Vol. 26; no. 5; pp. 422 - 426
Autores principales: Brajtman, Susan, Wright, David, Hall, Pippa, Bush, Shirley H, Bekele, Enkenyelesh
Formato: research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Sep2012
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2012
      vid: 26
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      pub: Taylor & Francis Ltd
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        atl: Toward better care of delirious patients at the end of life: A pilot study of an interprofessional educational intervention.
      aug:
        au:
          Brajtman, Susan
          Wright, David
          Hall, Pippa
          Bush, Shirley H
          Bekele, Enkenyelesh
        affil: School of Nursing, University of Ottawa, 451 Smyth Road, Ottawa, Ontario, Canada K1H8M5
      sug:
        subj:
          Delirium Therapy
          Delirium Education
          Terminal Care Trends
          Education, Interdisciplinary Evaluation
          Human
          Pilot Studies
          Palliative Care
          Long Term Care
          Convenience Sample
          Descriptive Statistics
          Wilcoxon Signed Rank Test
          P-Value
      ab: Symptom distress with end-of-life delirium (EOLD) is complex and multidimensional, and interprofessional (IP) teams require knowledge and skill to effectively care for these patients and their families. The purpose of this pilot study was to test an educational intervention about EOLD for IP teams at a long-term care facility and a hospice. The intervention included a comprehensive self-learning module (SLM) on EOLD and IP teamwork; a modified McMaster-Ottawa team objective structured clinical encounter (TOSCE) and a didactic 'theory burst' on the principles of delirium assessment, diagnosis and management. Evaluation tools completed by participants included the interprofessional collaborative competencies attainment survey (ICCAS) and the W(e) Learn. Two groups at each site participated in 1-hour sessions, repeated 2 weeks later. Only one group from each site received the SLM after the first session. Researchers scored EOLD knowledge and IP team functioning in both sessions. Results suggest that the intervention improved EOLD knowledge and perceptions of IP competence and supports the value of the TOSCE as an IP teaching method. The module does not appear responsible for the changes. Future studies are required to evaluate the effectiveness of the individual components used in this study, and to tailor the intervention to individual care contexts.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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