The Effect of Scenario Based Learning on the Performance of Nurses Regarding Delirium in Cardiac Surgery Intensive Care Units: A Quasi Experimental Study

Ahmad Jahanbazi, Fariba Jokar, Narges Kheirollahi

Abstract


Background: Delirium is one of the most common complications of cardiac surgery, and only a small percentage of nurses are able to diagnose and manage it. The aim of this study was to determine the effect of Scenario‑Based Learning (SBL) on the performance of nurses in the management of delirium in Cardiovascular Intensive Care Units (CICUs).

Materials and Methods: A quasi‑experimental research with a pretest‑post‑test design was conducted on 36 nurses of the cardiac surgery ICUs of Isfahan′s therapeutic‑educational center from October 2019 to January 2020. The SBL was held in the form of a 2‑day workshop. The study data collection tools included a demographic questionnaire, researcher‑made knowledge questionnaire, and performance checklist. The data were analysed using descriptive statistics (frequency, mean, and standard deviation), and inferential statistics (repeated measures one‑way analysis of variance ANOVA and Fisher′s Least Significant Difference (LSD post hoc test).

Results: The mean score of performance of nurses differed significantly different between the three study stages (before the intervention, immediately, and 3 weeks after the intervention) (F2,30 = 139.41; p < 0.001). LSD post hoc test showed that the mean score of performance was significantly higher immediately after the training program compared to before the intervention and 3 weeks after the SBL (p < 0.001).

Conclusions: Based on the results of this study, it can be concluded that SBL improved the delirium care performance levels of nurses in the cardiac surgery ICU. Thus, it is recommended that SBL be used as a method for training nurses.



Keywords


Delirium, intensive care unit, Nurses, simulation training, thoracic surgery

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References


American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM 5®) 5th ed. Arlington: American Psychiatric Association Publishing; 2013. p. 596 601.

Habeeb Allah A, Alshraideh JA. Delirium post cardiac surgery: Incidence and associated factors. Nurs Crit Care 2021;26:150 5.

Bruggemans EF. Cognitive dysfunction after cardiac surgery: Pathophysiological mechanisms and preventive strategies. Neth Heart J 2013;21:70 3.

HeydariGorji MA, AdabiFirozjayi D, Habibi V. Nursing preventive measures against the incidence of delirium in hospitalized patients: A narrative review. J Nurs Midwifery Sci 2017;4:58 67.

Jannati Y, Sohrabi M, Bagheri M. Delirium and its diagnostic tools: A new approach to nursing practice. J Clin Excell 2013;1:85 96.

Yaghmour SM, Gholizadeh L. Review of nurses’ knowledge of delirium, dementia and depressions (3ds): Systematic literature review. Open J Nurs 2016;6:193 203.

Jayaswal AK, Sampath H, Soohinda G, Dutta S. Delirium in medical intensive care units: Incidence, subtypes, risk factors, and outcome. Indian J Psychiatry 2019;61:352 8.

Tilouche N, Hassen MF, Ali HB, Jaoued O, Gharbi R, El Atrous SS. Delirium in the intensive care unit: Incidence, risk factors, and impact on outcome. Indian J Crit Care Med 2018;22:144 9.

Chaghari M, Ebadi A, Ameryoun A, Safari M. An attempt for empowering education: A qualitative study of in service training of nursing personnel. Iran J Nurs Midwifery Res 2016;21:498 503.

Hursen C, Fasli FG. Investigating the efficiency of scenario based learning and reflective learning approaches in teacher education. Eur J Contemp Educ 2017;6:264 79.

Hsu LL, Chang WH, Hsieh SI. The effects of scenario based simulation course training on nurses’ communication competence and self efficacy: A randomized controlled trial. J Prof Nurs 2015:31:37 49.

Aslan S. The impact of argumentation based teaching and scenario based learning method on the students’ academic achievement. J Balt Sci Educ 2019;18:171 83.

Zamri SN, Zulnaidi H, Eu LK. Postgraduate students ‘attitude toward statistics pre and post scenario based learning method in statistics course. Malaysian Online Journal of Educational Sciences (MOJES) 2020;8:1 8.

Battista A. An activity theory perspective of how scenario based simulations support learning: A descriptive analysis. Adv Simul 2017;2:1 4. doi: 10.1186/s41077 017 0055 0.

Khanjari S, Bayati N, Haghani H. Effect of training on the performance of nurses in the endotracheal suctioning of neonates. Iran J Nursing 2019;32:40 9.

Mahran GS, Mahgoub AA, Abass MS. The effect of scenario based teaching for critical care nurses and physicians on their knowledge of fluid creep. J Nurs Educ Pract 2019;9:86 97.

Lawshe CH. A quantitative approach to content validity. Personnel Psychol 1975;28:563 75.

Waltz CF, Bausell BR. Nursing Research: Design, Statistics, and Computer Analysis. 2nd ed. Philadelphia: F.A. Davis Co.; 1983.

Campbell SH, Daley K. Simulation Scenarios for Nursing Educators: Making it Real. Springer Publishing Company; New York; 2017.

Huffman JL, McNeil G, Bismilla Z, Lai A. Essentials of scenario building for simulation-based education. InComprehensive healthcare simulation: Pediatrics. Springer, Cham; 2016 pp. 19-29.

Park HM, Chang MY. Nurse’s knowledge, confidence and performance on care for delirium. J Health Inform Stat 2016;41:359 68.

Oh HS. The effectiveness of clinical practice education using checklist on performance of delirium care for nursing students. J Digit Convergence 2018;16:289 99.

Monfared A, Soodmand M, Ghasemzadeh G. Knowledge and attitude of Intensive care units’ nurses towards Delirium working at Guilan University of Medical Sciences in 2015elirium. Prev Care Nurs Midwifery J 2017;7:1 7.

Awad SA. Critical care nurses' knowledge, perception and barriers regarding delirium in adult critical care units. American Journal of Nursing Research 2019;7:193-8.

Ribeiro SC, Nascimento ER, Lazzari DD, Jung W, Boes AA, Bertoncello KC. Knowledge of nurses about delirium in critical patients: Collective subject discourse. Text Context Nursing, Florianópolis 2015;24:513 20.

Rahmani A, Mohammadi A, Moradi Y. Effectiveness of scenario based education on the performance of the nurses in the critical cardiac care unit for patients with acute coronary syndrome. Int J Med Res Health Sci 2016;5:218 24.

Nasef MM, El Tayeb IM, Mawgoud RA, Hammam DAE S. Active learning versus lecture based approaches in occupational training programs of intensive care nursing staff at Al Ahrar Hospital, Zagazig City, Egypt. Gaziantep Med J 2014;20:147 59.


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