Description, and pilot evaluation, of novel staff education to improve care of confused older inpatients

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Barbara Horner PhD, MEd, BAppSc, RN
Natasha Watson BSc PGradDipHlthProm
Anne-Marie Hill PhD MSc (Physiotherapy), Grad Cert University Teaching, BAppSci (Physiotherapy) Research Fellow,
Christopher Etherton-Beer MB BS, PhD, FRACP

Keywords

ageing, confusion, education, falls, geriatrics

Abstract

Objective: To determine feasibility of novel staff education aiming to optimise care for confused older people.


Design: Pre/post qualitative study.


Setting: Tertiary teaching hospital.


Subjects: Clinical staff in two geriatric medicine wards.


Interventions: Self-directed learning modules, with access to an education resource officer to reinforce learning in real time.


Main outcome measures: Primary outcomes were feasibility (proportion of staff completing the education) and perceived effectiveness (measured in focus groups and individual interviews).


Results: Twenty-six staff agreed to undertake the education; six confirmed completion of the entire learning package. Participants were enthusiastic about education regarding confused older people. Participants who completed the education modules reported they were satisfied with the format and content of the learning materials, but cited time constraints as a major barrier.


Conclusion: Participants expressed need and enthusiasm for education but uptake of the package was less than anticipated. Organisational support (such as providing staff with protected paid time to complete education) may be required to improve adherence.

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