Doctor of Nursing Practice (DNP) Projects

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Doctor of Nursing Practice

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Family Nurse Practioner

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delirium, nursing education, delirium prevention, delirium education, delirium assessment, quality improvement


Erin Lamoureux, PhD, RN, GCNS-BC

DNP Project Chair

Erin Lamoureux, PhD, RN, GCNS-BC

DNP Project Member Name

Pamela Aselton, PhD, MPH, FNP-BC


Background and Review of Literature: Delirium is a serious, acute alteration in cognition and consciousness, which is common amongst older hospitalized patients and has an overwhelmingly negative impact on patient outcomes. Under-recognition by healthcare providers poses a barrier and contributes to poor patient outcomes, including increased morbidity and mortality.

Purpose: To reduce the incidence of delirium amongst acutely ill patients via internet-based education for student nurses on delirium prevention, assessment, and management.

Methods: An eLearning intervention consisting of a virtual lecture with an unfolding case study for undergraduate nursing students. This project utilized the Nurses’ Delirium Knowledge Assessment (NDKA) tool to evaluate participant knowledge before and immediately following the educational intervention.

Results: Thirteen students participated in the study. Overall mean scores improved from 52.5% on the pre-assessment to 78.5% on the post-assessment. Subscale mean scores for general knowledge of delirium improved from 62.1% pre-education to 87.2% post-education. Risk factor knowledge improved from 42.3% pre-education to 69.2% post-education. Statistical significance (p < .001) was noted in both the overall and knowledge sub-scale mean score differences. Conclusion: The educational intervention provided in this study increased nurses’ knowledge and recognition of delirium, validating similar findings in the literature. An educational intervention delivered via electronic format is an effective method to provide delirium education to nurses. Improving nursing knowledge of delirium is essential in improving patient outcomes.

Keywords: nursing education, nurse education, continuing education, training program, training, nursing instruction, delirium, ICU confusion, intensive care unit confusion.

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