Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit
Abstract Background Delirium in the intensive care unit (ICU) is a serious complication associated with increased mortality, prolonged hospital stays, and long-term cognitive decline. Early detection through standardized assessment tools is critical to improving patient outcomes. This study evaluate...
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BMC
2025-06-01
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| Online Access: | https://doi.org/10.1186/s12912-025-03395-0 |
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| author | Mona Ibrahim Hebeshy Samia Gaballah Eman Ragab Elsayed |
| author_facet | Mona Ibrahim Hebeshy Samia Gaballah Eman Ragab Elsayed |
| author_sort | Mona Ibrahim Hebeshy |
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| description | Abstract Background Delirium in the intensive care unit (ICU) is a serious complication associated with increased mortality, prolonged hospital stays, and long-term cognitive decline. Early detection through standardized assessment tools is critical to improving patient outcomes. This study evaluated the effect of an educational training program on ICU nurses’ self-reported knowledge, perceived self-confidence, and comfort levels in using the Confusion Assessment Method for the ICU (CAM-ICU), as well as their observed performance in delirium assessment and documentation. Methods A quasi-experimental single-group pretest-posttest design was conducted with 50 ICU nurses in an Egyptian ICU. Participants received a four-week educational program on delirium and CAM-ICU use. Knowledge, confidence, and comfort levels were measured before and after training using validated questionnaires. Post-training performance was assessed using an observational checklist evaluating assessment accuracy, documentation completeness, and consistency. Paired t-test was used for data analysis. Results ICU nurses’ knowledge and confidence in using the CAM-ICU significantly improved after training (p < .001). Post-training, assessment accuracy (95.5%) and documentation completeness (91.3%) were high, while practice consistency (79%) met the satisfactory threshold (≥ 75%), indicating satisfactory performance in delirium assessment and documentation using CAM-ICU. Conclusions The educational training significantly improved ICU nurses’ knowledge, perceived self-confidence, comfort levels, and practical skills in delirium assessment using the CAM-ICU, leading to more accurate and consistent screening practices. Structured, interactive training should be integrated into ICU education to promote standardized delirium assessment in ICU settings. Implications for practice Integrating structured delirium education into ICU training can promote adherence to best practices, ensuring timely detection and intervention. Future research should examine long-term skill retention and its effect on patient outcomes. Clinical trial number Not applicable. |
| format | Article |
| id | doaj-art-49b760884416430ab299fe211ae6ac41 |
| institution | Kabale University |
| issn | 1472-6955 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Nursing |
| spelling | doaj-art-49b760884416430ab299fe211ae6ac412025-08-20T03:31:44ZengBMCBMC Nursing1472-69552025-06-012411910.1186/s12912-025-03395-0Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unitMona Ibrahim Hebeshy0Samia Gaballah1Eman Ragab Elsayed2Medical-Surgical Nursing, Faculty of Nursing, Suez Canal UniversityMedical-Surgical Nursing, Faculty of Nursing, Suez Canal UniversityMedical-Surgical Nursing, Faculty of Nursing, Suez Canal UniversityAbstract Background Delirium in the intensive care unit (ICU) is a serious complication associated with increased mortality, prolonged hospital stays, and long-term cognitive decline. Early detection through standardized assessment tools is critical to improving patient outcomes. This study evaluated the effect of an educational training program on ICU nurses’ self-reported knowledge, perceived self-confidence, and comfort levels in using the Confusion Assessment Method for the ICU (CAM-ICU), as well as their observed performance in delirium assessment and documentation. Methods A quasi-experimental single-group pretest-posttest design was conducted with 50 ICU nurses in an Egyptian ICU. Participants received a four-week educational program on delirium and CAM-ICU use. Knowledge, confidence, and comfort levels were measured before and after training using validated questionnaires. Post-training performance was assessed using an observational checklist evaluating assessment accuracy, documentation completeness, and consistency. Paired t-test was used for data analysis. Results ICU nurses’ knowledge and confidence in using the CAM-ICU significantly improved after training (p < .001). Post-training, assessment accuracy (95.5%) and documentation completeness (91.3%) were high, while practice consistency (79%) met the satisfactory threshold (≥ 75%), indicating satisfactory performance in delirium assessment and documentation using CAM-ICU. Conclusions The educational training significantly improved ICU nurses’ knowledge, perceived self-confidence, comfort levels, and practical skills in delirium assessment using the CAM-ICU, leading to more accurate and consistent screening practices. Structured, interactive training should be integrated into ICU education to promote standardized delirium assessment in ICU settings. Implications for practice Integrating structured delirium education into ICU training can promote adherence to best practices, ensuring timely detection and intervention. Future research should examine long-term skill retention and its effect on patient outcomes. Clinical trial number Not applicable.https://doi.org/10.1186/s12912-025-03395-0ICU deliriumCAM-ICUNursing educationSelf-confidenceKnowledgeDelirium management |
| spellingShingle | Mona Ibrahim Hebeshy Samia Gaballah Eman Ragab Elsayed Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit BMC Nursing ICU delirium CAM-ICU Nursing education Self-confidence Knowledge Delirium management |
| title | Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit |
| title_full | Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit |
| title_fullStr | Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit |
| title_full_unstemmed | Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit |
| title_short | Effect of educational training about CAM-ICU on nurses’ knowledge, confidence, and practice to detect delirium among critically ill patients in intensive care unit |
| title_sort | effect of educational training about cam icu on nurses knowledge confidence and practice to detect delirium among critically ill patients in intensive care unit |
| topic | ICU delirium CAM-ICU Nursing education Self-confidence Knowledge Delirium management |
| url | https://doi.org/10.1186/s12912-025-03395-0 |
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