1. S. Hallen, MD R. Babine, APRN, CNS H. Wierman, MD
Concepts in Common: An effective interprofessional educational module on delirium for practicing teams in acute care
S. Hallen, MD
R. Babine, APRN, CNS
H. Wierman, MD
Geriatric Medicine
Maine Medical Center
Portland, ME
May 2013

2. Disclaimer slide No conflicts of interest
The research reported during this presentation was supported by Dr. Hallen’s HRSA grant (GACA) K01HP The investigators retained full independence in the conduct of this research.

3. Background Delirium module developed in collaboration:
MMC Department of Nursing
MMC Geriatric Medicine
MaineHealth
Education began in October 2011
CAM* nursing policy began in November 2011
IRB exemption was obtained prior to data collection
*Innouye Ann Intern Med 1990;Dec 15,

4. *Lakatos, B Psychosomatics 50(3):218-226
HELP Prevent Falls (CAM) Pilot
2008
2009
October
Oct
Concepts in Common: Delirium Module Development
Capstone Project (Delirium E-learn)
2010
2011
2012
Replication of Lakatos*
3 Medicine Units
*Lakatos, B Psychosomatics 50(3):

5. Perceived barriers General lack of knowledge about delirium
Unfamiliarity with the CAM
Concerns about providers receptivity to communication regarding delirium detection, prevention and management

6. Concepts in Common Dr. Hallen’s GACA project
Interprofessional geriatrics curriculum
Targeting practicing teams in the acute setting
Goal = better care for hospitalized elders
Improving team dynamics via better communication and role recognition
Common, accessible medical knowledge

7. Purpose
The purpose of this project was to see if interprofessional education (IPE) can improve delirium knowledge and communication in practicing teams in the acute setting
Common knowledge re: delirium, CAM and management
Standardized communication (SBAR)
Defining roles within a team in caring for patients with delirium

8. Curriculum Design

9. Outcomes Knowledge Multiple choice questions
Pre-test, post-test given at time of initial education
3-month, 6-month (and 12-month) post-tests were given to a convenience sample of floor staff regardless of attendance
Assess team impact of education/utility of other presentation methods (peer-to-peer)

10. Outcomes
Attitude
Likert scales were used to measure participant comfort
Retrospective questions were used on the immediate post-test to assess pre-education comfort levels
Scale
1 = novice (“Not Comfortable”)
5 = expert

11. Outcomes
A participant generated unique identifier was used to track individuals over time
Demographic information such as clinical role and years in practice was also collected

12. Participants 48% 3% 18% 13% 117 individuals took the initial post-testRN 55
48%
CNA 3 3%
Rehab 22
18%
Prescriber 15
13%
Other

17. Team improvement observed!
Even though only:
42% tested at 3-months
39% tested at 6-months attended the IPE session

21. Limitations
3- and 6-month sampling technique (convenience) may have introduced bias
High degree of complexity/literacy of pre- and post-tests may have limited ability to test true knowledge

22. Conclusion
IPE is an effective way to improve knowledge of delirium and communication in practicing teams in the acute setting
Team improvement was maintained at 3- and 6-months with the greatest gains made by session participants

23. Acknowledgements Maine Medical Center: Delirium Education Work Group
Peg Bradstreet, MS, PMHCNS-BC
Valerie Fuller, DNP, ACNP, FNP, GNP
Cindy Honess, MSN, ACNS-BC
Debra McPherson, MSN, RN
Marylou Nesbitt, APRN-BC, AOCN
Patricia Todorich, MS, PMHCNS-BC
Rhonda Babine, MS, ACNS-BC
MaineHealth: Concepts in Common
Sharon Foerster, LCSW
Sarah Hallen, MD

24. Heidi Wierman, MD – wiermh@mmc.org
Sarah Hallen, MD –