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How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review
BACKGROUND: Delirium is a neuropathological condition that impairs cognitive performance, attention and consciousness and can be potentially life-threatening. Nursing home residents are particularly vulnerable to developing delirium, but research thus far tends to focus on the acute hospital setting...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373687/ https://www.ncbi.nlm.nih.gov/pubmed/37495388 http://dx.doi.org/10.1136/bmjopen-2023-072591 |
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author | Molitor, Vincent Busse, Theresa Sophie Giehl, Chantal Lauer, Romy Otte, Ina Carola Vollmar, Horst Christian Thürmann, Petra Holle, Bernhard Palm, Rebecca |
author_facet | Molitor, Vincent Busse, Theresa Sophie Giehl, Chantal Lauer, Romy Otte, Ina Carola Vollmar, Horst Christian Thürmann, Petra Holle, Bernhard Palm, Rebecca |
author_sort | Molitor, Vincent |
collection | PubMed |
description | BACKGROUND: Delirium is a neuropathological condition that impairs cognitive performance, attention and consciousness and can be potentially life-threatening. Nursing home residents are particularly vulnerable to developing delirium, but research thus far tends to focus on the acute hospital setting. Healthcare professionals (HCPs) working in nursing homes seem to be little aware of delirium. To improve healthcare for affected or at-risk individuals, increasing knowledge among HCPs is highly relevant. Using the realist review method helps to understand how and why an educational intervention for HCPs on delirium in nursing homes works. METHODS AND ANALYSIS: In accordance with the Realist And Meta-narrative Evidence Syntheses: Evolving Standards publication standards for realist syntheses, the review process will include the following five steps: (1) search strategy and literature review; (2) study selection and assessment; (3) data extraction; (4) data synthesis and (5) development of an initial programme theory. The literature search will be conducted in the databases Medline (PubMed), CINAHL (Ebsco), Scopus, Web of Science, GeroLit and Carelit. Additional focuses are on snowballing techniques, hand research and grey literature. Studies of any design will be included to develop the initial programme theory. The literature will be selected by two researchers independently. In addition, the experiences of HCPs from nursing homes will be reflected in group discussions. To this end, Context–Mechanism–Outcome configurations (CMOcs) will be established to develop an initial programme theory. ETHICS AND DISSEMINATION: The results will be disseminated within the scientific community. For this purpose, presentations at scientific conferences as well as publications in peer-reviewed journals are scheduled. In the next step, the CMOcs could serve for the development of a complex educational intervention to increase the knowledge of HCPs on delirium in nursing homes. REGISTRATION DETAILS: This protocol has been registered at Open Science Framework (https://doi.org/10.17605/OSF.IO/HTFU4). |
format | Online Article Text |
id | pubmed-10373687 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-103736872023-07-28 How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review Molitor, Vincent Busse, Theresa Sophie Giehl, Chantal Lauer, Romy Otte, Ina Carola Vollmar, Horst Christian Thürmann, Petra Holle, Bernhard Palm, Rebecca BMJ Open Medical Education and Training BACKGROUND: Delirium is a neuropathological condition that impairs cognitive performance, attention and consciousness and can be potentially life-threatening. Nursing home residents are particularly vulnerable to developing delirium, but research thus far tends to focus on the acute hospital setting. Healthcare professionals (HCPs) working in nursing homes seem to be little aware of delirium. To improve healthcare for affected or at-risk individuals, increasing knowledge among HCPs is highly relevant. Using the realist review method helps to understand how and why an educational intervention for HCPs on delirium in nursing homes works. METHODS AND ANALYSIS: In accordance with the Realist And Meta-narrative Evidence Syntheses: Evolving Standards publication standards for realist syntheses, the review process will include the following five steps: (1) search strategy and literature review; (2) study selection and assessment; (3) data extraction; (4) data synthesis and (5) development of an initial programme theory. The literature search will be conducted in the databases Medline (PubMed), CINAHL (Ebsco), Scopus, Web of Science, GeroLit and Carelit. Additional focuses are on snowballing techniques, hand research and grey literature. Studies of any design will be included to develop the initial programme theory. The literature will be selected by two researchers independently. In addition, the experiences of HCPs from nursing homes will be reflected in group discussions. To this end, Context–Mechanism–Outcome configurations (CMOcs) will be established to develop an initial programme theory. ETHICS AND DISSEMINATION: The results will be disseminated within the scientific community. For this purpose, presentations at scientific conferences as well as publications in peer-reviewed journals are scheduled. In the next step, the CMOcs could serve for the development of a complex educational intervention to increase the knowledge of HCPs on delirium in nursing homes. REGISTRATION DETAILS: This protocol has been registered at Open Science Framework (https://doi.org/10.17605/OSF.IO/HTFU4). BMJ Publishing Group 2023-07-26 /pmc/articles/PMC10373687/ /pubmed/37495388 http://dx.doi.org/10.1136/bmjopen-2023-072591 Text en © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) . |
spellingShingle | Medical Education and Training Molitor, Vincent Busse, Theresa Sophie Giehl, Chantal Lauer, Romy Otte, Ina Carola Vollmar, Horst Christian Thürmann, Petra Holle, Bernhard Palm, Rebecca How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
title | How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
title_full | How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
title_fullStr | How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
title_full_unstemmed | How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
title_short | How and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
title_sort | how and why educational interventions work to increase knowledge of delirium among healthcare professionals in nursing homes: a protocol for a realist review |
topic | Medical Education and Training |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10373687/ https://www.ncbi.nlm.nih.gov/pubmed/37495388 http://dx.doi.org/10.1136/bmjopen-2023-072591 |
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