A Flipped Classroom Approach to Improving the Quality of Delirium Care Using an Interprofessional Train-the-Trainer Program

作者：Sockalingam Sanjeev^*; James Sandra Li; Sinyi Rebecca; Carroll Aideen; Laidlaw Jennifer; Yanofsky Richard; Sheehan Kathleen

来源：Journal of Continuing Education in the Health Professions, 2016, 36(1): 17-23.

DOI：10.1097/CEH.0000000000000025

• interprofessional education
• innovative educational interventions
• evaluation-educational intervention
• flipped classroom
• interprofessional education
• continuing education

Introduction:Given the prevalence and morbidity associated with delirium, there is a need for effective and efficient institutional approaches to delirium training in health care settings. Novel education methods, specifically the flipped classroom (FC) and train-the-trainer (TTT), have the potential to address these delirium training gaps. This study evaluates the effect of a TTT FC interprofessional delirium training program on participants' perceived ability to manage delirium, delirium knowledge, and clinicians' delirium assessment behaviors.Methods:FC Delirium TTT sessions were implemented in a large four-hospital network and consisted of presession online work and a 3-hour in-session component. The 156 TTT interprofessional participants who attended the sessions (ie, trainers) were expected to then deliver delirium training to their patient care units. Delirium care self-efficacy and knowledge test scores were measured before, after, and 6 months after the training session. Clinician delirium assessment rates were measured by chart audits before and 3 months after trainer's implementation of delirium training sessions.Results:Delirium knowledge test scores (7.8 1.6 versus 9.7 +/- 1.2, P < .001) and delirium care self-efficacy were significantly higher immediately after the TTT session compared with those of presession and these differences remained significant at 6-month after the TTT session. Trainer sessions significantly improved clinician delirium assessment rates from 53% for pretraining to 66% for posttraining.Discussion:Our data suggest that a TTT FC delirium training approach can improve participants' perceived delirium care skills and confidence, and delirium knowledge up to 6 months after the session. This approach provides a model for implementing hospitalwide delirium education that can change delirium assessment behavior while minimizing time and personnel requirements.

• 出版日期2016