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Date of Award


Degree Type

Restricted Evidence-Based Project Report

Degree Name

Doctor of Nursing Practice (DNP)



First Advisor

Kirsten L. Mauk


Delirium, a state of acute brain dysfunction, may be caused by many factors. Prevention is the most effective strategy for reducing the frequency of delirium. The absence of delirium recognition may lead to improper or ineffective nursing management of the patient experiencing delirium, potentially increasing the risk of poor health outcomes.
The purpose of this evidence-based practice project was to determine if designing, implementing, and evaluating an education program on delirium for geriatric-care nurses in acute care setting would affect nurses’ knowledge of delirium. The Iowa model of evidence-based practice to promote quality care was used as a framework to guide the project at a 253-bed, nonprofit facility in Northwest Indiana. The theoretical framework chosen for this EBP project is Roger’s diffusion of innovations (DOI). After an extensive review of the literature, a 20-item questionnaire and a delirium-knowledge educational PowerPoint® were developed to measure outcomes. Research demonstrates that education increases knowledge in the nursing staff, which may have positive benefits for nurses, organizations, and patients. The educational module was developed by the author for approximately 38 nurses working in the intensive care unit (ICU) unit. To determine project effectiveness, a pre- and posttest comparison design was utilized. Pretest data were collected prior to the educational intervention followed by posttest-data collection. Outcomes were evaluated using the SPSS 20.0 statistical package. Paired-sample t tests were conducted to analyze pretest and posttest scores. The educational intervention significantly increased participants’ knowledge and confidence immediately after the intervention (p<. 000).


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