Simulation-based education combined with workflow redesign improved ICU nurses' delirium-assessment documentation rates on day and night shifts¶
Claim · All claims
Evidence · 1 study · designr2·q2
Currency · newest study 2026 · not yet checked against its sources · not reviewed by a person
Subclaims¶
Reading the evidence codes
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q2 i? After simulation-based education, ICU nursing documentation of delirium screening rose from 40% to 93% on day shifts and from 27% to 71% on night shifts following documentation changes. → EL Hussein Mohamed Toufic 2026
Evidence¶
EL Hussein Mohamed Toufic 2026¶
EL Hussein Mohamed Toufic, Sheehan Dawson S., Hirst Sandra. (2026). Simulation‐Based Education to Support Nurses' Critical Thinking in Delirium Recognition: A Scoping Review. Journal of Advanced Nursing. https://doi.org/10.1111/jan.70640
q2 · i? · design · r2
This was a quality-improvement project using Lean Six Sigma with PDSA cycles in an urban tertiary-care ICU, tracking nursing documentation of delirium screening per 12-h shift via the EHR. Documentation rose "from 40% to 93% on day shifts and 27% to 71% on night shifts, following SBE and workflow redesign"; the review reports these as descriptive percentages, with no effect size.
"Aparanji et al. (2018) recorded substantial improvements in ICU delirium‐assessment documentation, from 40% to 93% on day shifts and 27% to 71% on night shifts, following SBE and workflow redesign."
Discussion¶
Related Claims¶
- Simulation-based education consistently improved nurses' confidence in delirium recognition and assessment across included studies — related
- In an RCT of ICU nurses, simulation-based education produced within-group gains in knowledge, confidence and competence but no between-group differences at 6 weeks — related
- Simulation-based education increases post-registration nurses' odds of satisfactory observed delirium-care practice at 6 weeks in a cluster RCT — related
- Delirium knowledge gains from simulation-based education were sustained over time in repeated-survey and delayed-assessment studies — related
- No included comparative study assessed patient-based clinical outcomes, patient acceptability of care, or staff resource time — related
- Positive patient outcomes were reported in 14 of 17 included CPD studies — related
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