Simulation-based education increases post-registration nurses' odds of satisfactory observed delirium-care practice at 6 weeks in a cluster RCT¶
Claim · All claims
Evidence · 1 study · reviewr2·q3
Currency · newest study 2026 · checked against its sources 2026-10-31 (automated, 1 of 1 entry) · not reviewed by a person
Subclaims¶
Reading the evidence codes
q is the design tier, i the impact, n the sample, and the kind with its r
the rigour judged within that kind: what each code means.
This claim: no standardized effect is recorded in observations/ for it yet, so no benchmark reading is possible.
q3 i? In a multisite cluster RCT, post-registration nurses receiving a delirium education package including an OSCE with a simulated patient had significantly higher odds of satisfactory observed delirium-care practice at 6 weeks than controls (OR 10.2, p = 0.009). → 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
q3 · i? · review · r2
This multisite clustered, observer-blinded RCT randomized 190 post-registration nurses on medical/surgical wards across three hospitals to a DOE package (group education plus OSCE with simulated patient) or group education only, with the primary outcome assessed 6 weeks post-intervention. The intervention showed "higher odds of satisfactory delirium-care performance in the intervention group compared with controls (OR 10.2, p = 0.009)"; no standardised effect size is printed, so the magnitude is coded null.
"Montgomery et al. (2024) reported higher odds of satisfactory delirium-care performance in the intervention group compared with controls (OR 10.2, p = 0.009)."
Discussion¶
Related Claims¶
- No included comparative study assessed patient-based clinical outcomes, patient acceptability of care, or staff resource time — related
- The review suggests current observational evidence may overestimate simulation's impact, since more rigorous cluster-RCTs showed only time-limited mortality reductions or nonsignificant results — related
- Simulation-based education consistently improved nurses' confidence in delirium recognition and assessment across included studies — related
- Simulation-based education combined with workflow redesign improved ICU nurses' delirium-assessment documentation rates on day and night shifts — related
- Delirium knowledge gains from simulation-based education were sustained over time in repeated-survey and delayed-assessment 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
- Increasing the proportion of simulation within a nursing course shows mixed effects on competency outcomes (Hayden et al. trial) — related
- Positive patient outcomes were reported in 14 of 17 included CPD studies — related
- Single-arm pre-post pilot studies were the most common design (21.1%), followed by RCTs (10.5%) and mixed-methods designs (10.5%) — related
- Consequences of clinical readiness include personal and job-related satisfactory outcomes — related
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