Evaluating the Impact of a Multimodal Education Program to Improve Nursing Assistants’ Skills in Delirium Screening and Management: A Pre-Post Study

Abstract

Delirium is common yet underdetected in hospitalized patients, compromising outcomes. Nursing assistants play a crucial role in routine observation and screening to facilitate early delirium identification and management. This study evaluated impacts of a multimodal delirium education program on nursing assistants’ knowledge, attitudes, and screening skills at a tertiary hospital in Saudi Arabia. Fifty assistants completed interactive workshops, simulation scenarios, and competency assessments before and after training. Knowledge test scores significantly improved from a mean of 55% to 88% post-training. Qualitative feedback emphasized enhanced delirium awareness, confidence, and therapeutic communication preparation. Screening competency including observations, tool administration, interpretation, and reporting steps increased from a baseline mean of 2.9 to 4.7 on a 5-point scale after training. Multifaceted education effectively boosted assistants’ delirium capabilities, with implications for broader implementation and practice changes to improve detection and team collaboration.