title: Determining the need for team-based training in delirium management: A needs assessment of surgical healthcare professionals.
abstract: The high incidence of delirium in surgical units is a serious quality concern, given its impact on morbidity and mortality. While successful delirium management depends upon interdisciplinary care, training needs for surgical teams have not been studied. A needs assessment of surgical units was conducted to determine perceived comfort in managing delirium, and interprofessional training needs for team-based care. We administered a survey to 106 General Surgery healthcare professionals (69% response rate) with a focus on attitudes towards delirium and team management. Although most respondents identified delirium as important to patient outcomes, only 61% of healthcare professionals indicated that a team-based approach was always observed in practice. Less than half had a clear understanding of their role in delirium care, while just over half observed team communication of delirium care plans during handover. This is the first observation of clear gaps in perceived team performance in a General Surgery setting.
authors.affiliation: a Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto , Toronto , ON , Canada and.
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Sockalingam
authors.affiliation: a Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto , Toronto , ON , Canada and.
authors.forename: Hedieh
authors.initials: H
authors.lastname: Tehrani
authors.affiliation: b Division of General Surgery , Department of Surgery, University Health Network, University of Toronto , Toronto , ON , Canada.
authors.forename: Anna
authors.initials: A
authors.lastname: Kacikanis
authors.affiliation: a Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto , Toronto , ON , Canada and.
authors.forename: Adrienne
authors.initials: A
authors.lastname: Tan
authors.affiliation: a Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto , Toronto , ON , Canada and.
authors.forename: Raed
authors.initials: R
authors.lastname: Hawa
authors.affiliation: b Division of General Surgery , Department of Surgery, University Health Network, University of Toronto , Toronto , ON , Canada.
authors.forename: Ruthie
authors.initials: R
authors.lastname: Anderson
authors.affiliation: b Division of General Surgery , Department of Surgery, University Health Network, University of Toronto , Toronto , ON , Canada.
authors.forename: Allan
authors.initials: A
authors.lastname: Okrainec
authors.affiliation: a Centre for Mental Health, University Health Network, Department of Psychiatry, University of Toronto , Toronto , ON , Canada and.
authors.forename: Susan
authors.initials: S
authors.lastname: Abbey
mesh_terms: D003693:Delirium / Q000188:drug therapy; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D033183:Interdisciplinary Communication; D008297:Male; D020380:Needs Assessment; D010348:Patient Care Team; D011795:Surveys and Questionnaires
keywords: Collaboration; delirium; education; interprofessional; surgery; team-based