A Comparison of Learning Effectiveness of Confusion Assessment Method-Intensive Care Unit (CAM-ICU) in Clinical Practice for Nursing Staffs between E-Learning and Conventional Face-to-Face
Pawinee Pangthipampai MD*, Patchareya Nivatpumin MD*, Rattanaporn Tankul MD*, Puriwat To-adithep MD*, Charushnikul Yimboonna BNS**, Janthana Namthep BNS**, Onuma Chaiwat MD*
Affiliation : * Department of Anesthesiology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand ** Division of Nursing, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand
Objective : To investigate the learning effectiveness of CAM-ICU between e-learning and face-to-face lecture among nurses.
Material and Method: A prospective randomized controlled non-inferiority study was conducted. Nurses were randomly
assigned to receive CAM-ICU training either through a face-to-face lecture or e-learning. Post-tests comprising three
standardized patients were conducted after the course, and the pass rates compared between the two groups. Learner
satisfaction and examiners comments were collected and analyzed.
Results : Of the 186 participants originally enrolled, 177 participants completed the analysis (91 in face-to-face group and
86 in e-learning group). No statistically significant difference in baseline characteristics was found between the two groups.
The overall pass rate was higher in e-learning group compared to face-to-face group (50.0% vs. 42.9%, p = 0.34). Learner
satisfaction was generally higher in the face-to-face lecture group. Participants mostly had difficulties with the flow of
assessment, the Richmond Agitation and Sedation Scale (RAAS) and the assessment of disorganized thinking.
Conclusion : The overall pass rates were comparable between the e-learning and face-to-face lecture groups. Despite the
lower-than-expected pass rate, e-learning is potentially a scalable way to deliver training. The authors believe that CAM-ICU
e-learning is worthy of continued development before the real large-scale implementation in a university hospital.
Keywords : Delirium, Confusion assessment method-intensive care unit (CAM-ICU), E-learning
