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Residents of nursing homes are particularly vulnerable to developing delirium. Nurses play a key role in the prevention, detection, and management of delirium but often report a lack of specific knowledge and understanding. The aim of this study was to develop and evaluate a tailored e-learning programme on delirium for nurses working in German nursing homes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This pilot study employed a single-group pre-post design. Between January and March 2025, nurses from German nursing homes completed a delirium-specific e-learning program consisting of five modules on risk factors, causes, prevention, symptoms, diagnosis, and treatment. Participants completed a delirium knowledge questionnaire and rated their confidence in recognizing delirium before and after training. Evaluation questions assessed usability and relevance.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 80 nurses completed the e-learning program as well as the pre- and posttests. Delirium-specific knowledge improved from a median of 32 to 40 correct answers (interquartile range [IQR]\u2009=\u20099.25 vs. 7.5;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001). Subjective confidence in recognizing delirium increased from 5 to 7 (IQR\u2009=\u20092.25 vs. 1;\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.001) on a 10-point scale. Both improvements showed large effect sizes (knowledge:\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.86; subjective confidence:\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.92). Most nurses rated the training as highly relevant and usable.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Residents of nursing homes are at increased risk of delirium, while nursing staff report a clear need for delirium-specific expertise. Findings from this pilot study suggest that the tailored e-learning program may enhance nurses\u2019 knowledge and confidence in recognizing delirium. The program represents a promising foundation for structured delirium training in nursing homes and warrants further evaluation in larger and long-term studies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12909-026-09297-2","type":"journal-article","created":{"date-parts":[[2026,4,25]],"date-time":"2026-04-25T10:57:03Z","timestamp":1777114623000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Improving delirium knowledge and recognition confidence in nursing homes through an e-learning program: a pre\u2013post study"],"prefix":"10.1186","volume":"26","author":[{"given":"Vincent","family":"Molitor","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johanna Christina","family":"Seiters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jonas","family":"Hoch","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Petra","family":"Th\u00fcrmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bernhard","family":"Holle","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Horst Christian","family":"Vollmar","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Palm","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,25]]},"reference":[{"key":"9297_CR1","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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