Despite the high prevalence of acute confusion among elders and the im
portance of its early detection, there are few reports of systematic e
fforts to increase staff competence. This article describes the develo
pment and evaluation of an 8-hour educational program designed to prep
are staff nurses to perform in a new role, the unit-based acute confus
ion Resource Nurse (ACRN). Pre- and posttest scores were obtained for
the 80 registered nurses who participated in the program. Paired t tes
ts showed that knowledge and confidence significantly increased for pa
rticipants as a result of their participation in the educational progr
am. This program can serve as an effective model for geriatric staff e
ducation.