Yeatts Dale E, Cready Cynthia, Ray Beth, DeWitt Amy, Queen Courtney
Department of Sociology, University of North Texas, Denton, TX 76203, USA.
Gerontologist. 2004 Apr;44(2):256-61. doi: 10.1093/geront/44.2.256.
This article describes the progress of our study to examine the advantages and costs of using self-managed nurse aide teams in nursing homes, steps that are being taken to implement such teams, and management strategies being used to manage the teams.
A quasi-experimental design is underway where certified nurse aide (CNA) teams are being established in five nursing homes (NHs) in the Dallas-Fort Worth metropolitan area, and five additional NHs are being treated as comparison NHs.
As of March 2004 CNA teams were established in five NHs, and baseline survey data were collected from the CNAs, nurses, residents, and family members in each of these NHs as well as from those in the five comparison homes.
Qualitative analyses show positive effects of CNA teams. Quantitative analyses will not be complete until follow-up survey data are collected 12 months after team implementation. Steps for implementing teams include surveying management to be sure that they want nurse teams; orienting and training the managers, nurses, and nurse aides; and facilitating the teams. Management of the teams includes routine feedback from management to the teams and vice versa while using a give-and-take approach.
本文描述了我们在研究使用养老院自我管理护理助理团队的优势和成本方面所取得的进展、实施此类团队正在采取的步骤以及用于管理这些团队的管理策略。
正在进行一项准实验设计，在达拉斯 - 沃思堡都会区的五家养老院中组建认证护理助理（CNA）团队，另外五家养老院作为对照养老院。
截至2004年3月，在五家养老院中组建了CNA团队，并从这些养老院以及五家对照养老院的CNA、护士、居民和家庭成员那里收集了基线调查数据。
定性分析显示了CNA团队的积极效果。在团队实施12个月后收集随访调查数据之前，定量分析将无法完成。实施团队的步骤包括调查管理层以确保他们需要护士团队；对管理人员、护士和护理助理进行定向培训；以及为团队提供便利。团队管理包括管理层与团队之间的常规反馈，采用相互让步的方式。
