ORCAS, Eugene, OR, USA.
Geriatr Nurs. 2012 Jan-Feb;33(1):28-40. doi: 10.1016/j.gerinurse.2011.10.004. Epub 2011 Dec 30.
Physical and verbal assaults by residents on care staff are not uncommon in long-term residential care facilities (LTCs). This research evaluated an Internet training designed to teach nurse aides (NAs) strategies to work with aggressive resident behaviors. Six LTCs were randomized in an immediate treatment (IT) and delayed treatment (DT) design, and NAs were recruited in each (IT: n = 58; DT; n = 45). The treatment involved 2 weekly visits to the online training. Hard copy assessments collected participant responses at baseline (T1), 8 weeks (T2), and at 16 weeks (T3). The DT group viewed the program after T2. Hierarchical linear models showed significant group differences at T2 in knowledge, and these levels were maintained at T3. The number of aggressive incidents reported per day by the IT group were nonsignificant at T2 but decreased significantly from T1 to T3 with a large effect size. The program was well received by users. These results suggest that the Internet training was an effective tool to reduce assaults in LTCs, and training effects may improve over time as NAs gain experience using the techniques.
在长期居住护理设施（LTCs）中，居民对护理人员的身体和言语攻击并不罕见。本研究评估了一种旨在教授护士助理（NA）应对攻击性居民行为策略的互联网培训。六家 LTCs 以即时治疗（IT）和延迟治疗（DT）设计随机分组，每家都招募了护士助理（IT：n=58；DT：n=45）。治疗包括每周两次访问在线培训。在基线（T1）、8 周（T2）和 16 周（T3）时，通过纸质评估收集参与者的反应。DT 组在 T2 后观看该节目。分层线性模型显示，T2 时知识方面存在显著的组间差异，这些水平在 T3 时保持不变。IT 组报告的每日攻击事件数量在 T2 时无显著差异，但从 T1 到 T3 显著减少，具有较大的效果量。该计划受到用户的好评。这些结果表明，互联网培训是减少 LTCs 中攻击行为的有效工具，并且随着 NAs 积累使用技术的经验，培训效果可能会随着时间的推移而提高。
