Walker Bonnie L, Harrington Susan S
Harrington Software Associates, Warrenton, VA, United States.
Nurse Educ Today. 2013 Sep;33(9):1034-9. doi: 10.1016/j.nedt.2012.05.007. Epub 2012 Jun 7.
To implement restorative care in assisted living facilities, staff and administrators need to understand the philosophy and learn methods to help residents maintain optimal function.
In this study, researchers investigated the use of a Web-based training program to improve the restorative care knowledge, attitudes, and practices of assisted living administrators and staff.
The study design was one group repeated measure to consider the impact of the training program on participant's knowledge of restorative care and restorative care techniques, attitudes toward restorative care, and self-reported practices.
Participants included 266 administrators and 203 direct care staff from assisted living facilities in eight states.
Measurements were done at baseline (pretest), following the instruction (posttest), and one month later (follow-up).
Researchers found that participants (n=469) significantly improved their scores from pre- to posttest. In a follow-up study (n=244), over half of participants reported making changes at their facility as a result of the restorative care training. Most of the changes are related to care practices, such as an emphasis on encouraging, motivating, and offering positive feedback to residents.
Researchers concluded that there is a need for restorative care training for both administrators and staff of assisted living facilities. The study also demonstrates that a brief training session (2h or less) can bring about significant change in the learner's knowledge of facts, attitudes, and practices. It demonstrates that much of that change continues for at least 1 month after the training. It also demonstrates the loss of knowledge and points out the need for training to be followed up with continuing education and administrator encouragement. Furthermore, this study demonstrates that the Web is a feasible method of delivering restorative care training to assisted living facility administrators and staff.
为在辅助生活设施中实施恢复性护理，工作人员和管理人员需要理解其理念并学习帮助居民保持最佳功能的方法。
在本研究中，研究人员调查了基于网络的培训项目对辅助生活设施管理人员和工作人员恢复性护理知识、态度及实践的改善情况。
本研究设计为单组重复测量，以考量培训项目对参与者恢复性护理知识、恢复性护理技术、对恢复性护理的态度以及自我报告的实践的影响。
参与者包括来自八个州辅助生活设施的266名管理人员和203名直接护理人员。
在基线（预测试）、培训后（后测试）以及一个月后（随访）进行测量。
研究人员发现，参与者（n = 469）从预测试到后测试的分数显著提高。在一项随访研究（n = 244）中，超过一半的参与者报告称，由于恢复性护理培训，他们所在的机构发生了变化。大多数变化与护理实践有关，例如强调鼓励、激励居民并给予积极反馈。
研究人员得出结论，辅助生活设施的管理人员和工作人员都需要接受恢复性护理培训。该研究还表明，简短的培训课程（2小时或更短）可使学习者在知识、态度和实践方面产生显著变化。这表明这种变化在培训后至少持续1个月。它还显示了知识的流失，并指出需要通过继续教育和管理人员的鼓励来跟进培训。此外，本研究表明，网络是向辅助生活设施管理人员和工作人员提供恢复性护理培训的一种可行方法。
