University of Kansas, School of Nursing, 3901 Rainbow Boulevard, Kansas City, KS 66160, USA.
Gerontologist. 2013 Aug;53(4):687-98. doi: 10.1093/geront/gns135. Epub 2012 Oct 31.
To pilot test a multicomponent intervention to increase certified nursing assistants' (CNAs) awareness of person-centered care. To establish the feasibility of implementing an intervention involving videotaped biographies of residents and videotapes of resident/CNA caregiving interactions.
A training program was provided at two nursing homes (NHs) using a wait-list control design. Levels of dyadic relationship closeness and satisfaction were compared prepost. Video recordings of CNA/resident interactions were coded for person-centered care using two observational instruments.
Based on data from 19 resident/aide dyads, the findings were that resident's perceptions of relationship closeness increased significantly posttraining at both NHs, NH1, z = -1.89, p < .05, and the NH2, z = -1.95, p < .05. Effects were also seen with the CNA's perceptions of satisfaction and closeness, and resident satisfaction.
The findings suggest that this type of intervention is feasible and warrants further research.
试验性测试一个多成分干预措施，以提高注册护士助理（CNA）对以患者为中心的护理的认识。确定实施一项干预措施的可行性，该措施包括居民的录像传记和居民/ CNA 护理互动的录像。
在两家养老院（NH）使用等待名单对照设计提供培训计划。比较了前后的二元关系亲密程度和满意度水平。使用两种观察工具对 CNA/居民互动的录像进行了以患者为中心的护理编码。
基于来自 19 个居民/助手对的数据，研究结果表明，在两个 NH 中，居民对关系亲密程度的看法在培训后显著增加，NH1，z = -1.89，p <.05，和 NH2，z = -1.95，p <.05。CNA 的满意度和亲密程度以及居民满意度也有影响。
研究结果表明，这种类型的干预是可行的，并值得进一步研究。
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