Burgio L D, Engel B T, Hawkins A, McCormick K, Scheve A, Jones L T
Section of Geriatric Medicine, University of Pittsburgh School of Medicine, Pennsylvania 15213.
J Appl Behav Anal. 1990 Spring;23(1):111-8. doi: 10.1901/jaba.1990.23-111.
We developed a staff management system for maintaining treatment gains achieved on a specialized continence unit located in a geriatric nursing home. Geriatric assistants learned to use a prompted voiding procedure to maintain improved dryness for 4 elderly residents. The staff management system included self-monitoring and recording of prompted voiding activities and supervisory monitoring and feedback based on group performance of these activities. Results show that the system was effective in maintaining prompted voiding activities with corresponding maintenance of improved patient continence. However, a gradual decline in staff performance was noted 4 to 5 months after the initiation of the system. During a subsequent phase of the study, provision of individual feedback restored staff performance to previous levels. Results are discussed in relation to the practicality of prompted voiding interventions in nursing home environments and the applicability of staff management systems in this setting.
我们开发了一个员工管理系统，用于维持在一家老年护理院的专业尿失禁护理单元所取得的治疗成效。老年护理助理学会了使用定时排尿程序，以帮助4位老年居民保持改善后的干爽状态。该员工管理系统包括自我监测和记录定时排尿活动，以及基于这些活动的团队表现进行监督监测和反馈。结果表明，该系统在维持定时排尿活动以及相应地保持患者尿失禁状况改善方面是有效的。然而，在该系统启动4至5个月后，发现员工表现逐渐下降。在研究的后续阶段，提供个人反馈使员工表现恢复到先前水平。结合养老院环境中定时排尿干预措施的实用性以及员工管理系统在该环境中的适用性对结果进行了讨论。
