验证方法培训：护士的工作环境体验和评价。
Validation method training: nurses' experiences and ratings of work climate.
机构信息
Department of Health Care Sciences, Ersta Sköndal University College, Stockholm, Sweden; Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
出版信息
Int J Older People Nurs. 2014 Mar;9(1):79-89. doi: 10.1111/opn.12027. Epub 2013 Apr 22.
BACKGROUND
Training nursing staff in communication skills can impact on the quality of care for residents with dementia and contributes to nurses' job satisfaction. Changing attitudes and practices takes time and energy and can affect the entire nursing staff, not just the nurses directly involved in a training programme. Therefore, it seems important to study nurses' experiences of a training programme and any influence of the programme on work climate among the entire nursing staff.
AIMS AND OBJECTIVES
To explore nurses' experiences of a 1-year validation method training programme conducted in a nursing home for residents with dementia and to describe ratings of work climate before and after the programme.
DESIGN
A mixed-methods approach.
METHODS
Twelve nurses participated in the training and were interviewed afterwards. These individual interviews were tape-recorded and transcribed, then analysed using qualitative content analysis. The Creative Climate Questionnaire was administered before (n = 53) and after (n = 56) the programme to the entire nursing staff in the participating nursing home wards and analysed with descriptive statistics.
RESULTS
Analysis of the interviews resulted in four categories: being under extra strain, sharing experiences, improving confidence in care situations and feeling uncertain about continuing the validation method. The results of the questionnaire on work climate showed higher mean values in the assessment after the programme had ended.
CONCLUSION
The training strengthened the participating nurses in caring for residents with dementia, but posed an extra strain on them. These nurses also described an extra strain on the entire nursing staff that was not reflected in the results from the questionnaire. The work climate at the nursing home wards might have made it easier to conduct this extensive training programme.
IMPLICATIONS FOR PRACTICE
Training in the validation method could develop nurses' communication skills and improve their handling of complex care situations.
背景
培训护理人员的沟通技巧可以提高痴呆症患者的护理质量，并提高护士的工作满意度。改变态度和实践需要时间和精力，并且可能会影响整个护理团队，而不仅仅是直接参与培训计划的护士。因此，研究护士对培训计划的经验以及该计划对整个护理团队工作氛围的任何影响似乎很重要。
目的和目标
探讨在一家痴呆症养老院中进行为期 1 年的验证方法培训计划中护士的经验，并描述计划前后的工作氛围评分。
设计
混合方法研究。
方法
12 名护士参加了培训，并在培训后接受了采访。这些个人访谈进行了录音和转录，然后使用定性内容分析进行了分析。在参与的养老院病房中，在培训前后（n = 53）和（n = 56）对整个护理团队使用了创意气候问卷进行了管理，并使用描述性统计进行了分析。
结果
对访谈的分析得出了四个类别：额外压力、分享经验、增强护理情况的信心和对继续验证方法感到不确定。工作氛围问卷的结果表明，计划结束后评估的平均值更高。
结论
培训增强了参与护士照顾痴呆症患者的能力，但对他们造成了额外的压力。这些护士还描述了整个护理团队的额外压力，但这并没有反映在问卷的结果中。养老院病房的工作氛围可能使进行这种广泛的培训计划变得更加容易。
实践意义
验证方法的培训可以发展护士的沟通技巧，并提高他们处理复杂护理情况的能力。
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