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“了解我”:一项旨在提高综合医院环境中痴呆症患者护理技能的培训项目的开发与评估

'Getting to Know Me': the development and evaluation of a training programme for enhancing skills in the care of people with dementia in general hospital settings.

作者信息

Elvish Ruth, Burrow Simon, Cawley Rosanne, Harney Kathryn, Graham Pat, Pilling Mark, Gregory Julie, Roach Pamela, Fossey Jane, Keady John

机构信息

a School of Nursing, Midwifery, and Social Work , University of Manchester , Manchester , UK.

出版信息

Aging Ment Health. 2014 May;18(4):481-8. doi: 10.1080/13607863.2013.856860. Epub 2013 Dec 12.

Abstract

OBJECTIVE

The aims of the study were to report on the development and evaluation of a staff training intervention in dementia care designed for use in the general hospital setting: the 'Getting to Know Me' training programme. The study also aimed to undertake initial psychometric analysis on two new outcome scales designed to measure knowledge and confidence in dementia care.

METHODS

The study comprised two phases. The first phase comprised the design of two questionnaires which are shared within this paper: Confidence in Dementia (CODE) Scale and Knowledge in Dementia (KIDE) Scale. In phase two, staff undertook the 'Getting to Know Me' training programme (n=71). The impact of the programme was evaluated using a pre-post design which explored: (1) changes in confidence in dementia; (2) changes in knowledge in dementia; and (3) changes in beliefs about challenging behaviour.

RESULTS

The psychometric properties of the CODE and KIDE scales are reported. Statistically significant change was identified pre-post training on all outcome measures. Clinically meaningful change was demonstrated on the CODE scale.

CONCLUSIONS

The 'Getting to Know Me' programme was well received and had a significant impact on staff knowledge and confidence. Our findings add to a growing evidence base which will be strengthened by further robust studies, the exploration of the impact of staff training on direct patient outcomes, and further identification of ways in which to transfer principles of care from specialist dementia environments into general hospital settings.

摘要

目的

本研究旨在报告一项为综合医院环境设计的痴呆症护理员工培训干预措施(“了解我”培训项目)的开发与评估情况。该研究还旨在对旨在衡量痴呆症护理知识和信心的两个新的结果量表进行初步的心理测量分析。

方法

本研究包括两个阶段。第一阶段包括设计两个在本文中共享的问卷:痴呆症信心(CODE)量表和痴呆症知识(KIDE)量表。在第二阶段,员工参加了“了解我”培训项目(n = 71)。使用前后设计对该项目的影响进行评估,该设计探讨了:(1)痴呆症信心的变化;(2)痴呆症知识的变化;(3)对具有挑战性的行为的信念变化。

结果

报告了CODE和KIDE量表的心理测量特性。在所有结果测量指标上,培训前后均发现有统计学意义的变化。在CODE量表上显示出具有临床意义的变化。

结论

“了解我”项目受到好评,对员工的知识和信心产生了重大影响。我们的研究结果增加了越来越多的证据基础,通过进一步的有力研究、探索员工培训对直接患者结果影响以及进一步确定将痴呆症专科护理原则转移到综合医院环境的方法,这一证据基础将得到加强。

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