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澳大利亚痴呆症行为管理咨询服务中的知识与技能评估(KASA)工具:开发与初步测试

The Knowledge and Skills Assessment (KASA) tool in the Australian Dementia Behaviour Management Advisory Service: development and initial testing.

作者信息

Arnautovska Urska, Robleda Sofia, Jackson Jeanette, Pachana Nancy A

机构信息

School of Psychology,The University of Queensland,Brisbane 4072,Australia.

Dementia Behaviour Management and Advisory Service,Alzheimer's Australia,Wolloongabba 4012,Australia.

出版信息

Int Psychogeriatr. 2016 May;28(5):833-44. doi: 10.1017/S1041610215002070. Epub 2016 Jan 6.

Abstract

BACKGROUND

As the global population ages, it is important that the professional care workforce is well prepared to support the needs of people with dementia. In Australia, the Dementia Behaviour Management Advisory Service (DBMAS) supports people with dementia and their carers through an interdisciplinary team approach. To provide DBMAS Behaviour Consultants with a tool to guide them in their professional development, this project aimed to develop a self-assessment tool to enable self-reflection on clinical competencies required for working in the service and identification of areas where further development would be required.

METHODS

A multi-stage process was applied in the development of the tool, including review of the relevant literature and focus groups with DBMAS Behaviour Consultants and Team Leaders. The tool encompasses both skills and knowledge in working with people with dementia and caregivers. A pilot study including 14 DBMAS consultants was conducted to assess the utility of the measure and ensure variability of ratings across knowledge and skill areas relative to time working in DBMAS.

RESULTS

The Knowledge and Skills Assessment (KASA) was developed and is now used in DBMAS service both with novice Behaviour Consultants and more experienced staff, and is also being used as an on-line version, accompanied with case vignettes.

CONCLUSIONS

The KASA provides a valuable self-assessment tool for professional care staff working in dementia care, but would nevertheless still warrant further testing of its psychometric characteristics.

摘要

背景

随着全球人口老龄化,专业护理人员做好充分准备以满足痴呆症患者的需求至关重要。在澳大利亚,痴呆症行为管理咨询服务(DBMAS)通过跨学科团队方法为痴呆症患者及其护理人员提供支持。为了给DBMAS行为顾问提供一种指导其职业发展的工具,本项目旨在开发一种自我评估工具,以便对在该服务机构工作所需的临床能力进行自我反思,并确定需要进一步发展的领域。

方法

在工具开发过程中采用了多阶段流程,包括查阅相关文献以及与DBMAS行为顾问和团队领导进行焦点小组讨论。该工具涵盖了与痴呆症患者及护理人员打交道的技能和知识。开展了一项包括14名DBMAS顾问的试点研究,以评估该测量工具的效用,并确保在知识和技能领域的评分相对于在DBMAS工作的时间存在差异。

结果

知识与技能评估工具(KASA)已开发出来,目前在DBMAS服务机构中供新手行为顾问和经验更丰富的员工使用,并且也以在线版本的形式使用,同时配有案例 vignettes。

结论

KASA为从事痴呆症护理工作的专业护理人员提供了一种有价值的自我评估工具,但仍需对其心理测量特性进行进一步测试。

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