Elvish Ruth, Burrow Simon, Cawley Rosanne, Harney Kathryn, Pilling Mark, Gregory Julie, Keady John
University of Manchester, UK.
University of Liverpool, UK.
Dementia (London). 2018 Jan;17(1):96-109. doi: 10.1177/1471301216634926. Epub 2016 Feb 27.
Objectives The aims were to evaluate a second phase roll-out of a dementia care training programme for general hospital staff and to further develop two outcome scales: the Confidence in Dementia scale for measuring confidence in working with people with dementia and the Knowledge in Dementia scale for measuring knowledge in dementia. Method Following a 'training the trainers' phase, the study involved the delivery of the 'Getting to Know Me' training programme to a large number of staff (n = 517) across three National Health Service (NHS) Trusts situated in North-West England. The impact of the programme was evaluated using a pre-post design which explored: (i) changes in confidence in dementia, (ii) changes in knowledge in dementia, and (iii) changes in beliefs about behaviours that challenge. Results Statistically significant change was identified between pre-post training on all outcome measures (Confidence in Dementia: eight point increase, p < 0.001; Knowledge in Dementia: two point increase p < 0.001; controllability beliefs scale: four point decrease, p < 0.001). Medium to large effect sizes were demonstrated on all outcome measures. The psychometric properties of the Confidence in Dementia and Knowledge in Dementia scales are reported. Conclusion Staff knowledge in dementia and confidence in working with people with dementia significantly increased following attendance at the training sessions. The findings are consistent with preliminary findings and strengthen current knowledge about the impact of dementia care training in general hospitals. The Confidence in Dementia and Knowledge in Dementia scales continue to demonstrate psychometrically sound properties and demonstrate utility in the field of dementia research.
目标 旨在评估针对综合医院工作人员的痴呆症护理培训计划的第二阶段推广，并进一步开发两个结果量表：用于衡量与痴呆症患者合作信心的痴呆症信心量表，以及用于衡量痴呆症知识的痴呆症知识量表。方法 在“培训培训师”阶段之后，该研究涉及向位于英格兰西北部的三个国民健康服务（NHS）信托机构的大量工作人员（n = 517）提供“了解我”培训计划。使用前后设计评估该计划的影响，该设计探讨了：（i）痴呆症信心的变化，（ii）痴呆症知识的变化，以及（iii）对具有挑战性的行为的信念变化。结果 在所有结果测量的培训前后均发现有统计学意义的变化（痴呆症信心：增加8分，p <0.001；痴呆症知识：增加2分，p <0.001；可控性信念量表：减少4分，p <0.001）。在所有结果测量中均显示出中等到大的效应量。报告了痴呆症信心量表和痴呆症知识量表的心理测量特性。结论 参加培训课程后，工作人员的痴呆症知识和与痴呆症患者合作的信心显著提高。这些发现与初步发现一致，并加强了目前关于综合医院痴呆症护理培训影响的知识。痴呆症信心量表和痴呆症知识量表继续显示出心理测量上的良好特性，并在痴呆症研究领域显示出实用性。
