Spector Aimee, Revolta Catherine, Orrell Martin
Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
Int J Geriatr Psychiatry. 2016 Nov;31(11):1172-1187. doi: 10.1002/gps.4488. Epub 2016 May 9.
Caring for people with dementia can be emotionally challenging and is often linked to low job satisfaction and burnout in care staff. Staff training within care settings is potentially valuable in improving well-being and quality of care. This review aimed to (i) establish the impact of training on staff outcomes; (ii) compare the impact of different training approaches; (iii) explore the influence of training intensity; and (iv) explore potential barriers to success.
A database search of staff training interventions revealed 207 papers, 188 of which were excluded based on prespecified criteria. Nineteen studies were included and appraised using a quality rating tool.
Overall, the studies were found to be of variable quality; however, 16 studies found a significant change following training in at least one staff domain, with knowledge improving most frequently. Approaches focusing on managing challenging behaviours appeared to be the most effective.
Training staff can be an effective method of improving well-being, and programmes helping staff to manage challenging behaviour appear to be the most beneficial. There is no clear relationship between training intensity and outcome. Most studies point to the importance of addressing organisational factors as a barrier to change. Copyright © 2016 John Wiley & Sons, Ltd.
照顾痴呆症患者可能会带来情感挑战,且往往与护理人员的低工作满意度和职业倦怠有关。在护理机构内开展员工培训对于改善员工福祉和护理质量可能具有重要价值。本综述旨在:(i)确定培训对员工成果的影响;(ii)比较不同培训方法的影响;(iii)探讨培训强度的影响;以及(iv)探究成功的潜在障碍。
对员工培训干预措施进行数据库检索后得到207篇论文,其中188篇根据预先设定的标准被排除。纳入19项研究并使用质量评级工具进行评估。
总体而言,这些研究质量参差不齐;然而,16项研究发现,培训后至少在一个员工领域有显著变化,其中知识方面的改善最为常见。专注于管理具有挑战性的行为的方法似乎最为有效。
培训员工可能是改善福祉的有效方法,帮助员工管理具有挑战性的行为的方案似乎最有益。培训强度与结果之间没有明确的关系。大多数研究指出解决组织因素作为变革障碍的重要性。版权所有© 2016约翰威立父子有限公司。