Rokstad Anne Marie Mork, Døble Betty Sandvik, Engedal Knut, Kirkevold Øyvind, Benth Jūratė Šaltytė, Selbaek Geir
Norwegian National Advisory Unit on Ageing and Health, Vestfold Health Trust, Tønsberg, Norway.
Faculty of Health Sciences and Social Care, Molde University College, Molde, Norway.
Int J Older People Nurs. 2017 Jun;12(2). doi: 10.1111/opn.12139. Epub 2016 Nov 20.
The objective of the study was to evaluate the impact of the Dementia ABC educational programme on the participants' competence in person-centred care and on their level of job satisfaction.
The development of person-centred care for people with dementia is highly recommended, and staff training that enhances such an approach may positively influence job satisfaction and the possibility of recruiting and retaining competent care staff.
The study is a longitudinal survey, following participants over a period of 24 months with a 6-month follow-up after completion of the programme.
A total of 1,795 participants from 90 municipalities in Norway are included, and 580 from 52 municipalities completed all measurements. The person-centred care assessment tool (P-CAT) is used to evaluate person-centredness. The psychosocial workplace environment and job satisfaction questionnaire is used to investigate job satisfaction. Measurements are made at baseline, and after 12, 24 and 30 months.
A statistically significant increase in the mean P-CAT subscore of person-centred practice and the P-CAT total score is found at 12, 24 and 30 months compared to baseline. A statistically significant decrease in scores in the P-CAT subscore for organisational support is found at all points of measurement compared to baseline. Statistically significant increases in satisfaction with workload, personal and professional development, demands balanced with qualifications and variation in job tasks as elements of job satisfaction are reported.
The evaluation of the Dementia ABC educational programme identifies statistically significant increases in scores of person-centredness and job satisfaction, indicating that the training has a positive impact.
The results indicate that a multicomponent training programme including written material, multidisciplinary reflection groups and workshops has a positive impact on the development of person-centred care practice and the job satisfaction of care staff.
本研究的目的是评估痴呆症ABC教育项目对参与者以人为主的护理能力以及工作满意度的影响。
强烈建议为痴呆症患者开展以人为主的护理，而加强这种护理方式的员工培训可能会对工作满意度以及招聘和留住称职护理人员的可能性产生积极影响。
本研究为纵向调查，对参与者进行为期24个月的跟踪，并在项目完成后进行6个月的随访。
纳入了挪威90个市镇的1795名参与者，其中来自52个市镇的580人完成了所有测量。使用以人为主的护理评估工具（P-CAT）来评估以人为主的程度。使用心理社会工作场所环境和工作满意度问卷来调查工作满意度。在基线时以及12、24和30个月后进行测量。
与基线相比，在12、24和30个月时，以人为主的实践的平均P-CAT子分数和P-CAT总分有统计学意义的显著增加。与基线相比，在所有测量点上，组织支持的P-CAT子分数得分有统计学意义的显著下降。报告显示，作为工作满意度要素的工作量、个人和职业发展、需求与资质平衡以及工作任务多样性方面的满意度有统计学意义的显著增加。
对痴呆症ABC教育项目的评估表明，以人为主的程度和工作满意度得分有统计学意义的显著增加，表明该培训有积极影响。
结果表明，包括书面材料、多学科反思小组和研讨会在内的多组分培训项目对以人为主的护理实践发展和护理人员的工作满意度有积极影响。
