Clinical Psychology Department, School of Health in Social Science, The University of Edinburgh, Edinburgh, UK.
Division of Psychiatry, University College London, London, UK.
Int J Older People Nurs. 2017 Sep;12(3). doi: 10.1111/opn.12147. Epub 2017 Feb 9.
To evaluate the impact of the CCSEP on care home staff in two care settings for older people in one nursing home and one residential home.
Care homes provide personal care and accommodation for older people. The English Dementia Strategy aims to improve the quality of service provision for people with dementia. This includes specific mention of improving the quality of life in care homes and as such includes objectives related to developing the workforce knowledge and skills. The Ladder to the Moon Culture Change Studio Engagement Programme (CCSEP) is a staff training approach based on the Positive Psychology framework that uses theatre- and film-based activities.
This study used a wait-list controlled design. However, the data analysis plan was amended to reflect difficulties in data collection, and a quasi-experimental case study approach was consequently utilised. Outcome measures for staff attitudes and beliefs were as follows: Sense of Competence in Dementia Care Staff; Approaches to Dementia Questionnaire; Job Satisfaction Index; Brief Learning Transfer System Inventory; and Scale of Positive and Negative Experience. The Quality of Interaction Schedule (QUIS) was used to observe changes in staff-resident interaction.
Fifty staff in two care homes completed the questionnaires and forty-one undertook formal CCSEP training. In Home A (nursing home), there was no significant change in any of the measures. In Home B (residential home), the QUIS showed an increase in positive interactions post intervention; a significant increase in the Building Relationship subscale of Sense of Competence; and a significant increase in staff sense of hopefulness towards people with dementia. The Brief Learning Transfer System Inventory showed a significant decrease post-intervention. The intervention did not significantly affect the happiness or job satisfaction of care home staff.
The results of this study provide tentative evidence about the efficacy of this staff training programme. Some significant improvement in staff attitudes to people with dementia, staff sense of competence and positive staff-resident interactions were found in one of two homes. It is likely that the organisational problems affecting the other care home limited the implementation and therefore efficacy of the intervention there. The results therefore suggest that when a supportive management structure is in place, CCSEP may be more effective in improving staff attitudes, sense of competence and interactions with residents.
评估 CCSEP 对一家养老院和一家养老院中为老年人提供护理的两家护理院工作人员的影响。
护理院为老年人提供个人护理和住宿。英国痴呆症战略旨在提高为痴呆症患者提供服务的质量。这包括特别提到改善护理院的生活质量，因此包括与发展员工知识和技能相关的目标。月球阶梯文化变革工作室参与计划（CCSEP）是一种基于积极心理学框架的员工培训方法，它使用戏剧和电影为基础的活动。
本研究采用等待名单对照设计。然而，数据分析计划进行了修改，以反映数据收集的困难，因此采用了准实验案例研究方法。员工态度和信念的结果测量如下：痴呆症护理人员的能力感；痴呆症方法问卷；工作满意度指数；简短学习转移系统清单；积极和消极经验量表。使用互动质量量表（QUIS）观察员工与居民互动的变化。
两家养老院的 50 名员工完成了问卷调查，41 名员工接受了正式的 CCSEP 培训。在 A 家（养老院），没有任何措施发生显著变化。在 B 家（养老院），QUIS 显示干预后积极互动增加；能力感的建立关系子量表显著增加；员工对痴呆症患者的希望感显著增加。干预后，简短学习转移系统清单显著减少。干预对养老院工作人员的幸福感或工作满意度没有显著影响。
这项研究的结果提供了关于这种员工培训计划疗效的初步证据。在两家养老院中的一家，发现员工对痴呆症患者的态度、员工的能力感和积极的员工与居民互动有了一些显著的改善。在另一家养老院，影响组织的问题很可能限制了干预的实施和因此的疗效。因此，研究结果表明，当有一个支持性的管理结构时，CCSEP 可能更有效地改善员工的态度、能力感和与居民的互动。
