Luz Clare C, Hanson Katherine V, Hao Yuning, Spurgeon Elizabeth
Department of Family Medicine, Michigan State University, East Lansing, MI, USA.
Department of Statistics and Probability, Michigan State University, East Lansing, MI, USA.
J Patient Exp. 2018 Mar;5(1):56-62. doi: 10.1177/2374373517724349. Epub 2017 Aug 30.
The rapidly aging US population is resulting in major challenges including delivering quality care at lower costs in the face of a critical health-care workforce shortage. The movement toward home care has dramatically increased the need for qualified, paid personal care aides (PCAs). Adequate PCA training that focuses on skills for person-centered, at home support is an imperative. This study provides evidence that clients of PCAs who have completed a comprehensive, evidence-based PCA training program, titled Building Training…Building Quality (BTBQ), report higher satisfaction and better health outcomes, compared to clients of PCAs with lesser or other training.
A mixed-methods, quasi-experimental design was used to compare self-reported survey responses from clients of BTBQ-trained PCAs (treatment group) with responses from clients of non-BTBQ-trained PCAs (control group).
Clients of BTBQ-trained PCAs had significantly fewer falls and emergency department visits compared to clients whose PCAs had no BTBQ training ( < .05). Conclusion: BTBQ-like PCA training reduces costly adverse events.
美国人口的迅速老龄化带来了重大挑战，包括在医疗保健劳动力严重短缺的情况下以较低成本提供高质量护理。向家庭护理的转变极大地增加了对合格的、有薪酬的个人护理助理（PCA）的需求。提供以居家支持的以人为本技能为重点的充分PCA培训势在必行。本研究提供的证据表明，与接受较少培训或其他培训的PCA的客户相比，完成了一个名为“构建培训……构建质量”（BTBQ）的全面、循证PCA培训项目的PCA的客户报告了更高的满意度和更好的健康结果。
采用混合方法、准实验设计，将接受BTBQ培训的PCA的客户（治疗组）的自我报告调查回复与未接受BTBQ培训的PCA的客户（对照组）的回复进行比较。
与PCA未接受BTBQ培训的客户相比，接受BTBQ培训的PCA的客户跌倒和急诊就诊次数显著减少（P<0.05）。结论：类似BTBQ的PCA培训可减少代价高昂的不良事件。
