Wharrad Heather, Sarre Sophie, Schneider Justine, Maben Jill, Aldus Clare, Argyle Elaine, Arthur Anthony
School of Health Sciences, University of Nottingham, Nottingham, NG7 2HA, UK.
School of Nursing, Midwifery and Palliative Care, King's College, London, UK.
BMC Health Serv Res. 2020 Nov 4;20(1):1010. doi: 10.1186/s12913-020-05836-9.
'Older People's Shoes' is a training intervention designed for healthcare assistants (HCAs) to improve the relational care of older people in hospital. The intervention formed part of a broader evaluation, in this paper we describe its development from a learning design and methodological perspective.
Learning theory and an instructional design model were key components of the In-PREP (Input, Process, Review and Evaluation, Product) development methodology used in the design of the 'Older People's Shoes' training intervention to improve the delivery of relational care by front-line hospital staff. An expert panel, current evidence, and pedagogical theory were used to co-design a training programme tailored to a challenging work environment and taking account of trainees' diverse educational experience. Peer review and process evaluation were built into the development model.
In-PREP provided a methodological scaffold for producing evidence-based, peer-reviewed, co-designed training. The product, 'Older People's Shoes', involved a one-day Train the Trainers event, followed by delivery of a two-day, face-to-face training programme by the trainers, with accompanying handbooks underpinned by a range of digital resources. Evaluation found the approach met learner needs, was applicable in practice and won approval from trainers.
In-PREP enables high quality learning content, alignment with learner needs and a product that is relevant, practical and straightforward to implement.
“老年人之鞋”是一项为医疗保健助理（HCAs）设计的培训干预措施，旨在改善医院中对老年人的关系性护理。该干预措施是一项更广泛评估的一部分，在本文中，我们从学习设计和方法学的角度描述其发展过程。
学习理论和教学设计模型是In-PREP（输入、过程、回顾与评估、产品）开发方法的关键组成部分，该方法用于设计“老年人之鞋”培训干预措施，以改善一线医院工作人员提供关系性护理的情况。一个专家小组、现有证据和教学理论被用于共同设计一个针对具有挑战性的工作环境并考虑到学员不同教育背景的培训项目。同行评审和过程评估被纳入到开发模型中。
In-PREP为制作基于证据、经过同行评审且共同设计的培训提供了一个方法框架。产品“老年人之鞋”包括一个为期一天的培训师培训活动，随后由培训师开展为期两天的面对面培训项目，并配有一系列数字资源支持的手册。评估发现该方法满足了学习者的需求，适用于实践并获得了培训师的认可。
In-PREP能够提供高质量的学习内容，与学习者的需求相契合，并且产生一个相关、实用且易于实施的产品。
