Network Aging Research, Heidelberg University, Heidelberg, Germany.
Institute of Gerontology, Heidelberg University, Heidelberg, Germany.
J Alzheimers Dis. 2021;84(4):1631-1644. doi: 10.3233/JAD-210505.
Entering the hospital via an Emergency Department (ED) is a pivotal moment in the life of People with Dementia (PwD) and often starts an avoidable downward spiral. Therefore, it is required to further educate ED staff to raise awareness of the needs of PwD. Although there are many studies about existing dementia training programs for the hospital setting, empirical evidence for the ED setting and cross-level training evaluations are lacking.
The study aims to evaluate a two-day dementia training course for ED staff on the outcome levels of learning, individual performance, and organizational performance. Furthermore, the study examines whether the training fulfilled participants' expectations.
Mixed methods were used to assess data from head nurses, nursing, and administrative staff working in EDs. We conducted semi-structured interviews three weeks before (N = 18) and eight months after (N = 9) the training. Questionnaire data were assessed before the training, three months, and six months after the training (N = 44). A qualitative content analysis was conducted to analyze qualitative data; quantitative data was described descriptively.
The intervention seems to be effective on both learning and individual performance levels. However, we did not observe any changes in the organizational performance. The training program met attendees' expectations only partly. The working environment of EDs needs to be taken more into account.
Hospital staffs' expectations of a dementia training program depend on the work area in which they operate. Results support the implementation of intervention bundles to enable sustainable cross-level changes.
通过急诊部（ED）入院是痴呆患者（PwD）生活中的一个关键时刻，往往会开始一场可避免的恶性循环。因此，需要进一步教育 ED 工作人员，提高他们对 PwD 需求的认识。尽管有许多关于医院环境中现有痴呆症培训计划的研究，但缺乏 ED 环境和跨层次培训评估的实证证据。
本研究旨在评估针对 ED 工作人员的为期两天的痴呆症培训课程在学习、个人绩效和组织绩效方面的效果。此外，研究还考察了培训是否满足了参与者的期望。
混合方法用于评估在 ED 工作的护士长、护理和行政人员的数据。我们在培训前（N=18）和培训后八周（N=9）进行了半结构化访谈。在培训前、三个月和六个月后（N=44）评估问卷调查数据。对定性数据进行了定性内容分析；对定量数据进行了描述性描述。
干预措施似乎在学习和个人绩效水平上都有效。然而，我们没有观察到组织绩效的任何变化。培训计划只部分满足了与会者的期望。ED 的工作环境需要更多地考虑。
医院工作人员对痴呆症培训计划的期望取决于他们所在的工作领域。结果支持实施干预措施，以实现可持续的跨层次变革。
