Klein Buendel Inc., Golden, Colorado, USA.
Ross and Carol Nese College of Nursing, The Pennsylvania State University, University Park, Pennsylvania, USA.
Int J Prison Health. 2022 Jun 2;18(2):185-199. doi: 10.1108/IJPH-08-2021-0078. Epub 2022 Mar 29.
The purpose of this study is to continue research and development of the ECAD-P learning system with an emphasis on developing a scalable unit for testing in a larger number of more diverse correctional settings. There are almost 2.3 million US persons incarcerated. Geriatric and end-of-life (EOL) care in corrections is not as equitable as care in the free world. Technological delivery of geriatric training to staff through computer-based learning (CBL) offers a novel approach to improve care and reduce disparities among those who are most vulnerable during confinement.
DESIGN/METHODOLOGY/APPROACH: This mixed methods study built an interactive CBL for multidisciplinary staff to address EOL and geriatric issues in prisons. The CBL was iteratively built and tested prior to launching a full-scale evaluation using a pre/post-intervention design.
Evaluation of the CBL occurred at 7 sites (i.e. 6 state prisons and 1 prison health-care vendor). A total of 241 staff were recruited with 173 completing post-tests. Outcomes were knowledge acquisition regarding care for aging and dying incarcerated persons (i.e. cognitive measure) and attitudes, motivations and values for providing care (i.e. affective measure). Cognitive and affective post-tests were significantly better than at pre-test (all ps < 0.01). ANCOVAs revealed no significant differences for sex or ethnicity.
ORIGINALITY/VALUE: Outcomes reveal that the CBL is acceptable, feasible and usable in corrections. Staff improved their knowledge after receiving the training. Correctional settings face increasing pressures to better address the health care and management needs of aged, chronically ill and dying incarcerated persons. This e-learning holds promise to contribute to better preparation of corrections staff to effectively care for these populations.
本研究的目的是继续开发 ECAD-P 学习系统的研究和开发，重点是开发一个可扩展的单元，以便在更多不同的矫正环境中进行测试。美国有近 230 万人被监禁。惩教机构中的老年和临终关怀（EOL）护理不如自由世界的护理公平。通过计算机为工作人员提供基于技术的老年培训（CBL）是一种改善护理的新方法，可以减少在监禁期间最脆弱人群之间的差异。
设计/方法/方法：这项混合方法研究为多学科工作人员构建了一个互动式 CBL，以解决监狱中的 EOL 和老年问题。在使用前后干预设计进行全面评估之前，对 CBL 进行了迭代构建和测试。
在 7 个地点（即 6 个州立监狱和 1 个监狱医疗保健供应商）评估了 CBL。共招募了 241 名工作人员，其中 173 名完成了后测。评估结果为针对衰老和垂死囚犯的护理知识获取（即认知测量）以及提供护理的态度、动机和价值观（即情感测量）。认知和情感后测均明显优于前测（所有 ps <0.01）。方差分析显示，性别或种族没有显著差异。
原创性/价值：研究结果表明，CBL 在惩教机构中是可接受、可行和可用的。工作人员在接受培训后提高了他们的知识。惩教机构面临越来越大的压力，需要更好地满足老年、慢性疾病和垂死囚犯的医疗保健和管理需求。这种电子学习有望为更好地培训惩教人员有效地照顾这些人群做出贡献。
