Smith M, Mitchell S, Buckwalter K C
Abbe Center for Community Mental Health, Cedar Rapids, Iowa, USA.
J Psychosoc Nurs Ment Health Serv. 1995 Apr;33(4):38-42. doi: 10.3928/0279-3695-19950401-09.
The prevalence of psychiatric disorders and behavioral disturbances among nursing home residents, combined with observed deficits in geriatric mental health/illness expertise among LTC staff, supports the need for creative approaches to improve the knowledge, understanding, and management of such problems among LTC providers. The train-the-trainer model described in this article proved to be a viable method to providing geriatric mental health consultation and training that targets both improved quality of life for residents and quality of work life for the staff in charge of residents' care. More collaborative efforts among nursing specialists, subspecialists, and generalists are needed to empower those who work in LTC to utilize strengths and abilities inherent to their positions. Nursing homes nurses, who are all too familiar with the problems and challenges of their patient population, may act not only as mental health trainers but also as resource persons, role models, liaisons with geropsychiatric specialists, and leaders in the application of geropsychiatric care principles to residents within their facility, thus promoting improved resident and staff care alike.
疗养院居民中精神疾病和行为障碍的患病率，加上长期护理机构工作人员在老年心理健康/疾病专业知识方面存在的明显不足，这表明需要采用创新方法，以提高长期护理服务提供者对这类问题的认识、理解和管理能力。本文所述的培训培训师模式被证明是一种可行的方法，可为老年心理健康咨询和培训提供支持，目标是改善居民的生活质量以及负责居民护理的工作人员的工作生活质量。护理专科医生、亚专科医生和全科医生之间需要更多的协作努力，以使长期护理机构的工作人员能够充分发挥其岗位所固有的优势和能力。疗养院护士对其患者群体的问题和挑战再熟悉不过了，他们不仅可以充当心理健康培训师，还可以成为资源提供者、榜样、与老年精神科专家的联络人，以及在其机构内向居民应用老年精神科护理原则的领导者，从而促进居民护理和工作人员护理水平的提高。
