Cohen-Mansfield J, Werner P, Culpepper W J, Barkley D
Research Institute, Hebrew Home of Greater Washington, Rockville, MD 20852, USA.
J Gerontol Nurs. 1997 Oct;23(10):40-7. doi: 10.3928/0098-9134-19971001-11.
This study assessed the impact of an inservice training program in four nursing homes on nursing staff's knowledge of dementia, pacing/wandering behavior and management strategies, staff satisfaction, and their perceptions of work difficulty and quality of care. Additionally, unit-level behavioral observations of agitated behavior and the nature of resident interactions with staff members and other residents were also performed to assess whether changes in nursing staff's knowledge impacted the residents or interactions with the residents. Analyses revealed that quiz scores were significantly improved immediately following the inservice program as compared to pretest but returned to near pretest levels at the 1-month follow-up. Additionally, nursing staff reported that residents were allowed to pace/wander to a greater extent at follow-up compared to pretest. Methods for improving the effectiveness of inservice training are discussed.
本研究评估了一项在职培训项目在四家养老院对护理人员痴呆症知识、踱步/徘徊行为及管理策略、员工满意度，以及他们对工作难度和护理质量看法的影响。此外，还对激越行为进行了科室层面的行为观察，并观察了居民与工作人员及其他居民互动的性质，以评估护理人员知识的变化是否对居民或与居民的互动产生影响。分析表明，与预测试相比，在职培训项目结束后测验分数立即显著提高，但在1个月随访时恢复到接近预测试的水平。此外，护理人员报告称，与预测试相比，随访时居民被允许更大程度地踱步/徘徊。本文讨论了提高在职培训有效性的方法。
