학술논문

An evaluation of a consumer directed care training program for nursing home staff.
Document Type
Academic Journal
Author
McCabe M; Swinburne University of Technology; PO Box 218 (H95), Hawthorn VIC Australia 3122. Electronic address: mmccabe@swin.edu.au.; Beattie E; Queensland University of Technology; Building N, Kelvin Grove Campus, Kelvin Grove, QLD, Australia 4059.; Karantzas G; Deakin University; School of Psychology, 221 Burwood Highway, Burwood, VIC, Australia 3125.; Busija L; Monash University; Level 4, 553 St Kilda Road, Melbourne, VIC, Australia 3004.; Mellor D; Deakin University; School of Psychology, 221 Burwood Highway, Burwood, VIC Australia 3125.; von Treuer K; Cairnmillar Institute; 391-393 Tooronga Road, Hawthorn East, VIC, Australia 3123.; Goodenough B; Dementia Training Australia; Building 232 (Mike Codd), University of Wollongong, Innovation Campus, Squires Way, North Wollongong, NSW, Australia 2522.; Bennett M; Australian Catholic University; PO Box 968, North Sydney, NSW, Australia 2059.; Byers J; Swinburne University of Technology; PO Box 218 (H95), Hawthorn, VIC, Australia 3122.
Source
Publisher: Mosby-Yearbook Country of Publication: United States NLM ID: 8309633 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1528-3984 (Electronic) Linking ISSN: 01974572 NLM ISO Abbreviation: Geriatr Nurs
Subject
Language
English
Abstract
Objectives: This study evaluated a training program to support the delivery of consumer directed care (CDC). It was hypothesized that both interventions, compared to the control condition, would demonstrate increased levels of CDC in nursing homes, increased staff practice of CDC, and improved resident QoL. The training plus support group was expected to show greater gains, compared to the training only group.
Materials and Methods: In a cluster RCT design, 33 nursing homes were randomly allocated to one of three conditions: training plus support, training only, and care as usual. Outcome measures included level of CDC within each home, staff practice of CDC, and resident QoL.
Results and Discussion: Hypotheses for this study were partially supported. Nursing homes became more CDC-oriented but with minimal changes in staff practice of CDC. Resident QoL also demonstrated limited change. The findings are discussed in terms of organizational barriers to change within nursing homes.
Competing Interests: Declaration of Competing Interest We have no conflict of interest to declare.
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