Evaluation of an educational program for long-term care nursing assistants
| Autor: | Terri L. Maxwell, Susan M. Parks, Christopher J. Haines, Diane Foreman, Elizabeth McKinstry |
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| Rok vydání: | 2005 |
| Předmět: |
Health Knowledge
Attitudes Practice Educational measurement Inservice Training Palliative care Allied Health Personnel Pilot Projects Nursing Intervention (counseling) Humans Medicine General Nursing Philadelphia Social work business.industry Health Policy Knowledge level Palliative Care Long-Term Care Nursing General Medicine Nursing Homes Dementia Nursing Staff Educational Measurement Geriatrics and Gerontology business End-of-life care Educational program Follow-Up Studies |
| Zdroj: | Journal of the American Medical Directors Association. 6:61-65 |
| ISSN: | 1525-8610 |
| DOI: | 10.1016/j.jamda.2004.12.001 |
| Popis: | Objectives To determine if an educational program can improve knowledge and attitude among ancillary staff on end-of-life care issues in a long-term care facility. Design A pilot study using a pre- and post-test design prior to and at the completion of an education intervention. Setting A long-term care facility in suburban Philadelphia that has 150 assisted living beds and 53 nursing home beds. Participants Long-term care ancillary staff including certified nursing assistants (called “care managers” at this facility), social workers, recreational therapists, and food service workers. Intervention The intervention was a novel educational program consisting of five in-service lectures with accompanying take home self-study modules for ancillary staff in long-term care entitled “Dignity in Dementia™” Measurements Ancillary staff attitudes and knowledge on end-of-life issues in dementia were assessed with a knowledge and attitude questionnaire pre- and post-intervention. One-year follow-up questionnaires were administered to assess long-term maintenance of knowledge and attitude changes. Results Thirty-two ancillary staff completed the pre-intervention questionnaires. Twenty-nine ancillary staff completed the post-intervention questionnaires (90.6%). There was a significant change in the end-of-life knowledge level of the ancillary staff (P =.0270). Specifically, there was a significant change in one question dealing with dementia as a terminal disease (P = .006). There were also significant changes in the average attitude scores of the ancillary staff. (P = .0242). One-year follow-up revealed that both knowledge and attitude changes were maintained. Conclusions This pilot project demonstrates that a staff educational program on end-of-life care for dementia residents can improve end-of-life knowledge and attitudes among long-term care ancillary staff and that this improvement can be maintained for up to 1 year. This intervention is easily reproducible in the long-term care setting. This project is an important step in helping improve end-of-life care for dementia residents in long-term care settings by improving the knowledge and attitudes of their caregivers. |
| Databáze: | OpenAIRE |
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