Using an Interactive Video Simulator to Improve Certified Nursing Assistants' Dressing Assistance and Nursing Home Residents' Dressing Performance: A Pilot Study.
Using an Interactive Video Simulator to Improve Certified Nursing Assistants' Dressing Assistance and Nursing Home Residents' Dressing Performance: A Pilot Study.
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DOI：
10.1097/cin.0000000000000415
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发表时间：
2018-04
期刊：
影响因子：
--
通讯作者：
Adair S
中科院分区：
文献类型：
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作者：
Tsai PF;Kitch S;Beck C;Jakobs T;Rettiganti M;Jordan K;Jakobs E;Adair S
本试点研究探讨了初始效果和估计的效果大小的基于计算机的模拟教育程序认证的护理助理的援助水平时，穿着养老院居民痴呆症，居民的穿衣性能。九个二人组，分配到实验组或控制组，完成了研究。两组都接受了由研究助理提供的传统的1小时教育模块。然后，实验组被指示进行额外的2小时的干预，使用视频模拟器，使护理助理实践水平的援助技能。在干预前和干预后6周，测量护理助理协助穿衣的适当性和住院医师的穿衣表现。结果表明，两组在适当的穿衣辅助水平（p= 0.36）或居民的穿衣表现（p= 0.25）方面没有显著差异。一些助理缺乏适当帮助居民的努力和低统计能力可能解释了缺乏意义。实验干预对适当水平的穿衣援助和居民穿衣表现的影响大小分别为0.69和0.89。在未来的研究中，应考虑制定一项提高动机的策略。
This pilot study examined the initial effects and estimated effect size of a computer-based simulation education program on certified nursing assistants’ level of assistance when dressing nursing home residents with dementia, and on residents’ dressing performance. Nine dyads, assigned to either the experimental or control group, completed the study. Both groups received a traditional 1-hour education module delivered by a research assistant. The experimental group was then instructed to undertake an additional 2-hour intervention using a video simulator that enabled nursing assistants to practice level of assistance skills. The appropriateness of dressing assistance from nursing assistants and residents’ dressing performance were measured before and 6 weeks after the intervention. The results showed that the two groups did not significantly differ in either appropriate levels of dressing assistance (p=.36) or residents’ dressing performance (p=.25). A lack of effort by some assistants to properly assist residents and low statistical power may explain the lack of significance. The effect sizes of the experimental intervention on appropriate levels of dressing assistance and resident dressing performance were .69 and .89, respectively. Incorporating a strategy to improve motivation should be considered in future studies.