An Internet Training to Reduce Assaults in Long-Term Care
An Internet Training to Reduce Assaults in Long-Term Care
复制标题
DOI：
10.1016/j.gerinurse.2011.10.004
复制
发表时间：
2012-01-01
影响因子：
2.7
通讯作者：
Bourgeois, Michelle
中科院分区：
文献类型：
--
作者：
Irvine, Blair;Billow, Molly B.;Bourgeois, Michelle
在长期住宿护理机构（LTCs）中，居民对护理人员的身体和言语攻击并不罕见。本研究评估了一种旨在教授护理助理（NAs）处理攻击性住院患者行为的策略的网络培训。6个LTCs随机分为即时治疗（IT）和延迟治疗（DT）设计，并在每个设计中招募NAs （IT: n = 58； DT; n = 45）。治疗包括每周两次访问在线培训。硬拷贝评估收集了参与者在基线（T1）、8周（T2）和16周（T3）时的反应。DT组在T2后观看节目。层次线性模型显示，在T2时，知识水平存在显著的组间差异，在T3时保持这一水平。IT组每天报告的攻击性事件数量在T2时不显著，但从Ti到T3显著减少，效应量很大。该程序受到了用户的好评。这些结果表明，互联网培训是减少LTCs攻击的有效工具，并且随着时间的推移，培训效果可能会随着NAs使用技术的经验而改善。（老年护理2012；33:28-40）
Physical and verbal assaults by residents on care staff are not uncommon in long-term residential care facilities (LTCs). This research evaluated an Internet training designed to teach nurse aides (NAs) strategies to work with aggressive resident behaviors. Six LTCs were randomized in an immediate treatment (IT) and delayed treatment (DT) design, and NAs were recruited in each (IT: n = 58; DT; n = 45). The treatment involved 2 weekly visits to the online training. Hard copy assessments collected participant responses at baseline (T1), 8 weeks (T2), and at 16 weeks (T3). The DT group viewed the program after T2. Hierarchical linear models showed significant group differences at T2 in knowledge, and these levels were maintained at T3. The number of aggressive incidents reported per day by the IT group were nonsignificant at T2 but decreased significantly from Ti to T3 with a large effect size. The program was well received by users. These results suggest that the Internet training was an effective tool to reduce assaults in LTCs, and training effects may improve over time as NAs gain experience using the techniques. (Geriatr Nurs 2012;33:28-40)