Nursing Home Staff Intentions for Learned Communication Skills Knowledge to Practice
Nursing Home Staff Intentions for Learned Communication Skills Knowledge to Practice
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DOI：
10.3928/00989134-20160212-06
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发表时间：
2016-03-01
影响因子：
1.3
通讯作者：
Hein, Maria
中科院分区：
文献类型：
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作者：
Williams, Kristine N.;Perkhounkova, Yelena;Hein, Maria
工作人员教育是改善养老院痴呆症护理实践的关键。然而，转化为实践的滞后是改善护理的障碍。作为测试沟通干预对痴呆症居民行为影响的临床试验的一部分，参与者报告的在实践中使用所学技能的可能性在10家养老院的组织和个人因素中进行了评估。作者假设，组织和个人因素会影响员工在实践中使用新技能的意愿。培训前和培训后的比较证实，工作人员获得了关于沟通有效性的知识。根据修改后的杜克创新扩散(DOI)量表得分，工作人员报告在实践中使用技能的可能性很高。护理组织与DOI总分相关(r=0.82，p<；0.01)。DOI子量表与组织和个人态度的相关性被报道。在今天的养老院环境中，评估与转化为实践相关的质量改进干预措施是必不可少的。
Staff education is critical to improving nursing home dementia care practice. However, a lag in translation to practice is a barrier to improving care. As part of a clinical trial testing effects of a communication intervention on behaviors of residents with dementia, participant-reported likelihood of using learned skills in practice was evaluated in relation to organizational and individual factors in 10 nursing homes. The authors hypothesized that organizational and individual factors would influence staff intention to use new skills in practice. Preand post-training comparisons confirmed that staff gained knowledge about communication effectiveness. Staff reported high likelihood for using skills in practice based on modified Duke Diffusion of Innovation (DOI) Scale scores. Care organization was correlated with total DOI scores (r = 0.82, p < 0.01). DOI subscales correlations to organizational and individual attitudes are reported. Evaluating quality improvement interventions in relation to translation to practice is essential in today's nursing home environment.