Partners in Caregiving in a Special Care Environment: Cooperative communication between staff and families on dementia units
Partners in Caregiving in a Special Care Environment: Cooperative communication between staff and families on dementia units
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DOI：
10.1093/geront/47.4.504
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发表时间：
2007-08-01
期刊：
影响因子：
5.7
通讯作者：
Pillerner, Karl
中科院分区：
文献类型：
--
作者：
Robison, Julie;Curry, Leslie;Pillerner, Karl
目的：本文报告了对特殊护理环境中护理伙伴的随机、对照评估结果，这是一项旨在改善养老院痴呆症计划中工作人员和居民家庭之间的沟通和合作的干预措施。设计和方法：研究对象包括来自20家养老院的388名家庭成员和384名护理人员，随机分配到治疗和控制条件下。项目工作人员在干预地点与两组人员--工作人员和居民家属--举行了关于沟通和解决冲突技巧的培训课程，随后与设施管理人员举行了联席会议。结果：干预设施中的家庭、工作人员、居民和设施项目都显示了项目参与的积极结果。家庭在与工作人员的沟通和工作人员对他们的行为方面有了显著的改善，居民的配偶增加了他们的关怀参与。工作人员报告减少了与家庭的冲突和抑郁；对照组中护士的职业倦怠增加，但治疗组中没有。居民的行为症状减少了，设施实施了更多以家庭为重点的计划。影响：有效的工作人员和家庭伙伴关系对于照顾痴呆症患者至关重要。特殊护理环境中的护理合作伙伴计划是一种循证干预，使这些合作伙伴关系得以发展和蓬勃发展，转化为居民、家庭和工作人员更好的体验。
Purpose: This article reports the results of a randomized, controlled evaluation of Partners in Caregiving in a Special Care Environment, an intervention designed to improve communication and cooperation between staff and families of residents in nursing home dementia programs. Design and Methods: Participants included 388 family members and 384 nursing staff members recruited from 20 nursing homes, randomly assigned to treatment and control conditions. Project staff conducted training sessions on communication and conflict-resolution techniques with two groups at the intervention sites: staff and residents' family members, followed by a joint meeting with facility administrators. Results: Families, staff, residents, and facility programs in the intervention facilities all demonstrated positive outcomes from program participation. Families experienced significant improvement in communicating with staff and in staff behaviors toward them, and spouses of residents increased their care involvement. Staff reported reduced conflict with families and reduced depression; burnout for nurses increased for individuals in the control group but not those in the treatment group. Behavioral symptoms decreased for residents, and facilities implemented more family-focused programs. implications: Effective staff and family partnerships are critical in caring for residents with dementia. The Partners in Caregiving in a Special Care Environment program is an evidence-based intervention that enables these partnerships to develop and thrive, translating into improved experiences for residents, families, and staff.