INCREASING EFFECTIVE COMMUNICATION IN NURSING HOMES

疗养院的环境通常对病人的健康有不利影响。 居民生活质量和护理人员工作满意度。 居民之间缺乏有意义的交流互动， 工作人员被认为使这些环境显得荒凉和贫瘠。 拟议研究的目的是提高速度和质量 工作人员与驻地工作人员的交流互动，并减少 居民破坏性行为护理助理（NAs）将随机 由单位分配到两组之一：（1）组合的假肢记忆 援助和工作人员管理干预，以提高数量和质量 与居民的互动，和（2）无治疗控制条件。 干预条件将持续4周;评估前后 将在干预前6周和干预后8周进行。评估长期 长期影响，所有参与者将在3个月后重新评估 干预由于大量的新来港定居人士及居民需要 检测干预效果，以及 开发这些治疗技术，这项研究将涉及两个团队 研究人员与合作的历史，并将在8 两个地理位置的养老院，匹兹堡，宾夕法尼亚州和伯明翰， AL有3个具体目标：1）：评估联合治疗的疗效 记忆辅助+员工管理治疗，以增加 （二）评估新来港定居人士与居民的互动; 对工作人员与驻地人员互动的质量进行干预; 3）： 评估治疗对居民破坏性行为的影响。 本研究的第二个目的是检查组间的差异， NA的态度，工作满意度和居民生活质量。

Nursing home environments typically have detrimental effects on the quality of life for residents and the job satisfaction of nursing staff. The paucity of meaningful communicative interactions between residents and staff is thought to cause these environments to appear bleak and sterile. The purpose of the proposed study is to both increase the rate and quality of staff-resident communicative interactions and decrease the frequency of resident disruptive behavior. Nursing aides (NAs) will be randomly assigned by units to one of two groups: (1) a combined prosthetic memory aid and staff management intervention to increase the quantity and quality of Interactions with residents, and (2) a no treatment control condition. The intervention condition will last 4 weeks; pre and post-assessments will occur 6 weeks prior to and 8 weeks after intervention. To assess long term effects, all participants will be reassessed 3 months after intervention. Due to the large number of NAs and residents needed to detect intervention effects, and the broad expertise required in developing these treatment techniques, this study will involve two teams of researchers with a collaborative history and will be conducted In 8 nursing homes across two geographic sites, Pittsburgh, PA and Birmingham, AL There are 3 specific aims: 1): to assess the efficacy of a Combined Memory Aid + Staff Management treatment for increasing the frequency of interaction between NAs and residents; 2): to assess the effects of the intervention on the quality of staff-resident interactions; and 3): to assess the effects of the treatment on resident disruptive behaviors. Secondary aims of this study are to examine differences between groups in NA's attitudes, job satisfaction, and resident quality of life.