INCREASING EFFECTIVE COMMUNICATION IN NURSING HOMES

疗养院的环境通常会对 住院医师生活质量与护理人员工作满意度。 居民和居民之间缺乏有意义的交流互动 工作人员被认为是导致这些环境看起来黯淡和无菌的原因。 拟议研究的目的是提高速度和质量。 减少工作人员与居民之间的交流互动，减少 居民的破坏性行为。护理助理(NAS)将随机 按单位分配给两组之一：(1)组合假体记忆 援助和人员管理干预，以提高数量和质量 与居民的互动，以及(2)无治疗控制条件。 干预条件将持续4周；前评估和后评估 将发生在干预前6周和干预后8周。要评估长期 期限效应，所有参与者将在3个月后重新评估 干预。由于大量的NAS和居民需要 检测干预效果，以及所需的广泛专业知识 开发这些治疗技术，这项研究将涉及两个团队 具有合作历史的研究人员，并将在8年内进行 位于宾夕法尼亚州匹兹堡和伯明翰两个地理位置的养老院， 有三个具体目标：1)：评估联合治疗的疗效 助记器+员工管理治疗，以增加频率 NAS与居民之间的互动；2)：评估 干预工作人员与居民互动的质量；以及3)： 评估治疗对居民扰乱行为的影响。 这项研究的次要目标是检查不同群体之间的差异 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.