Therapeutic communication during nursing home care

疗养院护理期间的治疗性沟通

• 批准号: 6574725
• 负责人: Lene Levy-Storms
• 金额: $ 11.62万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-07-01 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6574725
• 关键词: behavioral /social science research tag; clinical research; communication behavior; extended care; functional ability; geriatric nursing; health care service evaluation; health services research tag; human subject; interpersonal relations; interview; nurse patient relations; nursing care quality; nursing homes; paralinguistic behavior; verbal behavior; video recording system

DESCRIPTION (provided by applicant): The purpose of this NIA Career Development Award (CDA) is to develop my substantive and methodological expertise in research on the therapeutic quality of communication between certified nursing aides (CNAs) and residents during activities of daily living (ADL) care (e.g., feeding assistance) in NHs. The proposed CDA will provide me with interdisciplinary training in the following three areas: 1) theory and measurement of therapeutic verbal and non-verbal communication, which will expand my health communication skills to clinical settings; 2) observational and experimental methods in long-term care settings (i.e., nursing homes), which will complement my experience with program evaluation in community settings; and 3) quality assessment in long-tern care. This latter area will supplement my background in statistics and enable me to learn principles of measurement. Specifically, this CDA proposal will enable me to pursue my short-term career goal of developing measures of verbal and non-verbal communication between CNAs and residents in nursing homes during feeding assistance to identify problem behaviors and to assess if they can be improved. The observation and interview protocols will include: 1) an audio-video protocol for recording communication between CNAs and residents; 2) a resident interview protocol for assessing whether residents want changes in the way CNAs care for them during feeding assistance; and 3) a CNA interview protocol to assess barriers to therapeutic communication during feeding assistance. This CDA proposal incorporates a combination of formal coursework and tutorials with academic mentors and sponsors to provide me with the requisite theory and measurement skills to achieve my career goals. Dr. John Schnelle, a behavioral psychologist and expert in designing and implementing interventions in nursing homes, will serve as my primary sponsor and mentor. Four professors will serve as co-sponsors: Dr. Gwen van Servellen, a professor of nursing and expert in therapeutic communication; Dr. James Lubben, a professor of social work and expert in social support and the development of psychometric scales for older adults; Dr. Ronald Hays, a professor of medicine in health services research and expert in the measurement of patient satisfaction and health-related quality of life research; and Dr. John Heritage, a professor of sociology and expert in conversation analyses of physician-patient communication. As part of the candidate's long-term career goals, the candidate will develop communication interventions for CNAs during feeding assistance and other ADL care processes (e.g., dressing, getting in and out of bed) and evaluate them. Thus, the CDA training would be central to the applicant's ability to develop as an independent, behavioral scientist with a specialty in provider-patient communication among older adults in long-term care settings.

描述（由申请人提供）：获得 NIA 职业发展奖 (CDA) 的目的是为了发展我在 NH 日常生活 (ADL) 护理活动（例如喂养协助）期间认证护理助理 (CNA) 与居民之间沟通的治疗质量方面的实质性和方法学专业知识。 拟议的 CDA 将为我提供以下三个领域的跨学科培训：1）治疗性言语和非言语沟通的理论和测量，这会将我的健康沟通技能扩展到临床环境； 2）长期护理机构（即疗养院）中的观察和实验方法，这将补充我在社区机构中进行项目评估的经验； 3) 长期护理的质量评估。 后一个领域将补充我的统计学背景，并使我能够学习测量原理。 具体来说，这项 CDA 提案将使我能够实现我的短期职业目标，即在喂养援助期间制定 CNA 与疗养院居民之间的言语和非言语沟通措施，以识别问题行为并评估这些行为是否可以改进。 观察和访谈协议将包括： 1）用于记录 CNA 和居民之间通信的音视频协议； 2) 居民访谈协议，用于评估居民是否希望改变 CNA 在喂养援助期间照顾他们的方式； 3) CNA 访谈方案，用于评估喂养协助期间治疗沟通的障碍。 该 CDA 提案结合了正式课程和学术导师和赞助商的教程，为我提供实现职业目标所需的理论和测量技能。 行为心理学家、设计和实施疗养院干预措施的专家约翰·施内尔 (John Schnelle) 博士将担任我的主要赞助商和导师。四位教授将担任联合发起人：Gwen van Servellen 博士，护理学教授兼治疗沟通专家； James Lubben 博士，社会工作教授，社会支持和老年人心理测量量表开发专家； Ronald Hays 博士，健康服务研究领域的医学教授，也是患者满意度测量和健康相关生活质量研究方面的专家；约翰·赫里奇博士（John Heritage）是社会学教授，也是医患沟通对话分析专家。 作为候选人长期职业目标的一部分，候选人将在喂养援助和其他 ADL 护理过程（例如穿衣、上下床）期间为 CNA 制定沟通干预措施并对其进行评估。 因此，CDA 培训对于申请人发展成为一名独立的行为科学家的能力至关重要，该科学家专门从事长期护理环境中老年人之间的提供者与患者的沟通。