Computer Training in End-of-Life Care for Nurses' Aids

描述（由申请人提供）：死亡降临到我们每个人身上。越来越多的美国人在机构中度过自己的生命。随着护理成本的不断上升，护理临终者的机构越来越多地求助于成本较低且往往未经培训的护士助理 (NA) 来满足临终者的需求。优质的临终关怀是一项紧迫的国家优先事项。美国农村地区不仅拥有不成比例的全国老年人口，而且在人生的各个阶段，年龄调整后的死亡率也较高。农村社区还拥有独特的文化属性，塑造了临终时的医疗保健体验。 Toborg Associates 提议开发一种基于计算机的培训 (CBT)，以培训农村 NA 进行临终关怀。通过焦点小组和关键知情人访谈，工作人员将确定农村社区的国家代表对绝症和临终护理相关问题的看法和态度。他们将开发一个基于网络的原型 CBT 模块，以培训 NA 为绝症患者提供临终关怀，并与最多 5 组共 50 名农村 NA 一起对绝症患者进行临终护理，并对原型模块进行可行性测试。 Toborg Associates 将在专着中描述研究结果以及针对农村社区 NA 临终问题制定 CBT 培训计划的方法的潜力。

DESCRIPTION (provided by applicant): Death comes to each of us. More and more, Americans reach the end of their lives in institutions. As the cost of nursing escalates, facilities that care for the dying increasingly turn to less expensive, and often untrained, nurses' aides (NAs) to provide for the needs of the dying. Quality end-of-life care represents an urgent national priority. Rural America contains not just a disproportionate share of the nation's elderly but also a higher age adjusted rate of mortality at every stage of life. Rural communities also possess unique cultural attributes that shape the experience of health care at the end of life. Toborg Associates proposes to develop a computer-based training (CBT) to train rural NAs in end-of-life care. Using focus groups and key informant interviews, staff will define the perceptions and attitudes of NAs in rural communities to issues related to the terminally ill and care at the end-of-life. They will develop a prototype web based CBT module to train NAs in end-of-life care for the terminally ill and conduct a feasibility test of the prototype module with up to 5 groups of a total of 50 rural NA who work with the terminally ill. Toborg Associates will describe in a monograph the findings and the potential of the approach to develop a CBT training program on end-of-life concerns for NAs in rural communities.