Therapeutic communication during nursing home care

疗养院护理期间的治疗性沟通

• 批准号: 6756487
• 负责人: Lene Levy-Storms
• 金额: $ 11.64万
• 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/6756487
• 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）：这个NIA职业发展奖（CDA）的目的是发展我在研究认证护理助理（CNA）和居民在日常生活活动（ADL）护理（例如，营养支持（NHs）。 拟议的CDA将为我提供以下三个领域的跨学科培训：1）治疗性语言和非语言沟通的理论和测量，这将使我的健康沟通技能扩展到临床环境; 2）长期护理环境中的观察和实验方法（即，护理院），这将补充我在社区环境中的项目评估经验;和3）长期护理的质量评估。 后一个领域将补充我在统计学方面的背景，使我能够学习测量原理。 具体来说，这个CDA提案将使我能够追求我的短期职业目标，即在喂养援助期间制定CNA与养老院居民之间的口头和非口头沟通措施，以确定问题行为并评估是否可以改善。 观察和访谈协议将包括：1）用于记录CNA与居民之间沟通的音频-视频协议; 2）居民访谈协议，用于评估居民是否希望在喂养援助期间改变CNA照顾他们的方式; 3）CNA访谈协议，用于评估喂养援助期间治疗沟通的障碍。 这个CDA提案结合了正式的课程和学术导师和赞助商的教程，为我提供必要的理论和测量技能，以实现我的职业目标。 John Schnelle博士是一位行为心理学家，也是设计和实施养老院干预措施的专家，他将担任我的主要赞助人和导师。四名教授将担任共同赞助人：护理学教授和治疗性交流专家Gwen货车Servellen博士;社会工作教授和社会支助及老年人心理测量量表编制专家James Lubben博士;保健服务研究医学教授和衡量病人满意程度和与健康有关的生活质量研究专家罗纳德Hays博士;以及社会学教授、医患沟通会话分析专家约翰·赫里奇博士。 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护理过程中为CNA制定沟通干预措施（例如，穿衣、上床和下床）并对其进行评估。 因此，CDA培训将是中央申请人的能力，发展为一个独立的，行为科学家与专业的长期护理设置中的老年人之间的医患沟通。