Computer Training in End-of-Life Care for Rural Nurses' Aides

农村护士助手临终关怀计算机培训

• 批准号: 7123018
• 负责人: MARY A TOBORG
• 金额: $ 27.62万
• 依托单位: TOBORG ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-15 至 2009-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7123018
• 关键词: Internet; allied health personnel; clinical research; computer assisted instruction; computer program /software; death; education evaluation /planning; educational resource design /development; focus groups; human subject; interactive multimedia; nursing education; nursing research; quality of life; rural area; rural health; terminal patient care

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 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. Having demonstrated in Phase I the feasibility of a computer-based training (CBT) program to train rural NAs in end-of-life care, Toborg Associate proposes in Phase II to fully develop a six-module CBT. Using 15 focus groups and 15 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. At the completion of the CBT, staff will randomize NAs between experimental and a control conditions in a rigorously designed experiment and analyze data to determine the effectiveness of the firm's CBT.

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价格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。美国农村地区的老年人不仅比例过高，而且在生命的各个阶段按年龄调整的死亡率也较高。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 Associate 在第一阶段展示了基于计算机的培训 (CBT) 计划对农村国家机构进行临终关怀培训的可行性，并建议在第二阶段全面开发包含六个模块的 CBT。通过 15 个焦点小组和 15 个关键知情人访谈，工作人员将确定农村社区的 NA 对与绝症和临终护理相关问题的看法和态度。 CBT 完成后，工作人员将在严格设计的实验中在实验条件和控制条件之间随机分配 NA，并分析数据以确定公司 CBT 的有效性。