Culture and Communication Skills for Long Term Care

长期护理的文化和沟通技巧

• 批准号: 8394965
• 负责人: EILEEN A VAN SCHAIK
• 金额: $ 28.74万
• 依托单位: TALARIA, INC.
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-07-01 至 2014-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8394965
• 关键词: Address; Adult; African American; Asians; Attention; Attitude; Caregivers; Caring; Case Study; Certification; Charge Nurses; Communication; Communities; Complex; Consult; Continuing Education; Country; Cultural Backgrounds; Cultural Diversity; Development; Dimensions; Discipline of Nursing; Education; Educational process of instructing; Effectiveness; Elderly; Environment; Ethnic Origin; Face; Female; Healthcare Systems; Hispanics; Home Health Aides; Home environment; Individual; Internet; Knowledge; Language; Latino; Learning; Life; Long-Term Care; Long-Term Care Nursing; Marketing; Measures; Medicare/Medicaid; Minority; Not Hispanic or Latino; Nurses; Nurses' Aides; Nursing Homes; Online Systems; Pathway interactions; Patients; Persons; Phase; Population; Prejudice; Problem Solving; Provider; Race; Research; Resources; Self Care; Simulate; Skilled Nursing Facilities; System; Telephone Interviews; Testing; Training; Vendor; Work; base; caregiving; case-based; commercial application; commercialization; continuing nursing education; cultural competence; ethnic minority population; experience; follow-up; improved; innovation; interest; preference; residential care facility; response; simulation; skills; tool; usability

DESCRIPTION (provided by applicant): Approximately one-third of those who turned 65 in 2010 will enter a nursing home for short or long-term stay in their lifetime. Although the older adult population is growing more diverse, the current population of nursing home residents is 86% White and 62% female. An increasingly diverse staff is caring for the comparatively homogeneous long term care (LTC) resident population. Sixteen percent of nurses working in LTC are foreign born and may be learning how to collaborate and communicate in a new system, while caring for both majority and minority patients. Nurses who are native to the U.S. healthcare system find themselves challenged to work effectively with foreign-born colleagues and a diversifying resident population. Regardless of origin, nurses are charged with managing direct care workers, 50% of whom are racial or ethnic minorities. Specifically, 30% are African American, 15% are Latino, and 23% are foreign born. Direct care workers are likely to differ from the nurses who supervise them and the residents for whom they care on several important dimensions, including country of origin, race, ethnicity, primary language, education, and earning power. Cultural preferences regarding care can be obstacles to successful interactions if the caregiver does not understand and address those preferences. Moreover, cultural preferences can easily shade into prejudice against workers from a different cultural background, which can also impede the effectiveness of care. This application proposes to develop a web-based Cultural and Communication Skills course for nurses and direct care workers in LTC. Cultural competence requires taking an interest in what people think and say and what they have experienced, that is, in "the story of the person." The objectives of the proposed course are to improve communication skills for engaging cultural difference in care giving and in building effective working relationships among staff at every level. The course content will be presented via interactive video case studies in which learners are asked to take the perspectives of residents, direct care workers, and nurses. Throughout the course, communication and problem solving skills will be taught and practiced via audio recordings in response to video simulated residents or coworkers. Learning is intended to be cumulative throughout the course, which ultimately will consist of eight free standing but integrated modules on topics relevant across the full continuum of LTC. In Phase I, two 30-minute modules with interactive case studies will be developed, Pathways to Long Term Care and Team Communication Basics, along with a knowledge test and a skills scale specific to the course content. The modules and new measures will be subjected to usability and pilot testing with 30 target users to establish proof of concept. PUBLIC HEALTH RELEVANCE: Approximately 1.6 million people 65 or older live in more than 16,500 Medicare and Medicaid skilled nursing facilities where some 3 million direct care workers provide 70 percent to 80 percent of the paid, hands-on, long-term care. Fifty percent of the direct care workforce is racially/ethnically diverse or foreign born, while the nurses who supervise them are typically White. The proposed web-based course, Culture & Communication Skills, will teach nurses and direct care workers communication skills for engaging cultural difference in care giving and in building effective working relationships among staff at every level. The proposed course is relevant to the growing and complex field of long-term care.

描述（由申请人提供）：2010年65岁的人中，大约有三分之一将进入疗养院，以在其一生中短期或长期逗留。尽管老年人人口的增长越来越多，但目前疗养院居民的人口为86％，女性为62％。越来越多的员工正在关心相对均匀的长期护理（LTC）居民人口。在LTC工作的16％的护士是外国出生的，并且可能正在学习如何在新系统中进行协作和沟通，同时照顾多数患者和少数族裔患者。美国医疗保健系统本地的护士发现自己面临与外国出生的同事有效合作和多样化的居民人口的挑战。无论起源如何，护士都被控管理直接护理人员，其中50％是种族或少数民族。具体来说，30％是非裔美国人，15％是拉丁裔，而23％的外国出生。直接护理人员可能与监督他们的护士以及他们在几个重要方面关心的居民有所不同，包括原籍国，种族，种族，基本语言，教育和赚钱能力。如果护理人员不了解并解决这些偏好，那么关于护理的文化偏好可能是成功互动的障碍。此外，文化偏好很容易使来自不同文化背景的工人造成偏见，这也可能阻碍护理的有效性。该应用程序建议在LTC中为护士和直接护理人员开发基于网络的文化和沟通技巧课程。文化能力需要对人们的想法和说法以及他们所经历的事情感兴趣，即“人的故事”。拟议课程的目标是提高沟通能力，以吸引文化差异，并在各个级别的员工之间建立有效的工作关系。课程内容将通过互动视频案例研究介绍，其中要求学习者采取居民，直接护理人员和护士的观点。在整个课程中，将通过录音来教授和实践沟通和解决问题的技能，以响应视频模拟居民或同事。学习旨在在整个课程中累积，最终将由LTC完整连续体相关的八个自由含有但综合的模块组成。在第一阶段，将开发两个具有交互式案例研究的30分钟模块，即长期护理和团队沟通基础知识，以及知识测试以及针对课程内容的技能量表。这些模块和新措施将与30个目标用户进行可用性和试点测试，以建立概念证明。 公共卫生相关性：大约有160万人在16,500多名医疗保险和医疗补助熟练的护理设施中居住，约有300万直接护理人员提供了70％至80％的付费，动手，长期护理。直接护理员工的五十％在种族/种族上是多样化的或外国出生的，而监督他们的护士通常是白人。拟议的基于网络的课程，文化和沟通技巧将教授护士和直接护理人员的沟通技巧，以吸引文化差异，并在各个级别的员工之间建立有效的工作关系。拟议的课程与长期护理的不断增长和复杂领域有关。