Interactive Training for Staff Who Care for Psychiatric Residents

描述（由申请人提供）：在熟练护理机构的居民中，精神疾病给专业人员带来了挑战，他们中的大多数人没有接受过处理精神健康问题的培训。拟议的项目将开发一个互动项目，旨在为护理这些居民的护士助理提供知识和技能。交互式多媒体格式特别适合这种类型的员工培训，因为它已被证明是有效的（Irvine, Bourgeois, & Ary, 2003; Irvine, Bourgeois, Billow, & Seeley, in press），并且它的实施不需要员工密集。以技能为基础的模块，旨在满足用户的阅读能力，将包括围绕现实视频建模的自定节奏互动教程。基于能力的教学设计将允许用户在理解材料时以自己的速度前进。方案模块将：a)提高对心理健康和特定疾病症状的认识，同时消除神话和陈规定型观念；B)为烦躁或迷失方向的居民提供基本的沟通技巧和适当的应对策略；C)提供高级技能，包括基于团队的方法；D)提供员工自我护理的技巧；E)提供关于精神疾病的互动信息中心；f)为管理人员提供一个单独的模块，展示以人为本的全设施护理理念的成本效益和组织基础。将向用户提供项目内容摘要打印件，并向主管提供培训进度文件。第一阶段的研究开发了互联网和CD-ROM培训计划，提供有关精神疾病的神话和事实的内容，关于特定类别的障碍的事实，以及与表现出精神障碍症状的住院医生工作的基本沟通技巧。在一项随机试验中，该计划由专业护理人员在互联网上进行评估。第二阶段的产品将以互联网、唯读光碟及唯读光碟格式开发，并备有工作手册，方便个人及团体使用。将通过一项大型随机试验（n=300）对其进行评估。公共卫生相关性：专业护理机构的专业护理人员经常与表现出精神疾病症状的居民接触。拟议的计划将给予护理人员关于精神障碍的基本知识，以及识别早期症状和适当应对的技能，以减少症状并帮助居民恢复正常活动。

DESCRIPTION (provided by applicant): Psychiatric disorders among residents in skilled nursing facilities present challenges to professional staff, most of whom are not trained to work with mental health issues. The proposed project will develop an interactive program designed to provide knowledge and skills for Nurse Aides providing care for these residents. The interactive multimedia format is particularly well-suited for staff training of this type because it has been shown to be effective (Irvine, Bourgeois, & Ary, 2003; Irvine, Bourgeois, Billow, & Seeley, in press), and it is not staff-intensive to implement. Skill-based modules, designed to accommodate users regardless of reading ability, will consist of self-paced interactive tutorials built around realistic video modeling vignettes. The competency-based instructional design will allow users to advance at their own pace when the material is understood. Program modules will: a) improve knowledge about mental health and symptoms of specific disorders, while dispelling myths and stereotypes; b) provide basic communication skills and appropriate response strategies with agitated or disoriented residents; c) provide advanced skills including team based approaches; d) offer techniques for staff self-care; e) provide an interactive information center on mental illness; and f) provide a separate module for administrators demonstrating the cost effectiveness and organizational underpinnings for a facility-wide philosophy of person centered care. Summary printouts of program content for users and documentation of training progress for supervisors will be supplied. The Phase I research developed internet and CD-ROM training programs providing content on myths and facts about mental illness, facts about specific categories of disorders, and basic communication skills for working with residents showing symptoms of psychiatric disorders. The program was evaluated on the Internet by professional care giving staff in a randomized trial. The Phase II product will be developed in Internet, CD- ROM, and DVD-ROM formats with a workbook available to facilitate both individual and group usage. It will be evaluated with a large randomized trial (n=300). PUBLIC HEALTH RELEVANCE: Professional caregivers in skilled nursing facilities regularly come in contact with residents showing the symptoms of mental illness. The proposed program will give caregiving staff basic knowledge about mental disorders, and the skills to recognize early symptoms and appropriately respond in ways that decrease the symptomatology and help the resident return to usual activities.