Staff Training to Manage Aggressive Resident Behaviors

描述（由申请人提供）：拟议的项目将开发一个互动的多媒体培训计划的专业护理人员谁是经常受到攻击性行为的老年人在长期护理设施（LTCs;盖茨，菲茨沃特，和Succop，2005年）。需要对工作人员进行培训，以遵守OSHA的指导方针，保护工人免受工作场所暴力，以及OBRA关于心理健康和社会服务护理助理教育的规定。程序模块将提出1）处理攻击的预防方法，2）当居民激动或攻击时使用的特定沟通和管理技术，3）针对居民攻击威胁其他居民或工作人员安全的情况的个人和团队策略，4）事件发生后护理人员情绪自我护理的技术，5）关于痴呆症护理和相关问题的一般信息。一个额外的密码保护模块的管理员将解释有效的培训和组织文化，促进以人为本的护理理念，以防止问题行为的成本效益。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（欧文，布尔乔亚，和阿里，2003年），它不是工作人员密集型的实施。用户将按照自己的节奏浏览该程序，这对受教育程度或阅读能力有限的个人来说是一个有益的功能。基于技能的教学设计将包括互动教程。以能力为基础的教学设计，建立在现实的视频小插曲建模，将推进用户时，材料的理解，并会自动审查内容最初没有掌握。将为用户提供程序内容的简要原则，并为主管提供培训进度的文件。第一阶段的原型计划在互联网上的随机试验中显示出显着的效果。第二阶段的产品将以互联网和CD-ROM/DVD-ROM格式开发，并提供一本工作手册，以方便个人和团体使用。将通过一项大型随机试验（n=300）进行评价。长期护理设施中的专业护理人员经常遭受以攻击性居民行为形式的工作场所暴力。拟议中的计划将使医务人员掌握识别和预防经常导致攻击性行为的症状的技能。工作人员还将获得技能，以处理侵略的方式，以最大限度地提高居民和照顾者的安全。

DESCRIPTION (provided by applicant): The proposed project will develop an interactive multi-media training program for professional caregivers who are regularly subjected to aggressive behaviors by older adults in long term care facilities (LTCs; Gates, Fitzwater, & Succop, 2005). Staff training is needed to comply both with OSHA guidelines to protect workers from workplace violence, and OBRA regulations governing nursing assistant education in mental health and social services. Program modules will present 1) a prevention approach for dealing with aggression, 2) specific communication and management techniques for use when a resident is agitated or aggressive, 3) individual and team-based strategies for situations where resident aggression is a threat to the safety of other residents or to staff, 4) techniques for caregiver emotional self-care after an incident has occurred, 5) general information on dementia-care and related issues. An additional password protected module for administrators will explain the cost benefits of effective training and of an organizational culture that promotes a person centered care philosophy to prevent problem behaviors. 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), and it is not staff-intensive to implement. Users will move through the program at their own pace, which is a beneficial feature for individuals with limited education or reading ability. The skill-based instructional design will include interactive tutorials. The competency-based instructional design, built around modeling in realistic video vignettes, will advance users when the material is understood, and will automatically review content not initially mastered. Summary printouts of program content for users and documentation of training progress for supervisors will be supplied. The Phase I prototype program showed significant effects in a randomized trial on the Internet. The Phase II product will be developed in Internet and CD-ROM/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). Professional caregivers in long term care facility are regularly subjected to workplace violence in the form of aggressive resident behaviors. The proposed program will give caregiving staff the skills to recognize and prevent symptoms that often lead to aggressive behaviors. Staff will also gain skills to deal with aggression that does occur in ways to maximize safety of both the resident and the caregiver.