Relationships of dementia care workforce experiences, training, & work environment to resident outcomes in skilled nursing facilities

项目总结摘要 阿尔茨海默氏症是美国第六大主要死亡原因，而 患有阿尔茨海默病或阿尔茨海默病相关痴呆的美国人 预计到2050年，(AD/ADRD)将从570万增加到1400万。因此，需要一种 合格和可持续的劳动力现在比以往任何时候都更加重要。直接护理护理人员 例如执业护士(LPN)和注册护士助理(CNA)是一种 是熟练护理机构劳动力的重要组成部分，照顾着超过70万美国人。 被诊断为AD/ADRD的居民。了解影响因素之间的相互作用 工作环境、劳动力特征和痴呆症护理培训对于更好地 告知可改善AD/ADRD患者在美国熟练护理的健康结果的计划 设施，并创造有吸引力的痴呆症护理工作。人们对此知之甚少 前线痴呆症护理人员的特征，他们的工作环境 照顾患有AD/ADRD的居民(例如，居民对工作人员的暴力；种族歧视)；以及 这些低工资劳动力接受的专门培训，特别是当只有一半的美国人。 各州要求进行专门的痴呆症护理培训。本研究性研究的最终目的是 更好地了解这些关系如何影响居民的护理结果。我们会 为此，应完成以下工作：(1)调查LPN和CNA的工作环境，并 痴呆症护理培训经验；(2)在设施的子样本中开展焦点小组 护理总监或员工发展总监要做深入的检查 他们的痴呆症护理培训中的要素；以及(3)查看工人的经验和 培训部分与护理结果相关。拟议中的研究与以下几项一致 NIA战略计划中概述的目标，特别是目标E：提高我们对 老龄化社会的后果，为干预发展和政策决策提供信息 目标F：了解与老龄化有关的健康差距，并制定战略以改善 不同人群中老年人的健康状况。更具体地说，它支持nosi而非- AG-20-026通过研究痴呆症护理培训对质量的影响以及 为SNF中的痴呆症护理人员提供的支持，以鼓励保留。结果 将提供证据基础，以修改或创建关于以下方面的新的当前国家政策 在这些劳动力中开展痴呆症护理培训计划所需的内容。

PROJECT SUMMARY ABSTRACT Alzheimer's disease is the sixth leading cause of death in the U.S., and the number of Americans living with Alzheimer's disease or Alzheimer's disease-related dementias (AD/ADRD) is expected to increase from 5.7 to 14 million by 2050. Therefore, the need for a qualified and sustainable workforce is now more important than ever. Direct care nursing staff such as licensed practical nurses (LPNs) and certified nursing assistants (CNAs) are an essential part of the workforce in skilled nursing facilities, caring for more than 700,000 U.S. residents diagnosed with AD/ADRD. Understanding the interactions between factors that impact work environment, workforce characteristics, and dementia care training are important to better inform programs that can improve health outcomes for AD/ADRD residents in US skilled nursing facilities and make for appealing dementia care jobs. Very little is known about the characteristics of the front-line dementia care workforce, their work environment as it relates to caring for residents with AD/ADRD (e.g., resident to staff violence; racial discrimination); and the specialized training this low-wage workforce receives, especially when only half of the U.S. states require specific dementia care training. The ultimate goal of this research study is to better understand how these relationships impact the care outcomes among residents. We will do so by accomplishing the following: (1) survey LPNs and CNAs on their work environment and dementia care training experiences; (2) conduct focus groups among a sub-sample of facility directors of nursing or directors of staff development to do an in depth examination of the elements in their dementia care training; and (3) look at whether worker experiences and training components are associated with care outcomes. The proposed study aligns with several objectives outlined in NIA's Strategic Plan, specifically Goal E: Improve our understanding of the consequences of an aging society to inform intervention development and policy decisions and Goal F: Understand health disparities related to aging and develop strategies to improve the health status of older adults in diverse populations. More specifically, it supports NOSI NOT- AG-20-026 by conducting research on the impact of dementia care training on quality as well as the supports available to the dementia care workforce in SNFs to encourage retention. Results will provide an evidence base on which to amend or create new current state policies regarding the content needed in dementia care training programs among this workforce.