STAFF MANAGEMENT SYSTEM FOR BEHAVIORAL SKILLS

这项研究的主要目标是利用正式的员工管理 (FSM)激励注册护士助理(CNA)聘用的系统 护理单位的行为管理技能。FSM系统基于 关于作者提出的一个模型并在他们的大小便失禁中进行了现场测试 研究。密克罗尼西亚联邦系统包含以下组件：(1) CNAS将使用性能检查表，这有助于提醒他们 适当执行任务所涉及的步骤；(2)CNA将使用这些步骤 自我监督自己的表现和护士主管的检查表 将按照一致的时间表监测CNA的表现；(3)护士 主管将提供即时和延迟的口头表现 向团体和个人提供反馈和书面反馈。密克罗尼西亚联邦 系统将与传统的员工管理(CSM)进行比较 程序，工作人员和居民行为的改变将是 评估过了。有三个具体目标：目标1：确立后 在两组中行为管理技能获得的等价性，我们 将评估单位的技能表现是否存在差异 在CSM和FSM条件下；目标2：我们将评估CNA的效果 针对各种住院医师行为的行为管理培训；目标3：我们 将使用计算机辅助的实时数据收集程序来 行为管理培训对环境的影响分析 围绕行为颠覆性事件的背景因素。我们会 检查痴呆症的类型、认知和ADL状态，以及使用 精神药物可预测破坏性行为或居民 对治疗的责任感。我们还将调查中央通讯社是否有压力 水平或社会支持预测他们获得或执行的能力 行为管理技能。最后，我们将研究 与所取得的成果相关的培训/管理制度。

The major goal of this study is to utilize a Formal Staff Management (FSM) system for motivating Certified Nursing Aides (CNA) to employ behavior management skills on the nursing units. The FSM system is based on a model proposed by the authors and field tested in their incontinence research. The FSM system contains the following components: (1) the CNAs will use performance checklists, which serve to remind them of the steps involved in appropriate task performance; (2) CNAs will use these checklists to self-monitor their own performance and nurse supervisors will monitor CNA performance on a consistent schedule; (3) nurse supervisors will provide immediate and delayed verbal performance feedback and written feedback to the group and individual CNAs. The FSM system will be compared with Conventional Staff Management (CSM) procedures, and changes in both staff and resident behaviors will be assessed. There are 3 specific aims: Aim 1: after establishing equivalence in behavior management skill acquisition in both groups, we will assess whether there are differences in skill performance on units under CSM and FSM conditions; Aim 2: we will evaluate the effects of CNA behavior management training on various resident behaviors; Aim 3: we will use computer-assisted real-time data collection procedures to analyze the effects of behavior management training on environmental contextual factors surrounding behaviorally disruptive events. We will examine whether type of dementia, cognitive and ADL status, and use of psychotropic medications predict disruptive behaviors or resident responsivity to treatment. We will also investigate whether CNA stress level or social support predicts their ability to acquire or perform behavior management skills. Finally, we will examine the costs of the training/management system related to the gains achieved.