Computer Training in End-of-Life Care for Nurses' Aids

描述（由申请人提供）：死亡降临到我们每个人身上。越来越多的美国人在机构中走到生命的尽头。随着护理成本的上升，照顾垂死者的设施越来越多地转向较便宜的，往往未经培训的护士助理（NAs），以满足垂死者的需求。高质量的临终关怀是一个紧迫的国家优先事项。美国农村地区不仅在全国老年人中占有不成比例的比例，而且在生命的各个阶段，年龄调整后的死亡率也更高。农村社区还拥有独特的文化属性，这些属性决定了生命结束时的医疗保健体验。Toborg Associates建议开发一个基于计算机的培训（CBT），以培训农村的NAs进行临终关怀。工作人员将利用焦点小组和关键知情人访谈，确定农村社区的新来港定居人士对与绝症和临终关怀有关的问题的看法和态度。他们将开发一个基于网络的原型CBT模块，以培训NAs为绝症患者提供临终关怀，并对原型模块进行可行性测试，最多有5组，共50名农村NA，他们与绝症患者一起工作。Toborg协会将在一本专著中描述该方法的研究结果和潜力，以制定一个关于农村社区NA临终关怀的CBT培训计划。

DESCRIPTION (provided by applicant): Death comes to each of us. More and more, Americans reach the end of their lives in institutions. As the cost of nursing escalates, facilities that care for the dying increasingly turn to less expensive, and often untrained, nurses' aides (NAs) to provide for the needs of the dying. Quality end-of-life care represents an urgent national priority. Rural America contains not just a disproportionate share of the nation's elderly but also a higher age adjusted rate of mortality at every stage of life. Rural communities also possess unique cultural attributes that shape the experience of health care at the end of life. Toborg Associates proposes to develop a computer-based training (CBT) to train rural NAs in end-of-life care. Using focus groups and key informant interviews, staff will define the perceptions and attitudes of NAs in rural communities to issues related to the terminally ill and care at the end-of-life. They will develop a prototype web based CBT module to train NAs in end-of-life care for the terminally ill and conduct a feasibility test of the prototype module with up to 5 groups of a total of 50 rural NA who work with the terminally ill. Toborg Associates will describe in a monograph the findings and the potential of the approach to develop a CBT training program on end-of-life concerns for NAs in rural communities.