Staff Training to Manage Aggressive Resident Behaviors

描述（由申请人提供）：在长期护理（LTC）设施中，护士助理经常面临困惑或攻击性居民的攻击（OSHA, 2003）。为此，这里提出的项目将开发一个创新的重复访问交互式多媒体（IMM）项目，培训专业护理人员如何预防问题行为，以及如何安全而尊重地与已经烦躁或有攻击性的居民一起工作。基于个性化技能的模块将包括围绕现实视频建模小插曲构建的自定节奏交互式教程。基于能力的教学设计将在用户理解材料时提高用户的能力，并自动提供复习，直到用户掌握了内容。每次访问时将提供所查看内容的摘要打印件和培训进度文件（供主管使用）。课程模块将呈现(1)以人为本的预防住院医生激动和攻击的方法，(2)先进的沟通和管理技术，用于对工作人员或其他住院医生的安全构成威胁的攻击性住院医生，(3)事件发生后护理人员自我护理和其他时间自我控制的技术，以及(4)住院医生攻击，痴呆症护理和相关问题的一般信息。第一阶段的原型，以互联网/CD-ROM格式，将侧重于预防攻击行为。它将通过随机试验进行评估。完全开发的II期产品将包括互联网、CD-ROM和VHS格式的所有四个程序模块，并将在大规模随机试验中进行评估。

DESCRIPTION (provided by applicant): Nurse Aides regularly face assaults by confused or aggressive residents in long term care (LTC) facilities (OSHA, 2003). In response, the project proposed here will develop an innovative repeat visit interactive multimedia (IMM) program to train professional caregivers on how to prevent problem behaviors and how to safely and respectfully work with already-agitated or aggressive residents. Individualized skill based modules will consist of self-paced interactive tutorials built around realistic video modeling vignettes. The competency based instructional design will advance users when the material is understood, and will automatically provide reviews until content mastery is demonstrated. Summary printouts of content viewed and documentation of training progress (for supervisors) will be supplied at each visit. Program modules will present (1) a person centered approach for prevention of resident agitation and aggression, (2) advanced communication and management techniques for use with aggressive residents who are a threat to the safety of staff or other residents, (3) techniques for caregiver self-care after an incident has occurred and self-control at other times, and (4) general information on resident aggression, dementia-care, and related issues. The Phase I prototype, in Internet/CD-ROM format, will focus on prevention of aggressive behavior. It will be evaluated with a randomized trial. The fully developed Phase II product will include all four-program modules in Internet, CD-ROM, and VHS formats, and will be evaluated in a large-scale randomized trial.