Therapeutic communication during nursing home care

描述（由申请人提供）：这个NIA职业发展奖（CDA）的目的是发展我在研究NHs日常生活（ADL）护理活动（例如，喂养援助）中认证护理助理（CNAs）和居民之间沟通的治疗质量方面的实质性和方法论专业知识。拟议的CDA将为我提供以下三个方面的跨学科培训：1)治疗性语言和非语言沟通的理论和测量，将我的健康沟通技能扩展到临床环境；2)长期护理机构（即养老院）的观察和实验方法，这将补充我在社区环境中评估项目的经验；3)长期护理质量评价。后一个领域将补充我的统计背景，使我能够学习测量原理。具体来说，这个CDA提案将使我能够追求我的短期职业目标，即开发在喂养援助期间cna与养老院居民之间的语言和非语言交流措施，以识别问题行为并评估是否可以改进。观察和访谈协议将包括：1)记录cna与居民之间通信的音频-视频协议；2)居民访谈协议，用于评估居民是否希望在喂养援助期间改变CNAs照顾他们的方式；3) CNA访谈协议，以评估进食协助期间治疗性沟通的障碍。这个CDA提案结合了正式的课程和学术导师和赞助商的教程，为我提供必要的理论和测量技能，以实现我的职业目标。John Schnelle博士是一位行为心理学家，也是在养老院设计和实施干预的专家，他将担任我的主要赞助人和导师。四位教授将担任共同发起人：护理学教授、治疗沟通专家格温·范·瑟韦伦（Gwen van Servellen）博士；社会工作教授、社会支持和老年人心理测量量表开发专家詹姆斯·卢本（James Lubben）博士；Ronald Hays博士，卫生服务研究医学教授，患者满意度测量和健康相关生活质量研究专家；以及社会学教授、医患沟通对话分析专家约翰·哈迪（John Heritage）博士。作为候选人长期职业目标的一部分，候选人将在喂养协助和其他ADL护理过程（例如，穿衣，上下床）中为cna开发沟通干预措施并对其进行评估。因此，CDA培训将是申请人发展成为一名独立的行为科学家的核心能力，在长期护理环境中老年人的医患沟通方面具有专长。

DESCRIPTION (provided by applicant): The purpose of this NIA Career Development Award (CDA) is to develop my substantive and methodological expertise in research on the therapeutic quality of communication between certified nursing aides (CNAs) and residents during activities of daily living (ADL) care (e.g., feeding assistance) in NHs. The proposed CDA will provide me with interdisciplinary training in the following three areas: 1) theory and measurement of therapeutic verbal and non-verbal communication, which will expand my health communication skills to clinical settings; 2) observational and experimental methods in long-term care settings (i.e., nursing homes), which will complement my experience with program evaluation in community settings; and 3) quality assessment in long-tern care. This latter area will supplement my background in statistics and enable me to learn principles of measurement. Specifically, this CDA proposal will enable me to pursue my short-term career goal of developing measures of verbal and non-verbal communication between CNAs and residents in nursing homes during feeding assistance to identify problem behaviors and to assess if they can be improved. The observation and interview protocols will include: 1) an audio-video protocol for recording communication between CNAs and residents; 2) a resident interview protocol for assessing whether residents want changes in the way CNAs care for them during feeding assistance; and 3) a CNA interview protocol to assess barriers to therapeutic communication during feeding assistance. This CDA proposal incorporates a combination of formal coursework and tutorials with academic mentors and sponsors to provide me with the requisite theory and measurement skills to achieve my career goals. Dr. John Schnelle, a behavioral psychologist and expert in designing and implementing interventions in nursing homes, will serve as my primary sponsor and mentor. Four professors will serve as co-sponsors: Dr. Gwen van Servellen, a professor of nursing and expert in therapeutic communication; Dr. James Lubben, a professor of social work and expert in social support and the development of psychometric scales for older adults; Dr. Ronald Hays, a professor of medicine in health services research and expert in the measurement of patient satisfaction and health-related quality of life research; and Dr. John Heritage, a professor of sociology and expert in conversation analyses of physician-patient communication. As part of the candidate's long-term career goals, the candidate will develop communication interventions for CNAs during feeding assistance and other ADL care processes (e.g., dressing, getting in and out of bed) and evaluate them. Thus, the CDA training would be central to the applicant's ability to develop as an independent, behavioral scientist with a specialty in provider-patient communication among older adults in long-term care settings.