Online Training & Certification for Competency in Dementia Friendly Hospital Care

描述（由申请人提供）：阿尔茨海默病和相关痴呆症（ADRD）是21世纪美国面临的紧迫医疗挑战。在美国，2011年，每68秒就有一个人被诊断为ADRD;到2050年，这个数字将是每33秒一个（阿尔茨海默病事实和数据，2010）。ADRD是美国第三大最昂贵的疾病，尽管正在进行研究，但目前没有办法预防ADRD相关的发病、下降或死亡。对于痴呆症（PWD）患者及其家人来说，住院治疗尤其困难，并对工作人员提出了特殊的护理挑战。急性护理是复杂的，因为痴呆症的症状往往会因疾病和新环境而加剧。在文献中很少有研究痴呆症护理对非专业医院员工的影响，但在长期护理和家庭环境中的研究表明，与ADRD护理相关的困难会导致压力，负担和缺乏工作满意度。在急性护理医院环境中，护理助理和其他非专业的专职医疗工作者（NA/AHW），如饮食助手，运输员工和医疗技术人员，通常与PWD互动，没有专门的痴呆症护理培训。长期护理的研究表明，痴呆症护理的教育和技能培训将 这对工作人员产生了可衡量的积极影响，包括增加了知识、能力感和工作满意度，并由于减少生病、病假和迟到而提高了生产力。这项快速通道的努力旨在为在医院工作的NA/AHW创建一个基于视频的互动式在线痴呆症护理培训计划。完成的产品将包括12个一小时的模块，将包括现实生活和角色扮演的情况下，说明标准的影响， 和最佳实践在急性护理设置和采访专家。这项工作将与阿尔茨海默氏症协会和纽约大学朗格尼医学中心的研究人员共同完成。医院工作人员、CNA-AHW学校、工会和个人学员以及医院将获得便捷、一致、24/7、全国（城市和农村）的高质量痴呆症培训以及预计将获得认证的个人认证计划阿尔茨海默氏症协会。第二阶段随机对照试验（RCT）的研究评估将包括获得的知识，工作满意度，生产力，压力，自尊以及与残疾人士和家庭成员沟通的理解。一个由多学科专家组成的国家顾问小组将指导内容开发和方案评估。除了其强大的商业潜力（申请人在过去十年中已将其SBIR奖项100%商业化）外，拟议的努力还能够使他们在农村和城市场所护理的NA/AHW和残疾人受益。社区和“分钟”诊所、紧急护理中心和医生办公室，这些地方优质的痴呆症培训资源稀缺。

DESCRIPTION (provided by applicant): Alzheimer's disease and related dementias (ADRD) are an urgent healthcare challenge facing 21st Century America. In the U.S. in 2011, one person received an ADRD diagnosis every 68 seconds; by 2050, that number will be one every 33 seconds (Alzheimer's Disease Facts and Figures, 2010). ADRD are the third most costly disease sets in the U.S. In spite of ongoing research efforts, at present there is no way to prevent onset, decline, or death related to ADRD. Hospitalization is especially difficult for peopl with dementia (PWD) and their family members and presents special care challenges to staff. Acute care is complicated because symptoms of dementia are often exacerbated by illness and a new environment. There are few studies in the literature of the effects of dementia care on non-professional hospital employees, but studies in long-term care and home settings suggest that the difficulties associated with ADRD care cause stress, burden, and lack of job satisfaction in paid caregivers. In the acute-care hospital setting, nursing assistants and other non-professional allied health workers (NA/AHWs) such as dietary aides, transportation employees, and medical technologists, generally interact with PWD without specialized dementia-care training. Studies in long-term care suggest that education and skill training in dementia care will result in measurable positive effects on staff, including greater knowledge, sense of competence and job satisfaction and improved productivity due to reduced illness, sick days and lateness. This Fast Track effort aims to create a video-based, interactive, online dementia-care training program for NA/AHWs working in hospitals. The completed product will consist of 12 one-hour modules that will include real-life and role- played scenarios illustrating the effects of standard and best practices in the acute-care setting and interviews with experts. The effort will be completed in conjunction with the Alzheimer's Association and researchers at NYU Langone Medical Center. Hospital staff, schools for CNA-AHWs, unions and individual trainees as well as hospitals will gain convenient, consistent, 24/7, national access (both urban and rural) to top-quality dementia training as well as an individual certification program anticipated to be accredited by the Alzheimer's Association. The Phase II Randomized Control Trial (RCT) research evaluation will include knowledge gained, job satisfaction, productivity, stress, self-esteem and understanding of communication with PWD and family members. An expert multidisciplinary national team of consultants will guide the content development and program evaluation. In addition to its strong commercial potential (applicants have commercialized 100% of their SBIR awards during the past decade), the proposed effort has the capacity to benefit NA/AHWs and the PWD for whom they care in rural as well as urban venues as diverse as community and "minute" clinics, urgent care centers, and physicians' offices, where quality dementia training resources are scarce.