STAFF MANAGEMENT SYSTEM FOR BEHAVIORAL SKILLS

本研究的主要目标是利用正式的员工管理 (FSM)激励注册护理助理（CNA）雇用的系统 行为管理技巧在护理单元的应用。 FSM系统基于 在作者提出的模型上， research. FSM系统包含以下组件：（1） CNA将使用绩效检查表，以提醒他们 适当的任务执行所涉及的步骤;（2）CNA将使用这些步骤 检查表，以自我监测自己的表现和护士主管 将在一致的时间表上监控CNA性能;（3）护士 主管将提供即时和延迟的口头表现 向小组和个人CNA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，以及工作人员和居民行为的变化将是 评估。 具体目标有三个：目标1：在建立 在两组的行为管理技能获得的等效性，我们 将评估是否有不同的技能表现的单位 在CSM和FSM条件下;目的2：我们将评估CNA的效果 对各种居民行为进行行为管理培训;目标3：我们 将使用计算机辅助实时数据收集程序， 分析行为管理培训对环境的影响 行为破坏性事件的背景因素。 我们将 检查痴呆的类型、认知和ADL状态以及 精神药物预测破坏性行为或居民 对治疗的反应。 我们还将调查CNA压力是否 水平或社会支持预测他们的能力，获得或执行 行为管理技能。 最后，我们将研究 与所取得的成果有关的培训/管理系统。

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.