Interactive Training for Staff Who Care for Psychiatric Residents

描述（由申请人提供）：在熟练的护理设施居民的精神疾病提出了挑战的专业工作人员，其中大多数人没有受过训练的工作与心理健康问题。拟议的项目将开发一个互动程序，旨在提供知识和技能的护士助理提供照顾这些居民。交互式多媒体格式特别适合于这种类型的员工培训，因为它已被证明是有效的（Irvine，Bourgeois，& Ary，2003; Irvine，Bourgeois，Billow，&塞利，在新闻中），并且它不是员工密集型的实现。基于技能的模块，旨在适应用户的阅读能力，将包括围绕现实的视频建模小插曲建立自定进度的互动教程。基于能力的教学设计将允许用户在理解材料时以自己的速度前进。方案模块将：（a）增进对精神健康和特定疾病症状的了解，同时消除神话和陈规定型观念;（B）提供基本的沟通技巧和适当的应对策略，帮助情绪激动或迷失方向的住院医生;（c）提供先进的技能，包括以团队为基础的方法;（d）提供工作人员自我护理的技巧;（e）提供关于精神疾病的互动信息中心;以及f）为管理员提供单独的模块，展示以人为中心的护理的设施范围哲学的成本效益和组织基础。将为用户提供程序内容的简要原则，并为主管提供培训进度的文件。第一阶段的研究开发了互联网和光盘培训计划，提供有关精神疾病的神话和事实的内容，关于特定类别的障碍的事实，以及与表现出精神疾病症状的居民合作的基本沟通技巧。该计划在互联网上进行了评估，由专业护理人员在一项随机试验。第二阶段的产品将以互联网、CD-ROM和DVD-ROM格式开发，并提供一本工作手册，以方便个人和团体使用。将通过一项大型随机试验（n=300）进行评价。公共卫生相关性：专业护理机构的专业护理人员经常接触有精神疾病症状的居民。拟议的方案将向住院医生提供有关精神障碍的基本知识，以及识别早期症状和适当应对的技能，以减少精神障碍并帮助住院医生恢复日常活动。

DESCRIPTION (provided by applicant): Psychiatric disorders among residents in skilled nursing facilities present challenges to professional staff, most of whom are not trained to work with mental health issues. The proposed project will develop an interactive program designed to provide knowledge and skills for Nurse Aides providing care for these residents. The interactive multimedia format is particularly well-suited for staff training of this type because it has been shown to be effective (Irvine, Bourgeois, & Ary, 2003; Irvine, Bourgeois, Billow, & Seeley, in press), and it is not staff-intensive to implement. Skill-based modules, designed to accommodate users regardless of reading ability, will consist of self-paced interactive tutorials built around realistic video modeling vignettes. The competency-based instructional design will allow users to advance at their own pace when the material is understood. Program modules will: a) improve knowledge about mental health and symptoms of specific disorders, while dispelling myths and stereotypes; b) provide basic communication skills and appropriate response strategies with agitated or disoriented residents; c) provide advanced skills including team based approaches; d) offer techniques for staff self-care; e) provide an interactive information center on mental illness; and f) provide a separate module for administrators demonstrating the cost effectiveness and organizational underpinnings for a facility-wide philosophy of person centered care. Summary printouts of program content for users and documentation of training progress for supervisors will be supplied. The Phase I research developed internet and CD-ROM training programs providing content on myths and facts about mental illness, facts about specific categories of disorders, and basic communication skills for working with residents showing symptoms of psychiatric disorders. The program was evaluated on the Internet by professional care giving staff in a randomized trial. The Phase II product will be developed in Internet, CD- ROM, and DVD-ROM formats with a workbook available to facilitate both individual and group usage. It will be evaluated with a large randomized trial (n=300). PUBLIC HEALTH RELEVANCE: Professional caregivers in skilled nursing facilities regularly come in contact with residents showing the symptoms of mental illness. The proposed program will give caregiving staff basic knowledge about mental disorders, and the skills to recognize early symptoms and appropriately respond in ways that decrease the symptomatology and help the resident return to usual activities.