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Improving nursing home care through training and job redesign
1Department of Human Development and Family Studies, Pennsylvania State University, University Park 16802.
The Gerontologist
|June 1, 1992
Summary
Two interventions for nursing assistants in nursing homes improved knowledge but not performance. The study assessed skills training and job redesign effects on older resident care.
Area of Science:
- Gerontology
- Nursing Home Care
- Healthcare Management
Background:
- Nursing assistants provide primary care for older adults in nursing homes.
- Improving nursing assistant performance is crucial for quality elder care.
- Existing interventions often focus on knowledge or motivation separately.
Purpose of the Study:
- To assess the effects of skills training and job redesign on nursing assistants' knowledge and performance.
- To evaluate the combined impact of these interventions.
- To identify implications for policy, practice, and research in nursing home settings.
Main Methods:
- A short-term longitudinal study design was employed.
- Interventions included skills training and job redesign.
- Comparisons were made between intervention and control nursing home sites.
Main Results:
- Statistically significant increases in nursing assistants' knowledge were observed in intervention groups.
- No statistically significant improvements in nursing assistants' performance were found.
- The study did not demonstrate a performance enhancement from the interventions.
Conclusions:
- While interventions can increase nursing assistant knowledge, they may not directly translate to improved performance.
- Further research is needed to understand how to effectively enhance nursing assistant performance.
- Policy and practice should consider the limitations of current intervention strategies.