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Aggressive behavior. Educating nursing assistants.

K S Feldt, M B Ryden

    Journal of Gerontological Nursing
    |May 1, 1992
    PubMed
    Summary
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    Nursing assistants found caring for aggressive residents with cognitive impairment more rewarding and less frustrating after an educational program. This training improved their skills in managing challenging behaviors in long-term care settings.

    Area of Science:

    • Gerontology
    • Nursing Education
    • Behavioral Science

    Background:

    • Caring for aggressive residents with cognitive impairments poses significant challenges for nursing assistants in long-term care.
    • Effective strategies are needed to support nursing staff and improve resident care quality.

    Purpose of the Study:

    • To evaluate the impact of an educational intervention on nursing assistants' experiences and skills when caring for aggressive residents with cognitive impairments.
    • To assess the effectiveness of clinical nurse specialist-led training in improving direct care practices.

    Main Methods:

    • Nursing assistants in long-term care facilities participated in a targeted educational program.
    • The curriculum covered cognitive impairment, aggression triggers, communication, prevention, and emotional management.

    Related Experiment Videos

  • A clinical nurse specialist provided instruction and role-modeled care techniques.
  • Main Results:

    • Post-intervention, nursing assistants reported significantly more rewarding and less frustrating experiences.
    • The educational program enhanced nursing assistants' skills in managing aggressive behaviors.
    • Clinical nurse specialist involvement was effective in improving direct care skills.

    Conclusions:

    • Educational interventions are effective in improving nursing assistants' confidence and competence.
    • Specialized training can mitigate the challenges of caring for aggressive, cognitively impaired residents.
    • Clinical nurse specialists play a vital role in enhancing staff skills and resident care outcomes.