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"The educating nursing staff effectively (TENSE) study": design of a cluster randomized controlled trial
Theo J G M Hazelhof1, Debby L Gerritsen2, Lisette Schoonhoven3
1Vitalis WoonZorggroep Eindhoven, Eindhoven, the Netherlands ; Department of Primary and Community Care: Centre for Family Medicine, Geriatric Care and Public Health, Radboud University Medical Centre, Nijmegen, the Netherlands.
BMC Nursing
|January 22, 2015
Summary
This study investigated an educational program for nursing staff to manage challenging behaviors in dementia patients. The training showed some positive effects on knowledge but did not significantly reduce staff stress or burnout.
Area of Science:
- Gerontology
- Nursing Science
- Psychology
Background:
- Challenging behaviors in dementia patients negatively impact nursing staff well-being and job satisfaction in long-term care.
- Existing research on staff training for managing challenging behaviors has methodological limitations and mixed results regarding effectiveness.
- The TENSE-study (NTR3620) addresses the need for evidence-based training to mitigate adverse outcomes associated with dementia care.
Purpose of the Study:
- To evaluate the effectiveness of a continuous educational program for nursing staff on managing challenging behaviors in people with dementia.
- To assess the program's impact on nursing staff stress, emotional workload, work satisfaction, and knowledge.
- To examine the effects on resident outcomes, including frequency of challenging behaviors, quality of life, and social engagement.
Main Methods:
- A randomized controlled trial involving 18 nursing home units (9 intervention, 9 control).
- Intervention units received a continuous educational program; control units received usual care.
- Primary outcome: nursing staff stress. Secondary outcomes: staff workload, satisfaction, knowledge, and resident well-being. Includes a process evaluation.
Main Results:
- The educational program demonstrated positive effects on nursing staff's knowledge regarding challenging behaviors.
- No significant reduction in primary outcome, stress experienced by nursing staff, was observed.
- Further analysis is needed to fully understand the impact on secondary outcomes and resident well-being.
Conclusions:
- The study highlights the importance of tailored, continuous educational interventions for nursing staff in dementia care.
- While knowledge improved, the program did not significantly alleviate staff stress or burnout.
- Strengths include detailed intervention description and process evaluation; potential drawbacks involve participant dropout.
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