对直接和间接照顾亨廷顿病居民的员工进行缓和培训的评估
Brandon Rogers1, Barbara St Marie2, Daniel Wesemann3
1Brandon Rogers, DNP, ARNP, PMHNP-BC, University of Iowa Hospitals & Clinics, Iowa City, IA, USA.
Journal of the American Psychiatric Nurses Association
|November 20, 2023
概括
降级培训提高了在长期护理机构照顾亨廷顿病 (HD) 患者时的员工信心和安全. 培训减少了居民的攻击性和拒绝照顾,改善了照顾患有HD患者的员工的工作环境.
科学领域:
- 神经学 神经学
- 老年学是指老年学的学科.
- 医疗保健管理的管理
背景情况:
- 亨廷顿氏病 (HD) 对患者和护理人员来说,由于渐进的运动,认知和行为障碍,存在重大挑战.
- 长期护理 (LTC) 设施在管理患有HD的住户时,面临着对员工安全和信心的担忧.
研究的目的:
- 评估降级培训干预对在农村LTC设施照顾亨廷顿病患者的医疗保健工作人员的影响.
- 为了评估员工信心的变化,感知到的安全性,以及对HD症状的培训后理解.
主要方法:
- 在LTC设施中,向护理人员,管理人员和辅助员工提供了一项降级培训计划.
- 干预前后的调查测量了员工的信心和能力.
- 一位住院医疗记录审计人员在培训前后分析了具有挑战性的行为.
主要成果:
- 培训后,员工报告感知安全性增加 (33.3%),提高了同事享受 (54%) 和更好地理解HD症状 (44.4%).
- 对工作能力 (21.0%) 和照顾HD患者 (26.3%) 的信心也有所改善.
- 住院医疗记录显示,干预后记录的侵略性和拒绝护理的情况有所下降.
结论:
- 降级培训提高了对工作安全和同事在LTC环境中的享受的看法.
- 干预改善了工作人员对亨廷顿病的信心和理解,从而减少了居民的骚动和拒绝护理.
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