Function-Focused Care for Cognitive Impairment Training Among Formal Caregivers in Long-Term Care Facilities in Taiwan: A Cluster Randomized Controlled Trial.

IF 1.1 4区 医学 Q4 GERIATRICS & GERONTOLOGY Journal of gerontological nursing Pub Date : 2024-07-01 DOI:10.3928/00989134-20240618-07
Su-Hsien Chang, Ching-Len Yu, Ming-Han Chiang
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Abstract

Purpose: To examine behavior changes among formal caregivers in Taiwanese long-term care facilities (LTCFs) after receiving training in function-focused care for cognitive impairment (FFC-CI).

Method: The current study was a clustered randomized controlled trial. Formal caregivers (i.e., RNs and nursing assistants) (N = 98) from four LTCFs were randomly assigned to experimental or control groups. Training was based on four components of FFC-CI. Data were collected four times within 9 months using five observational outcome measurements: Self-Efficacy for Restorative Care (SERCS), Outcome Expectations for Restorative Care Scale (OERCS), Restorative Care Knowledge Scale (RCKS), Restorative Care Behavior Checklist (RCBC), and Job Attitude Scale (JAS).

Results: Statistically significant changes were noted in each activity of restorative care behavior among the four observational measurements. Results also indicated that job satisfaction was a statistically significant main effect for the experimental group; however, SERCS, OERCS, and RCKS scores were not statistically significant.

Conclusion: To eliminate gaps between translating research outcomes to clinical practice, this study applied a theory-based caring model for caregivers to improve knowledge and skills in caring for older adults with dementia. Caregivers who received training in FFC-CI not only had higher job satisfaction but could also provide specific FFC activities for residents during their daily care. [Journal of Gerontological Nursing, 50(7), 42-50.].

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台湾长期照护机构正式照护者的认知障碍功能集中照护训练:集群随机对照试验》。
目的:研究台湾长期护理机构(LTCF)中的正式护理人员在接受认知障碍功能集中护理(FFC-CI)培训后的行为变化:本研究是一项分组随机对照试验。来自四家 LTCF 的正式护理人员(即护士和护理助理)(N = 98)被随机分配到实验组和对照组。培训以 FFC-CI 的四个组成部分为基础。在 9 个月内使用五种观察结果测量方法收集了四次数据:恢复性护理自我效能(SERCS)、恢复性护理结果期望量表(OERCS)、恢复性护理知识量表(RCKS)、恢复性护理行为核对表(RCBC)和工作态度量表(JAS):在四项观察测量中,恢复性护理行为的每项活动都发生了有统计学意义的变化。结果还表明,工作满意度对实验组的主效应具有统计学意义;但是,SERCS、OERCS 和 RCKS 分数在统计学上没有意义:为了消除研究成果转化为临床实践之间的差距,本研究为护理人员应用了基于理论的护理模式,以提高他们护理老年痴呆症患者的知识和技能。接受过FFC-CI培训的护理人员不仅工作满意度较高,还能在日常护理中为居民提供特定的FFC活动。[老年护理学杂志》,50(7),42-50。]
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来源期刊
CiteScore
2.00
自引率
7.70%
发文量
98
审稿时长
6-12 weeks
期刊介绍: The Journal of Gerontological Nursing is a monthly, peer-reviewed journal publishing clinically relevant original articles on the practice of gerontological nursing across the continuum of care in a variety of health care settings, for more than 40 years.
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