An Education Intervention to Enhance Staff Self-Efficacy to Provide Dementia Care in an Acute Care Hospital in Canada

L. Schindel Martin, L. Gillies, E. Coker, Anne Pizzacalla, M. Montemuro, G. Suva, V. McLelland
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引用次数: 34

Abstract

Education is needed for enhanced capacity of acute hospitals to provide dementia care. A nonrandomized controlled, repeated-measures design was used to evaluate a dementia education program delivered to an intervention group (IG, n = 468), compared to a wait-listed group (n = 277), representing separate sites of a multisite hospital. Participants completed self-efficacy for dementia and satisfaction measures and provided written descriptions of dementia care collected at baseline, postintervention (IG only), and at 8-week follow-up. Oral narratives were gathered from IG participants 8 weeks postintervention. The IG demonstrated significant improvement in self-efficacy scores from baseline to immediately postintervention (P < .001), sustained at 8 weeks. There were no changes from baseline to 8 weeks postintervention evident in the wait-listed group (P = .21). Intervention group participants described positive impacts including implementation of person-centered care approaches. Implementation of dementia care education programs throughout hospital settings is promising for the enhancement of dementia care.
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加拿大一家急症护理医院提高员工自我效能感以提供痴呆护理的教育干预
需要进行教育,以提高急症医院提供痴呆症护理的能力。采用非随机对照、重复测量设计来评估提供给干预组(IG, n = 468)和候补组(n = 277)的痴呆教育计划,代表多站点医院的不同站点。参与者完成痴呆自我效能和满意度测量,并提供基线、干预后(仅限IG)和8周随访时收集的痴呆护理的书面描述。干预后8周收集IG参与者的口述。IG显示自我效能评分从基线到干预后立即有显著改善(P < 0.001),持续8周。从基线到干预后8周,等候名单组没有明显的变化(P = .21)。干预组参与者描述了积极的影响,包括实施以人为本的护理方法。在整个医院环境中实施痴呆症护理教育计划是有希望提高痴呆症护理的。
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