ENHANCING WORK EFFICACY OF SKILLED NURSING ASSISTANTS

提高熟练护理助理的工作效率

基本信息

批准号：
7652038
负责人：
PATRICIA A. PARMELEE
金额：
$ 8.08万
依托单位：
UNIVERSITY OF ALABAMA IN TUSCALOOSA
依托单位国家：
美国
项目类别：
财政年份：
2006
资助国家：
美国
起止时间：
2006-09-01 至 2009-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7652038
关键词：
Absenteeism Address Applications Grants Area Attitude Behavior Caring Clinical Management Competence Cues Data Depth Development Discipline of Nursing Economics Educational process of instructing Effectiveness of Interventions Elderly Ensure Environment Evaluation Face Feedback Fostering Generations Health Home environment Industry Inferior Intervention Knowledge Licensed Practical Nurse Licensing Long-Term Care Long-Term Care Nursing Manuals Motivation Nature Nurses Nursing Homes Nursing Staff Occupations Organ Organizational Culture Outcome Measure Patient Self-Report Performance Performance at work Preparation Psychological Theory Quality of Care Quality of life Registered nurse Research Research Project Grants Review Literature Sonal Staging Testing Training Translating USA Georgia Upper arm Western Asia Georgia Work Workplace aged behavior influence coping cost design improved in vivo nursing intervention prototype skills success therapy development

项目摘要

DESCRIPTION (provided by applicant): The long-term care industry faces a staffing crisis that threatens quality of care for elderly nursing home (NH) residents nationwide. This research addresses that problem by developing a feasible intervention to enhance work-related efficacy (perceived control) among nursing assistants (NAs). Presumably, NAs who feel able proactively to manage the demands of their jobs will respond more positively and effectively. This should translate to reduced turnover, improved job performance and, as a result, improved functional health and quality of life for elderly nursing home residents. This project will therefore develop a multifaceted intervention to enhance NAs' work-related efficacy. Specific aims are: (1a) to use NAs' own input to develop content for an efficacy-enhancing intervention targeting basic knowledge of care of the aged, strategies for dealing with work demands, and interpersonal skills for interacting with coworkers, supervisors, and residents; (1b) to develop a complementary intervention aimed at sensitizing registered nurses (RNs) and licensed practical/vocational nurses (LPNs) to how their own attitudes and behaviors influence NAs' motiva- tion and performance, and teaching supervisory skills designed to enhance NAs' work efficacy; (2) to select, develop and test outcome measures to evaluate intervention effectiveness, and (3) to conduct a limited field test of a prototype intervention. These aims will be pursued in a 2-year developmental research project comprising 4 main activities: content generation through qualitative and quantitative data gathering with direct care staff, management, and consumers in diverse Georgia NHs; selection and/or development of self-report and observational outcome measures; intervention development, yielding manuals and materials for coordinated prototype interventions for NAs and professional nursing staff, and a field test to ensure feasibility and garner feedback for fine-tuning the intervention as a grant application is prepared for full-scale implementation and evaluation.

描述（由申请人提供）：长期护理行业面临人员配备危机，威胁到全国老年疗养院 (NH) 居民的护理质量。本研究通过制定可行的干预措施来提高护理助理 (NA) 与工作相关的功效（感知控制）来解决这个问题。想必，那些感觉能够主动管理其工作需求的 NA 会做出更积极、更有效的反应。这应该意味着减少人员流动、提高工作绩效，从而改善老年疗养院居民的功能健康和生活质量。因此，该项目将制定多方面的干预措施，以提高国家代表与工作相关的效率。具体目标是：(1a) 利用 NA 自己的投入来开发提高功效的干预内容，目标是老年人护理的基本知识、处理工作需求的策略以及与同事、主管和居民互动的人际技巧; (1b) 制定一项补充干预措施，旨在提高注册护士 (RN) 和执业/职业护士 (LPN) 的认识，了解他们自己的态度和行为如何影响 NA 的动机和绩效，并教授旨在提高 NA 的监督技能工作效率； (2) 选择、开发和测试结果测量以评估干预措施的有效性，以及 (3) 对原型干预措施进行有限的现场测试。这些目标将在一个为期 2 年的发展研究项目中实现，该项目包括 4 个主要活动：通过与乔治亚州不同 NH 的直接护理人员、管理层和消费者收集定性和定量数据来生成内容；选择和/或制定自我报告和观察结果措施；干预措施的开发，为国家护理人员和专业护理人员提供协调原型干预措施的手册和材料，以及现场测试，以确保可行性并收集反馈意见，以便在准备拨款申请以进行全面实施和评估时对干预措施进行微调。