Culture and Communication Skills for Long Term Care

长期护理的文化和沟通技巧

基本信息

批准号：
8394965
负责人：
EILEEN A VAN SCHAIK
金额：
$ 28.74万
依托单位：
TALARIA, INC.
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-07-01 至 2014-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8394965
关键词：
Address Adult African American Asians Attention Attitude Caregivers Caring Case Study Certification Charge Nurses Communication Communities Complex Consult Continuing Education Country Cultural Backgrounds Cultural Diversity Development Dimensions Discipline of Nursing Education Educational process of instructing Effectiveness Elderly Environment Ethnic Origin Face Female Healthcare Systems Hispanics Home Health Aides Home environment Individual Internet Knowledge Language Latino Learning Life Long-Term Care Long-Term Care Nursing Marketing Measures Medicare/Medicaid Minority Not Hispanic or Latino Nurses Nurses&apos Aides Nursing Homes Online Systems Pathway interactions Patients Persons Phase Population Prejudice Problem Solving Provider Race Research Resources Self Care Simulate Skilled Nursing Facilities System Telephone Interviews Testing Training Vendor Work base caregiving case-based commercial application commercialization continuing nursing education cultural competence ethnic minority population experience follow-up improved innovation interest preference residential care facility response simulation skills tool usability

项目摘要

DESCRIPTION (provided by applicant): Approximately one-third of those who turned 65 in 2010 will enter a nursing home for short or long-term stay in their lifetime. Although the older adult population is growing more diverse, the current population of nursing home residents is 86% White and 62% female. An increasingly diverse staff is caring for the comparatively homogeneous long term care (LTC) resident population. Sixteen percent of nurses working in LTC are foreign born and may be learning how to collaborate and communicate in a new system, while caring for both majority and minority patients. Nurses who are native to the U.S. healthcare system find themselves challenged to work effectively with foreign-born colleagues and a diversifying resident population. Regardless of origin, nurses are charged with managing direct care workers, 50% of whom are racial or ethnic minorities. Specifically, 30% are African American, 15% are Latino, and 23% are foreign born. Direct care workers are likely to differ from the nurses who supervise them and the residents for whom they care on several important dimensions, including country of origin, race, ethnicity, primary language, education, and earning power. Cultural preferences regarding care can be obstacles to successful interactions if the caregiver does not understand and address those preferences. Moreover, cultural preferences can easily shade into prejudice against workers from a different cultural background, which can also impede the effectiveness of care. This application proposes to develop a web-based Cultural and Communication Skills course for nurses and direct care workers in LTC. Cultural competence requires taking an interest in what people think and say and what they have experienced, that is, in "the story of the person." The objectives of the proposed course are to improve communication skills for engaging cultural difference in care giving and in building effective working relationships among staff at every level. The course content will be presented via interactive video case studies in which learners are asked to take the perspectives of residents, direct care workers, and nurses. Throughout the course, communication and problem solving skills will be taught and practiced via audio recordings in response to video simulated residents or coworkers. Learning is intended to be cumulative throughout the course, which ultimately will consist of eight free standing but integrated modules on topics relevant across the full continuum of LTC. In Phase I, two 30-minute modules with interactive case studies will be developed, Pathways to Long Term Care and Team Communication Basics, along with a knowledge test and a skills scale specific to the course content. The modules and new measures will be subjected to usability and pilot testing with 30 target users to establish proof of concept. PUBLIC HEALTH RELEVANCE: Approximately 1.6 million people 65 or older live in more than 16,500 Medicare and Medicaid skilled nursing facilities where some 3 million direct care workers provide 70 percent to 80 percent of the paid, hands-on, long-term care. Fifty percent of the direct care workforce is racially/ethnically diverse or foreign born, while the nurses who supervise them are typically White. The proposed web-based course, Culture & Communication Skills, will teach nurses and direct care workers communication skills for engaging cultural difference in care giving and in building effective working relationships among staff at every level. The proposed course is relevant to the growing and complex field of long-term care.

描述（由申请人提供）： 2010 年年满 65 岁的人中约有三分之一将在一生中短期或长期居住在疗养院。尽管老年人口越来越多样化，但目前疗养院居民中 86% 是白人，62% 是女性。日益多元化的工作人员正在照顾相对同质的长期护理 (LTC) 居民群体。在 LTC 工作的护士中有 16% 是外国出生的，他们可能正在学习如何在新系统中协作和沟通，同时照顾多数和少数族裔患者。美国医疗保健系统本地的护士发现自己面临着与外国出生的同事和多样化的居民群体有效合作的挑战。无论出身如何，护士都负责管理直接护理人员，其中 50% 是少数族裔或族裔。具体来说，30% 是非裔美国人，15% 是拉丁裔，23% 是外国出生的。直接护理人员可能在几个重要方面与监督他们的护士和他们所照顾的居民有所不同，包括原籍国、种族、民族、主要语言、教育和赚钱能力。如果护理人员不理解并解决这些偏好，那么有关护理的文化偏好可能会成为成功互动的障碍。此外，文化偏好很容易演变成对来自不同文化背景的工人的偏见，这也会阻碍护理的有效性。该应用程序建议为 LTC 的护士和直接护理人员开发基于网络的文化和沟通技能课程。文化能力要求对人们的所思所言以及所经历的事物感兴趣，即“人的故事”。拟议课程的目标是提高沟通技巧，以便在护理服务中体现文化差异，并在各级工作人员之间建立有效的工作关系。课程内容将通过交互式视频案例研究来呈现，要求学习者站在住院医生、直接护理人员和护士的角度。在整个课程中，将通过录音来教授和练习沟通和解决问题的技能，以响应视频模拟的居民或同事。学习的目的是在整个课程中进行累积，最终将由八个独立但集成的模块组成，主题涉及整个 LTC 连续体的相关主题。在第一阶段，将开发两个包含交互式案例研究的 30 分钟模块：长期护理途径和团队沟通基础知识，以及特定于课程内容的知识测试和技能量表。这些模块和新措施将接受 30 个目标用户的可用性和试点测试，以建立概念验证。公共健康相关性：大约 160 万 65 岁或以上的人生活在超过 16,500 个 Medicare 和 Medicaid 熟练护理机构中，其中约 300 万直接护理人员提供 70% 至 80% 的带薪实践长期护理。百分之五十的直接护理人员是不同种族/族裔或出生在外国的，而监督他们的护士通常是白人。拟议的网络课程“文化与沟通技巧”将教授护士和直接护理人员的沟通技巧，以便在护理服务中体现文化差异，并在各级员工之间建立有效的工作关系。拟议的课程与不断发展和复杂的长期护理领域相关。