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Published Online:https://doi.org/10.3928/19404921-20170131-01

Abstract

The current project tested the feasibility and utility of the CARES® Dementia-Friendly Hospital™ (CDFH) program, a 4-module, online training program for nursing assistants (NAs) and allied hospital workers (AHWs) who provide care to individuals with dementia. A single group pretest/posttest design was used for 25 hospital NAs/AHWs, and quantitative and qualitative data were collected to determine whether NAs'/AHWs' knowledge of hospital-based dementia care significantly increased, and if CDFH was perceived as useful and acceptable. Dementia care knowledge increased significantly (p < 0.001). Open- and closed-ended data suggested that the delivery of online training to NAs/AHWs to enhance dementia care is feasible, useful, and efficient. Ongoing gaps in care exist for individuals with dementia in hospitals, and delivering robust training for NAs/AHWs may serve as an effective modality to enhance quality of dementia care in such settings.

[Res Gerontol Nurs. 2017; 10(2):58–65.]

  • Alzheimer's Association. (2016). 2016 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 12, 459–509.10.1016/j.jalz.2016.03.001

    Crossref MedlineGoogle Scholar
  • Borson S., Chodosh J. (2014). Developing dementia-capable health care systems: A 12-step program. Clinics in Geriatric Medicine, 30, 395–420.10.1016/j.cger.2014.05.001

    CrossrefGoogle Scholar
  • Bray J., Evans S., Bruce M., Carter C., Brooker D., Milosevic S., Woods C. (2015). Enabling hospital staff to care for people with dementia. Nursing Older People, 27, 29–32.10.7748/nop.27.10.29.s21

    CrossrefGoogle Scholar
  • Bull M.J., Avery J.S., Boaz L., Oswald D. (2015). Psychometric properties of the Family Caregiver Delirium Knowledge Questionnaire. Research in Gerontological Nursing, 8, 198–207.10.3928/19404921-20150409-01

    LinkGoogle Scholar
  • Carpenter B.D., Balsis S., Otilingam P.G., Hanson P.K., Gatz M. (2009). The Alzheimer's Disease Knowledge Scale: Development and psychometric properties. The Gerontologist, 49, 236–247.10.1093/geront/gnp023

    CrossrefGoogle Scholar
  • Clissett P., Porock D., Harwood R.H., Gladman J.R. (2013). The challenges of achieving person-centred care in acute hospitals: A qualitative study of people with dementia and their families. International Journal of Nursing Studies, 50, 1495–1503.10.1016/j.ijnurstu.2013.03.001

    Crossref MedlineGoogle Scholar
  • Davis D., Bordage G., Moores L.K., Bennett N., Marinopoulos S.S., Mazmanian P.E., McCrory D. (2009). The science of continuing medical education: Terms, tools, and gaps: Effectiveness of continuing medical education: American College of Chest Physicians Evidence-Based Educational Guidelines. Chest, 135(Suppl. 3), 8S–16S.10.1378/chest.08-2513

    CrossrefGoogle Scholar
  • Davis D., O'Brien M.A., Freemantle N., Wolf F.M., Mazmanian P., Taylor-Vaisey A. (1999). Impact of formal continuing medical education: Do conferences, workshops, rounds, and other traditional continuing education activities change physician behavior or health care outcomes?Journal of the American Medical Association, 282, 867–874.10.1001/jama.282.9.867

    CrossrefGoogle Scholar
  • Eccles M.P., Hrisos S., Francis J., Kaner E.F., Dickinson H.O., Beyer F., Johnston M. (2006). Do self-reported intentions predict clinicians' behaviour: A systematic review. Implementation Science, 1, 28.10.1186/1748-5908-1-28

    CrossrefGoogle Scholar
  • Elvish R., Burrow S., Cawley R., Harney K., Pilling M., Gregory J., Keady J. (2016). ‘Getting to know me’: The second phase roll-out of a staff training programme for supporting people with dementia in general hospitals. Dementia. Advance online publication.10.1177/1471301216634926

    CrossrefGoogle Scholar
  • Forest E. (2014). The ADDIE Model: Instructional design. Retrieved from http://educationaltechnology.net/the-addie-model-instructional-design

    Google Scholar
  • Galvin J.E., Kuntemeier B., Al-Hammadi N., Germino J., Murphy-White M., McGillick J. (2010). “Dementia-friendly hospitals: Care not crisis”: An educational program designed to improve the care of the hospitalized patient with dementia. Alzheimer Disease and Associated Disorders, 24, 372–379.10.1097/WAD.0b013e3181e9f829

    Crossref MedlineGoogle Scholar
  • Gaugler J.E., Wocken K.M. (2014). Healthcare professionals may not be maintaining person-centred care for people with dementia hospitalised on acute wards. Evidence-Based Nursing, 17, 1495–1503.10.1136/eb-2013-101672

    CrossrefGoogle Scholar
  • Gillies L., Coker E., Montemuro M., Pizzacalla A. (2015). Sustainability of an innovation to support and respond to persons with behaviors related to dementia and delirium. Journal of Nursing Administration, 45, 70–73.10.1097/NNA.0000000000000160

    CrossrefGoogle Scholar
  • Glanz K., Rimer B.K., Viswanath K. (Eds.). (2008). Health behavior and health education: Theory, research, and practice. San Francisco, CA: Jossey-Bass.

    Google Scholar
  • Grimshaw J.M., Shirran L., Thomas R., Mowatt G., Fraser C., Bero L., O'Brien M.A. (2001). Changing provider behavior: An overview of systematic reviews of interventions. Medical Care, 39, II2–II45.10.1097/00005650-200108002-00002

    CrossrefGoogle Scholar
  • Hynninen N., Saarnio R., Isola A. (2015). The care of older people with dementia in surgical wards from the point of view of the nursing staff and physicians. Journal of Clinical Nursing, 24, 192–201.10.1111/jocn.12669

    CrossrefGoogle Scholar
  • Kolanowski A.M., Fick D.M., Clare L., Steis M., Boustani M., Litaker M. (2011). Pilot study of a nonpharmacological intervention for delirium superimposed on dementia. Research in Gerontological Nursing, 4, 161–167.10.3928/19404921-20101001-98

    LinkGoogle Scholar
  • Kraus S.J. (1995). Attitudes and the prediction of behavior: A meta-analysis of the empirical literature. Personality and Social Psychology Bulletin, 21, 58–75.10.1177/0146167295211007

    CrossrefGoogle Scholar
  • Luxford K., Axam A., Hasnip F., Dobrohotoff J., Strudwick M., Reeve R., Viney R. (2015). Improving clinician-carer communication for safer hospital care: A study of the ‘TOP 5’ strategy in patients with dementia. International Journal for Quality in Health Care, 27, 175–182.10.1093/intqhc/mzv026

    CrossrefGoogle Scholar
  • Marx K.A., Stanley I.H., Van Haitsma K., Moody J., Alonzi D., Hansen B.R., Gitlin L.N. (2014). Knowing versus doing: Education and training needs of staff in a chronic care hospital unit for individuals with dementia. Journal of Gerontological Nursing, 40(12), 26–34.10.3928/00989134-20140905-01

    LinkGoogle Scholar
  • Merkt M., Weigand S., Heier A., Schwan S. (2011). Learning with videos vs. learning with print: The role of interactive features. Learning and Instruction, 21, 687–704.10.1016/j.learninstruc.2011.03.004

    CrossrefGoogle Scholar
  • Mittelman M.S., Epstein C., Pierzchala A. (2003). Counseling the Alzheimer's caregiver: A resource for health care professionals. Chicago, IL: AMA Press.

    Google Scholar
  • Palmer J.L., Lach H.W., McGillick J., Murphy-White M., Carroll M.B., Armstrong J.L. (2014). The Dementia Friendly Hospital Initiative education program for acute care nurses and staff. Journal of Continuing Education in Nursing, 45, 416–424.10.3928/00220124-20140825-20

    LinkGoogle Scholar
  • Silverstein N.M., Maslow K. (Eds.). (2006). Improving hospital care for persons with dementia. New York, NY: Springer.

    Google Scholar
  • Simpson K. (2016). Improving acute care for patients with dementia. Nursing Times, 112, 22–24.

    Google Scholar
  • Smythe A., Jenkins C., Harries M., Atkins S., Miller J., Wright J., Oyebode J. (2014). Evaluation of dementia training for staff in acute hospital settings. Nursing Older People, 26, 18–24.10.7748/nop2014.02.26.2.18.e527

    CrossrefGoogle Scholar
  • Surr C.A., Smith S.J., Crossland J., Robins J. (2016). Impact of a person-centred dementia care training programme on hospital staff attitudes, role efficacy and perceptions of caring for people with dementia: A repeated measures study. International Journal of Nursing Studies, 53, 144–151.10.1016/j.ijnurstu.2015.09.009

    CrossrefGoogle Scholar
  • Teodorczuk A., Mukaetova-Ladinska E., Corbett S., Welfare M. (2014). Learning about the patient: An innovative interprofessional dementia and delirium education programme. Clinical Teacher, 11, 497–502.10.1111/tct.12203

    CrossrefGoogle Scholar
  • Thornlow D.K., Oddone E., Anderson R. (2014). Cascade iatrogenesis: A case-control study to detect postoperative respiratory failure in hospitalized older adults. Research in Gerontological Nursing, 7, 66–77.10.3928/19404921-20131126-01

    LinkGoogle Scholar
  • Turner A., Eccles F., Keady J., Simpson J., Elvish R. (2016). The use of the truth and deception in dementia care amongst general hospital staff. Aging & Mental Health, 1–8.10.1080/13607863.2016.1179261

    CrossrefGoogle Scholar
  • Turner A., Eccles F.J., Elvish R., Simpson J., Keady J. (2015). The experience of caring for patients with dementia within a general hospital setting: A meta-synthesis of the qualitative literature. Aging & Mental Health, 1–11.10.1080/13607863.2015.1109057

    CrossrefGoogle Scholar
  • Webb T.L., Sheeran P. (2006). Does changing behavioral intentions engender behavior change? A meta-analysis of the experimental evidence. Psychological Bulletin, 132, 249–268.10.1037/0033-2909.132.2.249

    CrossrefGoogle Scholar
  • Wingfield S.S., Black G.S. (2005). Active versus passive course designs: The impact on student outcomes. Journal of Education for Business, 81, 119–123.10.3200/JOEB.81.2.119-128

    CrossrefGoogle Scholar
  • Zhang D., Zhou L., Briggs R.O., Nunamaker J.F. (2006). Instructional video in e-learning: Assessing the impact of interactive video on learning effectiveness. Information & Management, 43, 15–27.10.1016/j.im.2005.01.004

    CrossrefGoogle Scholar

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