Training Direct Care Staff in Goal Planning with Elderly People

1986 ◽  
Vol 14 (3) ◽  
pp. 192-209 ◽  
Author(s):  
Christine Barrowclough ◽  
Ian Fleming
Keyword(s):  
Training Programme ◽  
Small Sample ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Planning Techniques ◽  
Vast Number ◽  
Elderly Individuals ◽  
Goal Planning

Although there have been a vast number of reports on training direct care staff in behavioural techniques, little work has been reported pertaining to elderly individuals. This paper describes how a method of constructing, implementing and evaluating individual plans – goal planning – was adapted for use with elderly clients. Direct care staff in a number of different establishments were trained in goal planning techniques with elderly clients and evaluations of their goal planning skills were made after training. Most trainees acquired the skills to an acceptable level and in the small sample studied, this was maintained at four month follow-up. Some measures of the effectiveness of the implementation of the goal planning and its maintenance after training are reported, and limitations of the training programme are discussed.

A Competency-Based “Hands-On” Training Package for Direct-Care Staff

1987 ◽  
Vol 12 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Mary R. Burch ◽  
Maxin L. Reiss ◽  
Jon S. Bailey
Keyword(s):  
Care Facility ◽  
Direct Care ◽  
Care Staff ◽  
Multiple Baseline ◽  
Direct Care Staff ◽  
Baseline Design ◽  
Training Package ◽  
Hands On ◽  
Competency Based

This study evaluated the effectiveness of a “hands-on” and videotape training package in teaching direct care staff in an Intermediate Care Facility to conduct daily activities for persons labeled profoundly mentally retarded. A proficiency checklist of desired staff behaviors was developed and staff were provided with hands-on competency-based training. With the use of a multiple baseline design (across two groups of staff), it was shown that staff performance in conducting the activities improved after the training was implemented, and that skills maintained at a 3-week follow-up check.

scholarly journals 101 A Posture and Mobility Training Package for Care Home Staff: Results of A Cluster Randomised Controlled Feasibility Trial

2020 ◽  
Vol 49 (Supplement_1) ◽  
pp. i34-i36
Author(s):  
L Graham ◽  
B Cundill ◽  
A Ellwood ◽  
J Fisher ◽  
M Goodwin ◽  
...  
Keyword(s):  
Care Home ◽  
Direct Care ◽  
Care Staff ◽  
Feasibility Trial ◽  
Direct Care Staff ◽  
Intervention Delivery ◽  
Care Home Staff ◽  
Mobility Training ◽  
Randomised Controlled

Abstract Introduction Provision of care for care home residents with complex needs is challenging. Physiotherapy and activity interventions can improve physical well-being but are often time-limited and resource intensive. A sustainable approach is to enhance the confidence, skills and abilities of care home staff. This trial assessed the feasibility of undertaking a definitive evaluation of the Skilful Care Training Package (SCTP) - a posture and mobility training programme developed by physiotherapists for care home staff. Methods A parallel-group, cluster randomised controlled feasibility trial was undertaken in ten care homes in Yorkshire. Five were randomised to receive SCTP, five to usual care. SCTP was delivered by specialist physiotherapists, with the intention of training all direct care staff. Following consent, data were collected from and about residents with restricted mobility (those fulfilling the eligibility criteria) at baseline, three and six months post-randomisation by blinded researchers. Outcome measurement included resident mobility, posture, pain and quality of life. The feasibility of recruitment, retention, data collection and intervention delivery was assessed. Results All residents (348) at participating homes were screened for eligibility. 250 were eligible and 146 took part. Follow-up was balanced between arms, with an overall loss-to-follow-up rate of 28.8% at six months. Where residents were available for six-month follow-up, proxy data provision was excellent (97.1% - 100% of expected data). Difficulty collecting data directly from residents was experienced (43.3% of expected data) due to high levels of cognitive impairment. Staff attendance at training met or was close to pre-specified criteria for acceptability in three homes, with 63.0%, 63.6% and 65.8% direct care staff attending all sessions, and >85% attending at least one session across all three homes. However attendance fell short of acceptability in two homes, with only 21.4% and 12.5% staff attending all sessions. Conclusions It is feasible to recruit and follow-up residents in a randomised trial comparing SCTP and usual care. Proxy data collection is a successful method, but collection of data from residents is difficult. Intervention delivery success was variable, illustrating heterogeneity between care homes. Future research will be informed by learning from those homes with greater intervention compliance. Work should be undertaken to investigate how best to collect meaningful data from residents.

Evaluation of the Educational Effectiveness of an Instructional Package on Developmental Disabilities

1980 ◽  
Vol 4 (1) ◽  
pp. 24-29
Author(s):  
Lothar Mader ◽  
Patricia Resick ◽  
Donald Witzke ◽  
Joseph Ferrara ◽  
Eric Rudrud
Keyword(s):  
Developmental Disabilities ◽  
Staff Training ◽  
Direct Care ◽  
Care Staff ◽  
Educational Effectiveness ◽  
Direct Care Staff ◽  
Visual Component ◽  
Presentation Modes ◽  
Instructional Package

A newly developed audio-visual staff training package on the legal and historical aspects of developmental disabilities was assessed for its educational effectiveness. Separate evaluations were made of the component parts of the package. From a residential institution serving the developmentally disabled, 100 direct care staff were selected randomly and assigned to five groups. These groups were presented with either the audio-visual component, the workbook, or the combined audiovisual and workbook components of the package. Two groups were pretested and all five groups received a posttest and a three week follow-up test The results indicated significant learning effects which were maintained through the follow-up period. There were no differences between the three presentation modes in educational effectiveness but the slide-tape only presentation was more efficient and was preferred by the participants. Based on the results of the study, further development of audio-visual staff training packages is encouraged.

The Constructional Approach to “Problem Behaviour” in an Institutionalized Setting

1984 ◽  
Vol 12 (4) ◽  
pp. 349-355 ◽  
Author(s):  
Ian Fleming
Keyword(s):  
Direct Care ◽  
Care Staff ◽  
Behavioural Intervention ◽  
Direct Care Staff ◽  
Problem Behaviour ◽  
Mentally Handicapped

This paper describes the successful application of a behavioural intervention to the inappropriate behaviour of a severely mentally handicapped hospital resident. The intervention was based on the Constructional approach and at sixth week follow-up the effects had been maintained. Furthermore, there was evidence that these had generalised to other behaviours. Significant changes were noted in the attitudes of direct care staff and it is suggested that these may have been attributable to the nature of the approach used. The Constructional approach was considered ethically and practically superior to alternatives which would have concentrated alone on reducing or removing behaviour in the client's limited repertoire.

scholarly journals Mealtime Care for People With Dementia: What Do Nursing Home Staff Think?

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 182-183
Author(s):  
James Faraday ◽  
Clare Abley ◽  
Catherine Exley ◽  
Joanne Patterson
Keyword(s):  
Nursing Homes ◽  
Ethnographic Study ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Structured Interviews ◽  
Staff Members ◽  
People With Dementia ◽  
Comparison Approach ◽  
The Right

Abstract More and more people with dementia are living in nursing homes (NH). Often, they depend on NH staff for help with eating and drinking. It is important that staff have the skills and support they need to provide good care at mealtimes. This qualitative study explores mealtime care for people with dementia, from the perspective of NH staff. Semi-structured interviews with NH staff (n=16) were carried out in two nursing homes. The homes were chosen to have diverse characteristics: one home had a large number of beds and was part of a small local organization; the other had a small number of beds and was part of a large national organization. Various staff members were interviewed, including direct care staff, senior carers, nurses, managers, and kitchen staff. Interviews were audio-recorded and transcribed verbatim. A constant comparison approach was taken, so that data from early interviews were explored in more depth subsequently. From the analysis, five themes emerged as important in mealtime care for people with dementia living in nursing homes: Setting the right tone; Working well as a team; Knowing the residents; Promoting autonomy and independence; Gently persevering. This work forms part of a larger ethnographic study on the topic, which includes data from residents with dementia, and family carers. Results will inform the development of a staff training intervention to optimize mealtime care for this population.

Reflections on the Current Psychiatric Consultation and Referral Pattern and on the State of the Art, at Oxford Regional Centre, An Adult Mental Retardation Facility

1984 ◽  
Vol 29 (4) ◽  
pp. 306-311 ◽  
Author(s):  
Axel Russell
Keyword(s):  
Mental Retardation ◽  
State Of The Art ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Psychiatric Consultation ◽  
Referral Service ◽  
Consultation And Referral ◽  
Adult Mental Retardation ◽  
Care Problems

This paper investigates the utilization pattern of the psychiatric consultation and referral service provided by the author in an Adult Mental Retardation Facility over a three-year period. The services, their history and locale are described against a background of changes in attitudes towards the problems of the retarded. Rising interest by psychiatrists in the field is placed in context. A spectrum of variables is used for a statistical analysis of factors (Chi2) influencing psychiatric referrals or non-referrals of all new admissions over the period indicated (N = 98). Against a background of increasing normalization and de-institutionalization, the character and composition of the shrinking institutional population has changed. Administration and direct-care staff are now confronted with management and care problems of lower functioning retardates, presenting difficult-to-manage behaviours and severe, often multiple, handicaps. Several factors with resource and care implications are considered, affecting institutionalized as well as community placed retardates, especially in hard economic times. Findings are discussed; recommendations are made concerning the application of scarce psychiatric resources to meet changing psychiatric needs of the population, maximize services and continue community directed normalization efforts. Some caveats are sounded and further research suggested.

scholarly journals HOW STATES CHANGED REGULATORY REQUIREMENTS FOR ASSISTED LIVING STAFF SINCE 2003

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S441-S441
Author(s):  
Paula Carder ◽  
Sarah Dys
Keyword(s):  
Assisted Living ◽  
Management Practices ◽  
Direct Care ◽  
Care Staff ◽  
Direct Care Staff ◽  
Criminal Background Checks ◽  
Background Checks ◽  
Human Resource Policies ◽  
Criminal Background ◽  
Future Policy

Abstract In 2003, the Assisted Living Workgroup (ALW) published quality improvement recommendations for states’ regulations, including 26 regarding staffing/workforce. We reviewed states’ 2003 and current regulations to identify the presence of ALW standards. Over half of states’ regulations reflect 7 of the 26 staffing/workforce recommendations. Those most often added after 2003 concern criminal background checks, with a 58.8 percent increase in states that added federal background checks and use of criminal background checks to inform hiring. At least 40 states’ regulations reflect the ALW recommendations for administrator and direct care staff training. Very few states require staff performance evaluations (n=13), human resource policies to improve retention (n=1), or management practices to improve retention (0). The 10 ALW recommendations concerning staff who administer medications have been adopted by fewer than 23 states. These findings can inform future policy analysis and research on staffing/workforce in assisted living communities.

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