Educating Nursing Assistants to Communicate More Effectively With Nursing Home Residents With Dementia
Abstract
This article describes the development and evaluation of a Nursing Assistant Communication Skills Program (NACSP). NACSP was designed to help nursing assistants (NAs) interact more effectively with nursing home residents with moderate and severe dementia. In two skilled-care nursing homes, NAs in four units were randomly assigned by unit to NACSP or to a wait-list control condition (UC) and were assessed at baseline, 3 months, and 6 months. NACSP resulted in improvement in the well-being of nursing home residents being cared for by NAs who had received the NACSP training. It was also found that NACSP resulted in greater knowledge of caregiving responses and reduced turnover rates among NAs, but the program had no impact on their knowledge of dementia. To disseminate the NACSP program, a leader manual, an accompanying training videotape, and a workbook for participants were developed.
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The prior systematic review did not consider whether interventions were effective only during the intervention or whether the effect lasted longer.
“The review did not consider whether interventions were effective only during the intervention or whether the effect lasted longer;”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [9]
The prior systematic review did not consider the settings in which the intervention had been shown to be effective.
“the settings in which the intervention had been shown to be effective (e.g. in the community or in care homes);”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [9]
The one published, well-conducted systematic review of non-pharmacological management of agitation in dementia included only RCTs published before 2004 in English or Korean; it found just 14 papers and evidence of effectiveness only for sensory interventions.
“The one published, well-conducted systematic review of non-pharmacological management of agitation in dementia included only randomised controlled trials (RCTs) published before 2004 in English or Korean; it found just 14 papers and evidence of effectiveness only for sensory interventions. 9”
From Non-pharmacological interventions for agitation in dementia: systematic review of randomised controlled trials (2014) · cites this paper as [9]
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- Authors
- McCallion, P., Toseland, R. W., Lacey, D., & Banks, S.
- Affiliations
- University at Albany, State University of New York (US)
- National Institutes of Health (US)
- ORCID
- McCallion, P.
- Venue
- The Gerontologist
- Publisher
- Oxford University Press (OUP)
- Published
- 1999-10-01
- Volume
- 39
- Issue
- 5
- Pages
- 546-558
- ISSN
- 0016-9013 (ISSN-L)
- 1758-5341
- OpenAlex
- W1996181878
- Cited by
- 182
- References
- 47
- Citations by year
- 2025: 3 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 3 · 2019: 3 · 2018: 4 · 2017: 6 · 2016: 16 · 2015: 6 · 2014: 10 · 2013: 11 · 2012: 15
- FWCI
- 14.70
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Gerontologist (publishedVersion)
- PubMed (publishedVersion)
- Funders
- New York State Department of Health
- Topics
- Health Sciences › Health Professions › General Health Professions › Geriatric Care and Nursing Homes
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- nursing assistants, dementia, nursing home residents, communication skills training, skilled nursing facilities, caregiver well-being, employee turnover, dementia knowledge, training evaluation, program dissemination
- MeSH terms
- Adult, Aged, Alzheimer Disease, Communication, Female, Homes for the Aged, Humans, Inservice Training, Male, Middle Aged, Nurse-Patient Relations, Nursing Assistants, Nursing Homes
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