Hostname: page-component-7479d7b7d-c9gpj Total loading time: 0 Render date: 2024-07-13T03:36:07.388Z Has data issue: false hasContentIssue false

Bridging the gap: an innovative dementia learning program for healthcare assistants in hospital wards using facilitator-led discussions

Published online by Cambridge University Press:  01 April 2009

Alan Chapman*
Affiliation:
The Dementia Services Development Centre, University of Stirling, Stirling, U.K.
Shirley Law
Affiliation:
The Dementia Services Development Centre, University of Stirling, Stirling, U.K.
*
Correspondence should be addressed to: Alan Chapman, The Dementia Services Development Centre Iris Murdoch Building, University of Stirling FK9 4LA, U.K. Phone: +44 (0)1786 467740; Fax. +44 (0)1786 466846. Email: a.j.chapman@stir.ac.uk.

Abstract

Nursing a person with dementia in a ward setting can be stressful and a challenge for staff and patients alike. Healthcare assistants are identified as requiring a specific training program. They form part of the front-line workforce and yet have the least access to training but often most contact with patients. The program in this study focused on person-centered care and used six self-study workbooks. Experienced registered nurses are trained to be facilitators of 12 group discussions in the ward setting. The training program viewed the facilitator as playing a key role in empowering the healthcare assistant but also in promoting reflective practice. The outcomes to date have been positive and showed a development in confidence and competence of the healthcare assistants involved.

Type
Research Article
Copyright
Copyright © International Psychogeriatric Association 2009

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alzheimer Scotland (2007). Let's make dementia a priority. The Dementia Manifesto to the Scottish Parliament. Edinburgh. Available at www.alzscot.orgGoogle Scholar
Beck, C., Ortigara, A., Mercer, S. and Shue, V. (1999). Enabling and empowering nursing assistants for quality dementia care. International Journal of Geriatric Psychiatry, 14, 197212.Google Scholar
Binney, G. and Williams, C. (1996). Leaning into the Future: Changing the Way People Change Organisations. London: Nicholas Brealey.Google Scholar
Boud, D., Keogh, R. and Walker, D. (1996). Promoting reflection in learning. In Edwards, R.Hanson, A. and Raggatt, P. (eds.), Boundaries of Adult Learning (pp. 3256). London: Routledge.Google Scholar
Burnard, P. (1989). Teaching Interpersonal Skills: A Handbook of Experiential Learning for Professionals. London: Chapman and Hall.CrossRefGoogle Scholar
Chang, C. C. and Lin, L. C. (2005). Effects of a feeding skills training programme on nursing assistants and dementia patients. Journal of Clinical Nursing, 14, 11851192Google Scholar
Chang, C. C., Wykle, M. L. and Madigan, E. A. (2006). The effect of a feeding skills training programme for nursing assistants who feed dementia patients in Taiwanese nursing homes. Geriatric Nursing, 27, 229237.CrossRefGoogle ScholarPubMed
Cross, P. (1992). Adults as Learners, 2nd edn. San Francisco: Jossey Bass.Google Scholar
Honey, P. and Mumford, A. (1982). The Manual of Learning Styles. Maidenhead: Ardingly House.Google Scholar
Innes, A. (2000). Training and Development for Dementia Care Workers. London: Jessica Kingsley.Google Scholar
Jack, B., Brown, J. and Chapman, T. (2004). Ward manager's perceptions of the role of the Healthcare Assistant British Journal of Nursing, 13, 270275Google Scholar
Law, E., Lewis, C. and Law, S. (2007) Dementia. A Six Part Study Course for Healthcare Assistants. Stirling: Dementia Services Development Centre, University of Stirling.Google Scholar
Lintern, T., Woods, B. and Phair, L. (2000). Training is not enough to change care practice. Journal of Dementia Care, 8 (2), 1517.Google Scholar
Loveday, B. (2001) Cascade training to develop skills in dementia care. Journal of Dementia Care, 9 (3), 1517Google Scholar
McCallion, P. et al. (1999) Educating nursing assistants to communicate more effectively with nursing home residents with dementia. The Gerontologist, 39, 546558.CrossRefGoogle ScholarPubMed
McCabe, M. P., Davison, T. E. and George, K. (2007). Effectiveness of staff training programmes for behavioural problems among older people with dementia. Ageing and Mental Health, 11, 505519CrossRefGoogle Scholar
NHS Scotland (2006). Delivering Care, Enabling Health. Harnessing the Nursing Midwifery and Allied Health Professions' Contribution to Implementing Delivering for Health in Scotland. Edinburgh: Scottish Executive.Google Scholar
NHS Scotland (2007). Better Health, Better Care. Planning Tomorrow's Workforce Today. Edinburgh: Scottish Government.Google Scholar
NICE (2006). Dementia Clinical Guidelines 42. London: National Institute for Health and Clinical Excellence.Google Scholar
Parks, S., Haines, C., Foreman, D., McKinstry, E. and Maxwell, T. (2005). Evaluation of an educational program for long-term care nursing assistants. Journal of the American Medical Directors Association, 6, 6165.Google Scholar
Peterson, D., Berg-Weger, M., McGillick, J. and Schwartz, L. (2002). Basic care 1: the effect of dementia-specific training on certified nursing assistants and other staff. American Journal of Alzheimer's Disease and Other Dementias, 17, 154164.CrossRefGoogle Scholar
Royal College of Psychiatrists (2005). Who Cares Wins: Improving the Outcome for Older People Admitted to the General Hospital. Available at: www.alzheimers.org/Workingwithpeoplewithdementia/pdf/WhoCaresWins; last accessed 4 April 2007.Google Scholar
Royal College of Nursing (2006). Review of the Regulation of the Non-medical Healthcare Professions. London: Royal College of Nursing.Google Scholar
Schon, D. (1996). From technical rationality to reflection in action. In Edwards, R., Hanson, A. and Raggatt, P. (eds.), Boundaries of Adult Learning (pp. 831). London: Routledge.Google Scholar
Storey, L. (2007). Regulation of healthcare assistants: an ongoing debate. British Journal of Healthcare Assistants, 1, 1517.Google Scholar
Teri, L., McCurry, S. M., Longsdon, R. and Gibbons, L. E. (2005). Training community consultants to help family members improve dementia care: a randomized controlled trial. Gerontologist, 45, 686693Google Scholar
Thornley, G. (2000). A question of competence: re-evaluating the roles of nursing auxiliary and healthcare assistant in the NHS. Journal of Clinical Nursing, 9, 451458.Google Scholar
Weiner, R. (1997). Creative Training. London: Jessica Kingsley.Google Scholar