对医疗保健专业人员的痴呆症培训:系统的政策和证据审查。

IF 4.6 2区 医学 Q1 GERIATRICS & GERONTOLOGY
Sedigheh Zabihi, Saskia Delray, Malvika Muralidhar, Sube Banerjee, Clarissa Giebel, Karen Harrison Dening, Yvonne Birks, Rachael Hunter, Mohammed Akhlak Rauf, Charlotte Kenten, Madeleine Walpert, Claudia Cooper
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引用次数: 0

摘要

目的:回顾医疗保健专业人员痴呆培训的有效性,并考虑对政策和实践的影响。设计:系统和政策审查设置:医疗保健服务参与者:医疗保健专业人员干预:培训测量:我们检索了电子数据库中评估医疗保健专业人员痴呆症培训的主要研究(2015-2024)。我们使用混合方法评估工具评估偏倚风险,优先考虑随机对照试验证据支持的干预措施得分为4 + 的研究;使用柯克帕特里克的框架报告结果。为了探索证据如何转化为实践,我们以英国为例,回顾了相关政策并咨询了专业利益相关者。结果:我们回顾了63项初步研究。一个符合优先标准;它评估了培训师培训(TTT),基于团队的反思实践模型,该模型改善了初级保健护士和医生的学习,并在≥ 3个月的时间内自我报告实践。高质量的对照研究评估了医院工作人员的TTT方案,在≤ 5天内改善了病人的结果(躁动);为住院护士提供为期两天的专家互动式培训,减少角色紧张;以及由专家主导、为期9周的职业治疗衍生培训项目,该项目改善了退休社区工作人员参与客户活动的策略。16项政策和相关文件强调了对痴呆症核心技能教育和培训框架(DCSETF)实施有限的担忧。8名焦点小组与会者认为时间是证据实施的限制因素,但重视小组培训以分享经验;和TTT模型,以便根据本地环境进行裁剪。结论:通过扩大痴呆症培训的覆盖范围和将学习融入实践,培训-培训师模式可以提高护理质量并支持循证政策的实施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Dementia training for healthcare professionals: A systematic policy and evidence review.

Objective: To review the effectiveness of healthcare professionals' dementia training and consider implications for policy and practice.

Design: Systematic and policy review SETTING: Healthcare services PARTICIPANTS: Healthcare professionals INTERVENTION: Training MEASUREMENTS: We searched electronic databases for primary research studies (2015-2024) evaluating dementia training for healthcare professionals. We assessed risk of bias using the Mixed Methods Appraisal Tool, prioritising studies scoring 4 + , of interventions supported by Randomised Controlled Trial evidence; reporting outcomes using Kirkpatrick's framework. To explore how evidence might translate to practice, using England as a case study, we reviewed relevant policies and consulted professional stakeholders.

Results: We reviewed 63 primary research studies. One met priority criteria; it evaluated a Train-the-Trainer (TTT), team-based reflective practice model, which improved primary care nurses' and doctors' learning, and self-reported practice over ≥ 3 months. Higher quality, controlled studies evaluated a TTT programme for hospital staff, improving client outcomes (agitation) over ≤ 5 days; an expert-led two-day interactive training for inpatient nurses that reduced role strain; and expert-led, nine-week, occupational therapy-derived training programme that improved retirement community staff strategies for client activity engagement. Sixteen policies and related documents highlighted concerns about limited implementation of the Dementia Core Skills Education and Training Framework (DCSETF). Eight focus group attendees considered time a limiting factor to evidence implementation, but valued group training to share experiences; and TTT models to enable tailoring to local contexts.

Conclusions: By increasing reach of dementia training and embedding learning in practice, Train-the-Trainer models can increase care quality and support evidence-based policy implementation.

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来源期刊
International psychogeriatrics
International psychogeriatrics 医学-精神病学
CiteScore
9.10
自引率
8.60%
发文量
217
审稿时长
3-6 weeks
期刊介绍: A highly respected, multidisciplinary journal, International Psychogeriatrics publishes high quality original research papers in the field of psychogeriatrics. The journal aims to be the leading peer reviewed journal dealing with all aspects of the mental health of older people throughout the world. Circulated to over 1,000 members of the International Psychogeriatric Association, International Psychogeriatrics also features important editorials, provocative debates, literature reviews, book reviews and letters to the editor.
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