An evaluation of a consumer directed care training program for nursing home staff

Journal article


McCabe, Marita, Beattie, Elizabeth, Karantzas, Gery, Busija, Ljoudmila, Mellor, David, von Treuer, Kathryn, Goodenough, Belinda, Bennett, Michelle and Byers, Jessica. (2022). An evaluation of a consumer directed care training program for nursing home staff. Geriatric Nursing. 43, pp. 227-234. https://doi.org/10.1016/j.gerinurse.2021.12.003
AuthorsMcCabe, Marita, Beattie, Elizabeth, Karantzas, Gery, Busija, Ljoudmila, Mellor, David, von Treuer, Kathryn, Goodenough, Belinda, Bennett, Michelle and Byers, Jessica
Abstract

Objectives
This study evaluated a training program to support the delivery of consumer directed care (CDC). It was hypothesized that both interventions, compared to the control condition, would demonstrate increased levels of CDC in nursing homes, increased staff practice of CDC, and improved resident QoL. The training plus support group was expected to show greater gains, compared to the training only group.

Materials and methods
In a cluster RCT design, 33 nursing homes were randomly allocated to one of three conditions: training plus support, training only, and care as usual. Outcome measures included level of CDC within each home, staff practice of CDC, and resident QoL.

Results and discussion
Hypotheses for this study were partially supported. Nursing homes became more CDC-oriented but with minimal changes in staff practice of CDC. Resident QoL also demonstrated limited change. The findings are discussed in terms of organizational barriers to change within nursing homes.

Keywordsstaff training; long-term care; resident autonomy; culture change; quality of life
Year2022
JournalGeriatric Nursing
Journal citation43, pp. 227-234
PublisherElsevier Inc.
ISSN0197-4572
Digital Object Identifier (DOI)https://doi.org/10.1016/j.gerinurse.2021.12.003
PubMed ID34952305
Scopus EID2-s2.0-85121449393
Page range227-234
FunderNational Health and Medical Research Council (NHMRC)
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online21 Dec 2021
Publication process dates
Accepted04 Dec 2021
Deposited18 Oct 2023
Grant IDGNT1142442
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