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

Publication dates
Authors	McCabe, 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.
Keywords	staff training; long-term care; resident autonomy; culture change; quality of life
Year	2022
Journal	Geriatric Nursing
Journal citation	43, pp. 227-234
Publisher	Elsevier Inc.
ISSN	0197-4572
Digital Object Identifier (DOI)	https://doi.org/10.1016/j.gerinurse.2021.12.003
PubMed ID	34952305
Scopus EID	2-s2.0-85121449393
Page range	227-234
Funder	National Health and Medical Research Council (NHMRC)
Publisher's version	License All rights reserved File Access Level Controlled
Output status	Published
Online	21 Dec 2021
Publication process dates
Accepted	04 Dec 2021
Deposited	18 Oct 2023
Grant ID	GNT1142442

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