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首页> 外文期刊>American journal of orthopsychiatry >The Effects of a Staff-Training Program in Behavior Management and Social-Learning Principles on Staff-Patient Interactions Within a Psychiatric Rehabilitation Inpatient Unit
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The Effects of a Staff-Training Program in Behavior Management and Social-Learning Principles on Staff-Patient Interactions Within a Psychiatric Rehabilitation Inpatient Unit

机译：员工培训方案在精神康复住院单位内部人员患者互访的行为管理和社会学习原则的影响

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Despite the existence of effective behavioral interventions for people diagnosed with serious mental illness (SMI), these continue to be underutilized. Barriers to implementation include a low frequency of staff-patient interactions, as well as a lack of knowledge about, and negative attitudes toward, behavioral interventions. Therefore, we examined the effects of a mandatory behavioral staff-training program on staff-patient interactions on a long-term psychiatric inpatient program for individuals with SMI. Staff-training consisted of two-phases: didactic training followed by a written exam, and in vivo training and assessment. From pre- to posttraining, all staff demonstrated increased positive and therapeutic behaviors and decreased negative behaviors when interacting with patients. Additionally, at baseline, nonmedical staff (psychologists, social workers) displayed significantly more therapeutic and fewer negative behaviors compared with medical staff (psychiatrists, nurses, mental health workers), and this pattern persisted at posttraining despite improvements in both groups. Importantly, completion of the staff-training program was associated with improvements in patient behavior. Although both written and in vivo test scores significantly predicted change in negative staff behaviors toward patients. the in vivo test performance increased predictive ability over and above that of written test performance. Staff who disagreed with behavioral management principles displayed less improvement in negative behaviors from pre- to postassessment. These data have implications for clarifying staff training needs in programs for chronically ill people with SMI.
机译：尽管存在有效的行为干预患者诊断出严重的精神疾病（SMI），但这些仍将继续未充分利用。实施的障碍包括员工患者互动的低频，以及对行为干预的缺乏知识和对行为干预的负面态度。因此，我们审查了强制性行为人员培训方案对具有SMI的个人长期精神病住院计划的人员患者互动的影响。工作人员培训由两阶段组成：教学培训，然后是书面考试，体内培训和评估。从预测到后，所有工作人员都表现出增加的正面和治疗行为，并在与患者互动时减少负行为。此外，与医务人员（精神科医生，护士，精神卫生工作者）相比，基线，非医学人员（心理学家，社会工作者）显着更加治疗和更少的负面行为，尽管两组都有改善，但这种模式仍然存在于后期的情况。重要的是，完成员工培训计划与患者行为的改善有关。虽然书面和体内测试分数都会显着预测对患者负面人员行为的变化。体内测试性能提高了书面测试性能的预测能力。不同意行为管理原则的工作人员展示了从后加工前的消极行为的改善。这些数据对澄清员工培训需求的措施，为慢性生病的人士澄清了SMI。

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