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Building capacity and resilience in the dementia care workforce: A systematic review of interventions targeting worker and organizational outcomes

机译:痴呆症护理人员队伍的能力建设和应变能力:针对工作者和组织成果的干预措施的系统回顾

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Background: Dementia increasingly impacts every health and social care system in the world. Preparing the dementia care workforce is therefore paramount, particularly in light of existing problems of staff retention and turnover. Training interventions will need to increase worker and organizational capacity to deliver effective patient care. It is not clear which training interventions best enhance workers' capacity. A review of the evidence for dementia care training interventions to enhance worker capacity and facilitate organizational change is presented. Methods: A systematic literature review was conducted. All selected randomized intervention studies aimed to enhance some aspect of dementia care worker or workforce capacity such as knowledge of dementia, psychological well-being, work performance, and organizational factors such as retention or service delivery in dementia care. Results: Seventy-four relevant studies were identified, but only six met inclusion criteria for the review. The six studies selected focused on worker and organizational outcomes in dementia care. All interventions were multi-component with dementia education or instructional training most commonly adopted. No interventions were found for the community setting. Variable effects were found for intervention outcomes and methodological concerns are raised. Conclusion: The rigor of scientific research in training interventions that aim to build capacity of dementia care workers is poor and a strong need exists for evaluation and delivery of such interventions in the community sphere. Wider domains of interest such as worker psychological health and well-being need to be examined further, to understand capacity-building in the dementia care workforce.
机译:背景:痴呆症日益影响着世界上每个健康和社会护理系统。因此,尤其是考虑到现有的人员保留和离职问题,准备痴呆症护理工作人员至关重要。培训干预措施将需要提高工作人员和组织的能力,以提供有效的患者护理。尚不清楚哪种培训干预措施最能增强工人的能力。介绍了对痴呆症护理培训干预措施以增强工人能力并促进组织变革的证据的综述。方法:进行系统的文献综述。所有选定的随机干预研究旨在增强痴呆症护理工作者或劳动力的某些方面,例如痴呆症知识,心理健康,工作绩效以及组织因素,例如痴呆症护理中的保留或提供服务。结果:确定了74项相关研究,但只有6项符合纳入标准。选择的六项研究集中于痴呆症护理中的工人和组织结果。所有干预措施均是痴呆症教育或教学培训中最常用的多部分内容。在社区环境中未发现任何干预措施。发现干预效果有多种影响,并引起了方法论上的关注。结论:旨在提高痴呆症护理人员能力的培训干预措施中科学研究的严谨性很差,并且强烈需要在社区领域评估和实施此类干预措施。需要进一步研究更广泛的关注领域,例如工人的心理健康和福祉,以了解痴呆症护理人员的能力建设。

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