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1.
Diversity is what makes a person unique, with the intersection of diversity characteristics potentially a strength or a barrier to accessing healthcare, and thereby affecting health and well-being outcomes. Many older people with diverse needs are not accessing appropriate services to meet their needs, leading to suboptimal health and well-being. Community aged care workers are at the frontline, working with diverse older people with complex needs; yet there is a dearth of training available in this sphere. This paper outlines the development and pilot evaluation of a diversity training workshop for managers and frontline community aged care workers. The aim of the workshop was to empower the workforce to support increased participation of older people with diverse needs in their own care, to ultimately lead to their improved health and well-being.

Workshop development was underpinned by sound education principles, a competency framework and research evidence. First iteration of the workshop underwent pilot testing with three groups, two in metropolitan Melbourne (n = 31) and one in regional Victoria (n = 10), Australia. Feedback was gathered via an independent observer (field notes), pre- and post-workshop surveys, and phone interviews with participants 3-month post-workshop. Pilot data and feedback informed changes to workshop content (type of knowledge, application of knowledge and skills), workshop structure and androgogical (adult learning) approach.

An evidence-informed diversity training workshop was developed through an iterative process, with the aim of enhancing knowledge, skills and attitudes of community aged care workers. This approach has developed a workshop that aims to better meet the needs of an aged care workforce, so that they may better support older people with diverse needs to increase engagement and participation in their care, optimizing their health and well-being.  相似文献   


2.
The aim of this study was to develop an Internet-based self-directed training program for Australian healthcare workers to facilitate learning and competence in delivery of a proven intervention for caregivers of people with dementia: The New York University Caregiver Intervention (NYUCI). The NYUCI is a nonpharmacological, multicomponent intervention for spousal caregivers. It is aimed at maintaining well-being by increasing social support and decreasing family discord, thereby delaying or avoiding nursing home placement of the person with dementia. Training in the NYUCI in the United States has, until now, been conducted in person to trainee practitioners. The Internet-based intervention was developed simultaneously for trainees in the U.S. and Australia. In Australia, due to population geography, community healthcare workers, who provide support to older adult caregivers of people with dementia, live and work in many regional and rural areas. Therefore, it was especially important to have online training available to make it possible to realize the health and economic benefits of using an existing evidence-based intervention. This study aimed to transfer knowledge of training in, and delivery of, the NYUCI for an Australian context and consumers. This article details the considerations given to contextual differences and to learners’ skillset differences in translating the NYUCI for Australia.  相似文献   

3.
Professional shortages of geriatrically trained social workers pose a barrier to mental health care for older adults. Integrating graduate social work interns into primary care settings may increase the availability of trained social workers. However, few studies provide guidance on how to develop an interprofessional healthcare placement focused on the needs of older adults. This article discusses a model training program created by a psychology department (with input from social work faculty) that can be adapted by schools of social work. Client outcomes (n = 47) indicate significant improvement when using this model.  相似文献   

4.
As increasing numbers of older adults stay in the workforce or engage in encore careers, they are subjected to diverse issues and challenges. The new dynamics of the workplace in a global market exert pressure on older workers and employers alike in which training and development has a potentially significant function for achieving greater productivity and job satisfaction. This article discusses the changing workplace and the diverse range of learning opportunities that may be available to older workers. The article then addresses selected issues of overcoming stereotypical assumptions about the capabilities of older workers, age stratification at work, and the differing perspectives of managers and employees to learning opportunities. The article argues for a negotiated process of learning where significant autonomy is assumed by workers.  相似文献   

5.
Universities of applied sciences in Europe face the challenge of preparing students in health and social care for working with older people and contributing to the innovations needed in light of the ageing of society, along with changes in the health and social care systems in many countries. Dealing with the special needs of older people and the increasing burden of chronic diseases requires specific competencies for health and social care professionals, as well as an integrated approach to health and social care. Research has found that many educational programs lack adequate preparation for students in health and social care when it comes to the correct competences. To identify the competences needed for all health and social care professionals in Europe, who work with older people, the European Later Life Active Network (ELLAN) has conducted research and developed a verified competence framework. This “European core competences framework for health and social care professionals working with older people” describes roles and competences that students in health and social care programs need to learn in order to provide good care and support for older people. Within the ELLAN consortium, 26 universities of applied sciences from 25 European countries collaborated in this research and development process. The framework has been verified by two Delphi rounds among a group of 21 experts and a group of 21 researchers from 19 countries. The framework includes awareness of diversity and different cultural backgrounds. This makes it a useful document for educational purposes all over Europe.  相似文献   

6.
Action research provides an opportunity to implement and understand the process of change in practice settings, as well as develop theoretical insights into complex social situations. The provision of mental healthcare for older people within the general hospital is one such situation, and this paper presents a discussion and reflection on the use of action research in this setting. The background to the project is described, followed by a discussion of three major issues that emerged for us: the extent to which we were able to promote democracy and maintain and demonstrate democratic behaviour, the problems and pitfalls of operationalising grounded theory methodology within an action research approach, and the challenges of developing an authentic and credible account of the care of older people with mental health needs. This paper aims to add to a discourse regarding action research and will be of value to researchers using this approach across a range of health, social care and educational settings.  相似文献   

7.
Adults aged 60 or older are more likely than younger adults to experience severe complications or even death as a result of foodborne infections. This study investigated which specific groups of healthcare providers or other caregivers are most receptive to providing food safety information to older adults. Telephone-based focus groups were conducted with health care providers and caregivers to determine their knowledge, attitudes, and behaviors regarding foodborne illness prevention for older adults. Focus groups identified a gap between older adults’ trust in healthcare providers as a credible source of food safety information and healthcare providers’ lack of training, knowledge, and willingness to provide food safety information to older adults.  相似文献   

8.
Providing early childhood professionals with professional development opportunities to enhance their skills and knowledge can improve quality of care. For professional development to be valued by the early childhood workforce, it is essential to offer meaningful content that accommodates the needs of the learner. With an increasing demand for quality professional development, as well as the expansion of online learning opportunities, this qualitative study explores the opinions of 14 North Carolina early childhood professionals regarding their professional development training needs and online learning preferences. Training content needs, experiences with online learning, and recommendations for training development are discussed. This study has implications for professional development creators and trainers for advancing the education and growth of the early childhood workforce.  相似文献   

9.
Educating and training the dementia workforce is a global challenge, given the expected increasing number of people living with dementia across the world as the population ages. Two projects from the UK (one regionally and one locality based) investigated courses available to the workforce and mapped the content of identified courses against a locally developed dementia care pathway. The locality project included a survey of what percentage of staff time was spent with people living with dementia, and what percentage of staff caseloads were devoted to people living with dementia. There was a great variation in the extent of education and training available, with some stages of the dementia care pathway poorly addressed. An educational strategy for the dementia workforce in the UK might include four categories of education and training: basic dementia awareness, intermediate level, advanced level, and dementia awareness for managers. Staff requiring education and training might be divided into three groups: those employed to work specifically with people living with dementia and their families; those working with people who have other conditions but some of whom will have a coincidental dementia; those working with other conditions but in settings where a high proportion of their patients have a comorbid dementia. To improve workforce skills in dementia care will require actions across the whole of education and training for professionals and untrained workers who provide services to this group.  相似文献   

10.
The United States Department of Labor predicts the demand in healthcare sector careers to soar as patient demographics continue to change with the aging population of adults (Henderson, 2012). To meet this demand, community colleges will continue to play a vital role in the education of healthcare occupations, as nearly 60% of all healthcare workers are educated in these institutions. Furthermore, student demographics within community colleges are becoming more ethnically diverse. The dramatic changes in population and labor force composition suggest a more robust approach be taken when teaching professionalism skills. In order to promote student completion rates and recognize the evolving changes within the healthcare system, a health and public safety division within a large community college surveyed its faculty members and their clinical affiliates to determine what professional skills should be taught within an entry-level healthcare course. This brief paper describes the survey findings and implications for the development of a future healthcare professionalism course.  相似文献   

11.
由于社会经济的发展和生产方式的变化,照顾老人的成员逐渐减少,他们仍然以家庭养老为主,以社区服务为依托,同时大力发展社会养老,然而无论何种养老模式,都很少关注他们的心理健康状况和心理需求.本文就老年人的心理健康的内涵、标准和影响因素入手加以分析,最后,提出解决老年人心理健康问题的建议和对策。  相似文献   

12.
In writing this review, I draw on the experience of David Greenwood (Cult Stud Sci Educ 10:5–16, 2015) whose ethnographic study sheds light on his growth as a faculty member who has taught in various settings that are quite different from the culture that he grew up with. I extend his thoughts on ecological mindfulness to encompass a culturally aware method of teaching based on place sensitized more to the needs of science teacher preparation programs. The methods used in writing the review included literature searches for articles that incorporate ecological mindfulness and culturally responsive teaching in science teacher preparation programs and reflected ideas voiced in Greenwood’s article. Although he seems that he is primarily addressing other faculty members, his experiences can be used as lifelong lessons for preservice teachers entering a primarily homogeneous workforce expected to teach an increasingly diverse student population. His humor, use of Haiku, poetry and mindfulness as a way of becoming one with a culture that he is not accustomed has many lessons that prove useful in training more culturally responsive teachers. In light of an increasingly diverse US student population versus a stagnantly homogeneous teaching workforce, his reflective practice will prove useful to teachers who are expected to teach students with cultures different from their own.  相似文献   

13.
Case management is widely recognized as an important component of an effective model for delivering health and social services in the community. In Canada, case management is increasingly being adopted as a method of providing long‐term services to older clients. Professionals working in community‐based, long‐term care require training specific to their roles as case managers for seniors. Gerontology educators can respond to case managers’ learning needs by developing and providing innovative programs. This article reports on an assessment of the training needs of health and social service personnel who perform case management functions on a long‐term basis with elderly clients in Canada, the extent and type of case management training currently provided by Canadian agencies, and an outline of curriculum options designed to address case manager training needs.  相似文献   

14.
People with dementia (PWD) and their family caregivers need an increasing number of diverse health and social services. A multidisciplinary person-centered approach to dementia services is required to meet the complex needs of PWD and their family caregivers. However, educational programs struggle to prepare health and social work students to meet the complex needs of PWD and their family caregivers. This study aimed to assess the self-efficacy, competence, target complaints, and attitudes regarding interactions with PWD and their family caregivers among healthcare and social work students who participated in a large community dementia-outreach research project. A one-group pretest and posttest design was used to collect data from 23 undergraduate students studying nursing, public health, or social work. Students participated in a community dementia-outreach research project as an extracurricular activity. Quantitative and qualitative data were collected using a pre- and post-participation self-report questionnaire. Students showed increased self-efficacy and competence after project participation. Students’ perceived barriers to interacting with PWD and their family caregivers decreased. In answering open-ended questions, students showed enhanced understanding of PWD and their family caregivers, positive attitudes toward dementia care, and a career preference for dementia care. Findings provided evidence of the benefits of community-research-project participation as an experiential learning tool to enhance dementia care among health and social work students.  相似文献   

15.
The sexual needs and wellbeing of older people living in residential aged care receives scant attention in practice, is easily dismissed by care staff, and remains a significant challenge for aged care service providers. This study reports on the evaluation of an education program delivered to residential aged care nurses to improve their knowledge about, and attitudes towards, older people's sexuality in this context. Participants' attitudes and beliefs towards older people expressing their sexuality in long-term care, including same sex couples and people with dementia, were more permissive following education. Findings further underscore the value of sexuality education as an important factor in dispelling the commonly held negative views of residential aged care staff about older people expressing their sexuality, thereby improving staff responses to this issue.  相似文献   

16.
This paper presents a needs analysis conducted to obtain information concerning online dementia care training of healthcare workers in long-term care (LTC) facilities. The resulting information was used to guide the development of an online dementia care training program designed to facilitate the acquisition of skills and knowledge necessary for healthcare teams to deliver better care to the residents with whom they work. Three focus groups were conducted at two sites across Canada. Data analysis revealed five major themes that will help program designers develop effective online learning programs. Recommendations for the development of an online dementia care program are proposed.  相似文献   

17.
More people are surviving to old age, which places increasing demands on the health care system and accentuates the importance of developing alternate methods of meeting the unique health care needs of older adults. A university/ community partnership, such as the one described in this article is one example of an innovative, alternate community nursing service. The program provides home health services; gerontological teaching, research, and practice opportunities for faculty; and expanded gerontological clinical experiences for nursing students. Critical elements of program development are discussed and recommendations for similar programs are given.  相似文献   

18.
The special health needs of older persons and the organization of managed care systems necessitate interdisciplinary team health care. However, there is a paucity of training or familiarity with team care among most health care professionals. This article describes one nationwide initiative, funded by the John A. Hartford Foundation, in which eight sites trained health care workers from different disciplines to participate as interdisciplinary geriatric health care team members. Although the goal of the initiative was to develop trained interdisciplinary team participants, a major concern of the programs was the initial overcoming of challenges to training professionals from different disciplines together. Both benefits and challenges are identified and several training modalities and techniques to meet the challenges are discussed. These include case studies, standardized patients, cross-discipline role-playing, glossaries, and use of the DISC Personality Profile. The benefits of each of these modalities are examined, and potential pitfalls and perils to be avoided are emphasized.  相似文献   

19.
丁智萍 《成人教育》2012,32(2):127-128
随着公众对公共服务的需求越来越丰富和多元化发展,需要有一支更加多元化的公务员队伍来承担起提供公共服务的职责,多元化培训成为应对这种情况的选择之一。根据美国联邦政府中多元化培训的具体实践,公务员多元化培训的目的、内容、内部评估与控制以及实施多元化培训的准则,总结多元化培训的经验,提出改进我国公务员培训的建议。  相似文献   

20.
Given its rapidly-aging population, the U.S. needs a workforce that is informed about and capable of meeting the diverse needs of older adults. Students pursing gerontology education may feel unsure of career opportunities as they enter a job market with traditionally clearly-defined disciplinary backgrounds. The goal of this study was to explore how people currently employed in an aging-related job searched for positions, and how this compared to phrasing used by employers to advertise job openings across several aging-related fields. A web-based survey was administered to employees in aging-related positions, and a search of four job-seeking websites to collect and analyze aging-related job postings was conducted. Most (63%) currently working in the field of aging reported finding their jobs through referral from a friend/colleague or through job search sites or job boards. Out of 493 relevant job postings identified, only 175 of the postings (35%), preferred or required applicants to have some type of aging-related knowledge, skills, training, or prior experience. There may be consequences to not specifically recruiting applicants with aging-related backgrounds: job seekers with qualifications in aging may look for other positions that expressly call for their specialized skills or knowledge, and quality of services and care may be different when provided by persons without such training.  相似文献   

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