JAMDA
Volume 8, Issue 8 , Pages 519-526 , October 2007

Internet Training for Nurse Aides to Prevent Resident Aggression

  • A. Blair Irvine, PhD

      Affiliations

    • Oregon Center for Applied Science, Eugene, OR
    • Corresponding Author InformationAddress correspondence to A. Blair Irvine, Oregon Center for Applied Science, 260 E. 11th Ave., Eugene, OR 97401.
  • ,
  • Michelle Bourgeois, PhD

      Affiliations

    • Florida State University, Department of Communication Disorders, Tallahassee, FL
  • ,
  • Molly Billow, BA

      Affiliations

    • Oregon Center for Applied Science, Eugene, OR
  • ,
  • John R. Seeley, PhD

      Affiliations

    • Oregon Research Institute, Eugene, OR.

References 

  1. Gates DM, Ross CS, McQueen L. Violence against emergency department workers. J Emerg Med. 2006;31:331–337
  2. Gates DM, Fitzwater E, Succop P. Reducing assaults against nursing home caregivers. Nurs Res. 2005;54:119–127
  3. Nelson HW, Cox DM. The causes and consequences of conflict and violence in nursing home: Working toward a collaborative work culture. Health Care Manag. 2004;23:85–86
  4. Occupational Safety and Health Administration. Guidelines for preventing workplace violence for health-care and social-service workers. (rev. ed.). US Department of Labor; 2003;
  5. Shinoda-Tagawa T, Leonard R, Pontikas J, McDonough JE, Allen D, Dreyer PI. Resident-to-resident violent incidents in nursing homes. JAMA. 2004;291:591–598
  6. Bachman R. National crime victimization survey: Violence and theft in the workplace. Washington, DC: Bureau of Justice Statistics, US Department of Justice; 1994;July. Cited in Occupational Safety and Health Administration (OSHA). Workplace violence awareness and prevention: Facts and information. Available at: http://www.osha.gov/workplace_violence/wrkplaceViolence.PartI.html. Accessed April 4, 2007.
  7. Fitzwater EL, Gates DM. Testing an intervention to reduce assaults on nursing assistants in nursing homes: A pilot study. Geriatr Nurs. 2002;23:8–23
  8. Gates DM, Fitzwater E, Meyer U. Violence against caregivers in nursing homes: Expected, tolerated and accepted. J Gerontol Nurs. 1999;25:12–22
  9. Gates DM, Fitzwater E, Telintelo S, Succop P, Sommers L. Preventing assaults by nursing home residents: Nursing assistants’ knowledge and confidence. JAMA. 2002;3:366–370
  10. Levin PF, Hewitt JB, Misner ST, Reynolds S. Assault of long-term care personnel. J Gerontol Nurs. 2003;29:28–35
  11. Leonard R, Tinetti ME, Allore HG, Drickamer MA. Potentially modifiable resident characteristics that are associated with physical or verbal aggression among nursing home residents with dementia. Arch Intern Med. 2006;166:1295–1300
  12. Pillemer K, Hudson B. A model abuse prevention program for nursing assistants. Gerontologist. 1993;33:128–131
  13. Pillemer K, Moore D. Abuse of residents in nursing homes: Findings from a survey of staff. Gerontologist. 1989;29:314–320
  14. Gates D, Fitzwater E, Deets C. Testing the reliability and validity of the assault log and violence prevention checklist. J Gerontol Nurs. 2003;29:18–23
  15. Morgan DG, Stewart NJ, D’Arcy C, Forbes D, Lawson J. Work stress and physical assault of nursing aides in rural nursing homes with and without dementia special care units. J Psychiatr Ment Health Nurs. 2005;12:347–358
  16. Gates D. Violence against caregivers in nursing homes in the USA. In:  Haberman M editors. Violence in Nursing: An International Perspective. Hamburg, Germany: J. Lang; 2002;p. 157–176
  17. Hewitt JB, Levin PF. Violence in the workplace. Annu Rev Nurs Res. 1997;15:81–99
  18. Gates DM, Fitzwater E, Deets C. Development of instruments to assess assaultive behavior in nursing homes. J Gerontol Nurs. 2003;29:37–45
  19. US Bureau of Labor Statistics, US Department of Labor. Occupational Outlook Handbook, 2006–07 Edition, Nursing, Psychiatric, and Home Health Aides. Available at: http://www.bls.gov/oco/ocos165.htm. Accessed March 23, 2007.
  20. Beck C, Ortigara A, Mercer S, Shue V. Enabling and empowering certified nursing assistants for quality dementia care. Int J Geriatr Psychiatry. 1998;14:197–212
  21. Burgio LD, Scilley K. Caregiver performance in the nursing home: The use of staff training and management procedures. Sem Speech Lang. 1994;15:313–322
  22. Glasspoole L, Aman M. Knowledge, attitudes, and happiness of nurses working with gerontological patients. J Gerontol Nurs. 1990;16:11–14
  23. American Health Care Association. Results of the 2001 AHCA nursing position vacancy and turnover survey. Available at: http://www.ahca.org/research/vacancysurvey_020207.htm. Accessed April 23, 2007.
  24. McCallion P, Toseland RW, Lacey D, Banks S. Educating nursing assistants to communicate more effectively with nursing home residents with dementia. Gerontologist. 1999;39:546–558
  25. Castle NG, Engberg J. Organizational characteristics associated with staff turnover in nursing homes. Gerontologist. 2006;46:62–73
  26. Sikorska-Simmons E. Predictors of organizational commitment among staff in assisted living. Gerontologist. 2005;45:196–205
  27. US Department of Health and Human Services. Nurse Aide Training [OEI-05-01-00030]. Office of the Inspector General; 2002;
  28. Moak G, Borson S. Mental health services in long-term care: Still an unmet need. Am J Gertr Psychiatry. 2000;8:96–100
  29. Styron TH, Shaw M, McDuffie E, Hoge MA. Curriculum resources for training direct care providers in public sector mental health. Adm Policy Ment Health. 2004;32:633–649
  30. Feldt KS, Ryden MB. Aggressive behavior: Educating nursing assistants. J Gerontol Nurs. 1992;18(5):3–12
  31. Solomon K, Vickers R. Attitudes of health care workers toward old people. J Am Gertr Soc. 1979;27:186–191
  32. Burgio LD, Burgio KL. Institutional staff training and management: A review of the literature and a model for geriatric, long-term-care facilities. Int J Aging Hum Dev. 1990;30:287–302
  33. Short-Monahan R, McCarthy S. Nursing home employment: The nurse’s aide’s perspective. J Gerontol Nurs. 1992;18:13–16
  34. Monahan DJ. Staff perceptions of behavioral problems in nursing home residents with dementia: The role of training. Edu Gero. 1993;19:683–694
  35. Payne F, Harvey K, Jessopp L, Plummer S, Tylee A, Gournay K. Knowledge, confidence and attitudes towards mental health of nurses working in NHS Direct and the effects of training. J Adv Nurs. 2002;40:549–559
  36. Bourgeois MS, Dijkstra K, Burgio LD, Allen RS. Communication skills training for nursing aides of residents with dementia: The impact of measuring performance. Clin Gerontol. 2004;27:119–138
  37. White HK. Promoting quality care in the nursing home. Ann Long-Term Care. 2005;13:26–33
  38. Brooker D. What is person centered care for people with dementia?. Rev Clin Gerontol. 2004;13:215–222
  39. Brooker D. Person-Centred Dementia Care. London: Jessica Kingsley Publications; 2006;
  40. Andresen A. Caring for people with Alzheimer’s disease: A training manual for direct care providers. Baltimore (MD): Health Professions Press; 1995;
  41. Cohn MD, Smyer MA, Horgas AL. The ABCs of behavior change: Skills for working with behavior problems in nursing homes. State College (PA): Venture Publishing; 1994;
  42. Keckan M. Computer-based staff training: Can you afford not to?. Nurs Homes. 1997;46:101–102
  43. MacDonald C, Stodel E, Casimiro L. Online dementia care training for healthcare teams in continuing and long-term care homes: A viable solution for improving quality of care and quality of life for residents. Int J E-Learn. 2006;5:373–399
  44. Taylor PJ, Russ-Eft DF, Chan DW. A meta-analytic review of behavior modeling training. J Appl Psychol. 2005;90:692–709
  45. Brug J, Campbell M, van Assema P. The application and impact of computer-generated personalized nutrition education: A review of the literature. Patient Educ Couns. 1999;36:145–156
  46. Irvine AB, Bourgeois M, Ary DV. An interactive multi-media program to train professional caregivers. J Appl Gerontol. 2003;22:269–288
  47. Kobb R, Hoffman N, Lodge R, Kline S. Enhancing elder chronic care through technology and care coordination: Report from a pilot. Telemed J E Health. 2003;9:189–195
  48. Rosen J, Mulsant BH, Kollar M, Kastango KB, Mazundar S, Fox D. Mental health training for nursing home staff using computer-based interactive video: A 6-month randomized trial. JAMA. 2002;3:291–296
  49. Hops H, Weissman W, Biglan A, Thompson R, Faller C, Severson HH. A taped situations test of cigarette refusal skills among adolescents. Behav Assess. 1986;8:145–154
  50. Irvine AB, Biglan A, Metzler CW, Ary DV, Smolkowski K. The effectiveness of a parenting skills program for parents of middle school students in small communities. J Consult Clin Psychol. 1999;67:811–825
  51. Bandura A. Principles of Behavior Modification. New York: Holt, Rinehart, and Winston; 1969;
  52. Bandura A. Self-efficacy: Toward a unifying theory of behavioral change. Psychol Rev. 1977;84:191–215
  53. Fishbein M. The role of theory in HIV prevention. AIDS Care. 2000;12(93):273–278
  54. Chambers M, Phil D, Conner S, Diver B, McGonigle M. Usability of multimedia technology to help caregivers prepare for a crisis. Telemed J E Health. 2002;8:343–347
  55. Vandelanotte C, De Bourdeaudhuij I, Sallis JF, Spittaels H, Brug J. Efficacy of sequential or simultaneous interactive computer-tailored interventions for increasing physical activity and decreasing fat intake. Ann Behav Med. 2005;29:138–146
  56. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, NJ: Erlbaum and Associates; 1988;
  57. Irvine AB, Bourgeois M, Andress S, Boutin G. Strategies for dementia: Communication skills for professional caregivers [4 videos; instructor’s guidebook]. Eugene, OR: Oregon Center for Applied Science; 2000;
  58. Glenzer-Gelatt V, Irvine AB, McFarland P, Seeley J. An Internet intervention to increase exercise by sedentary older adults. Manuscript in preparation.

 None of the authors has a conflict of interest related to this research. This study was funded by a grant from the National Institute on Aging to Oregon Center for Applied Science (R43AG024675-01A1).

PII: S1525-8610(07)00254-X

doi: 10.1016/j.jamda.2007.05.002

JAMDA
Volume 8, Issue 8 , Pages 519-526 , October 2007