None listed
Conditions
Brief summary
Although previous studies on aggressive and disruptive behaviours in residential aged care homes (RACHs) suggests that these types of incidents are common, aggressive interactions between residents has received little attention in the research literature. These incidents between residents are referred to as resident-to-resident elder mistreatment (R-REM). RACHs house the frailest of older people, and even small injuries can have major negative consequences. Therefore, it is important to protect older residents from R-REM and nurses should play an essential role in identifying and managing R-REM to prevent serious harm. However, many nurses may not recognise these behaviours as forms of abuse. Thus, the aim of this study is to implement and evaluate an education program for nursing staff caring for older people on recognizing, reporting, managing and preventing R-REM. This is a Cluster Controlled Trial. There will be a control group and an intervention group. Firstly, participants will document, on small note pads provided, incidents of R-REM that occur during all shifts worked for a four-week period. After that, the intervention group will attend three educational sessions of approximately 45 minutes duration that will be held in the Education building at BECC. They will also complete a short questionnaire before and after each educational session and an evaluation after the last educational session. Following the educational sessions, the intervention group will again document, on small note pads provided, all incidents of R-REM for a four-week period. The educational sessions for the control group will be delivered at the end of the research project. In addition, both groups will document, at 1 and 3 months later, an evaluation of the implementation of the R-REM activities to prevent or reduce these types of incidents between older residents. This educational program will improve health and well-being of older resident living in RACHs and it will assist nursing staff in preventing and reducing R-REM by protecting vulnerable older people experiencing R-REM in RACHs.
Interventions
The principal investigator will deliver the educational sessions. She has extensive experience teaching at La Trobe University and working in the research area of ageing and aged care.
The educational sessions consist of i) session 1; recognising resident to resident elder mistreatment (R-REM), ii) session 2: management R-REM by using the SEARCH (Support, Evaluate, Act, Report, Care Plan, Help to Avoid) approach and iii) session 3: implementation of R-REM guidelines. The materials (power poin
The principal investigator will deliver the educational sessions. She has extensive experience teaching at La Trobe University and working in the research area of ageing and aged care. The educational sessions consist of i) session 1; recognising resident to resident elder mistreatment (R-REM), ii) session 2: management R-REM by using the SEARCH (Support, Evaluate, Act, Report, Care Plan, Help to Avoid) approach and iii) session 3: implementation of R-REM guidelines. The materials (power point presentations and videos) and data collection tools (questionnaires, evaluation form and note pads) have been developed, validated and implemented in previous studies with the participation/collaboration of the principal investigator (Teresi, J. A., Ramirez, M., Ellis, J., et al. (2013). A staff intervention targeting resident-to-resident elder mistreatment (R-REM) in long-term care increased staff knowledge, recognition and reporting: results from a cluster randomized trial. International Journal of Nursing Studies, 50(5), 644-656. doi:10.1016/j.ijnurstu.2012.10.010; Teresi, J. A., OcepekWelikson, K., Ramirez, M., et al. (2014). Development of an instrument to measure staff-reported resident-to-resident elder mistreatment (R-REM) using item response theory and other latent variable models. Gerontologist, 54(3), 460-472. doi:10.1093/geront/gnt001; Ellis, J. M., Teresi, J. A., Ramirez, , et al. (2014). Managing resident-to-resident elder mistreatment in nursing homes: the SEARCH approach. J Contin Educ Nurs, 45(3), 112-121; quiz 122-113. doi:10.3928/00220124-20140223-01). These educational sessions will be delivered face to face, in small groups of nurses in the Educational Building at Bundoora Extended Care Centre (BECC). Power point presentations, videos and data collection tools will be used during the sessions. Participants will report the incidents of R-REM by using note pads. Below is a brief description of the procedures/activities of this project: 1. All nurse participants (the control and intervention group) will record the incidents of R-REM for a period of 4 weeks by using the notepads. 2. For the intervention group: 2.1 Following this 4 weeks, there will be three educational sessions. These three sessions will be delivered face to face for approximately 45 minutes in a single class. It could be also possible to divide these three sessions into two classes, taking approximately 30 minutes for the first part (session 1 and 2) and 15 minutes for the second part (session 3) and they will be delivered within 1 week. The latter possibility can be done considering the availability of time of the nursing staff. 2.2 Participants will fill out questionnaires before and after the educational sessions, and an evaluation of the education program after the last educational session. 2.3 After the last educational program, the participants will record again incidents of R-REM for a period of 4 weeks by using the notepads 3. For the control group 3.1 The educational sessions will be delivered at the end of the research project. 4. All participants (the control and intervention group) will be asked to complete an evaluation of the implementation of the R-REM activities at 1 months and 3 months after the last educational session. The intervention adherence or fidelity will be maintain/encourage by the following strategies: i) A general email from the Operations Director and Deputy Director of Nursing, of Bundoora Extended Care Centre (Northern Health) to all staff (those who participate and those who do not) working at BECC telling about this research. She will be also sending weekly emails to the nurse unit managers to remind them about the research, and to mention it during the hand-over. ii) Friendly reminder messages about the research from the nurse unit managers (of each ward) to the nursing staff (of each ward). This will be mainly performed in the hand-over or in other meetings (if possible) during the study period. iii) The principal investigator and/or the research officer will be coming to the setting every fortnight. They will speak about the research during the afternoon hand-over. This will remind all staff, including the nurse unit managers about the research.
Sponsors
La Trobe University
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Educational / counselling / training
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
1. Participants will be RNs and ENs working at a residential aged care 2. Staff working during day, evening and night shifts. 3. They can be working part-time or full time. 4. Written informed consent 5. Age greater than or equal to 18 years old.
Exclusion criteria
1. Other health care professionals working at the residential aged care, such as doctors, therapists, personal care workers, etc. 2. RNs and ENs who do not provide written informed consent. 3. Students. 4. Older residents and/or their relatives.
Outcome results
None listed