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The development and evaluation of an interpersonal person-centered care intervention for geriatric nurse aides
Coleman, Carissa K.
Coleman, Carissa K.
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Dissertation
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2010-12
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Abstract
Person-centered caregiving is a construct that is currently being defined and
operationalized in the gerontology literature and in long-term care. The goal of this study was to
further define interpersonal person-centered care by developing and pilot testing a training
intervention for geriatric nurse aides. The training was developed to incorporate content
regarding person-centered behaviors, knowing the residents, and understanding relationships.
Specific materials used in the training were videos to model person-centered care, personalized
resident videobiographies, and personalized videos of caregiving interactions between the nurse
aides and the residents. The pilot testing of this intervention was implemented by using a quasiexperimental,
waitlist control design in two nursing homes, Catholic Care and St. Joseph. The
outcome measures included two behavioral observation measures for assessing person-centered
care: the Person-Centered Care Inventory and the Global Behavioral Scale. Additional outcome
measures included: dyadic measures of relational closeness and relationship satisfaction, nurse
aide job satisfaction, and resident satisfaction with care. The findings indicate that the training
intervention was successful in increasing both the nurse aides’ and residents’ sense of
relationship closeness, as well as their relationship satisfaction. However, the nurse aides’
person-centered caregiving behaviors care did not increase reliably. One explanation may be
that the sampling of the nurse aides’ caregiving behaviors was too small to provide an adequate
test of the hypothesized increase. It is possible that relationship closeness increased as a result of
the combination of encouraging the nurse aides and residents to think of themselves as being in a
relationship as well as the specific content of the training intervention.
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Thesis (Ph.D.)--Wichita State University, College of Liberal Arts and Sciences, Dept. of Psychology
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Wichita State University
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Copyright Carissa K. Coleman, 2010. All rights reserved