Yes / People with dementia occupy up to one quarter of acute hospital beds. However, the quality of care delivered to this patient group is of national concern. Staff working in acute hospitals report lack of knowledge, skills and confidence in caring for people with dementia. There is limited evidence about the most effective approaches to supporting acute hospital staff to deliver more person-centred care. This study aimed to evaluate the efficacy of a specialist training programme for acute hospital staff regarding improving attitudes, satisfaction and feelings of caring efficacy, in provision of care to people with dementia. A repeated measures design, with measures completed immediately prior to commencing training (T1), after completion of Foundation level training (T2: 4–6 weeks post-baseline), and following Intermediate level training (T3: 3–4 months post-baseline). All participants received the 3.5 day Person-centred Care Training for Acute Hospitals (PCTAH) programme, comprised of two levels, Foundation (0.5 day) and Intermediate (3 days), delivered over a 3–4 months period. Staff demographics and previous exposure to dementia training were collected via a questionnaire. Staff attitudes were measured using the Approaches to Dementia Questionnaire (ADQ), satisfaction in caring for people with dementia was captured using the Staff Experiences of Working with Demented Residents questionnaire (SEWDR) and perceived caring efficacy was measured using the Caring Efficacy Scale (CES). The training programme was effective in producing a significant positive change on all three outcome measures following intermediate training compared to baseline. A significant positive effect was found on the ADQ between baseline and after completion of Foundation level training, but not for either of the other measures. Training acute hospital staff in Intermediate level person-centred dementia care is effective in producing significant improvements in attitudes towards and satisfaction in caring for people with dementia and feelings of caring efficacy. Foundation level training is effective in changing attitudes but does not seem to be sufficient to bring about change in satisfaction or caring efficacy. Keywords

Yes / Ensuring an informed and effective dementia workforce is of international concern; however, there remains limited understanding of how this can be achieved. This review aimed to identify features of effective dementia educational programs. Critical interpretive synthesis underpinned by Kirkpatrick’s return on investment model was applied. One hundred and fifty-two papers of variable quality were included. Common features of more efficacious educational programs included the need for educational programs to be relevant to participants’ role and experience, involve active face-to-face participation, underpin practice-based learning with theory, be delivered by an experienced facilitator, have a total duration of at least 8 hours with individual sessions of 90 minutes or more, support application of learning in practice, and provide a structured tool or guideline to guide care practice. Further robust research is required to develop the evidence base; however, the findings of this review have relevance for all working in workforce education.

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The purpose of the thesis was to investigate if integrity promoting care improves functions in demented patients over time. The Erikson (1982) theory of ”eight stages of man” was used as a basis for training of staff in a three-month intervention study (I-VI) at a nursing home ward. A collective living unit where staff had had support in the performance of the delivery of care was also evaluated and compared with a nursing home in a long-term study (VII). Patients, relatives, staff, and the environments were investigated. Cerebrospinal fluid concentrations of somatostatin increased, and reduction of distractability, anxiety and confusion was seen in the intervention group (I) in contrast to controls. In the collective living group (VII) EEG activities indicated a reduction of supposed dementia induced changes. Better motor and social ability, some improved intellectual ability, more alertness and reduced signs of depression were seen (I, II, VII). Patients expressed more autonomy (IV, VII) and initiatives (II-VII) and showed a lot of competence (V) in conversations. Five patients (V) showed patterns of behaviour which seemed to reflect life-long characteristics in spite of their severe dementia. The improvement in the patients' functions can be attributed to the physical environment and the integrity promoting care, since the medical treatment of the patients remained unchanged. In the thesis medical, psychological, and nursing sciences were connected in a complementary process. The results were congruent, and indicate that patients in the care of staff who had had training and support, declined less than controls. / <p>S. 1-61: sammanfattning, s. 63-184: 7 uppsatser</p> / digitalisering@umu

Training and empirically evaluating caregivers’ implementation of behavior management skills is a particularly challenging task in large residential contexts. A pyramidal training approach provides an efficient and effective way to conduct large-scale competency-based behavior skills training. The purpose of this project was to develop and evaluate a large-scale pyramidal staff training program for behavior management skills. One hundred nine caregivers and 11 behavior service professionals at a large, residential care facility participated in this project. Interobserver agreement was utilized to develop and refine measurements systems to detect caregiver acquisition of skills, behavior service professionals’ ability to score caregiver performance and behavior service professionals’ ability to deliver a specified portion of the curriculum. Pre- and post-test probes were conducted utilizing standard role play scenarios and checklists to evaluate caregiver acquisition of three specific behavior management skills. The results supported the following conclusions: first, interobserver agreement measures were useful to develop a reliable measurement system, to refine some curriculum elements, and to evaluate measurement conducted by behavior service professionals. Second, behavior skills training (BST) resulted in caregiver acquisition of all three behavior management techniques. Third, the pyramidal training approach was effective to teach behavior service professionals to deliver BST and accurately measure the performances of trainees.

The aim of this thesis is to create a competency model for the jobs of new members of a student organization. The competency model is used to assemble a list of the types of educational activities that should be undertaken by the member in a half year frame after they start working on the new position in the organization. This goal is reflected by the structure of this thesis. The theoretical part is divided into two chapters. In the first one, the reader is acquainted with the concepts of competence, employee education, competency model, and management through competencies. The knowledge of these terms and their meaning is crucial for the understanding of the domain of education management. The contents of the second chapter deal with the various methods of development and educational activities, the systematical education and its phases, and the creation of competency model in an organization. The knowledge that is presented in the theoretical part comes originally from the corporate environment. But there it was created to address the same problems that are also faced by educational organizations, and also by organizations in which the education of its members is one of their secondary goals. The theoretical part is followed by the research part. The research methodology is described first. This...

Abstract Behavior Skills Training (BST) typically consists of an initial informational component presented to the learners either vocally, through a handout, presentation, or both. Results from the active student responding literature indicates these methods as the least effective means of conveying important information to learners. This study sought to utilize an alternative instructional component, fluency training, and to evaluate if any effects are observed on implementation of the behavior chain of Discrete Trial Training (DTT). Teacher's had previous training and experience on implementing DTT prior to this study--however, all teachers implemented strategies with low integrity. Teachers were trained to fluent levels on verbally stating the component steps of DTT and were then observed during probe sessions to evaluate percentage of steps implemented correctly. The probes indicate an initial improvement, but decreases over time that are consistent with results on other passive in-service trainings. Teachers then took part in a single session of Modeling, Role-Play, and Feedback. Results suggest that while fluency training had an impact on participants' verbal performance on discrete trial information, and affected overt performance during subsequent probes, the effects were small and transient. Performance improved only after training on the components of BST and additional training had been completed in-situ.

This thesis is focused on the analysis of training system in the fire-rescue squad České Budějovice. Its aim is to learn the system, to find its strenghts and weaknesses and to make recommendations for the system optimization. There are used firm documents for the analysis and the informations are compared. The first par provides a short overview about theories of human resource management and development and education. The practical part of this work describes particular parts of the training system in the firm. There are presented the needs identification, planning of the training, implementation, cost and benefits analysis and effectivity evaluation.

The aim of this thesis is decisive influence specification in motivation and stimulation of human resources for lifelong learning. The survey was realized in three construction companies. Therefore the aim was also detection of individual companies´ approach to this theme. Through this survey it standed to reason also various stratification of replies in dependance of the reached educational attainment of asked persons. In the first part of this thesis there is introduced the general motivation and stimulation information. In methodology there is described questionnaire method the survey was carried out. The detected results are transfered into charts and graphs. Every reply is followed by results evaluation and discussion. The best employee motivation was higher income. Persons with lower education were interested in further education less than others. And the fact is that all three companies should improve their approach to employees education. People have the first priority in company. And if the manpower is not used properly, the company growth and competitive advantage slows.

L’entrée en établissement d’hébergement pour personnes âgées dépendantes (EHPAD) constitue pour celles-ci un évènement important. Elle est le passage de la vie chez soi, lieu de l’intime, vers un espace collectif, probable dernier lieu de vie, qui affecte le rapport aux temps. Or, si le temps chronologique est régulier, homogène et irréversible, le temps vécu et éprouvé des hommes est autre : il est caractérisé par une temporalité habitée par les expériences. Nous nous sommes interrogés sur la perception du temps dans la conscience interne de la personne âgée. Est-ce que la perception du temps chez la personne âgée diffère selon sa situation de vie ? Le cadrage théorique convoqué est essentiellement philosophique et en ce qui concerne la perception du temps plutôt phénoménologique. Ceci nous a permis de construire le problème de recherche : Est-ce que les temps et les projets s’expriment de façon différenciée dans la conscience interne de la personne âgée selon qu’elle est placée en EHPAD ou vit à son domicile ? L’étude comparative des récits des personnes âgées vivant en institution EHPAD et de celles demeurant à domicile s’inscrit dans une méthodologie qualitative. Les interprétations des analyses de contenus mettent en évidence deux environnements aux caractéristiques opposées : en EHPAD, se produisent des ruptures et des altérations de la conscience interne tandis qu’à domicile, il y a plutôt continuité de vie et activation de la conscience interne. / Moving into a nursing home is an important step in the life of an elderly person. It means shifting from their own home, a private place, to a communal space likely to be the last place where they will live and this affects their sense of time. We asked ourselves what the perception of time is in the inner consciousness of older people and whether the perception of time in the elderly varies depending on their place of living. The theoretical framework is essentially philosophical while that of the perception of time is rather phenomenological. These form the basis for constructing our research question: Do timespans and future plans expressed in the inner consciousness of the elderly differ depending on whether they have been placed in a nursing home or live in their own homes ? The comparative study of the narratives of seniors living in nursing homes and those living in their own home relies on a qualitative approach. Interpretations of content analyzes show the two surroundings have opposite characteristics : there occur disruptions and alterations in the inner consciousness of those in nursing homes, while there tends to be continuity of life and activation of the inner consciousness for those staying in their own homes. Desubjectivation of people living in nursing homes is the result of a process that is being built up and this contradicts the hypothesis of the existence of a direct causal relationship that woud be attributable solely to the context of placement.