Hostname: page-component-586b7cd67f-tf8b9 Total loading time: 0 Render date: 2024-11-23T21:20:02.689Z Has data issue: false hasContentIssue false

A Review of the In-service Training of Nurses in Behaviour Therapy

Published online by Cambridge University Press:  16 June 2009

Derek Milne
Affiliation:
Senior Clinical Psychologist, Stanley Royd Day Hospital, Wakefield WF1 4DQ

Extract

This article presents an examination of 17 empirical studies of the in-service training of psychiatric and mental handicap nurses in behaviour therapy. Particular attention is given to subject characteristics, training methods, course content and evaluation. It is concluded that the integrity of both independent and dependent variables in this literature is suspect, and that it may therefore be premature to consider abandoning nurse training as a vehicle of institutional change. In contrast, what is needed are more systematic investigations, especially those which relate training interventions to institutional constraints, since both variables appear to be necessary conditions for successful innovations in patient care.

Type
Research Article
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Ayllon, T. and Michael, J. (1959). The psychiatric nurse as a behavioural engineer. Journal of the Experimental Analysis of Behaviour 2, 323334.CrossRefGoogle ScholarPubMed
Bailey, R. D. and Craze, A. (1980). Nursing assistants as co-therapists. Child: Care, Health and Development 6, 1724.CrossRefGoogle ScholarPubMed
Bernstein, G. S. (1982). Training behaviour change agents: a conceptual review. Behaviour Therapy 13, 123.CrossRefGoogle Scholar
Bernstein, G. S. and Karan, D. C. (1978). Preservice training of professionals as behaviour managers: a review. Behaviour Therapy 9, 124126.CrossRefGoogle Scholar
Bettison, S. and Garlington, W. (1975). Behaviour modification with the mentally retarded: a staff training programme. Australian Journal of Mental Retardation 3, 131145.CrossRefGoogle Scholar
Bridge, W., Dunn, P. and Speight, I. (1981). The provision of post-basic education in psychiatric nursing. Nursing Times 77, 141144.Google ScholarPubMed
Bruner, J. S. (1966). Towards a Theory of Instruction. New York: Norton.Google Scholar
Burg, M. M., Reid, D. H. and Lattimore, J. (1979). Use of a self-recording and supervision programme to change institutional staff behaviour. Journal of Applied Behaviour Analysis 12, 363375.CrossRefGoogle Scholar
Burkhart, B. R., Behles, M. W. and Stumphauzer, J. S. (1976). Training juvenile probation officers in behaviour modification: knowledge, attitude change, or behavioural competence? Behaviour Therapy 7, 4753.CrossRefGoogle Scholar
Butler, R. J. and Rosenthal, G. (1976). Behaviour and rehabilitation: development of an in-service training course. Nursing Times 5, 191193.Google Scholar
Caine, T. M., Wijesinghe, O. B. A. and Winter, D. A. (1981). Personal Styles in Neurosis. London: Routledge and Kegan Paul.Google Scholar
Carkhuff, R. R. (1972). The development of systematic human resource development models. Counselling Psychologist 3, 416.CrossRefGoogle Scholar
Carsrud, A. L., Carsrud, K. V. and Dodd, G. B. (1980). Randomly monitored staff utilisation of behaviour modification techniques: long-term effects on clients. Journal of Consulting and Clinical Psychology 48, 704710.CrossRefGoogle ScholarPubMed
Denicola, J. and Sandler, J. (1980). Training abusive parents in child management and self-control skills. Behaviour Therapy 11, 263270.CrossRefGoogle Scholar
DHSS (1980). Organisational and Management Problems of Mental Illness Hospitals. London: HMSO.Google Scholar
Epling, W. F., Walsh, P. A. and Gathercole, C. E. (1975). A self-paced contingency management course for nurses. Behaviour Modification 7, 310.Google Scholar
Ford, J. D. (1979). Research on training counsellors and clinicians. Review of Educational Research 49, 87130.CrossRefGoogle Scholar
Gardner, J. M. (1972). Teaching behaviour modification to non-professionals. Journal of Applied Behaviour Analysis 5, 517521.CrossRefGoogle Scholar
Hall, J. N. (1973). Ward behaviour modification projects in Great Britain. Bulletin of the British Psychological Society 26, 199201.Google Scholar
Hall, J. N. (1974). Training nurses in behaviour modification: an analysis of current British practice. Behaviour Modification Newsletter 6, 1724.Google Scholar
Hogg, J., Foxon, T. and McBrien, J. (1981). Issues in the training and evaluation of behaviour modification skills for staff working with profoundly retarded multiply handicapped children. Behavioural Psychotherapy 9, 345357.CrossRefGoogle Scholar
Horner, R. D. (1973). Three years of attendant application of behaviour modification. In Advances in Behaviour Therapy, Rubin, J. et al. (Eds), New York: Academic Press.Google Scholar
Isaacs, C. D., Embry, L. H. and Baer, D. M. (1982). Training family therapists: an experimental analysis. Journal of Applied Behaviour Analysis 15, 505520.CrossRefGoogle ScholarPubMed
Ivancic, M. T., Reid, D. H., Iwata, B. A., Faw, G. D. and Page, T. J. (1981). Evaluating a supervision programme for developing and maintaining therapeutic staff-resident interactions during institutional care routines. Journal of Applied Behaviour Analysis 14, 95107.CrossRefGoogle ScholarPubMed
Iwata, B. A., Bailey, J. S., Brown, K. M., Foshee, T. J. and Alpern, M. (1976). A performance-based lottery to improve residential care and training by institutional staff. Journal of Applied Behaviour Analysis 9, 417431.CrossRefGoogle ScholarPubMed
Loeber, R. and Weisman, R. A. (1975). Contingencies of therapist and trainer performance: a review. Psychological Bulletin 82, 660668.CrossRefGoogle ScholarPubMed
MacKrell, K. (1983). Teaching behaviour modification and behaviour analysis skills. Behaviour Analysis 4, 217.Google Scholar
Marks, I. M., Hallam, R. S., Connolly, J. and Philpotts, R. (1977). Nursing in Behavioural Psychotherapy, London: Royal College of Nursing.Google Scholar
Martin, G. L. (1972). Teaching operant conditioning to psychiatric nurses, aides and attendants. In Implementing Behavioural Programmes for Schools and Clinics. Clark, F. W. et al. (Eds.), Illinois: Research Press Co.Google Scholar
Matarazzo, R. G. (1978). Research on the teaching and learning of psychotherapeutic skills. In Handbook of Psychotherapy and Behaviour Change. Bergin, A. E. and Garfield, S. L. (Eds.), 2nd Edit., New York: John Wiley.Google Scholar
Milne, D. L. (1982). A comparison of two methods of teaching behaviour modification to mental handicap nurses. Behavioural Psychotherapy 9, 5464.CrossRefGoogle Scholar
Milne, D. L. (1984). The relevance of nurses' characteristics in learning behaviour therapy. Journal of Advanced Nursing 9, 175179.CrossRefGoogle ScholarPubMed
Milne, D. L. (1985). An ecological validation of nurse training in behaviour therapy. Behavioural Psychotherapy. (in press).CrossRefGoogle Scholar
Montegar, C. A., Reid, D. H., Madsen, C. H. and Ewell, M. D. (1977). Increasing institutional staff to resident interactions through in-service training and supervisor approval. Behaviour Therapy 8, 533540.CrossRefGoogle Scholar
O'Dell, S.L., O'Quinn, J. A., Alford, B. A., O'Briant, A. L., Bradlyn, A. S. and Giebenhain, J. E. (1982). Predicting the acquisition of parenting skills via four training models. Behaviour Therapy 13, 194208.CrossRefGoogle Scholar
Panyan, M. C. and Patterson, E. T. (1973). Teaching attendants the applied aspects of behaviour modification: an empirical approach. Proceedings. 81st Annual Convention. APA 8, 897898.Google Scholar
Paul, G. L. (1966). Insight and Desensitisation in Psychotherapy. California: Stanford University Press.Google Scholar
Paul, G. L. and Lentz, R. J. (1977). Psychosocial Treatment of Chronic Mental Patients. Massachussetts: Harvard University Press.Google Scholar
Paul, G. L. and McInnes, T. L. (1974). Attitudinal changes associated with two approaches to training mental health technicians in milieu and social learning programmes. Journal of Consulting and Clinical Psychology 42, 2133.CrossRefGoogle Scholar
Peterson, L., Homer, A.L. and Wonderlich, S. A. (1982). The integrity of independent variables in behaviour analysis. Journal of Applied Behaviour Analysis 15, 477492.CrossRefGoogle Scholar
Quilitch, H. R. (1975). A comparison of three staff management procedures. Journal of Applied Behaviour Analysis 8, 5966.CrossRefGoogle ScholarPubMed
Richards, C. S. (1975). The politics of a token economy. Psychological Reports 36, 615621.CrossRefGoogle ScholarPubMed
Royal College of Psychiatrists (1980). Psychiatric Rehabilitation in the 1980's. London: Royal College of Psychiatrists.Google Scholar
Salzinger, K., Feldman, R. and Portnoy, S. (1970). Training parents of brain-injured children in the use of operant conditioning methods. Behaviour Therapy 1, 432.CrossRefGoogle Scholar
Schinke, S. P. and Wong, S. E. (1978). Teaching child care workers: a behavioural approach. Child Care Quarterly 7, 4561.CrossRefGoogle Scholar
Sepler, H. J. and Myers, S. L. (1978). The effectiveness of verbal instruction on teaching behaviour modification skills to non-professionals. Journal of Applied Behaviour Analysis. 11, 198.CrossRefGoogle Scholar
Stern, M. R. and Golden, F. (1977). A partial evaluation of an introductory programme in behaviour modification for nurses. American Journal of Community Psychology 5, 2332.CrossRefGoogle ScholarPubMed
Trethowan, W. H. (1977). The Role of Psychologists in the Health Services. London: HMSO.Google Scholar
Wahler, R. G. and Fox, J. J. (1981). Setting events in applied behaviour analysis: toward a conceptual and methodological expansion. Journal of Applied Behaviour Analysis 14, 327338.CrossRefGoogle Scholar
Warren, S. F. (1977). A useful eco-behavioural perspective for applied behaviour analysis. In Ecological perspectives in behaviour analysis, Rogers-Warren, A. and Warren, S. F. (Eds.), Baltimore: University Park Press.Google Scholar
Watson, L. S., Gardner, J. M. and Sanders, C. (1971). Shaping and maintaining behaviour modification skills in staff members in a mental retardation institution. Mental Retardation 9, 3942.Google Scholar
Watson, L. S. and Uzzell, R. (1980). A programme for teaching behaviour modification skills to institutional staff. Applied Research in Mental Retardation 1, 4153.CrossRefGoogle ScholarPubMed
Woods, P. A. and Cullen, C. (1983). Determinants of staff behaviour in long-term care. Behavioural Psychotherapy, 11, 417.CrossRefGoogle Scholar
Wright, J., Mathieu, M. and McDonough, C. (1981). An evaluation of three approaches to the teaching of behavioural therapy. Journal of Clinical Psychology 77, 326335.3.0.CO;2-O>CrossRefGoogle Scholar
Zangwill, O. (1980). Report of a joint working party with suggested ethical guidelines for the conduct of programmes of behaviour modification in the National Health Service. London: HMSO.Google Scholar
Submit a response

Comments

No Comments have been published for this article.