Hostname: page-component-78c5997874-t5tsf Total loading time: 0 Render date: 2024-11-15T01:26:30.129Z Has data issue: false hasContentIssue false

Credentialing dementia training: the Florida experience

Published online by Cambridge University Press:  31 March 2010

Kathryn Hyer
Affiliation:
School of Aging Studies, University of South Florida, Tampa, Florida, U.S.A.
Victor Molinari*
Affiliation:
Department of Aging and Mental Health Disparities, University of South Florida, Tampa, Florida, U.S.A.
Mary Kaplan
Affiliation:
School of Aging Studies, University of South Florida, Tampa, Florida, U.S.A.
Sharmalee Jones
Affiliation:
School of Aging Studies, University of South Florida, Tampa, Florida, U.S.A.
*
Correspondence should be addressed to: Professor Victor Molinari, Department of Aging and Mental Health Disparities, MHC #1440, Louis de la Parte Florida Mental Health Institute, College of Behavioral and Community Sciences, University of South Florida, 13301 Bruce B. Downs Boulevard, Tampa, Florida 33612-3899, U.S.A. Phone: +1 (813) 974-1960; Fax: +1 (813) 974-1968. Email: [email protected].

Abstract

Background: Florida is a leader in requiring that all direct care staff employed in assisted living, nursing homes, hospice, adult day care and home health undergo Alzheimer's disease (AD) training. Legislative requirements prescribe the curricula components and require a review of curricular content and minimum standards for the training providers.

Methods: We describe Florida's AD training program review process, and report the results of our review of 445 curricula received over four and a half years.

Results: On initial submission, over 90% of curricula submitted did not include learning objectives, time formats or didactic approach. During a review of content we often found inaccurate information, language that was not person-centered, and missing required training components.

Conclusion: Form and content problems were prevalent across all curricular types. We propose the Florida credentialing program as a model to ensure that accurate and educationally sound curricula are used to train direct care workers.

Type
Special Issue Articles
Copyright
Copyright © International Psychogeriatric Association 2010

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

Alzheimer's Association (2003). State Review 2003. Washington, DC: The Washington Advocacy and Public Policy Division, Alzheimer's Association.Google Scholar
Alzheimer's Association (2009). 2009 Alzheimer's disease facts and figures, Alzheimer's and Dementia, 5, 234270.CrossRefGoogle Scholar
American Health Care Association (2009). U.S. Long-term Care Workforce at a Glance. Washington, DC: American Health Care Association.Google Scholar
Austrom, M. (1996). Training staff to work in special care. In Hoffman, S. B. and Kaplan, M. (eds.), Special Care Programs for People with Dementia (pp. 1734). Baltimore: Health Professions Press.Google Scholar
Beck, C., Ortigara, A., Mercer, S. and Shue, V. (1999). Enabling and empowering certified nursing assistants for quality dementia care. International Journal of Geriatric Psychiatry, 14, 197212.3.0.CO;2-Q>CrossRefGoogle ScholarPubMed
Bourgeois, M. S., Dijkstra, K., Burgio, L. D. and Allen, R. S. (2004). Communication skills training for nursing aides of residents with dementia: the impact of measuring performance. Clinical Gerontologist, 27, 119138.CrossRefGoogle Scholar
Brodaty, H., Draper, B. and Low, L. (2003). Nursing home staff attitudes toward residents with dementia: strain and satisfaction with work. Journal of Advanced Nursing, 44, 583590.CrossRefGoogle Scholar
Burgio, L. D. and Burgio, K. L. (1990). Institutional staff training and management: a review of the literature and a model for geriatric, long-term care facilities. International Journal of Aging and Human Development, 30, 287302.CrossRefGoogle Scholar
Cocco, E., Gatti, M., Augosto De Mendonca Lima, C. and Campus, V. (2003). A comparative study of stress and burnout among staff caregivers in nursing homes and acute geriatric wards. International Journal of Geriatric Psychiatry, 18, 7885.CrossRefGoogle ScholarPubMed
Eayrs, P. (2009). Snapshot: Alzheimer's Australia project of an innovative approach to consumer education and training. International Psychogeriatrics, 21, (Suppl 1), S69S71.CrossRefGoogle ScholarPubMed
Feldt, K. S. and Ryden, M. B. (1992). Aggressive behavior: educating nursing assistants. Journal of Gerontological Nursing, 18, 312.CrossRefGoogle ScholarPubMed
Gerdner, L. and Buckwalter, K. C. (1996). Review of state policies regarding Special Care Units: implications for family consumers and health care professionals. American Journal of Alzheimer's Disease, 11, 1627.CrossRefGoogle Scholar
Gould, E. and Reed, P. (2009). Alzheimer's Association Quality Care Campaign and professional training initiatives: improving hands-on care for people with dementia in the U.S.A. International Psychogeriatrics, 21 (Suppl. 1), S25S33.CrossRefGoogle ScholarPubMed
Grant, L. A., Potthoff, S. J., Ryden, M. and Kane, R. A. (1998). Staff ratios, training, and assignment in Alzheimer's special care units. Journal of Gerontological Nursing, 24, 915.CrossRefGoogle ScholarPubMed
Hyer, K., Thomas, K. S., Mehra, S., Johnson, C. E. and Harman, J. S. (2009). Analyses on Outcomes of Increased Nurse Staffing Policies in Florida Nursing Homes: Staffing Levels, Quality and Costs (2002–2007). Contract MED103 with Florida Agency for Health Care Administration.Google Scholar
Kaplan, M. (1996). Challenges to success. In Hoffman, S. B. and Kaplan, M. (eds.), Special Care Programs for People with Dementia (pp. 115). Baltimore: Health Professions Press.Google Scholar
Kovach, C. R. and Krejci, J. W. (1998). Facilitating change in dementia care. Journal of Nursing Administration, 28, 1727.CrossRefGoogle ScholarPubMed
Kuske, B., Hanns, S., Luck, T., Angermeyer, M. C., Behrens, J. and Riedel-Heller, S. G. (2007). Nursing home staff training in dementia care: a systematic review of evaluated programs. International Psychogeriatrics, 19, 818841.CrossRefGoogle Scholar
Maxfield, M. C., Lewis, R. E. and Cannon, S. (1996). Training staff to prevent aggressive behavior of cognitively impaired elderly patients during bathing and grooming. Journal of Gerontological Nursing, 22, 3743.CrossRefGoogle ScholarPubMed
Mentes, J. and Ferrario, J. (1989). Calming aggressive reactions: a preventive program. Journal of Gerontological Nursing, 15, 2227.CrossRefGoogle ScholarPubMed
Mobily, P., Maas, M., Buckwalter, K. C. and Kelly, L. (1992). Staff stress on an Alzheimer's unit. Journal of Psychosocial Nursing, 30, 2531.Google Scholar
National Clearinghouse on the Direct Care Workforce (2009). Who are the Direct Care Workers? Bronx, NY: Paraprofessional Healthcare Institute. Available at: http://www.directcareclearinghouse.org/download/NCDCW%20Fact%20Sheet-1.pdf; last accessed 28 August 2009.Google Scholar
Novak, M. and Chappell, N. L. (1994). Nursing assistant burnout and the cognitively impaired elderly. International Journal of Aging and Human Development, 39, 105120.Google ScholarPubMed
Orr-Rainey, N. K. (1991). Establishing a dementia unit. In Sloane, P. D. and Mathew, L. J. (eds.), Dementia Units in Long-term Care (pp. 5b5o). Baltimore: The Johns Hopkins University Press.Google Scholar
Splaine, M. E. (2008). Campaign advocacy in brief: dementia care policy strategies and recommendations. Alzheimer's Care Today, 9, 145146.Google Scholar
Teresi, J. A.; Grant, L. A., Holmes, D. and Ory, M. G. (1998). Staffing in traditional and special dementia care units. Journal of Gerontological Nursing, 24, 4953.CrossRefGoogle ScholarPubMed
Vance, A. and Davidhizer, D. (1997). Motivating the paraprofessional in long-term care. Health Care Supervisor, 15, 5764.Google ScholarPubMed