A staff training and management intervention in VA long-term care: impact on feeding assistance care quality

作者：Simmons Sandra F^*; Durkin Daniel W; Shotwell Matthew S; Erwin Scott; Schnelle John F

来源：Translational Behavioral Medicine, 2013, 3(2): 189-199.

DOI：10.1007/s13142-013-0194-3

• Long-term care
• Community living centers
• Unintentional weight loss
• Feeding assistance
• Nutrition
• Staff training
• Intervention
• Quality improvement

Efforts to translate efficacious interventions into long-term care practice have had limited success due to the lack of consideration of key translational intervention components. A multi-faceted intervention was implemented in two veteran affairs facilities to improve feeding assistance care. There were three study phases: baseline, intervention, and follow-up. During each phase, trained research staff conducted standardized observations of 12 meals/participant to assess feeding assistance care quality. The staff received three initial training sessions followed by six consecutive weeks of feedback sessions wherein the observation-based care process measures were shared with the staff. There were significant, but modest, improvements in mealtime feeding assistance care processes, and most of the improvements were maintained during follow-up. A multi-faceted intervention resulted in significant, but modest, improvements in mealtime feeding assistance care quality. Organizational (staff schedules, communication) and environmental (dining location) barriers were identified that interfered with improvement efforts.

• 出版日期2013-6