Journal article
Evaluating De-Escalation Training for Direct and Indirect Employees Caring for Residents With Huntington's Disease
Journal of the American Psychiatric Nurses Association, Vol.31(1), pp.76-82
01/2025
DOI: 10.1177/10783903231211558
PMID: 37981800
Abstract
INTRODUCTIONLittle is known about reducing the challenges for caregivers and patients with Huntington's disease (HD). HD creates behavioral disturbances, cognitive decline, and motor disorder progression over the lifetime requiring some individuals to need long-term facility care.AIMSThere are concerns about safety and confidence of employees caring for residents with HD.METHODSNursing staff, administrators, and auxiliary employees were recruited from a long-term care (LTC) facility in rural Iowa, from July 2020 to August 2020. A de-escalation training intervention was delivered. The 1-day intervention included resident behaviors, planning and safety, teamwork, communication, and included role play and simulation. A pre- and post-survey measured confidence and competence in caring for people with HD before and after a training intervention. A resident medical record audit explored challenging behaviors before and after the training intervention.RESULTSOf 25 participants, six were registered nurses/licensed practical nurses (RNs/LPNs; 24%), four administrators (16%), eight nursing assistants (32%), and seven auxiliary employees (28%). There was improvement in employees perceived safety (33.3%), co-workers enjoyment working with HD residents (54%), understanding symptoms of HD (44.4%), confidence in job abilities (21.0%), and confidence in ability to care for patients with HD (26.3%). A medical record audit showed decreased documentation of resident aggression and care refusal post-intervention.CONCLUSIONSThese findings suggest de-escalation training in LTC facilities increased perception of job safety, co-workers' enjoyment, understanding HD symptoms, confidence in ability to care for patients with HD, and decreased resident agitation and care refusal.
Details
- Title: Subtitle
- Evaluating De-Escalation Training for Direct and Indirect Employees Caring for Residents With Huntington's Disease
- Creators
- Brandon Rogers - University of IowaBarbara St Marie - University of IowaDaniel Wesemann - University of IowaPeg Nopoulos - University of Iowa Hospitals and Clinics
- Resource Type
- Journal article
- Publication Details
- Journal of the American Psychiatric Nurses Association, Vol.31(1), pp.76-82
- DOI
- 10.1177/10783903231211558
- PMID
- 37981800
- NLM abbreviation
- J Am Psychiatr Nurses Assoc
- eISSN
- 1532-5725
- Grant note
- DOI: 10.13039/100000026, name: National Institute on Drug Abuse, award: K23DA043049
- Language
- English
- Electronic publication date
- 11/19/2023
- Date published
- 01/2025
- Academic Unit
- Neurology; Psychiatry; Stead Family Department of Pediatrics; Iowa Neuroscience Institute; Addiction Medicine; Nursing; Injury Prevention Research Center
- Record Identifier
- 9984513363302771
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