The Effectiveness of Empowering In‐Service Training Programs for Foreign Nurse Aides in Community‐Based Long‐Term Care Facilities

Abstract

The objective of the study was to examine the effectiveness of empowering in-service training programs for foreign nurse aides working in community-based long-term care (LTC) facilities. The design was a pretest and post-test design with experiment and control groups. The sample consisted of purposeful sampling from 10 LTC facilities in the Shihlin and Peitou areas of Taipei. A total of 35 foreign nurse aides participated in this study; 16 in the experimental group and 19 in the control group. The experimental group attended the training program for a 3-month period, whereas the control group did not receive any training. The research findings reveal that the training program was effective in increasing the work stress of workload/scheduling (Z = 2.01, p </= 0.05), meaning that the training program has raised the awareness of work stress for foreign nurse aides. The results could be used as a reference when considering the development of in-service training programs in LTC facilities.

The role of education and training in achieving change in care homes: a literature review

“…Opportunities for staff to build upon their own life experiences also appear to be valuable (Gutheil, 1985;Phillips and Baldwin, 1997;Li-Yu, et al, 2005). Innovative approaches such as scenario-based theatre presentations and the production of video material from 'excellent' facilities to demonstrate what can be achieved have also been advocated (Deutschman, 2001).…”

“…Any significant change in the direction of individual care for residents will require training, better understanding of residents and collaboration with the 'larger system'. (Deutschman, 2001, p. 40) The need to provide ongoing education, training and support for staff in care homes has long been recognised (Gutheil, 1985;Helper, 1987), and has been reaffirmed recently, not only in the United Kingdom (Henwood, 2001;Nolan, et al, 2006a) but also in the United States and Canada (Wright, et al, 2003;Tryssenaar and Gray, 2004), Australasia (Roberts, et al, 2001;MacKenzie, 2003;Slocombe, 2003;Chang and Corgan, 2005;Li-yu, et al, 2005), as well as across Europe (Ron and Lowenstein, 2002;Monkhouse, 2003;Pitkälä, et al, 2003;Coffey, 2004;van Weert, et al, 2006). However, although the virtues of education and training are extolled, their effectiveness in promoting positive change in care practices has been the subject of intense debate for several decades.…”

“…It is widely recognised that didactic methods of instruction alone are unlikely to be successful (Tryssenaar and Gray, 2004), and many authors promote the adoption of interactive and participative approaches, such as role play, discussion and problemsolving (Crogan and Evans, 2001;Bale, et al, 2004;Gates, et al, 2005). Opportunities for staff to build upon their own life experiences also appear to be valuable (Gutheil, 1985;Phillips and Baldwin, 1997;Li-Yu, et al, 2005). Innovative approaches such as scenario-based theatre presentations and the production of video material from 'excellent' facilities to demonstrate what can be achieved have also been advocated (Deutschman, 2001).…”

“…;Frenkel, et al (2002);Magai, et al (2002);Fagan (2003);Clelland, et al (2005);Davies, et al (2005);van Weert, et al (2005b) Care relatedBetter knowledge of and enhanced care relating to: Dealing with assaults -Gates, et al (2005) Feeding people with dementia -Chang and Lin(2005)Management of diabetes -Deakin and Littley(2001)Swallowing problems -O'Loughlin andShanley (1998) General problem solving -Clelland, et al(2005) OrganisationalEnhanced staff well-being, reduction in stress, burnout, sickness or injury -Roder (1987);Lardner and Nicholson (1990);Alfredson and Annerstedt (1994);Berg, et al (1994);Proctor, et al (1998);Thulesius, et al (2002);Thomas (2003);Li-yu, et al (2005);van Weert, et al (2005a) Improved staff retention -Fagan(2003);Clelland, et al (2005) Better team working and understanding -Lardner and Nicholson (1990);Feldt and Ryden (1992);Nolan (1992);Nolan and Walker (1993);Morrell (2003);Hansebo and Kihlgren (2004) Better relations with managers-Häggström, et al (2005) Wider outcomes…”

Job satisfaction and wellbeing among migrant care workers in nursing homes: An integrative review

“…Work stressors differed between migrants and natives in one study (Lin et al, 2002 ), and another study showed no differences (Cohen & Shinan‐Altman, 2011 ). Negative associations, that is fewer work stressors with higher work adjustment, were found in one study (Huang & Yang, 2011 ), whereas Li‐yu et al ( 2005 ) found more work stress after a training programme. About acculturation stress, high levels were reported, and in the multivariate analysis, the influencing factors were ethnicity and English language proficiency.…”