Abstract：
Nursing home (NH) staff mention knowledge deficits regarding the management of behavioural and psychological symptoms of dementia (BPSDs) in residents with neurocognitive disorders (NCDs). Staff training therefore appears to be necessary. However, existing evidence on best training practices and their outcomes remains scattered. This systematic review aimed to (1) identify the best clinical practices and theoretical bases of staff training interventions on BPSD management in NHs and (2) summarize the effects of these interventions on resident and staff outcomes.
A mixed methods systematic review was conducted. Two nurse researchers independently searched nine electronic databases to identify studies on the efficacy of staff training interventions aimed at BPSD management in NHs, on a variety of resident and staff outcomes. The search was conducted for articles published between 1996 and 2022, using selected keywords, MeSH terms, and predefined eligibility criteria. The methodological quality of the retrieved studies was assessed using JBI checklists.
Overall, 39 studies in 47 articles were included. Ten categories of trainings were identified, of which three demonstrated the most promising results on both residents and staff: (1) structured protocols and models, (2) person-centred bathing, and (3) communication techniques. The methodological quality of the retrieved studies was generally weak. Issues with intervention feasibility and reproducibility were also noted.
Training interventions incorporating structured protocols and models, person-centred bathing, and communication techniques are associated with better staff and resident outcomes. However, there is a strong need for high-quality research to strengthen existing evidence and ensure feasibility and reproducibility.
A mixed methods systematic review was conducted. Two nurse researchers independently searched nine electronic databases to identify studies on the efficacy of staff training interventions aimed at BPSD management in NHs, on a variety of resident and staff outcomes. The search was conducted for articles published between 1996 and 2022, using selected keywords, MeSH terms, and predefined eligibility criteria. The methodological quality of the retrieved studies was assessed using JBI checklists.
Overall, 39 studies in 47 articles were included. Ten categories of trainings were identified, of which three demonstrated the most promising results on both residents and staff: (1) structured protocols and models, (2) person-centred bathing, and (3) communication techniques. The methodological quality of the retrieved studies was generally weak. Issues with intervention feasibility and reproducibility were also noted.
Training interventions incorporating structured protocols and models, person-centred bathing, and communication techniques are associated with better staff and resident outcomes. However, there is a strong need for high-quality research to strengthen existing evidence and ensure feasibility and reproducibility.
摘要：
背景：疗养院（NH）工作人员提到患有神经认知障碍（NCD）的居民对痴呆的行为和心理症状（BPSD）的管理知识不足。因此，工作人员培训似乎是必要的，然而，关于最佳培训实践及其结果的现有证据仍然分散。本系统综述旨在：1）确定NHsBPSD管理员工培训干预措施的最佳临床实践和理论基础，和2)总结这些干预措施对居民和工作人员结果的影响。
方法：进行混合方法系统评价。两名护士研究人员独立搜索了九个电子数据库，以确定针对NHsBPSD管理的员工培训干预措施的有效性研究，关于各种居民和工作人员的结果。该搜索是针对1996年至2022年之间发表的文章进行的，使用选定的关键字，MeSH术语，和预定义的资格标准。使用JBI检查表评估检索到的研究的方法学质量。
结果：总体而言，包括47篇文章中的39项研究。确定了十类培训，其中三个对居民和工作人员都表现出最有希望的结果：1)结构化的协议和模型，2）以人为中心的沐浴，3)通信技术。检索到的研究的方法学质量普遍较弱。还注意到干预可行性和可重复性的问题。
结论：结合结构化协议和模型的培训干预措施，以人为中心的沐浴和沟通技术与更好的员工和居民结果相关。然而,迫切需要高质量的研究来加强现有的证据，确保可行性和可重复性。
方法：进行混合方法系统评价。两名护士研究人员独立搜索了九个电子数据库，以确定针对NHsBPSD管理的员工培训干预措施的有效性研究，关于各种居民和工作人员的结果。该搜索是针对1996年至2022年之间发表的文章进行的，使用选定的关键字，MeSH术语，和预定义的资格标准。使用JBI检查表评估检索到的研究的方法学质量。
结果：总体而言，包括47篇文章中的39项研究。确定了十类培训，其中三个对居民和工作人员都表现出最有希望的结果：1)结构化的协议和模型，2）以人为中心的沐浴，3)通信技术。检索到的研究的方法学质量普遍较弱。还注意到干预可行性和可重复性的问题。
结论：结合结构化协议和模型的培训干预措施，以人为中心的沐浴和沟通技术与更好的员工和居民结果相关。然而,迫切需要高质量的研究来加强现有的证据，确保可行性和可重复性。
