A Survey on Dementia Training Needs Among Staff at Community-Based Outpatient Clinics

Dementia is a major public health concern. Educating health-care providers about dementia warning signs, diagnosis, and management is paramount to fostering clinical competence and improving patient outcomes. The objective of this project was to describe and identify educational and training needs of staff at community-based outpatient clinics related to treating and managing veterans with dementia. Health professionals took an online survey consisting of questions related to general knowledge and skills in working with veterans with dementia and their families, staff training, and attitudes toward people with dementia. Most participants considered knowledge of dementia important; however, few reported having received training in dementia care within the past year. Furthermore, over half of participants considered themselves beginners in terms of knowledge and skills in dementia care. Regarding training needs, topics that could improve the overall care of veterans with dementia and their caregivers were most often cited. Participants reported being most satisfied with in-person training. Physicians rated their dementia knowledge and skill as greater than nurses'/other medical professionals’ and support staff's. Compared with support staff, nurses/other medical professionals held more positive attitudes toward persons with dementia. Survey results suggest that staff are interested in improving knowledge of, and skills for, working with persons with dementia, and that job classification is associated with differences in attitudes.     

Student participation in a dementia-outreach research project as community-based experiential learning

People with dementia (PWD) and their family caregivers need an increasing number of diverse health and social services. A multidisciplinary person-centered approach to dementia services is required to meet the complex needs of PWD and their family caregivers. However, educational programs struggle to prepare health and social work students to meet the complex needs of PWD and their family caregivers. This study aimed to assess the self-efficacy, competence, target complaints, and attitudes regarding interactions with PWD and their family caregivers among healthcare and social work students who participated in a large community dementia-outreach research project. A one-group pretest and posttest design was used to collect data from 23 undergraduate students studying nursing, public health, or social work. Students participated in a community dementia-outreach research project as an extracurricular activity. Quantitative and qualitative data were collected using a pre- and post-participation self-report questionnaire. Students showed increased self-efficacy and competence after project participation. Students’ perceived barriers to interacting with PWD and their family caregivers decreased. In answering open-ended questions, students showed enhanced understanding of PWD and their family caregivers, positive attitudes toward dementia care, and a career preference for dementia care. Findings provided evidence of the benefits of community-research-project participation as an experiential learning tool to enhance dementia care among health and social work students.     

PLANNING AN ELEARNING DEMENTIA CARE PROGRAM FOR HEALTHCARE TEAMS IN LONG-TERM CARE FACILITIES: THE LEARNERS’ PERSPECTIVES

This paper presents a needs analysis conducted to obtain information concerning online dementia care training of healthcare workers in long-term care (LTC) facilities. The resulting information was used to guide the development of an online dementia care training program designed to facilitate the acquisition of skills and knowledge necessary for healthcare teams to deliver better care to the residents with whom they work. Three focus groups were conducted at two sites across Canada. Data analysis revealed five major themes that will help program designers develop effective online learning programs. Recommendations for the development of an online dementia care program are proposed.     

TRANSFORMING SOCIAL AND EDUCATIONAL GOVERNANCE: TRADE TRAINING CENTRES AND THE TRANSITION TO SOCIAL INVESTMENT POLITICS IN AUSTRALIA

ABSTRACT:  Prior to its election to office in 2007, the Australian Labor Party announced a commitment to introduce Trade Training Centres (TTCs) into all Australian secondary schools as an initiative of its Education Revolution. TTCs were proposed as a key element of Federal Labor's education and training policy that aimed to manage future risks to Australia's competitiveness in the emerging global economy and to support school-to-employment transitions for young people. This analysis adopts a governmentality framework to conceptualise the Federal Government's introduction of TTCs alternatively as a key strategy for nationalising social investment politics in Australia. The paper draws on recent Australian policy documents to argue that TTCs are social technologies that work to open up social spaces in and around schools for governing relationships between schools and other community stakeholders, particularly businesses and families. The paper concludes by examining policy implications, including those of social justice, for promoting school community partnerships through TTCs.     

Effects of a dementia dietary educational program on nutritional knowledge and healthy eating behavior of family caregivers

ABSTRACT

Family caregivers play a critical role in dietary care and the nutritional status of people with dementia. The aim of this study was to investigate the effects of a family care-based dementia dietary educational program (DDEP) on family caregivers’ nutritional knowledge, healthy eating behavior and nutritional status of people with dementia. A total of 57 pairs of participants completed this longitudinal experimental study. Group A received routine care. Group B received the DDEP. Three outcomes were measured at pretest (T1), posttest (T2) and follow-up test (T3). Generalized estimating equations and regression were used to analyze the data. The scores of the caregivers’ nutritional knowledge significantly increased after receiving the DDEP in group B, and this increase was better than in group A. The posttest and follow-up test scores of healthy eating behavior were significantly higher than the pretest scores in both groups. The scores of nutritional status in group B increased from the pretest to the follow-up test, although there was no significant difference between the two groups. Some demographic factors played significant roles in the caregivers’ nutritional knowledge and healthy eating behavior. In sum, the DDEP improved the caregivers’ nutritional knowledge and healthy eating behavior for dementia. The demographic factors of family caregivers should be considered when providing nutritional information to enhance the nutritional status of people with dementia. The DHPDEP should be incorporated into the in-service education and training courses for nurses or dietitians who work with people with dementia.     

Design of an evidence-based diversity workshop to support participation of older people in their community care

Diversity is what makes a person unique, with the intersection of diversity characteristics potentially a strength or a barrier to accessing healthcare, and thereby affecting health and well-being outcomes. Many older people with diverse needs are not accessing appropriate services to meet their needs, leading to suboptimal health and well-being. Community aged care workers are at the frontline, working with diverse older people with complex needs; yet there is a dearth of training available in this sphere. This paper outlines the development and pilot evaluation of a diversity training workshop for managers and frontline community aged care workers. The aim of the workshop was to empower the workforce to support increased participation of older people with diverse needs in their own care, to ultimately lead to their improved health and well-being.

Workshop development was underpinned by sound education principles, a competency framework and research evidence. First iteration of the workshop underwent pilot testing with three groups, two in metropolitan Melbourne (n = 31) and one in regional Victoria (n = 10), Australia. Feedback was gathered via an independent observer (field notes), pre- and post-workshop surveys, and phone interviews with participants 3-month post-workshop. Pilot data and feedback informed changes to workshop content (type of knowledge, application of knowledge and skills), workshop structure and androgogical (adult learning) approach.

An evidence-informed diversity training workshop was developed through an iterative process, with the aim of enhancing knowledge, skills and attitudes of community aged care workers. This approach has developed a workshop that aims to better meet the needs of an aged care workforce, so that they may better support older people with diverse needs to increase engagement and participation in their care, optimizing their health and well-being.     

Altruism in death: Attitudes to body and organ donation in Australian students

Health education, research, and training rely on the altruistic act of body donation for the supply of cadavers. Organ transplantation and research rely on donated organs. Supply of both is limited, with further restrictions in Australia due to requirements for a next-of-kin agreement to donation, irrespective of the deceased's pre-death consent. Research suggests health workers are less likely to support the donation of their own bodies and/or organs, despite recognizing the public good of donation, and that exposure to gross anatomy teaching may negatively affect support for donation. Attitudes to body and organ donation were examined in Australian students studying anatomy. Support for self-body donation (26.5%) was much lower than support for self-organ donation (82.5%). Ten percent of participants would not support the election of a family member or member of the public to donate their body, and just over 4% would not support the election of a family member to donate their organs, with one-to-two percent not supporting this election by a member of the public. Exposure to gross anatomy teaching was associated with an increased likelihood of consideration of issues about body and organ donation, whether for self, family, or the public, and registration as an organ donor. Exposure decreased participants' willingness to donate their own body, with those who practiced a religion least likely to support body donation. Gross anatomy courses provide an opportunity to inform future healthcare workers about altruistic donation, albeit with a recognition that religious or cultural beliefs may affect willingness to donate.     

Training and deployment of aboriginal health workers,combining traditional and modern health techniques

The reconciliation of differing concepts of health and medicine is the heart of an education and training programme for health workers in the Northern Territory of Australia. This paper describes briefly the philosophy and mechanisms whereby Australian Aboriginal and Euro-American approaches to health care are fused for the benefit of Aboriginal communities     

Improving Communication with People with an Intellectual Disability: The content validation of the Biala-II profile

This study explores the content validity of a profile used to describe the communication behaviour of people with intellectual disabilities. The profile, named Biala-II - a Wiradjuri (an Australian Aboriginal language) word for "I understand you" - makes use of the knowledge of informants who are able to provide specific and detailed information on the ways in which a person communicates. This information can be used by ''communication partners'' to guide their interactions with a person whom they do not know well. Five samples of experts - parents, researchers, residential workers, speech pathologists, and special education teachers - rated 16 "best practice" indicators and then rated Biala-II in relation to these indicators. They also answered questions about specific features of the profile with attention to the methodology employed and the likelihood that its use would improve communication with people with an intellectual disability. The results reveal a high level of support for the profile.     

LEADING GROUPS OF OLDER PEOPLE: A DESCRIPTION AND EVALUATION OF THE EDUCATION OF PROFESSIONALS

With the substantial growth of an aging population, professionals in gerontology need to know how to work with groups of older people. Group work has become a popular means of helping the elderly, for example, to cope with losses (support groups) and to engage in social activities with peers (groups in day centers) as well as to support caregivers of dementia patients (caregivers' groups). We started group interventions to relieve loneliness among older people and developed long-term training to enhance the group leadership skills of professionals and to promote their self-reflection capabilities. Our training process consciously took advantage of constructive learning theory and a reflective learning model. The education process used modern activating learning methods to attain its goals. In this article we describe the main steps of this educational process and show the results of the trainees' evaluation, how they experienced the training process, and how the learning objectives were achieved.     

Educating and Training the Workforce to Work with People with Dementia: Two Projects from the United Kingdom

Educating and training the dementia workforce is a global challenge, given the expected increasing number of people living with dementia across the world as the population ages. Two projects from the UK (one regionally and one locality based) investigated courses available to the workforce and mapped the content of identified courses against a locally developed dementia care pathway. The locality project included a survey of what percentage of staff time was spent with people living with dementia, and what percentage of staff caseloads were devoted to people living with dementia. There was a great variation in the extent of education and training available, with some stages of the dementia care pathway poorly addressed. An educational strategy for the dementia workforce in the UK might include four categories of education and training: basic dementia awareness, intermediate level, advanced level, and dementia awareness for managers. Staff requiring education and training might be divided into three groups: those employed to work specifically with people living with dementia and their families; those working with people who have other conditions but some of whom will have a coincidental dementia; those working with other conditions but in settings where a high proportion of their patients have a comorbid dementia. To improve workforce skills in dementia care will require actions across the whole of education and training for professionals and untrained workers who provide services to this group.     

中澳两国职业教育师资队伍建设的比较研究

本文从澳大利亚职业教育与培训体系出发,分析了与教育质量密切相关的教师准入与培训机制,并对中澳两国职业教育师资培训的异同作了比较,提出了我国高等职业教育师资队伍建设的宏观策略和微观思路。     

THE FAMILIES WHO CARE PROJECT: MEETING THE EDUCATIONAL NEEDS OF AFRICAN AMERICAN AND RURAL FAMILY CARE GIVERS DEALING WITH DEMENTIA

Successful educational outreach to address the informational needs of African American and rural families dealing with dementia requires a concerted strategy that fosters trust and conveys a genuine commitment to the targeted communities. The Families Who Care project formed a partnership that included majority and minority institutions of higher education, state and local human services organizations, and two chapters of the Alzheimer's Association. These advisory groups were asked to identify the educational needs of family caregivers and guide the implementation of a train-the-trainer effort in Virginia. The results of strategic planning sessions are detailed, and analyses of evaluation data point to racial and cultural differences in the project's effect on participating family caregivers. Conclusions support increasing the availability of cultural competence training for those who provide services to diverse caregiving families. elders and their families and communities through the development and dissemination of culturally relevant materials emphasizing both the established facts about {Alzheimer's disease and related disorders} and the efficacy of seeking treatment''(Advisory Panel on Alzheimer's Disease, 1992, p. 50). There is a similar need to train family caregivers of rural elders with dementia, whose informational and service needs     

Australian academics and transnational teaching: an exploratory study of their preparedness and experiences

Australia is now the third largest provider of education to overseas students. Between 1994 and 2000 the number of overseas students taught by Australian universities increased by 150% to 107,622. It is estimated that 41% of the recent growth in international education has been in offshore enrolments, with each of Australia’s 38 universities now providing offshore education. This paper reviews recent Australian literature on transnational teaching and presents an overview of a study with academics who teach transnationally and who are drawn from nine Australian universities. The study covers the professional development and teaching experiences of these academics and their perceptions of the induction/orientation and ongoing professional development needed to support the delivery of quality trans‐cultural education offshore.     

澳大利亚“白澳政策”的形成及影响

"白澳政策"是澳大利亚自1901年建国后作为一项基本国策而确定下来的种族歧视性移民政策.它旨在保证澳大利亚为白种人所有,排斥和歧视有色人种移居澳大利亚和当地的土著居民."白澳政策"形成的原因既有其现实的政治和经济的因素,也有其种族和文化因素.包括《移民限制法案》为主的几项重要法案或条例,这标志"白澳政策"正式形成."白澳政策"对澳大利亚和亚洲、非洲以及大洋洲各国都产生了重大而深远的影响。     

Maintaining Inequality Despite Expansion: Evidence of the Link between Parents' Education and Qualitative Differences in Educational Attainment

The restructuring of the Australian labour market decreased demand for low‐skilled workers and increased demand for highly skilled workers and professionals further strengthening the relationship between educational and occupational attainment. To satisfy the demand for highly educated workers, the government reorganised the higher education sector increasing the number of universities and trebling the number of places for domestic undergraduate students. Analysing data from the Household, Income and Labour Dynamics in Australia survey, this paper examines the association between parents' education and the likelihood of graduating from university for six birth cohorts of Australians. Overall, the findings suggest that although the expansion of the higher education sector in Australia provided alternative pathways into university, differences in educational attainment, on both quantitative and qualitative dimensions, persist.     

The Causal Relationship Between the Efficacy of Training Programs and the Work Environment for Workers with Disabilities

The purpose of the study was to test a structural model which involves training variables and work environment variables in the United Arab Emirates and Jordan. Two instruments were used to collect data from people with a disability (n = 113) about their views of the training program and work environment. The Structural Equation Model (SEM) analysis revealed the following results: the factor representing psychological support and suitability of training environment influenced positively the disabled workers' view of their work; the factor representing job selection, trainers, and efficacy of program had a negative effect on the view of the people with disability on their work environment; while job selection had a direct negative effect on how others perceive the disabled person.     

澳大利亚TAFE发展历程及其对我国的启示

澳大利亚现代历史非常短暂,20世纪之前该国基本上处于殖民地状态。虽然澳大利亚高等职业教育发展历程和该国的发展史一样短暂,但是其独特的TAFE却是世界高等职业教育发展史上的一朵奇葩。TAFE培养模式的重点是造就可以适应各种工作需要的,具有可适性、创造性的高技能劳动者。     

“It is not the same”: relationships and dementia

People living with dementia may live in relationship with partners, family members, and significant others. Dementia has been shown to impact on such relationships but relationships also impact on the dementia condition. Thirteen people took part in the study: all were caring for a person living with dementia and two were themselves living with dementia. Semi-structured interviews were conducted with participants focusing on changes in close relationships, including changes in intimate (sexual) relationships where appropriate. Interviews were audiotaped, transcribed, and analyzed using thematic analysis. Four main themes were identified: changes in couple relationships; changes in non-partner relationships; talking about oneself in relationship; and talking about people with dementia in relationship. In conclusion, participants’ lived experiences highlight the need for ongoing relational support and an education-based counseling program that could potentially address many of participants’ highlighted needs.     

Aging IQ Intervention with Older Korean Americans: A Comparison of Internet-Based and In-Class Education

Using the translated contents of the National Institute on Aging (NIA)'s Aging IQ, an educational intervention was delivered to older Korean Americans. The educational program was delivered via two different modalities, Internet-based education (n = 12) and in-class education (n = 11), and the overall feasibility and efficacy were evaluated by the Reach, Efficacy, Adoption, Implementation, and Maintenance (RE-AIM) framework. A high level of completion and overall satisfaction with the program was observed in both groups. Both groups also exhibited a significant improvement in their knowledge about aging after the completion of the educational program. However, at the one-month follow-up, the Internet-based group showed a greater retention of the knowledge gained. The findings not only support the value of education on aging for older ethnic minorities but also suggest the use of the Internet as an integral modality of intervention delivery.