title: Evaluation of an educational program for long-term care nursing assistants.
abstract: OBJECTIVE
  To determine if an educational program can improve knowledge and attitude among ancillary staff on end-of-life care issues in a long-term care facility.
  
  
  METHODS
  A pilot study using a pre- and post-test design prior to and at the completion of an education intervention.
  
  
  METHODS
  A long-term care facility in suburban Philadelphia that has 150 assisted living beds and 53 nursing home beds.
  
  
  METHODS
  Long-term care ancillary staff including certified nursing assistants (called "care managers" at this facility), social workers, recreational therapists, and food service workers.
  
  
  METHODS
  The intervention was a novel educational program consisting of five in-service lectures with accompanying take home self-study modules for ancillary staff in long-term care entitled "Dignity in Dementia."
  
  
  METHODS
  Ancillary staff attitudes and knowledge on end-of-life issues in dementia were assessed with a knowledge and attitude questionnaire pre- and post-intervention. One-year follow-up questionnaires were administered to assess long-term maintenance of knowledge and attitude changes.
  
  
  RESULTS
  Thirty-two ancillary staff completed the pre-intervention questionnaires. Twenty-nine ancillary staff completed the post-intervention questionnaires (90.6%). There was a significant change in the end-of-life knowledge level of the ancillary staff (P =.0270). Specifically, there was a significant change in one question dealing with dementia as a terminal disease (P = .006). There were also significant changes in the average attitude scores of the ancillary staff. (P = .0242). One-year follow-up revealed that both knowledge and attitude changes were maintained.
  
  
  CONCLUSIONS
  This pilot project demonstrates that a staff educational program on end-of-life care for dementia residents can improve end-of-life knowledge and attitudes among long-term care ancillary staff and that this improvement can be maintained for up to 1 year. This intervention is easily reproducible in the long-term care setting. This project is an important step in helping improve end-of-life care for dementia residents in long-term care settings by improving the knowledge and attitudes of their caregivers.
authors.affiliation: Department of Family Medicine, Jefferson Medical College, Philadelphia, PA 19107, USA. susan.parks@jefferson.edu
authors.forename: Susan Mockus
authors.initials: SM
authors.lastname: Parks
authors.forename: Christopher
authors.initials: C
authors.lastname: Haines
authors.forename: Diane
authors.initials: D
authors.lastname: Foreman
authors.forename: Elizabeth
authors.initials: E
authors.lastname: McKinstry
authors.forename: Terri L
authors.initials: TL
authors.lastname: Maxwell
mesh_terms: D000488:Allied Health Personnel / Q000193:education*; D003704:Dementia / Q000451:nursing*; D004521:Educational Measurement; D005500:Follow-Up Studies; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training; D009735:Nursing Homes; D009740:Nursing Staff / Q000193:education*; D010166:Palliative Care; D015143:Philadelphia; D010865:Pilot Projects