title: The impact of staff training on staff outcomes in dementia care: a systematic review.
abstract: Caring for people with dementia can be emotionally challenging and is often linked to low job satisfaction and burnout in care staff. Staff training within care settings is potentially valuable in improving well-being and quality of care. This review aimed to (i) establish the impact of training on staff outcomes; (ii) compare the impact of different training approaches; (iii) explore the influence of training intensity; and (iv) explore potential barriers to success.
  
  
  
  A database search of staff training interventions revealed 207 papers, 188 of which were excluded based on prespecified criteria. Nineteen studies were included and appraised using a quality rating tool.
  
  
  
  Overall, the studies were found to be of variable quality; however, 16 studies found a significant change following training in at least one staff domain, with knowledge improving most frequently. Approaches focusing on managing challenging behaviours appeared to be the most effective.
  
  
  
  Training staff can be an effective method of improving well-being, and programmes helping staff to manage challenging behaviour appear to be the most beneficial. There is no clear relationship between training intensity and outcome. Most studies point to the importance of addressing organisational factors as a barrier to change. Copyright © 2016 John Wiley & Sons, Ltd.
authors.affiliation: Research Department of Clinical, Educational and Health Psychology, University College London, London, UK. a.spector@ucl.ac.uk.
authors.forename: Aimee
authors.initials: A
authors.lastname: Spector
authors.affiliation: Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
authors.forename: Catherine
authors.initials: C
authors.lastname: Revolta
authors.affiliation: Research Department of Clinical, Educational and Health Psychology, University College London, London, UK.
authors.forename: Martin
authors.initials: M
authors.lastname: Orrell
mesh_terms: D002055:Burnout, Professional / Q000517:prevention & control; D017028:Caregivers / Q000193:education / Q000523:psychology; D003704:Dementia / Q000451:nursing*; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007318:Inservice Training / Q000379:methods; D007588:Job Satisfaction; D009740:Nursing Staff / Q000193:education* / Q000523:psychology
keywords: dementia; review; staff; systematic; training