Training and Coaching to Promote High Performance in Veteran Affairs (VA) Nursing Home Care

Not Applicable

Completed

Brief Summary: This study aimed to explore the feasibility of an educational intervention to strengthen workplace learning systems in four VA Community Living Centers (CLCs).

Detailed Description: Background:

The study explored the feasibility of an educational intervention to strengthen workplace-learning systems in four VA Community Living Centers (CLCs).

Objectives:

Specific aims were to 1) conduct a feasibility study to assess whether the educational intervention is practical to implement as designed and 2) conduct a pilot study to validate the methodology proposed for assessing outcomes of this educational intervention.

Methods:

A multi-level intervention targeting the translation of workplace learning into practice was implemented. The Direct Care Worker (DCW) intervention targeted both clinical knowledge and effective communication. The Coaching Supervision training addressed management and supervision practices for nurses, combined with effective communication. Four CLCs received both interventions, administered by the Paraprofessional Health Institute (PHI), using a train-the-trainer approach over the course of four 3-day sessions. Quantitative and qualitative data were collected to assess factors influencing effectiveness of implementation and to understand the impact of the trainings on participants.

Status:

The study has been completed with educational interventions implemented and qualitative and quantitative data collected.

Recruitment & Eligibility

Inclusion Criteria

VA Employees: psychologists, nurse-managers and front-line nursing care staff assigned to CLCs will be included

Exclusion Criteria

Those not working in the CLC,
Those working in the CLC but not involved in the training intervention that is the focus of the study (e.g. Environment Management Service personnel, dietary personnel)

Arm && Interventions

Group	Intervention	Description
Data Collection - Survey	Educational Intervention	Survey data collection tools will be piloted to assess feasibility of survey administration and development of the survey for future studies. This tools were piloted in sites where the educational intervention was administered.
Data Collection - Interview	Educational Intervention	Interview data collection tools will be piloted to assess feasibility of interview administration and development of the interview protocol for future studies. This tools were piloted in sites where the educational intervention was administered.
Training Feasibility	Educational Intervention	4 sites will receive the training intervention to determine the feasibility of the train-the trainer approach. The educational intervention is included in this arm.

Primary Outcome Measures

Name	Time	Method
Facility Implementation of Trainings	This outcome was assessed at the end of the 1 year pilot study.	This measure assesses the number of participating facilities (4) that implemented trainings in their own facilities upon completion of our educational training intervention.
Completion of Training Intervention	This outcome was assessed at the end of the 1 year pilot study.	This outcome measures the number of participants that fully completed the training intervention.
Number of Participants in Pilot Interviews	This outcome was assessed at the end of the 1 year pilot study.	This outcome measures the number of participants that participated in interviews that were conducted during the pilot in order to assess the feasibility of conducting a larger study.
Number of Participants in Pilot Surveys	This outcome was assessed at the end of the 1 year pilot study.	This outcome measures the number of participants that completed the survey during the pilot in order to assess the feasibility of conducting a larger study.