| The aim of this evaluation study was to adapt a dementia education program from the U.S. and to evaluate its effects on enhancing nursing caregivers' (NCs') knowledge, attitudes, and perceived self-efficacy (K.A.P.) toward dementia care; and NCs' self perceived health perception (HP), quality of life (QoL), caregiving stress (CS), and job satisfaction (JS) in Taiwan long-term care facilities (LTCFs). The Chinese version of Dementia Education Program (CDEP) emphasized the behavioral and psychological symptoms of dementia (BPSD) and quality of dementia care with three 3-hours in-service education sessions. Ninety NCs from 55 LTCFs in Taiwan were enrolled but only the 45 Direct NCs were analyzed.; The study used a combination of quantitative and qualitative data. The demographic data were gathered on the pre-CDEP; the other scales were gathered on pre-, one week, one month, and three months after the completion of the CDEP (T0, T1, T2, and T3); and the Global Program Evaluation (GPE) was collected once at T1. Except for QOL, HP, and JS, the measurement scales were developed from literature review and internet search and input from two expert panels. The significant inverse relationships between the CS and the Positive Attitude (r = -.246, p < .05), PSE (r = -.231, p < .05), QoL (r = -.220, p = < .05), and GPE (r = -.250, p < .05) confirm the criterion validity of measures of dependent variables. These scales exhibited good validity and internal consistency.; Repeated measures ANOVA demonstrated the expected changes of the K. P. and CS at T1 (p = .000, .000, & .004), and Positive and Negative Attitudes (p = .005 & .009) at T2; all were significant at T3 (K.A.P. CS, & HP; p = .000, .004, .000, .000, & .008). Thus the changes were observed over a three-month period for most dependent variables. Qualitative data revealed the NCs' perspectives and suggestions about the CDEP. Implications are discussed in the light of these findings. |
PDF Full Text Request