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

This study aims to explore the feasibility of an educational intervention to strengthen workplace learning systems in 4 VA Community Living Centers (CLCs). 2 sites will participate in the feasibility study and 2 sites in the pilot study. In the feasibility study portion of the project educational interventions will be implemented, using a train-the-trainer approach to dissemination. Feasibility will be assessed based on both quantitative indicators regarding training time and numbers of participants, and qualitative data derived from telephone interviews with key informants at each site. In the pilot study phase of the project, both quantitative and qualitative data will be collected to assess factors that may have influenced the effectiveness of the intervention implementation and understand the impact the training on knowledge, practice, and working relationships had on those that participated.

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.

• Arm 1
  Feasibility Arm - 2 sites will receive the training intervention to determine the feasibility of the train-the trainer approach.
  Intervention: Other: Educational Intervention
• Arm 2
  Pilot Arm - 2 sites will receive the training intervention as well as take part in all other quantitative and qualitative data collection to validate the methodology proposed for assessing outcomes.
  Intervention: Other: Educational Intervention

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. EMS personnel, dietary personnel)