Resources on Staff empowerment, self-directed work teams, and communication
skills
The following resources have been collected to assist you as you work to change the culture of long-term care, and their inclusion does not imply any endorsement or recommendation by the PEAK-Ed staff or Kansas State University. We hope that you will find some of these resources helpful to your organization regardless of where you are in the Culture Change journey. Please note that web sites change rapidly and in such cases the link may be outdated. Some websites will include automatic forwarding to the new address. If this is not the case, try the more general web site address. Please send information on links which are outdated or do not work or suggestions for additional resources to gerontology@ksu.edu.
Click
below to jump to individual sections of this page |
Career
Track/Fred Pryor Seminars: One-day seminars on a variety
of topics including Communication Skills, Computer Skills, Conflict and
Stress Management, Creativity & Learning Skills, Customer Service,
Design Skills, Financial Skills, Grammar & Writing Skills, Human Resources
and Training, Inventory Management, Team Building, Time Management, as
well as training books/videos for purchase. Searchable
by zip code to find offerings in your geographic area. Also offers
private onsite seminars and online training. www.pryor.com
Central Plains Geriatric Education Center (University of Kansas
Medical
Center): Provides access to interdisciplinary educational modules
(available for CEUs), curriculum resources, calendar of educational opportunities,
and links to useful web sites for consumers, caregivers, and healthcare
professionals. http://coa.kumc.edu/gec
Culture Change Now, created by ActionPac, has pictures
and stories about
facilities committed to culture change. http://www.culturechangenow.com
IDEAS Institute focuses on applied research on the physical,
social and
organizational environment for frail and impaired older adults. Resources
include a bibliography and short articles. Articles (March, 2003) include
What is your Building Saying?, Using Color as a Therapeutic Tool, Home
is Where the Heart Is: Designing Home-like Settings, Designing Bathing
Rooms that Comfort, Experiential Learning and Physiological Changes, The
Building as a Therapeutic Intervention, The Secret To Happier Meal Times,
Being There, and The Nursing Home of the Future: Are You Ready? Web site:
http://www.ideasinstitute.org
National Network of Career Nursing Assistants are members
of Career Nurse Assistants’ Programs, Inc., a non-profit educational
organization promoting recognition, education, research, advocacy and
peer support development for nursing assistants in long term care settings:
http://www.cna-network.org
Nursing Assistant Resources on the Web supported by the Paraprofessional Healthcare Institute. Web site: http://www.nursingassistants.net
Paraprofessional Healthcare Institute (PHI) is a national nonprofit health care employment development and policy organization, whose goal is creating quality jobs for direct care workers. Web site: http://www.paraprofessional.org
Pioneer Network.
This is the website for the founders of long-term care culture
change. http://www.pioneernetwork.net
Skillpath Seminars:
Website which lists their seminar offerings on a variety of topics including
Business Writing & Advertising, Customer Service, Coaching & Teambuilding
Skills, Effective Leadership, Project and Time Management, Communication,
Managing and Supervising People, and many others. Searchable by zip code
to see what seminars are coming to your area. Also offers onsite
seminars for groups as well as books and videos for purchase. http://www.skillpath.com/
Bon Appetit! How To Create Meaningful Mealtimes In Long-Term Care. Presents a mealtime program focusing on principles of resident autonomy and person centered care, with attention to identifying the needs of people with dementia. It includes: effects of dementia on communications, behavior and eating, creating dining experiences with less distraction, and preparing and serving food to facilitate residents eating as independently as possible (two 20 minute videos and a manual). Terra Nova Films: http://www.terranova.org
Chronic Anxiety
in the Elderly. This
program addresses the problem of anxiety in the elderly and the diseases
associated with the problem. Interviews with sufferers of Geriatric Anxiety
Disorder (GAD), provide insights into the agony of the condition. General
anxiety disorders, their symptoms, and physiological manifestations are
examined, including chemical imbalance, psychosocial implications, and
the emotional impact on the aged brought on by radical societal changes.
Caffeine, cigarettes, and alcohol are also discussed. (27 minutes, video)
Films Media Group: http://www.films.com
Communicating
With Moderately Confused Older Adults. Using actual footage of
individuals with Alzheimer's disease and related disorders, geriatric
experts highlight the characteristics and most effective approaches for
understanding and helping moderately confused older adults. An extensive
program guide accompanies the video. (20 minutes, video). Terra Nova Films:
http://www.terranova.org
Communicating with Oriented Older Adults demonstrates techniques of empathy, listening, nonverbal communication, questioning and information. In Communicating With Moderately Confused Older Adults experts use footage of people with Alzheimer's disease and related disorders to show most effective approaches for understanding and helping these individuals. Communicating With Severely Confused Older Adults demonstrates characteristics and intervention techniques with actual older adults experiencing severe confusion. These videos are part of a series on mental health and older adults (each a 20 minute video and program guide). Terra Nova Films, Inc: http://www.terranova.org
Communicating
With Severely Confused Older Adults. Characteristics and intervention
techniques associated with the later stages of dementia disorders are
defined and demonstrated with actual older adults experiencing severe
confusion. Seeing these touching examples of gentle understanding will
give new insight to those viewing this video.
(20 minutes, video). Terra Nova Films: http://www.terranova.org
Conflict Resolution In The Nursing Home - The Series. I. Conflicts Involving Residents and Families provides specific suggestions for handling conflicts between staff and residents, staff and residents' families and between residents, including interviews with administrators, nurses and nursing assistants. II. Personnel Conflicts provides ideas to help diffuse problems before they escalate and to promote cooperative, positive work environments. (20 and 16 minute videos, available separately or as a set). Video Press: http://www.videopress.org/
Creating
Successful Dementia Care Settings. Companion videos for Maximizing
Cognitive and Functional Abilities, Minimizing Disruptive Behaviors, and
Enhancing Identity and Sense of Home. Series discusses integrating physical
environment, staff care practices, and residents’ needs into a complementary,
holistic dementia-friendly approach. Information is useful for caring
for all residents, not just those experiencing dementia. Health Professions
Press: http://www.healthpropress.com
Extended Care & Your Loved One.
Having your loved one enter a rehabilitation or healthcare nursing facility
can be a difficult experience. Family members report confusion and uncertainty
as to what to expect. Many have feelings of guilt and sadness. This video
was developed specifically for family members who are looking for answers
regarding what to expect when visiting a nursing or healthcare facility.
(38 minutes, video). Aquarius
Health Care Videos: http://www.aquariusproductions.com/
Geriatric Nursing Assistant: The Most Important Team Player - The Series. In The Most Important Eyes, nursing assistants discuss important physical, emotional and cognitive changes they look for when interacting with residents. In Becoming An Extended Family Member, nursing assistants discuss knowing and spending time with each resident, allowing residents to have choices, encouraging participation in activities, and becoming an advocate for residents. (20 and 23 minute videos, available separately or as set). Video Press: http://www.videopress.org/
Harriett's People. In a documentary filmed on location, nurses, nursing assistants and a physician team to provide the best possible care during the final months and days to residents in a nursing home (22 minutes). Video Press: http://www.videopress.org/
Heartworks:
A Video Celebrating the Lives of Direct-Care. This video chronicles
the development and presentation of this original theater piece performed
by women who work as nursing assistants. Available at the KDHE library
or order from Paraprofessional Healthcare Institute: http://www.paraprofessional.org
.
More Than Skin Deep. Set against the backdrop of
a nursing home beauty shop, this video examines issues of self-esteem
and aging through the stories and insights of six nursing home residents.
It takes an evocative look at the connections between living well, aging
with dignity, and looking good. Award-winning filmmaker David Gaynes was
inspired to make this film after a summer working as a transport volunteer
at a nursing home. “I particularly enjoyed taking residents to and
from the beauty shop,” he recalls. “The change in self-esteem
from the time I would drop a person off to the time I would pick the same
person up was unmistakable. For many residents it was the highlight of
their day.” Life in a nursing home can be lonely and disorienting.
The beauty shop and its rituals offer an example of the ways a good long-term
care facility can help residents stay connected to their past lives, to
their self-identity, and to each other. Fanlight Productions: http://www.fanlight.com/
Older Voices:
Interviewing Older Adults. Interviewing older adults, especially
the frail and sick, can be challenging even for a trained interviewer.
Many factors can influence their willingness and ability to participate
in a study. Because of this, interviewers who have been trained to collect
data in a standardized manner must also learn to be flexible enough in
their techniques to accommodate the special needs of older adults.
(46 minutes, video). Terra Nova Films: http://www.terranova.org
One East. This video, filmed on location at the Johns Hopkins Geriatric Center, demonstrates positive interactions with residents experiencing dementia. It is an award-winning documentary (29 minutes). Video Press: http://www.videopress.org/
Partners In Care: Care Planning And Care Conferences. This video, which explains care planning conferences, may be useful for staff, family members and residents. It includes specific information about the care planning process, care conferences, the resident’s role in planning and monitoring his/her own care, and family involvement that is consistent with the resident's wishes. (20 minute video and presenter’s guide). Terra Nova Films: http://www.terranova.org
Pioneer Network / CMS Video (2002). Innovations in the Quality of Life. (2 ½ hours). This video is from a satellite broadcast on September 27, 2002. Topics covered include: the Pioneer Network, what is culture change, what does a transformed culture look like, and how regulations and culture change can work together. "I" format care plans and new techniques in bathing are discussed and demonstrated. Video is available at the KDHE library or may be purchased from the Pioneer Network: http://pioneernetwork.org
Recognizing and Responding to Emotions in Persons with Dementia. Often in persons with dementia non-verbal signs are more accurate communications than verbalizations. This video will teach caregivers how to understand and decipher facial expressions, vocal signs and body language in persons with dementia. (22 minutes, video).Terra Nova Films: http://www.terranova.org
Residents Rights Today: Respectful Care in Changing Times. This video presents an overview of residents' rights in the long term care context, including how they can be affected by cultural, ethnic, language and age diversity, more work-flow pressures and outside stressors on staff, why residents’ rights are so important in the culture of a long term care facility, and what staff, residents and family members should know about dealing with concerns and complaints early and effectively (20 minute video and presenter’s guide with in-service lesson plan and various handouts/worksheets). Terra Nova Films: http://www.terranova.org
Restraint-Free Care and the Environment: Scenes from a Swedish Nursing Home. This video describes significant design and practice elements, supporting individualized, and restraint free care in an exemplary long-term care facility in Gothenburg, Sweden. The materials are particularly useful to administrators, staff, advocates, and consultants in long-term care and to students of design, gerontology, and the health professions. (15 minutes, video). University of Pennsylvania School of Nursing: http://www.nursing.upenn.edu/centers/hcgne/gero_tips/RES_Videos.htm
Saying Good-bye: Being a Professional Caregiver. In this video, nursing staff share their experiences including accepting families' decisions about treatment; talking with a person who is terminally ill; knowing how to facilitate conversation between the resident and the resident’s family; sharing family concerns with the health care team; minimizing family stress; helping friends and roommates understand; dealing with emotional issues of saying good-bye; and finding support at work (20 minutes; one of three videos in a series). Video Press: http://www.videopress.org/
Sensory Changes in the Elderly. This training program is designed as an overview of the most common sensory changes in older people. Suggestions of correction and/or compensator interventions are offered. A study guide is included with the video. (19 minutes, video). Terra Nova Films: http://www.terranova.org
Seven Days A Week. Filmed over a nine month period, this video provides a behind the scenes look at a teamwork and resident-centered approach to providing long term care (30 minutes). Terra Nova Films: http://www.terranova.org
Becker-Reems, E.
(1994). Self-Managed Work Teams in Health Care Organizations. American
Hospital Publishing. One of the few resources specific to teams in health
care organizations.
Calkins, M., Marsden, J., Briller, S., Proffitt, M., & Perez, K. (2001).
Creating
Successful Dementia Care Settings (four volume set). Volume 1: Understanding
the Environment through Aging Senses. 2: Maximizing Cognitive and Functional
Abilities. 3: Minimizing Disruptive Behaviors. 4: Enhancing Identity and
Sense of Home. This series discusses how to integrate the physical environment,
staff care practices, and residents’ needs into a complementary,
holistic dementia-friendly approach. 4-Volume Set available from Health
Professions Press. ISBN 1-878812-71-8. Companion videos available.
Hackman, J. R. (2002). Leading teams: Setting the stage for great performances. Boston: Harvard Business School Press.
McKenna, C. (1998). Powerful communication skills: How to communicate with confidence. Franklin Lakes, NJ.: Career Press.
Paraprofessional Healthcare Institute. Creating a Culture of Retention: A Coaching Approach to Paraprofessional Supervision. (2001). A 22 page booklet that is an introduction to coaching supervision: how coaching differs from traditional supervisory practice, the skills needed to become an effective coach, and the organizational structures that make coaching effective. Report is in Adobe Acrobat. http://www.paraprofessional.org/publications/PHICoaching.pdf
Orsburn, J. & Moran, L. (2000). The new self-directed work teams: Mastering the challenge, 2nd ed. New York: McGraw-Hill.
Schwarz, B., &
Brent, R. (Eds.) (1999). Aging, Autonomy, and Architecture:
Advances in Assisted Living. The four parts of this book address issues
that are pertinent to aging and long-term care: idealism and realism,
attributes of place and behaviors of people, provision and consumption
of care, and design: who cares?
Stone, R. (2001). Research on frontline workers in long-term care. Generations, 25 (1), 49-57.
This page last updated on 2/16/07