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Making sense of self-reported practice impacts after online dementia education: the example of Bedtime to Breakfast and Beyond

Published online by Cambridge University Press:  20 November 2020

Belinda Goodenough*
Affiliation:
University of Wollongong, Wollongong, NSW, Australia
Jacqueline Watts
Affiliation:
University of Wollongong, Wollongong, NSW, Australia
Sarah Bartlett
Affiliation:
University of Wollongong, Wollongong, NSW, Australia
the Dementia Training Australia Consortium
Affiliation:
University of Wollongong, Wollongong, NSW, Australia
*
*Corresponding author. Email: belgood@uow.edu.au
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Abstract

Objectives:

To satisfy requirements for continuing professional education, workforce demand for access to large-scale continuous professional education and micro-credential-style online courses is increasing. This study examined the Knowledge Translation (KT) outcomes for a short (2 h) online course about support at night for people living with dementia (Bedtime to Breakfast), delivered at a national scale by the Dementia Training Australia (DTA).

Methods:

A sample of the first cohort of course completers was re-contacted after 3 months to complete a KT follow-up feedback survey (n = 161). In addition to potential practice impacts in three domains (Conceptual, Instrumental, Persuasive), respondents rated the level of Perceived Improvement in Quality of Care (PIQOC), using a positively packed global rating scale.

Results:

Overall, 93.8% of the respondents agreed that the course had made a difference to the support they had provided for people with dementia since the completion of the course. In addition to anticipated Conceptual impacts (e.g., change in knowledge), a range of Instrumental and Persuasive impacts were also reported, including workplace guidelines development and knowledge transfer to other staff. Tally counts for discrete KT outcomes were high (median 7/10) and explained 23% of the variance in PIQOC ratings.

Conclusions:

Online short courses delivered at a national scale are capable of supporting a range of translation-to-practice impacts, within the constraints of retrospective insight into personal practice change. Topics around self-assessed knowledge-to-practice and the value of positively packed rating scales for increasing variance in respondent feedback are discussed.

Type
Articles
Copyright
© Australasian Society for the Study of Brain Impairment 2020

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References

Ajzen, I. (2011). The theory of planned behaviour: Reactions and reflections. Psychology & Health, 26(9), 11131127. doi: 10.1080/08870446.2011.613995.CrossRefGoogle ScholarPubMed
Australian Institute of Health and Welfare (2017). Dementia in Australia, Cat. No. AGE 70, 2012. Australia’s welfare series no. 13, AUS 214. Retrieved from www.aihw.gov.au/.Google Scholar
Boud, D., Keogh, R., & Walker, D. (1985). Reflection: turning experience into learning. London: Kogan Page.Google Scholar
Brown, G. T. L. (2004). Measuring attitude with positively packed self-report ratings: Comparison of agreement and frequency scales. Psychological Reports, 94(3), 10151024. doi: 10.2466/pr0.94.3.1015-1024.CrossRefGoogle ScholarPubMed
Cunningham, C., Macfarlane, S., & Brodaty, H. (2019). Language paradigms when behaviour changes with dementia: #BanBPSD. International Journal of Geriatric Psychiatry, 34(8), 11091113. doi: 10.1002/gps.5122.CrossRefGoogle ScholarPubMed
Eccleston, C., Doherty, K., Bindoff, A., Robinson, A., Vickers, J., & McInerney, F. (2019). Building dementia knowledge globally through the Understanding Dementia Massive Open Online Course (MOOC). npj Science of Learning, 4(1), 3. doi: 10.1038/s41539-019-0042-4.CrossRefGoogle Scholar
Egan, N. (2014). Top honours for aged care’s best. Australian Ageing Agenda.Google Scholar
Estabrooks, C. A. (1999). The conceptual structure of research utilization. Research in Nursing & Health, 22(3), 203.3.0.CO;2-9>CrossRefGoogle ScholarPubMed
Foy, R., Bamford, C., Francis, J. J., Johnston, M., Lecouturier, J., Eccles, M., … Grimshaw, J. (2007). Which factors explain variation in intention to disclose a diagnosis of dementia? A theory-based survey of mental health professionals. Implementation Science, 2, 3131. doi: 10.1186/1748-5908-2-31.CrossRefGoogle ScholarPubMed
Gagnon, J. -F., Lafrenière, A., Rauchs, G., Petit, D., & Carrier, J. (2019). Chapter 45 – Sleep in normal aging, Alzheimer’s disease, and mild cognitive impairment. In Dringenberg, H. C. (Ed.), Handbook of behavioral neuroscience (Vol. 30, pp. 677692): Academic press: ebook.Google Scholar
Gagnon, M. P., Attieh, R., Ghandour, E. K., Légaré, F., Ouimet, M., Estabrooks, C. A., & Grimshaw, J. (2014). A systematic review of instruments to assess organizational readiness for knowledge translation in health care. PLoS One, 9(12), e114338. doi: 10.1371/journal.pone.0114338. PMID: 25474622; PMCID: PMC4256226.CrossRefGoogle ScholarPubMed
Gladman, J. R., Conroy, S. P., Ranhoff, A. H., & Gordon, A. L. (2016). New horizons in the implementation and researchof comprehensive geriatric assessment: Knowing, doing and the ‘know-do’ gap. Age Ageing, 45(2), 194200. doi: 10.1093/ageing/afw012.CrossRefGoogle Scholar
Goodenough, B., Fleming, R., Young, M., Burns, K., Jones, C., & Forbes, F. (2016). Raising awareness of research evidence among health professionals delivering dementia care: Are knowledge translation workshops useful? Gerontology & Geriatrics Education, 38(4), 392406. doi: 10.1080/02701960.2016.1247064.CrossRefGoogle ScholarPubMed
Goodenough, B., Forbes, F., & Fleming, R. (2017). KT workshops support shift from ‘thinking’ to ‘doing’ in dementia care. Australian Journal of Dementia Care, 6(1), 2931.Google Scholar
Kerr, D., & Wilkinson, H. (2011). Providing good care at night for older people: Practical approaches for use in nursing and care homes. London, UK: Jessica Kingsley Publishers.Google Scholar
Kerr, D., Wilkinson, H., & Cunningham, C. (2008). Supporting older people in care homes at night . York, UK: Joseph Rowntree Foundation. Retrieved from www.careinfo.org.Google Scholar
Khalil, H., & Ebner, M. (2014). MOOC completion rates and possible methods to improve retention – A literature review. Paper presented at the EdMedia + Innovate Learning 2014, Tampere, Finland. www.learntechlib.org/p/147656.Google Scholar
Kounios, J., & Beeman, M. (2009). The Aha! moment: The cognitive neuroscience of insight. Current Directions in Psychological Science, 18(4), 210216. doi: 10.1111/j.1467-8721.2009.01638.x.CrossRefGoogle Scholar
Langbecker, D., Caffery, L. J., Gillespie, N., & Smith, A. C. (2017). Using survey methods in telehealth research: A practical guide. Journal of Telemedicine and Telecare, 23(9), 770779. doi: 10.1177/1357633X17721814.CrossRefGoogle ScholarPubMed
Likert, R. (1932). A technique for the measurement of attitudes. Archives of Psychology, 140, 4453.Google Scholar
Lockyer, J., Gondocz, S. T., & Thivierge, R. L. (2004). Knowledge translation: The role and place of practice reflection. Journal of Continuing Education in the Health Professions, 24(1), 5056. doi: 10.1002/chp.1340240108.CrossRefGoogle ScholarPubMed
Lowe, M., Rappolt, S., Jaglal, S., & Macdonald, G. (2007). The role of reflection in implementing learning from continuing education into practice. Journal of Continuing Education in the Health Professions, 27(3), 143148. doi: 10.1002/chp.117.CrossRefGoogle Scholar
Masino, C., & Lam, T. C. (2014). Choice of rating scale labels: Implication for minimizing patient satisfaction response ceiling effect in telemedicine surveys. Telemedicine Journal and E-Health, 20(12), 11501155. doi: 10.1089/tmj.2013.0350.CrossRefGoogle ScholarPubMed
Mavromaras, K. G., Knight, G., Isherwood, L., Crettenden, A., Flavel, J., Karmel, T., … Wei, Z. (2017). 2016 National aged care workforce census and survey – The aged care workforce. Retrieved from Australia www.gen-agedcaredata.gov.au.Google Scholar
May, C., & Finch, T. (2009). Implementing, embedding, and integrating practices: An outline of Normalization Process Theory. Sociology, 43(3), 535554. doi: 10.1177/0038038509103208.CrossRefGoogle Scholar
Meinen, C., Kolla, B. P., & Mansukhani, M. P. (2019). Wandering in the nursing home. In Khawaja, I. S. & Hurwitz, T. D. (Eds.), Comorbid sleep and psychiatric disorders: A clinical casebook (pp. 103112), Cham: Springer International Publishing.CrossRefGoogle Scholar
Moyle, W., Jones, C., Murfield, J., Draper, B., Beattie, E., Shum, D., … Mervin, C. M. (2017). Levels of physical activity and sleep patterns among older people with dementia living in long-term care facilities: A 24-h snapshot. Maturitas, 102, 6268. doi: 10.1016/j.maturitas.2017.05.015.CrossRefGoogle ScholarPubMed
Muldoon, D. (2018). Bedtime to breakfast and beyond. Australian Journal of Dementia Care, 7(1), 2124.Google Scholar
Nunez, K. M., Khan, Z., Testad, I., Lawrence, V., Creese, B., & Corbett, A. (2018). Current practice and challenges in night-time care for people with dementia living in care homes: A qualitative study. International Journal of Geriatric Psychiatry, 33(1), e140e149. doi: 10.1002/gps.4737.CrossRefGoogle ScholarPubMed
Oliver, B. (2019). Making micro-credentials work for learners, employers and providers. Retrieved from dteach.deakin.edu.au/microcredentials/.Google Scholar
Phillipson, L., Goodenough, B., Reis, S., & Fleming, R. (2016). Applying knowledge translation concepts and strategies in dementia care education for health professionals: Recommendations from a narrative literature review. Journal of Continuing Education in the Health Professions, 36(1), 7481. doi: 10.1097/ceh.0000000000000028.CrossRefGoogle ScholarPubMed
Rose, K. M., & Lorenz, R. (2010). Sleep disturbances in dementia. Journal of Gerontological Nursing, 36(5), 914. doi: 10.3928/00989134-20100330-05.CrossRefGoogle ScholarPubMed
Sheskin, D. (2011). Handbook of parametric and nonparametric statistical procedures. Boca Raton, FL: Chapman & Hall/CRC.Google Scholar
Sinclair, P. M., Kable, A., Levett-Jones, T., & Booth, D. (2016). The effectiveness of Internet-based e-learning on clinician behaviour and patient outcomes: A systematic review. International Journal of Nursing Studies, 57, 7081. doi: 10.1016/j.ijnurstu.2016.01.011.CrossRefGoogle ScholarPubMed
Squires, J. E., Estabrooks, C. A., Hayduk, L., Gierl, M., & Newburn-Cook, C. V. (2014). Precision of the conceptual research utilization scale. Journal of Nursing Measurement, 22(1), 145163. doi: 10.1891/1061-3749.22.1.145.CrossRefGoogle ScholarPubMed
Vinje, H. F., Langeland, E., & Bull, T. (2017). Aaron Antonovsky’s development of salutogenesis, 1979 to 1994. In Mittelmark, M. B., Sagy, S., Eriksson, M., Bauer, G. F., Pelikan, J. M., Lindström, B., & Espnes, G. A. (Eds.), The handbook of salutogenesis (pp. 2540), Cham: Springer International Publishing.CrossRefGoogle ScholarPubMed
Webster, L., Costafreda Gonzalez, S., Stringer, A., Lineham, A., Budgett, J., Kyle, S., … Livingston, G. (2020). Measuring the prevalence of sleep disturbances in people with dementia living in care homes: A systematic review and meta-analysis. Sleep, 43(4). doi: 10.1093/sleep/zsz251.CrossRefGoogle ScholarPubMed
Zubala, A., Lyszkiewicz, K., Lee, E., Underwood, L. L., Renfrew, M. J., & Gray, N. M. (2019). Large-scale online education programmes and their potential to effect change in behaviour and practice of health and social care professionals: A rapid systematic review. Interactive Learning Environments, 27(5–6), 797812. doi: 10.1080/10494820.2018.1465438.CrossRefGoogle Scholar