Thompson Sandra C, Valentine Jessica, Gusterson Kira, Fyfe Katrina P, Beilby Alex, Woods John A, Clarkson Fletcher Myles, Dettwiller Pascale, Fitzgerald Kathryn W
Western Australian Centre for Rural Health (WACRH), University of Western Australia, 167 Fitzgerald St., Geraldton, WA 6530, Australia.
Western Australian Centre for Rural Health (WACRH), School of Allied Health, University of Western Australia, 35 Stirling Highway, Crawley, Perth, WA 6009, Australia.
Geriatrics (Basel). 2025 Feb 14;10(1):28. doi: 10.3390/geriatrics10010028.
To better understand barriers and enablers to uptake of dementia training in rural and remote areas using input from rural and remote aged and health care workers into how dementia training could be offered to better meet their needs. : Roundtable focus groups were conducted in six diverse rural and remote locations in four jurisdictions around Australia. Sixty-seven workers from predominantly nursing, allied health, and support worker roles involved in dementia care participated. Data were collected by site and used a mixture of face-to-face and virtual facilitated 'roundtable' discussions. Each group discussed barriers and enablers to participation in training and their preferences for how dementia training should be provided. : Commonalities emerged in barriers for accessing dementia training. Participants emphasised the need for strong organisational support and locally relevant, interactive and flexible delivery methods to address rural challenges. Significant challenges related to staffing levels, time constraints, and competing priorities. Enablers of training uptake included support from employers covering time and costs of training, local collaboration, and training accessibility for all job roles rather than profession specific. Participants emphasised the importance of practical, local training relevant to their scope of practice delivered by experienced trainers. The need for culturally safe aged care practices was noted in all sites. : Collaborative approaches across organisations and the aged care workforce and training relevant to local rural contexts were favoured. The opportunity to learn from external experts was greatly appreciated. Workers want training that enhances culturally safe practices. Organisational support is critical for training implementation.
为了利用农村和偏远地区老年及医护人员的意见,更好地了解农村和偏远地区接受痴呆症培训的障碍和促进因素,以便确定如何提供痴呆症培训能更好地满足他们的需求。在澳大利亚四个司法管辖区的六个不同农村和偏远地区开展了圆桌焦点小组讨论。来自主要从事痴呆症护理工作的护理、专职医疗和辅助工作人员岗位的67名工作人员参与其中。数据按地点收集,并采用了面对面和虚拟辅助的“圆桌”讨论相结合的方式。每个小组讨论了参与培训的障碍和促进因素,以及他们对痴呆症培训提供方式的偏好。在获取痴呆症培训的障碍方面出现了一些共性。参与者强调需要强大的组织支持以及与当地相关、互动且灵活的授课方式,以应对农村地区的挑战。与人员配备水平、时间限制和相互竞争的优先事项相关的重大挑战。培训接受度的促进因素包括雇主提供支持,涵盖培训时间和费用、当地合作,以及所有工作岗位而非特定专业都能获得培训。参与者强调由经验丰富的培训师提供与其实践范围相关的实用、本地化培训的重要性。所有地点都提到了文化安全的老年护理实践的必要性。各组织和老年护理人员之间的合作方法以及与当地农村情况相关的培训受到青睐。向外部专家学习的机会得到了高度赞赏。工作人员希望获得能加强文化安全实践的培训。组织支持对培训实施至关重要。