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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 Open the ORCID record for Belinda Goodenough [Opens in a new window] ,
Jacqueline Watts ,
Sarah Bartlett  and
the Dementia Training Australia Consortium
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.

Keywords

dementiaonline educationcontinuing professional educationknowledge translationpositively packed rating scales
Type
Articles
Information
Brain Impairment , Volume 21 , Special Issue 3: Knowledge translation and dementia care , December 2020 , pp. 299 - 313
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), 1113–1127. 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), 1015–1024. 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), 1109–1113. 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, 31–31. 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. 677–692): 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), 194–200. 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), 392–406. 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), 29–31.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), 210–216. 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), 770–779. doi: 10.1177/1357633X17721814.CrossRefGoogle ScholarPubMed
Likert, R. (1932). A technique for the measurement of attitudes. Archives of Psychology, 140, 44–53.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), 50–56. 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), 143–148. 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), 1150–1155. 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), 535–554. 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. 103–112), 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, 62–68. 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), 21–24.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), e140–e149. 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), 74–81. doi: 10.1097/ceh.0000000000000028.CrossRefGoogle ScholarPubMed
Rose, K. M., & Lorenz, R. (2010). Sleep disturbances in dementia. Journal of Gerontological Nursing, 36(5), 9–14. 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, 70–81. 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), 145–163. 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. 25–40), 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), 797–812. doi: 10.1080/10494820.2018.1465438.CrossRefGoogle Scholar