Developing a Training Program Based on the CIPP Model for Junior Caregivers in Nursing Homes: A Modified Delphi Study

Abstract

Background: To alleviate the burden of aging, China has built many nursing homes and hired many people with no prior caregiving experience. However, there is little professional training program for junior caregivers, and standard programs are required to train those new to improve the quality of care. This study aims to develop and implement a training program for junior elderly caregivers based on the Context, Input, Process, and Product (CIPP) model. Objectives: This study aimed to develop a standardized training program based on the CIPP model for junior elderly caregivers in nursing homes. Methods: A literature review, interviews with 208 junior elderly caregivers in 6 nursing homes, and semi-structured interviews with 8 clinical experts were conducted to develop an initial training framework. Then, the two-round Delphi method was employed to get a consensus on the framework through an online questionnaire. Results: A two-round Delphi expert consultation was done, and a consensus on four domains and 14 secondary items, and 66 tertiary training items of the professional framework were achieved. The framework domains included training objectives (3 secondary items and 20 tertiary items), training management (5 secondary items and 13 tertiary items), training content(3 secondary items and 27 tertiary items) and training evaluation(3 secondary items and 6 tertiary items). Conclusion: This CIPP-based training program offers guidelines for junior caregivers in nursing homes. Future research should focus on the length of the program and its long-term effects to prepare qualified junior elderly caregivers.