Issues important to CNAs revolved around basic motivational factors, such as job enrichment opportunities, personal growth opportunities, recognition, responsibility, and sense of achievement. Leadership must become creative and build on that base, providing CNAs with job mobility, job enrichment opportunities, recognition, and increased job responsibility, producing positive outcomes not only for the CNA but also for the resident and the facility.
Understanding some culturally relevant predictors of tobacco use might assist health care providers in designing successful smoking cessation programs.
Aim: To clarify the experience of elderly people admitted to a health-care facility for the elderly. Methods: An ethnographic approach and qualitative descriptive design was used to understand and describe the viewpoints of the elderly living in a health-care facility. A semistructured interview was conducted in the resident's room. One at a time, the transcript of each participant's interview was read repeatedly and the parts corresponding to the participant's experience were extracted and analysed qualitatively. Results: The participants were seven elderly residents of a health-care facility for the elderly who were over 65 years of age and able to converse. The current experience of the seven elderly participants were divided into seven categories based upon the qualitative descriptive analysis: family ties, emotional response to entering the facility, rehabilitation to support independence, principles for living and getting along with others, life after leaving the facility, relationships with facility staff, and memories. An over-arching theme was also identified, 'keeping a good heart' described as following the category descriptions. Conclusions: Keeping a good heart symbolized the resilience and positive acceptance of life in the healthcare facility for the elderly.
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