Nursing Assistant Involvement in Patient Care Planning Pays Off

Caudill, Marian

doi:10.1097/00006247-198905000-00031

Cited by 7 publications

(3 citation statements)

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“…Another outcome of the strong bond between the management and the nursing staff of Clareheaven was evident in the long job tenure of most staff. Literature that focused on staff members’ accounts of strategies such as monetary incentives for unregulated workers, and more educational opportunities for RNs with a view to retaining them in long‐term care settings suggests that these incentives exist with only short‐term effect (Caudill 1989, Caudill & Patrick 1989, Remsburg et al. 1999).…”

Section: Management's ‘No Them Vs Us’ Approach To Nursing Staffmentioning

confidence: 99%

Innovative leadership and management in a nursing home

Jeong

Keatinge

2004

J Nurs Manag

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The Australian Aged Care Reform Package, implemented from October 1997, has led radical changes in nursing practice in residential aged care facilities. Apart from anecdotal evidence, however, little is known about the impact of the Reform Package on nursing staff and their practice in nursing home facilities. In an attempt to explore these issues a qualitative explorative research study was conducted in one nursing home during 2000-2001. The study found that the impact of policy change on nursing staff and their practice depended on the management's leadership in interpreted the new policy and implemented innovative strategies in order to meet its requirements. The findings of the study highlight management's 'no them vs. us' and 'holistic' approach that considered both nursing staff and residents as whole beings. Integral to this approach was management's recognition that in order to facilitate teamwork, appropriate standards of nursing practice and resident care, and staff job satisfaction four resource elements must be provided. These elements comprise material, environmental, psychosocial and psychological resources. Management's provision of each of these resources ensured that nurses considered this nursing home 'a nice place to work'.

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Section: Management's ‘No Them Vs Us’ Approach To Nursing Staffmentioning

confidence: 99%

Innovative leadership and management in a nursing home

Jeong

Keatinge

2004

J Nurs Manag

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“…28,29 Key roles for CNAs in EOL care include: assisting with personal hygiene and other activities of daily living, taking vital signs, transferring patients, communicating observations to the licensed staff, and performing postmortem care. [28][29][30] Despite their important role, CNAs have limited training and orientation to their complex, stressful jobs; moreover, a high school diploma or its equivalent typically is the minimal level of formal educational preparation needed. 24,31 Among licensed NH staff, licensed practical nurses (LPNs, or LVNs) generally outnumber registered nurses.…”

Section: Challenges To Providing Eol Care In Nhsmentioning

confidence: 99%

The Challenges and Opportunities in Providing End-of-Life Care in Nursing Homes

Ersek

Wilson

2003

Journal of Palliative Medicine

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Approximately 20% of deaths in the United States occur in nursing homes. That percentage is expected to increase as the population continues to age. As a setting for end-of-life care, nursing homes provide both challenges and opportunities. This article examines factors that impede the delivery of high-quality end-of-life care in nursing homes, such as inadequate staff and physician training, regulatory and reimbursement issues, poor symptom management, and lack of psychosocial support for staff, residents, and families. In addition to discussing hindrances to providing end-of-life care, this article explores characteristics of nursing homes and their staff that support the care of terminally ill residents. Also included is an overview of models for delivering end-of-life care in nursing homes, including provision of hospice services, specialized palliative care units, and consultation services. Finally, this article discusses educational programs and current educational initiatives to enhance end-of-life care in nursing homes.

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“…They provide an estimated 90 percent of personal care in NHs. 25,26 Key roles of CNAs in EOL care include providing personal care, taking vital signs, transferring patients, communicating observations to the licensed staff, and performing post-mortem care. Despite their important role, CNAs have limited training for their complex, stressful jobs.…”

Section: Roles and Needs Of Staff In Nursing Homesmentioning

confidence: 99%

Investigating the educational needs of licensed nursing staff and certified nursing assistants in nursing homes regarding end-of-life care

Ersek

Kraybill

Hansberry

1999

Am J Hosp Palliat Care

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Nursing homes care for people at the end of life (EOL). There is evidence to suggest, however, that nursing staff in these settings is often unprepared to provide a high level of EOL care. This article reports the findings from three preliminary studies that investigated the needs of licensed staff and certified nursing assistants in nursing homes regarding EOL care. The studies involved needs assessment surveys, focus group interviews with staff members, and telephone interviews with nursing home administrators. Data show that the major needs included a lack of knowledge and skills in symptom management; communication difficulties; conflicts with families and physicians; and emotional distress in dealing with time constraints and attachment to residents. Implications for nursing home staff education are described.

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Nursing Assistant Involvement in Patient Care Planning Pays Off

Cited by 7 publications

References 0 publications

Innovative leadership and management in a nursing home

Innovative leadership and management in a nursing home

The Challenges and Opportunities in Providing End-of-Life Care in Nursing Homes

Investigating the educational needs of licensed nursing staff and certified nursing assistants in nursing homes regarding end-of-life care

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