The health care aide position in nursing homes: A comparative survey of nurses’ and aides’ perceptions

Zysberg, Leehu; Band‐Winterstein, Tova; Doron, Israel; Shulyaev, Ksenya; Siegel, Elena O.; Kornas-Biela, Dorota; Zisberg, Anna

doi:10.1016/j.ijnurstu.2019.03.007

Cited by 11 publications

(8 citation statements)

References 45 publications

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“…A vital issue is the ambiguity around the scope of the care aide role. The title of care aide has no clear definition and can refer to a diverse and inconsistent range of responsibilities, scope, roles, and authority in LTRC (Zysberg et al, 2019). In general, care aides deliver much of the direct care to LTRC residents, including assisting with personal hygiene, dressing, repositioning, feeding, toileting, and providing emotional support.…”

Section: Introductionmentioning

confidence: 99%

‘I wouldn't choose this work again’: Perspectives and experiences of care aides in long‐term residential care

Booi

Sixsmith

Chaudhury

et al. 2021

Journal of Advanced Nursing

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Aims To provide insight into the everyday realities facing care aides working in long‐term residential care (LTRC), and how they perceive their role in society. Design A qualitative ethnographic case study. Methods Data were collected over. 10 months of fieldwork at one LTRC setting [September 2015 to June 2016] in Western Canada; semi‐structured interviews (70 h) with 31 care aides; and naturalistic observation (170 h). Data were analysed using reflexive thematic analysis. Results The findings in this work highlight the underpinned ageism of society, the gendered work of body care, and the tension between the need for relational connections – which requires time and economic profit. Four themes were identified, each relating to the lack of training, support, and appreciation care aides felt about their role in LTRC. Conclusion Care aides remain an unsupported workforce that is essential to the provision of high‐quality care in LTRC. To support the care aide role, suggestions include: (i) regulate and improve care aide training; (ii) strengthen care aides autonomy of their care delivery; and (iii) reduce stigma by increasing awareness of the care aide role. Impact What problem did the study address? The unsupportive working conditions care aides experience in LTRC and the subsequent poor quality of care often seen delivered in LTRC settings. What were the main findings? Although care aides express strong affection for the residents they care for, they experience insurmountable systemic and institutional barriers preventing them from delivering care. Where and on whom will the research have impact? Care aides, care aide educators, care aide supervisors and managers in LTRC, retirement communities, and home care settings.

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Section: Introductionmentioning

confidence: 99%

‘I wouldn't choose this work again’: Perspectives and experiences of care aides in long‐term residential care

Booi

Sixsmith

Chaudhury

et al. 2021

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…For example, several strategies discussed by multiple focus groups fall under the theme “culture change” in environmental restructuring , which encompasses changing the social context to empower personal support workers (or care aides), volunteers, and families, integrating physicians and pharmacists in the care team, having consistent staffing, and promoting team responsibility. Care aides are workers who have the most direct contact with LTC residents, but also those who have the “least training, authority, and status within the system” [ 53 ]. Interestingly, empowering care aides and ensuring consistent staffing can positively influence resident outcomes including lower pressure ulcer incidence rates and higher social engagement scores [ 54 ].…”

Section: Discussionmentioning

confidence: 99%

Strategies for the implementation of an electronic fracture risk assessment tool in long term care: a qualitative study

et al. 2021

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Background Older adults in long-term care (LTC) homes experience high rates of fractures, which are detrimental to their quality of life. The purpose of this study is to identify and make recommendations on strategies to implementing an evidence-based Fracture Risk Clinical Assessment Protocol (CAP) in LTC. Methods Following the Behaviour Change Wheel framework, we conducted six focus group interviews with a total of 32 LTC stakeholders (e.g. LTC physicians) to identify barriers and facilitators, suggest implementation strategies, and discuss whether the identified strategies were affordable, practicable, effective, acceptable, safe, and if they promote equity (APEASE). The interviews were transcribed verbatim and analyzed using thematic content analysis. Results Themes of implementation strategies that met the APEASE criteria were minimizing any increase in workload, training on CAP usage, education for residents and families, and persuasion through stories. Other strategy themes identified were culture change, resident-centred care, physical restructuring, software features, modeling in training, education for staff, social rewards, material rewards, public benchmarking, and regulations. Conclusions To implement the Fracture Risk CAP in LTC, we recommend using implementation strategies centred around minimizing any increase in workload, training on CAP usage, providing education for residents and families, and persuading through stories. Through improving implementation of the fracture risk CAP, results from this work will improve identification and management of LTC residents at high fracture risk and could inform the implementation of guidelines for other conditions in LTC homes.

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“…Several interventions discussed by multiple focus groups fall under the theme "culture change", which encompasses changing the social context to empower personal support workers (or care aides), volunteers, and families, integrating physicians and pharmacists in the care team, having consistent sta ng, and promoting team responsibility. Care aides are workers who have the most direct contact with LTC residents, but also those who have the "least training, authority, and status within the system" [31]. Interestingly, empowering care aides and ensuring consistent sta ng can positively in uence resident outcomes including lower pressure ulcer incidence rates and higher social engagement scores [32].…”

Section: Discussionmentioning

confidence: 99%

Strategies for the Implementation of an Electronic Fracture Risk Assessment Tool in Long Term Care: A Qualitative Study

Bai

McArthur

Ioannidis

et al. 2021

Preprint

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Background: Older adults in long-term care (LTC) homes experience high rates of fractures, which are detrimental to their quality of life. The purpose of this study is to identify and make recommendations on knowledge translation interventions to implementing an evidence-based Fracture Risk Clinical Assessment Protocol (CAP) in LTC. Methods: Following the Behaviour Change Wheel framework, we conducted focus group interviews with 32 LTC stakeholders (e.g. LTC physicians) to identify barriers and facilitators, suggest intervention options, and discuss whether the identified interventions were feasible. The interviews were transcribed verbatim and analyzed using thematic content analysis. Results: The intervention themes that met the APEASE criteria were minimizing any increase in workload, training on CAP usage, education for residents and families, and persuasion through stories. Other intervention themes identified were culture change, resident-centred care, physical restructuring, software features, modeling in training, education for staff, social rewards, material rewards, public benchmarking, and regulations. Conclusions: To implement the Fracture Risk CAP in LTC, KT interventions centred around minimizing any increase in workload, training on CAP usage, providing education for residents and families, and persuading through stories may be used. Results from this work will improve identification and management of LTC residents at high fracture risk and could inform the implementation of guidelines for other conditions in LTC homes.

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The health care aide position in nursing homes: A comparative survey of nurses’ and aides’ perceptions

Cited by 11 publications

References 45 publications

‘I wouldn't choose this work again’: Perspectives and experiences of care aides in long‐term residential care

‘I wouldn't choose this work again’: Perspectives and experiences of care aides in long‐term residential care

Strategies for the implementation of an electronic fracture risk assessment tool in long term care: a qualitative study

Strategies for the Implementation of an Electronic Fracture Risk Assessment Tool in Long Term Care: A Qualitative Study

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