“…Several studies support determinants affecting CNA job satisfaction in LTC include communication, advancement, rewards, recognition and pay structure but the research has not been tested in the AC setting [2, [5][6][7][8]. Similar studies included determinants impacting CNA job satisfaction such as staffing, work hours, respect, leadership, and engagement [21][22][23][24][25]. Lerner, et al found years of experience and self-esteem had a positive impact on CNA satisfaction [26].…”