The Role of Certified Nursing Assistants in Nursing Homes

Pennington, Karen; Scott, Jill; Magilvy, Kathy

doi:10.1097/00005110-200311000-00007

Cited by 72 publications

(52 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Turnover is costly to the organization both in terms of dollars, $2,000 to $4,000 per CNA, and in terms of its impact on the quality of resident care (i.e., continued hiring of new staff, especially CNAs, who are unfamiliar with resident needs). Through interviews, CNAs have identified that it is basic organizational processes that fuel dissatisfaction and their intent to leave, such as their lack of input into resident care or decisions, lack of trust between management and CNAs, lack of teamwork between CNAs and licensed staff, failure by management to recognize CNAs as part of the team, and the incongruence between the management values and goals and those of the direct-care providers (Bowers, Esmond, & Jacobson, 2003;Pennington, Scott, & Magilvy, 2003). Findings from this study offer empirical support that direct-care staff and administrative staff members have different perceptions.…”

Section: Discussionmentioning

confidence: 99%

An Exploration of Nursing Home Organizational Processes

Forbes-Thompson¹,

Gajewski

Scott-Cawiezell

et al. 2006

West J Nurs Res

View full text Add to dashboard Cite

The purpose of this study is to explore the relationship between nursing home staffs' perceptions of organizational processes (communication, teamwork, and leadership) with characteristics (turnover, tenure, and educational preparation) of the nursing home administrator (NHA) and director of nursing (DON). NHAs and DONs rate communication, teamwork, and leadership significantly higher than direct care staff do (registered nurses, licensed practical nurses, certified nurse aides [CNAs]). CNAs have the lowest ratings of communication and teamwork. Turnover of the NHA and DON is significantly and negatively associated with communication and teamwork. Two thirds of DONs surveyed hold less than a baccalaureate degree; this does not influence staffs' ratings of communication, teamwork, and leadership. Findings from this study highlight the need to explore differences in perceptions between administrative and direct care staff and how these may or may not influence staff development and quality improvement activities in nursing homes.

show abstract

Section: Discussionmentioning

confidence: 99%

An Exploration of Nursing Home Organizational Processes

Forbes-Thompson¹,

Gajewski

Scott-Cawiezell

et al. 2006

West J Nurs Res

View full text Add to dashboard Cite

show abstract

“…(Spore et al, 1991;Gallagher et al, 2006). Furthermore, many LTC staff members openly report having the need for training in mental health issues related to dementia (Curry et al, 2000;Pennington et al, 2003;Sung et al, 2005;Ramirez et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Long term care staff beliefs about evidence based practices for the management of dementia and agitation

Ayalon

Areán

Bornfeld

et al. 2008

Int J Geriat Psychiatry

View full text Add to dashboard Cite

SUMMARYContext Despite a growing literature on effective interventions for Alzheimer's disease (AD) and agitation, the management of these conditions in long term care (LTC) often is inadequate. The goals of the present study were: (a) to evaluate existing beliefs about evidence based practices (EBP) for the management of Alzheimer's disease and agitation among LTC staff; and (b) to evaluate the contribution of demographic and attitudinal variables to LTC staff beliefs about these EBP. Method A cross sectional study of 371 LTC staff members completed an EBP questionnaire, a short demographic questionnaire, and an attitudinal questionnaire about AD and agitation. Results Paraprofessional caregivers, those of lower educational level, and ethnic minorities were more likely to be in disagreement with the EBP views examined in this study. Those in disagreement with the EBP views also reported a preference towards not working with residents with AD and agitation and a sense of helplessness associated with such work. Disagreement with EBP views was associated with both normalization and stigmatization of AD and agitation. Conclusions Paraprofessional caregivers, ethnic minorities, and people of lower educational level are most at need for educational activities about AD and neuropsychiatric symptoms. Educational efforts geared towards changing the belief system of LTC staff should target not only EBP but also information about AD and agitation as conditions that are deviant from the normal aging process, yet non-stigmatizing. It is expected that following EBP will empower staff and improve staff motivation to work with residents with AD and agitation.

show abstract

“…Paradoxically, they do not typically receive mental health training (Pennington et al, 2003). The limited research available has shown that relative to clinical staff, paraprofessional caregivers often are ill-informed about depression and other common conditions in LTC and that many LTC staff members openly acknowledge the need for further mental health training (Spore et al, 1991).…”

Section: Introductionmentioning

confidence: 99%