How registered nurses, licensed practical nurses and resident aides spend time in nursing homes: An observational study

Nurses need versatile competence to care for older people in care home settings. A modified Delphi study was conducted to identify competencies registered nurses and licensed practical nurses need to care for older people in care homes. A total of 38 panelists consisting of experienced professionals in clinical and managerial roles were recruited to identify types of competencies these nurses require. In total, 80 competencies for licensed practical nurses and 81 competencies for registered nurses were identified as necessary. This study has shown that licensed practical nurses are required to have similar competencies to registered nurses in care homes. Nurse managers, nurse educators, and policy makers should pay more attention, to nurses’ work requirements, especially for licensed practical nurses, and support nurses to meet the needs of older people living in care homes.

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Assessment of Staffing Needs for Registered Nurses and Licensed Practical Nurses at Primary Care Units in Brazil Using the Workload Indicators of Staffing Need (WISN) Method

10.21203/rs.3.rs-919274/v1 ◽

2021 ◽

Author(s):

Daiana Bonfim ◽

Ana Carolina Cintra Nunes Mafra ◽

Danielle da Costa Palacio ◽

Talita Rewa

Keyword(s):

Primary Care ◽

Registered Nurses ◽

Supply And Demand ◽

Licensed Practical Nurses ◽

Primary Health ◽

Practical Nurses ◽

High Workload ◽

Planning Methods ◽

Staffing Needs ◽

The City

Abstract Background The balance between supply and demand for primary health care (PHC) services is one of the main challenges to the health system in Brazil. In this context, the application of planning methods could benefit the decision-making process for human resources organizations. Hence, the objective of this study was to assess the staffing needs for registered nurses (RNs) and licensed practical nurses (LPNs) at PHC services using the WISN method. Methods The Workload Indicators of Staffing Need (WISN) methodology was applied at 13 Primary Care Units (PCU) located in the city of São Paulo, Brazil. It included 87 RNs and 174 LPNs, and used data from 2017 to 2019. Results The WISN results found that RNs were under high workload pressure at 10 PCUs (77%) in 2017 and 2018, with a decrease to 8 PCUs (61%) in 2019. For LPNs, high workload pressure increased from 2 PCUs (15%) in 2017 to 13 PCUs (100%) in 2018, with a decrease to 11 (85%) in 2019. Conclusion The assessment of staffing needs for RNs and LPNs at the PCUs included in the study identified a consistent deficit in the number of professionals, and high workload pressure in most services throughout the study period.

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The Nursing Stress Scale-Spanish Version: An Update to Its Psychometric Properties and Validation of a Short-form Version in Acute Care Hospital Settings

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph17228456 ◽

2020 ◽

Vol 17 (22) ◽

pp. 8456

Author(s):

Ana María Porcel-Gálvez ◽

Sergio Barrientos-Trigo ◽

Sara Bermúdez-García ◽

Elena Fernández-García ◽

Mercedes Bueno-Ferrán ◽

...

Keyword(s):

Factor Analysis ◽

Registered Nurses ◽

Psychometric Properties ◽

Internal Consistency ◽

Short Form ◽

Licensed Practical Nurses ◽

Stress Scale ◽

Nursing Stress ◽

Practical Nurses ◽

Good Internal Consistency

Stressful working conditions are correlated with a negative impact on the well-being of nurses, job satisfaction, quality of patient care and the health of the staff. The Nursing Stress Scale (NSS) has been shown to be a valid and reliable instrument to assess occupational stressors among nurses. This study updates the psychometric properties of the “NSS-Spanish version” and validates a short-form version. A cross-sectional design was carried out for this study. A reliability analysis and a confirmatory factor analysis and an exploratory factor analysis were undertaken. Items were systematically identified for reduction using statistical and theoretical analysis. Correlation testing and criterion validity confirmed scale equivalence. A total of 2195 Registered Nurses and 1914 Licensed Practical Nurses were enrolled. The original 34-item scale obtained a good internal consistency but an unsatisfactory confirmatory and exploratory factor analysis. The short-form Nursing Stress Scale (11-items) obtained a good internal consistency for Registered Nurses (α = 0.83) and for Licensed Practical Nurses (α = 0.79). Both Nursing Stress Scales obtained a strong correlation for Registered Nurses (rho = 0.904) and for Licensed Practical Nurses (rho = 0.888). The 11-item version of the Nursing Stress Scale is a valid and reliable scale to assess stress perception among Registered Nurses and Licensed Practical Nurses. Its short-form nature improves the psychometric properties and the feasibility of the tool.

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Second Job Holding Among Direct Care Workers and Nurses: Implications for COVID-19 Transmission in Long-Term Care

Medical Care Research and Review ◽

10.1177/1077558720974129 ◽

2020 ◽

pp. 107755872097412

Author(s):

Reagan A. Baughman ◽

Bryce Stanley ◽

Kristin E. Smith

Keyword(s):

Registered Nurses ◽

Long Term Care ◽

The United States ◽

Personal Care ◽

Term Care ◽

Licensed Practical Nurses ◽

Care Workers ◽

Practical Nurses ◽

Nursing Aides

One reason that nursing homes are a primary source of COVID-19 infections and deaths in the United States may be that workers hold multiple jobs. We use 2010-2019 Current Population Survey data to document the rate of second jobholding among nursing and long-term care workers. On average, 6.41% of personal care and nursing aides and 6.23% of licensed practical nurses and registered nurses hold second jobs; second job holding rates are 35% and 32% higher than those of other workers, respectively. Both wages and hours in the primary job are negatively associated with the probability of holding a second job for personal care and nursing aides, while lower hours are more strongly correlated with a second job for registered nurses and licensed practical nurses. Many of these workers move across health settings from their first to second jobs, and 15% of second jobs for personal care and nursing aides are in other “essential” occupations.

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Voices That Care: Licensed Practical Nurses and the Emotional Labour Underpinning Their Collaborative Interactions with Registered Nurses

Nursing Research and Practice ◽

10.1155/2011/501790 ◽

2011 ◽

Vol 2011 ◽

pp. 1-10 ◽

Cited By ~ 7

Author(s):

Truc Huynh ◽

Marie Alderson ◽

Michelle Nadon ◽

Sylvia Kershaw-Rousseau

Keyword(s):

Registered Nurses ◽

Emotional Regulation ◽

Nursing Leadership ◽

Interpersonal Process ◽

Licensed Practical Nurses ◽

Emotional Labour ◽

Collaborative Interactions ◽

Practical Nurses ◽

Group 2 ◽

Interpersonal Factor

Recognizing the emotional labour underlying interprofessional collaborations (IPCs) could be considered a crucial step towards building a cohesive nursing team. Although IPCs between registered nurses (RNs) and licensed practical nurses (LPNs) have been linked to quality nursing care, little is known about the emotions experienced by LPNs during their interactions with RNs or those factors that influence IPCs. A questionnaire administered to 309 LPNs found that (1) the professional identity of LPNs has evolved into a that of a unique social group; (2) LPNs define IPC as an interpersonal process of exploring similar or dissimilar assessments of a patient's status with RNs and, together, establishing a course of nursing actions; (3) the primary organizational factor facilitating IPCs is inclusive nursing leadership; (4) the interpersonal factor promoting IPCs is the level of trust RNs extend to LPNs; and (5) an LPN's emotional labour (i.e., internal emotional regulation) is most tangible during uncollaborative interactions with RNs.

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Death Concern and Attitudes toward the Elderly in Nursing Home Personnel as a Function of Training

OMEGA - Journal of Death and Dying ◽

10.2190/t0ly-w07y-vvx0-nmap ◽

1994 ◽

Vol 29 (3) ◽

pp. 231-248 ◽

Cited By ~ 13

Author(s):

Stephen J. Depaola ◽

Roberta Neimeyer ◽

Stephanie K. Ross

Keyword(s):

Nursing Home ◽

Registered Nurses ◽

The Elderly ◽

Nursing Assistants ◽

Licensed Practical Nurses ◽

Positive Attitudes ◽

Practical Nurses ◽

Personal Anxiety ◽

Nursing Professionals ◽

The Relationship

The present project investigated the relationship between death fear, attitudes toward the elderly, and personal anxiety toward one's own aging in a group of nursing home employees. Contrary to predictions, nursing professionals (i.e., Registered Nurses, Licensed Practical Nurses) did not have higher levels of death concern when compared to Nursing Assistants; in fact, Nursing Assistants had higher levels of death concerns on four components of death fear (fear of the dead, fear of the unknown, fear of consciousness when dead, and fear for body after death). The results also indicated that Nursing Assistants displayed significantly fewer positive attitudes toward the elderly than did nursing professionals.

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Long-Term Care Planning Study: Strengths and Learning Needs of Nursing Staff

Canadian Journal on Aging / La Revue canadienne du vieillissement ◽

10.1353/cja.2007.0016 ◽

2006 ◽

Vol 25 (4) ◽

pp. 347-361 ◽

Cited By ~ 2

Author(s):

Kathleen E. Cruttenden

Keyword(s):

Nursing Homes ◽

Nursing Staff ◽

Active Role ◽

Learning Needs ◽

Planning Study ◽

Term Care ◽

Licensed Practical Nurses ◽

Direct Observations ◽

Practical Nurses

ABSTRACTThis planning study was designed and conducted in a predominantly rural Canadian province to examine the strengths and learning needs of four categories of nursing staff practising in New Brunswick nursing homes. Participants included directors of care, registered nurses, licensed practical nurses, and resident attendants. The nursing homes ranged in size from 38 to 196 beds and were located throughout the province. In health and planning studies, ethnography conveys a coherent statement of peoples' local knowledge as culture-sharing groups (Muecke, 1994). The study derived information from the Nursing Home Act, reports, the literature, key informants, and direct observations of and interviews with participants. Leadership strengths defined the roles for categories of staff and supported the capacity of each category to identify their learning needs. In conclusion, nurses practising in nursing homes can and must take an active role in decision making for their learning.

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