scholarly journals It Was Trial by Fire: Recommendations for Building a Stronger Nursing Home Workforce After COVID-19

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 249-249
Author(s):  
Wingyun Mak ◽  
Orah Burack ◽  
Kenneth Boockvar ◽  
Joann Reinhardt ◽  
Emily Franzosa
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Lived Experience ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Agency Staff ◽  
Support Resources ◽  
Job Benefits ◽  
Permanent Staff ◽  
Business As Usual

Abstract The COVID-19 crisis showed the urgent need for a unified, well-supported nursing home workforce. The objective of this qualitative study was to examine the lived experience of certified nursing assistants (CNAs) and administrators during COVID-19 to identify best practices moving forward. Six administrator interviews and 10 remote focus groups with CNAs at 5 nursing homes (N=56) were examined through directed content analysis. Based on priorities identified by CNAs and administrators, the following practices may be most impactful: 1) ongoing and responsive staff training; 2) transparent, direct, and two-way communication channels; 3) prioritizing hiring permanent staff to avoid shortages and reliance on agency staff; 4) building collaborative staff-management relationships; 5) providing flexible job benefits; 6) providing staff-centered emotional support resources; and 7) appraising COVID-19 innovations. Our results suggest that rather than returning to “business as usual,” nursing homes can draw on these lessons to build a more sustainable workforce and industry.

scholarly journals CHANGING NURSING HOME CULTURE: LONG-TERM CARE LEADERSHIP ACADEMY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S771-S771
Author(s):  
Teri Round ◽  
Diana Sturdevant
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Team Building ◽  
Nursing Assistants ◽  
Nursing Home Care ◽  
Certified Nursing Assistants ◽  
Open Communication ◽  
Term Care ◽  
Charge Nurses ◽  
Strongly Agree

Abstract Nursing homes that fostered open communication and teamwork were more likely to change their practices and adopt the “It’s Not OK to Fall” program. This pilot study evaluated the feasibility and acceptance of a team-building approach for developing leadership skills to three groups of coworkers: Administrators/Directors of Nursing, charge nurses, and certified nursing assistants (CNA) employed by nursing homes in Oklahoma. Each coworker group received one day of job specific leadership training, with another one half-day session where all levels engaged in team-building exercises. Participant satisfaction with course content ranged from agree-to-strongly agree. All stated that they could apply the leadership strategies at their facility. Administrators/Directors of Nursing found tools for tracking turnover/retention and strategies for improving staff communication helpful. Charge nurses and certified nursing assistants seldom viewed themselves as leaders, found coworker group communication very fragmented, and felt least knowledgeable about nursing home care best practices.

scholarly journals Certified Nursing Assistants' Explanatory Models of Nursing Home Resident Depression

2008 ◽  
Vol 30 (6) ◽  
pp. 653-672 ◽  
Author(s):  
Mary Lynn Piven ◽  
Ruth A. Anderson ◽  
Cathleen S. Colón-Emeric ◽  
Margarete Sandelowski
Keyword(s):  
Nursing Home ◽  
Nursing Home Resident ◽  
Explanatory Models ◽  
Nursing Assistants ◽  
Certified Nursing Assistants

Getting to Zero-Lift in Washington State Nursing Homes

2000 ◽  
Vol 44 (30) ◽  
pp. 5-430-5-433 ◽  
Author(s):  
Kathleen Rockefeller ◽  
Barbara Silverstein ◽  
Ninica Howard
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Strong Evidence ◽  
Washington State ◽  
Nursing Assistants ◽  
Shoulder Injuries ◽  
Risk Of Injury ◽  
Caring Environment ◽  
Home Workers

The huge toll caused by back and shoulder injuries among nursing home workers (nursing assistants) has been well documented. These injuries have been related primarily to tasks involving lifting and handling of the residents. There is strong evidence that reduction in load would decrease the risk of injury. “Zero-lift” programs are designed to reduce these loads and involve several components: support of management and participation of employees; acquisition of equipment; policies surrounding the use of equipment; training; and management of injuries that do occur. There appears to be a significant disparity between the availability of technology to reduce the hazards associated with handling tasks and the adoption of the technology by the industry. The challenge for nursing homes is to effectively implement programs that reduce physical loads on nursing assistants while maintaining a safe and caring environment for the residents.

scholarly journals Influenza Vaccination Coverage of Healthcare Workers in Nursing Homes in France and Related Determinants, 2018- 2019 Season: A Cross-Sectional Survey

2021 ◽  
Author(s):  
Sophie Vaux ◽  
Laure Fonteneau ◽  
Anne-Gaëlle Venier ◽  
Arnaud Gautier ◽  
Sophan Soing Altrach ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Homes ◽  
Influenza Vaccination ◽  
Vaccination Coverage ◽  
Healthcare Workers ◽  
Negative Binomial ◽  
Nursing Assistants ◽  
Influenza Vaccines ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background The burden of influenza morbidity and mortality in nursing homes (NH) is high. Vaccination of residents and healthcare workers (HCW) is the main prevention strategy. Despite recommendations, HCW vaccination coverage is generally low. Methods We performed a nationwide cross-sectional survey of NH using a single-stage stratified random sampling design to estimate influenza vaccination coverage in nursing home HCW in France during the 2019-2020 season, and to identify measures likely to increase it. A multivariate analysis was performed using a negative binomial regression. Results Overall influenza vaccination coverage in HCW was 31.9% (95% CI [29.7-34.1]). It varied according to occupational category: 75.5% [69.3-81.7] for physicians, 42.9% [39.4-46.4] for nurses, 26.7% [24.5-29.0] for nursing assistants, and 34.0% [30.1-38.0] for other paramedical personnel. When considering all professionals (i.e., HCW and non-medical professionals), overall vaccination coverage was 30.6% [28.2-33.0]. Vaccination coverage was higher in private nursing homes, in i) small nursing homes, ii) when vaccination was offered free of charge (RRa: 1.4, [1.1-1.8]), iii) when vaccination promotion for professionals included individual (RRa: 1.6 [1.1-2.1]) or collective (RRa: 1.3 [1.1-1.5]) information sessions, videos or games (RRa: 1.4 [1.2-1.6], iv) when information on influenza vaccines was provided (RRa: 1.2 [1.0-1.3], and finally, vi) when a vaccination point of contact - defined as an HCW who could provide reliable information on vaccination - was nominated within the nursing home (RRa: 1.7 [1.3-2.2]). Conclusions Urgent and innovative actions are required to increase coverage in HCW. Vaccination programmes should include free vaccination and education campaigns, and particularly target nursing assistants. The results of this nationwide study provide keys for improving influenza vaccination coverage in HCW. Programmes should ensure that information on influenza vaccines is provided by a vaccination point of contact in NH using attractive media. Combining the different prevention measures proposed could increase coverage in NH nationwide by over 50%.

Pilot Testing a Coaching Intervention to Improve Certified Nursing Assistants' Dressing of Nursing Home Residents

2017 ◽  
Vol 10 (6) ◽  
pp. 267-276 ◽  
Author(s):  
Kerry Jean Jordan ◽  
Pao-Feng Tsai ◽  
Seongkum Heo ◽  
Shasha Bai ◽  
Deborah Dailey ◽  
...  
Keyword(s):  
Nursing Home ◽  
Nursing Home Residents ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Pilot Testing ◽  
Coaching Intervention

The Grief Experiences of Certified Nursing Assistants: Personal Growth and Complicated Grief

2007 ◽  
Vol 54 (4) ◽  
pp. 301-318 ◽  
Author(s):  
Keith A. Anderson ◽  
Joseph E. Gaugler
Keyword(s):  
Nursing Home ◽  
Personal Growth ◽  
Complicated Grief ◽  
Nursing Home Residents ◽  
Past Research ◽  
Nursing Assistants ◽  
Certified Nursing Assistants ◽  
Disenfranchised Grief ◽  
Home Setting ◽  
Nursing Home Setting

The grief that certified nursing assistants (CNAs) experience following the deaths of nursing home residents has received scant attention in past research, particularly from an empirical standpoint. The purpose of this quantitative study was to investigate the grief experiences of CNAs in the nursing home setting and to identify and evaluate factors that may mediate or exacerbate grief. Participants ( N = 136) from 12 nursing homes completed self-administered surveys. Regression analyses revealed that CNAs with lower levels of perceived disenfranchised grief reported higher levels of personal growth, while CNAs with greater fear of death and those who experienced fewer deaths on the job reported higher levels of complicated grief. Practitioners and future researchers may benefit from these findings through the construction and implementation of interventions aimed at effectively enfranchising the grief experiences of this important group of healthcare workers.

scholarly journals Exploring social‐based discrimination among nursing home certified nursing assistants

2019 ◽  
Vol 27 (1) ◽  
Author(s):  
Jasmine L. Travers ◽  
Anne M. Teitelman ◽  
Kevin A. Jenkins ◽  
Nicholas G. Castle
Keyword(s):  
Nursing Home ◽  
Nursing Assistants ◽  
Certified Nursing Assistants
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