scholarly journals Exploring Variation in Certified Nursing Assistant Assignments From the Perspective of Nursing Home Residents: A Comparison of Adopters and Nonadopters of Consistent Assignment

2017 ◽  
Vol 38 (11) ◽  
pp. 1583-1594
Author(s):  
Tonya J. Roberts ◽  
Kimberly Nolet ◽  
Barbara Bowers

Objective: To describe and compare certified nursing assistant (CNA) staffing between adopter and nonadopters of consistent assignment. Data sources: One month of preexisting CNA assignment and scheduling sheets from a purposive sample of 30 homes. Study design: A descriptive comparative study was conducted to calculate and compare numbers of CNAs assigned per resident across homes. Data extraction: Resident names and CNA assignments were abstracted from assignment records and entered into the Advancing Excellence consistent assignment tool to calculate numbers of CNAs assigned per resident. Principal findings: Both variation and overlap existed in the number of CNAs per resident within and between homes. Adopters assigned significantly fewer CNAs per resident. Conclusion: Research is needed to determine how assignment variations affect resident perceptions of quality.

2010 ◽  
Vol 14 (3) ◽  
pp. 303-309 ◽  
Author(s):  
Misti J. Norton ◽  
Rebecca S. Allen ◽  
A. Lynn Snow ◽  
J. Michael Hardin ◽  
Louis D. Burgio

2007 ◽  
Vol 22 (2) ◽  
pp. 112-119 ◽  
Author(s):  
Frank A. Cervo ◽  
Robert P. Raggi ◽  
Lory E. Bright-Long ◽  
William K. Wright ◽  
Ginette Rows ◽  
...  

2018 ◽  
Vol 22 (4) ◽  
pp. 189-198
Author(s):  
Rebecca L. Trotta ◽  
Marie Boltz ◽  
Mary Beth Happ ◽  
Neville Strumpf

Nursing home residents are among the most vulnerable members of society. The literature emphasizes promotion of personhood, dignity, and comfort—dimensions that fall within the purview of the certified nursing assistant (CNA). Little is known about how CNAs approach caring for a dying resident. This grounded theory study explored CNA–resident interactions for residents receiving palliative care. The theory “Cultivating Knowing and Relationships” emerged, which represents a social–psychological process of how CNAs capitalize on reciprocity and achievement of gratification to develop personal relationships with residents and maintain personhood and dignity through death. These findings underscore CNAs’ significant role in enhancing quality.


1991 ◽  
Vol 85 (3) ◽  
pp. 105-107 ◽  
Author(s):  
M.S. Marx ◽  
D. Wolf ◽  
L. Pheng ◽  
V. Walker ◽  
A. Elises ◽  
...  

This article describes an example of an in-house eye care clinic for elderly nursing home residents. The success of this clinic is due not to any one person, but to the combined efforts of a team: a clinic supervisor, a nursing assistant, a medical assistant, an ophthalmic technician, and an ophthalmologist. The implications of providing good and effective eye care to nursing home residents are discussed.


Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 423
Author(s):  
Bichaka Fayissa ◽  
Saleh Alsaif ◽  
Fady Mansour ◽  
Tesa E. Leonce ◽  
Franklin G. Mixon

This quantitative study investigates the effect of certificate-of-need (CON) regulation on the quality of care in the nursing home industry. It uses county-level demographic data from the 48 contiguous US states that are extracted from the American Community Survey (ACS) and cover the years 2012, 2013, and 2014. In doing so, it employs a new set of service quality variables captured from a variety of county-level data sources. Instrumental variables results indicate that health survey scores for nursing homes that are computed by healthcare professionals are about 18–24% lower, depending on the type of nursing home under consideration, in states with CON regulation. We also find that the presence of CON regulation leads to a substitution of lower-quality certified nursing assistant care for higher-quality licensed practical nurse care, regardless of the type of nursing home under consideration.


1996 ◽  
Vol 44 (3) ◽  
pp. 273-278 ◽  
Author(s):  
Purushottam B. Thapa ◽  
Kelly G. Brockman ◽  
Patricia Gideon ◽  
Randy L. Fought ◽  
Wayne A. Ray

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