Being Below the Horizon: The Dwelling Place of the Nurse Aide

2008 ◽  
Vol 12 (4) ◽  
pp. 15-20 ◽  
Author(s):  
Elizabeth Andersen

Nurse aides are the unregulated caregivers who perform the bulk of the physical and emotional care-giving work for residents in long-term care facilities. Hierarchies of nursing work in some long-term care institutions and the marginalization of some nurse aides in these institutions are revealed through quotes retrieved from existing literature. These quotes illustrate the ways in which these nurse aides are on earth – their ways of “dwelling.” The author calls for support and empathy from registered nurses for struggling nurse aides by integrating Martin Heidegger’s philosophies of space and dwelling with the ways in which nurse aides “dwell” in their places of work.

Author(s):  
Man-Hua Yang ◽  
Shu-Ting Yang ◽  
Tze-Fang Wang ◽  
Li-Chun Chang

Background: In long-term care facilities, there are frequent conflicts related to elderly residents’ sexual expression. Nurse aides usually handle such conflicts with negative or negligent attitudes; therefore, elderly sexuality is considered “problem behavior” and is stigmatized. Objectives: This study aimed to improve elderly residents’ quality of sexual life by enhancing nurse aides’ knowledge and attitudes toward elderly sexuality through sexuality workshops. Methods: A quasi-experimental study was conducted with 64 nurse aides and 58 residents, who were divided into two groups, i.e., an experimental group and a control group, according to the floor where the residents resided. The nurse aides in the experimental group participated in sexuality workshops and were compared with those in the control group with respect to their knowledge of and attitudes toward sexuality; the residents’ quality of sexual life was also compared between groups. Results: Compared with the control group, in the experimental group, the nurse aides’ knowledge of and attitudes toward elderly sexuality as well as the residents’ quality of sexual life significantly and continually improved after the sexuality workshops. Conclusion: The four-week sexuality workshop is effective and may be used as an example in developing occupational education programs regarding elderly sexuality in long-term care facilities.


2020 ◽  
Author(s):  
Youran Lee ◽  
Eunhee Cho

Abstract Background In Korea, registered nurses (RNs) and nurse aides (NAs) are legally permitted as substitutes for long-term care (LTC) facilities, even though they have very different levels of education and standards of qualifications. This study aimed to explore the factors that influence patient safety activities of the RNs and NAs working in LTC facilities and to identify the relationship between patient safety culture (PSC) and patient safety activities. Methods This was a cross-sectional, descriptive study. The study participants were 88 RNs and 71 NAs who worked at 33 LTC facilities for more than three months. The questionnaires were collected by e-mail or mobile application and kept confidential. Data were analyzed using SPSS version 25.0. Results The mean scores of PSC and patient safety activities were 4.03 ± 0.51 points, 4.29 ± 0.49 points out of 5, respectively. There was significant correlation between PSC and patient safety activities (r = .23, p = .004). Factors influencing patient safety activities among RNs and NAs in LTC facilities were registered nurse (β = .377, p < .001), organizational system of PSC (β = .314, p < .010), and work sift type (fixed night shift, on-call, 24-hour shift) (β = − .264, p = .004), which explained about 36.0% of total variance (F = 5.69, p < .001). Conclusion The findings indicate the need for the mandatory placement of RNs by improving current domestic regulations that can be replaced without distinctions between the level of education and qualifications of RNs and NAs to strengthen patient safety activities at LTC facilities. Additionally, the importance of an organizational safety system and effective working shift types to prevent residents’ safety accidents in LTC facilities is indicated.


AAOHN Journal ◽  
1996 ◽  
Vol 44 (1) ◽  
pp. 9-17 ◽  
Author(s):  
Jiska Cohen-Mansfield ◽  
William J. Culpepper ◽  
Patricia Carter

This report describes the period prevalence and costs of back injuries to nursing staff of long term care facilities in comparison to nurses employed industry wide and to other occupations industry wide. The period prevalence of back injuries to nursing staff in long term care facilities was highest for nurse aides, followed by LPNs and then RNs. Nurses (combined) had a period prevalence of back injuries nearly 1.5 times higher than all employees of long term care facilities and 6 times higher than all occupations combined industry wide. Within long term care facilities, nurses sustaining back injuries were younger and had been employed for a shorter period of time than the average for all nurses employed in long term care facilities. Back injuries accounted for more than half of the indemnity and medical costs for all injuries incurred in nursing homes and industry wide. The findings highlight the need for better prevention and rehabilitation.


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