Health Assets, Vocation and Zest for Healthcare Work. A Salutogenic Approach to Active Coping among Certified Nursing Assistant Students

People’s health assets (HA) mapping process and design dynamization strategies for it are paramount issues for health promotion. These strategies improve the health heritage of individuals and communities as both the salutogenic model of health (SMH) and health assets model (HAM) defend. Connecting and mobilizing HA and strengthens the ‘sense of coherence’ (SOC) are both related to enhancing stress active and effective coping strategies. This study aims to describe the HA present in a population of certified nursing assistant students (n = 921) in Spain and then to explore their relationships with the SOC, the motivation to choose healthcare studies and their academic performance. A great variety of HA were identified and mapped. Findings showed that individuals with greater motivation towards self-care and ‘caring for others’ as internal HA, possessed higher SOC levels and a strong vocation for healthcare work. Differences in HA were identified according to gender, age and employment situation. Consistent connections between the care–relation factor and vocational factor with interpersonal and extrapersonal HA were reported. Evidence and results substantiated the salutogenic and asset-based approach as a proper strategy to strengthen SOC, dynamize their HA map, reinforce the sense of calling and enable Certified Nurse Assistant (CNA) students to buffer against caregiving-related stress and thrive in their profession.

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Healthcare Work and Organizational Interventions to Prevent Work-related Stress in Brindisi, Italy

Safety and Health at Work ◽

10.1016/j.shaw.2014.10.003 ◽

2015 ◽

Vol 6 (1) ◽

pp. 35-38 ◽

Cited By ~ 11

Author(s):

Gabriele d'Ettorre ◽

Mariarita Greco

Keyword(s):

Work Related Stress ◽

Work Related ◽

Organizational Interventions ◽

Healthcare Work ◽

Related Stress

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Preserving the Activities of Daily Living Independence in Late Life

Innovation in Aging ◽

10.1093/geroni/igaa057.735 ◽

2020 ◽

Vol 4 (Supplement_1) ◽

pp. 228-228

Author(s):

Pao-feng Tsai ◽

Thomas Jakobs ◽

Reid Landes

Keyword(s):

Training Program ◽

Daily Living ◽

Cost Effective ◽

Computer Application ◽

Maximum Effect ◽

Activity Of Daily Living ◽

Nursing Assistant ◽

Future Studies ◽

Certified Nursing Assistant

Abstract Levels of Assistance (LoA) is an effective caregiving intervention for maintaining activity of daily living (ADL) independence. It is a structured, almost prescriptive, approach to encourage completing ADLs as independently as an elder’s capabilities permit. With appropriate prompts and assistance during dressing, elders can overcome disability, express retained competencies, and experience success. Simultaneously, caregivers learn to view their functions as maintaining the quality of life of able elders, and they receive reinforcement from elders who are more confident and happier. This study is a continuation of a previous project that created and tested a computer application training program for LoA in nursing homes. We refined the app to include grooming LoA and tested on 10 certified nursing assistant (CNA)/resident dyads at a local nursing home. The pilot results showed, although we did not see consistent improvement in CNA’s dressing LoA, we achieved 10% to 30% improvement in grooming LoA. This indicates that the dressing assistance training is able to transfer to grooming LoA. With only an average of one-hour app training, this improvement is cost effective as compared to training provided by care professionals. Future studies should consider incorporating a culture change strategy to improve CNAs’ intention for assisting elders. In addition, the training program should be offered in the initial hire to achieve maximum effect.

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Recognizing and Responding to the “Toxic” Work Environment: Worker Safety, Patient Safety, and Abuse/Neglect in Nursing Homes

Qualitative Health Research ◽

10.1177/1049732317723889 ◽

2017 ◽

Vol 27 (12) ◽

pp. 1870-1881 ◽

Cited By ~ 10

Author(s):

Carolyn E. Z. Pickering ◽

Katie Nurenberg ◽

Lawrence Schiamberg

Keyword(s):

Patient Safety ◽

Nursing Homes ◽

Work Environment ◽

Worker Safety ◽

Nursing Assistant ◽

Telephone Interviews ◽

Certified Nursing Assistant ◽

Safety Outcomes ◽

Multistep Model ◽

Constant Comparative Analysis

This grounded theory study examined how the certified nursing assistant (CNA) understands and responds to bullying in the workplace. Constant comparative analysis was used to analyze data from in-depth telephone interviews with CNAs ( N = 22) who experienced bullying while employed in a nursing home. The result of the analysis is a multistep model describing CNA perceptions of how, over time, they recognized and responded to the “toxic” work environment. The strategies used in responding to the “toxic” environment affected their care provision and were attributed to the development of several resident and worker safety outcomes. The data suggest that the etiology of abuse and neglect in nursing homes may be better explained by institutional cultures rather than individual traits of CNAs. Findings highlight the relationship between worker and patient safety, and suggest worker safety outcomes may be an indicator of quality in nursing homes.

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Development and Psychometric Validation of the Dementia Attitudes Scale

International Journal of Alzheimer s Disease ◽

10.4061/2010/454218 ◽

2010 ◽

Vol 2010 ◽

pp. 1-10 ◽

Cited By ~ 57

Author(s):

Melissa L. O'Connor ◽

Susan H. McFadden

Keyword(s):

College Students ◽

Factor Analysis ◽

Convergent Validity ◽

Reliability And Validity ◽

Psychometric Validation ◽

Attitudes Toward Disabilities ◽

Nursing Assistant ◽

Structured Interviews ◽

Certified Nursing Assistant ◽

Social Comfort

This study employed qualitative construct mapping and factor analysis to construct a scale to measure attitudes toward dementia. Five family caregivers, five professionals, and five college students participated in structured interviews. Qualitative analysis of the interviews led to a 46-item scale, which was reduced to 20 items following principal axis factoring with two different samples: college students () and certified nursing assistant students (). Confirmatory factor analysis was then conducted with another sample of college students (). The final scale, titled the Dementia Attitudes Scale (DAS), essentially had a two-factor structure; the factors were labeled “dementia knowledge” and “social comfort.” Total-scale Cronbach's alphas ranged 0.83–0.85. Evidence for convergent validity was promising, as the DAS correlated significantly with scales that measured ageism and attitudes toward disabilities (range of correlations = 0.44–0.55; mean correlation ). These findings demonstrate the reliability and validity of the DAS, supporting its use as a research tool.

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Sense of coherence, academic performance and professional vocation in Certified Nursing Assistant students

Nurse Education Today ◽

10.1016/j.nedt.2019.05.004 ◽

2019 ◽

Vol 79 ◽

pp. 8-13 ◽

Cited By ~ 4

Author(s):

Natura Colomer-Pérez ◽

Joan J. Paredes-Carbonell ◽

Carmen Sarabia-Cobo ◽

Vicente Gea-Caballero

Keyword(s):

Academic Performance ◽

Sense Of Coherence ◽

Nursing Assistant ◽

Certified Nursing Assistant

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Exploring inappropriate certified nursing assistant glove use in long-term care

American Journal of Infection Control ◽

10.1016/j.ajic.2017.02.017 ◽

2017 ◽

Vol 45 (9) ◽

pp. 940-945 ◽

Cited By ~ 7

Author(s):

Deborah Patterson Burdsall ◽

Sue E. Gardner ◽

Thomas Cox ◽

Marin Schweizer ◽

Kennith R. Culp ◽

...

Keyword(s):

Long Term Care ◽

Nursing Assistant ◽

Term Care ◽

Certified Nursing Assistant

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Neuroadaptive Controller for Physical Interaction With an Omni-Directional Mobile Nurse Assistant Robot

Volume 10: 44th Mechanisms and Robotics Conference (MR) ◽

10.1115/detc2020-22501 ◽

2020 ◽

Author(s):

Mohammad N. Saadatzi ◽

Shamsudeen Abubakar ◽

Sumit Kumar Das ◽

M. Hossein Saadatzi ◽

Dan Popa

Keyword(s):

Online Learning ◽

Robot Dynamics ◽

Physical Interaction ◽

Nursing Assistant ◽

Simulation Environment ◽

Patient Handling ◽

Safe Patient Handling ◽

Nurse Assistant ◽

Control Scheme ◽

Mobile Base

Abstract Robot-assisted healthcare could help alleviate the shortage of nursing staff in hospitals and is a potential solution to assist with safe patient handling and mobility. In an attempt to off-load some of the physically-demanding tasks and automate mundane duties of overburdened nurses, we have developed the Adaptive Robotic Nursing Assistant (ARNA), which is a custom-built omnidirectional mobile platform with a 6-DoF robotic manipulator and a force sensitive walking handlebar. In this paper, we present a robot-specific neuroadaptive controller (NAC) for ARNA’s mobile base that employs online learning to estimate the robot’s unknown dynamic model and nonlinearities. This control scheme relies on an inner-loop torque controller and features convergence with Lyapunov stability guarantees. The NAC forces the robot to emulate a mechanical system with prescribed admittance characteristics during patient walking exercises and bed moving tasks. The proposed admittance controller is implemented on a model of the robot in a Gazebo-ROS simulation environment, and its effectiveness is investigated in terms of online learning of robot dynamics as well as sensitivity to payload variations.

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ONE-TWO PUNCH OF HIGH WAGES AND EMPOWERING PRACTICES FOR MAINTAINING CARE NETWORKS IN NURSING HOMES

Innovation in Aging ◽

10.1093/geroni/igz038.2068 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S559-S560

Author(s):

Katherine Kennedy ◽

John R Bowblis ◽

Katherine M Abbott

Keyword(s):

Retention Rate ◽

Retention Rates ◽

Nursing Assistant ◽

Certified Nursing Assistant ◽

Facility Level ◽

High Level ◽

Relationship Of ◽

The Relationship ◽

Linear Regressions

Abstract Stabilizing certified nursing assistant (CNA) employment is necessary for maintaining care networks and providing high quality of care for nursing home (NH) residents. This study’s objective was to examine the relationship of high wages and empowerment practices on CNA retention. We used the 2015 Ohio Biennial Survey to construct a facility-level dataset of 547 NHs and estimated multivariable linear regressions. NHs that provided both high wages and high empowerment were associated with a 12.95 percentage-point improvement in the CNA retention rate (SE = 4.53, t-value = 2.86, p = 0.0045). High wages and a high empowerment score did not have significant effects individually (p > .05). Retention rates were similar between NHs that lacked high wages and scored low on the empowerment scale, and NHs that provided one at a high level but not the other. Implications for better retaining CNAs require multiple empowerment practices combined with high hourly wages.

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