Relevant bibliographies by topics / Nursing Assistants / Dissertations / Theses
To see the other types of publications on this topic, follow the link: Nursing Assistants.

Dissertations / Theses on the topic 'Nursing Assistants'

Author: Grafiati
Published: 4 June 2021
Last updated: 29 March 2025

Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles

Select a source type:

Consult the top 50 dissertations / theses for your research on the topic 'Nursing Assistants.'

Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.

You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.

Browse dissertations / theses on a wide variety of disciplines and organise your bibliography correctly.

1

Hughes, Susan D. "Participatory Management and Absenteeism and Turnover of Nursing Assistants in Nursing Homes." Thesis, University of North Texas, 2019. https://digital.library.unt.edu/ark:/67531/metadc1609104/.

Full text
Abstract:
Nursing assistants (NAs) provide the majority of daily care to older adults in nursing homes (NHs); NAs working in NHs are the focus of this study. This study examined the influence of participatory management (the independent variable), and mediating variables, burnout – measured as emotional exhaustion, task performance, and affective organizational commitment, on NA withdrawal behaviors (the dependent variables absenteeism and turnover). Most of the data come from a 113-item self-administered questionnaire designed to measure NAs' perceptions of their job and work environment. Turnover data were collected from the NA's NH, on average about 16 months later. The two dependent variables were examined in separate analyses with the samples consisting of 246 participants for the absenteeism analysis and 244 for the turnover analysis. Data were analyzed using SPSS 25 and PROCESS 3.3, an SPSS macro add-in. Both ordinary least squares and logistic binary regression were used to examine the associations between variables. The results indicated that participatory management had statistically significant indirect effects on both outcomes. There were two significant mediation results for absenteeism: 1) participatory management increased NA task performance, which, in turn, decreased absenteeism and, 2) participatory management also decreased NA burnout, which, in turn, increased their performance and decreased absenteeism. There were four significant mediation results for turnover: 1) participatory management increased NA attachment to the NH, which, in turn, decreased turnover, 2) participatory management improved NAs' perceptions of their job performance, which, in turn, increased their turnover, 3) participatory management tended to decrease NA burnout, which, in turn, tended to increase attachment to the NH, and, then, tended to decrease turnover, and 4) participatory management tended to decrease NA burnout, which, in turn, tended to increase task performance, and, then, tended to increase turnover. These findings broaden the research on NAs' withdrawal behaviors and demonstrate the need to further explore this hypothesized model.
APA, Harvard, Vancouver, ISO, and other styles
2

Fisher, Lucille T. "The body/work nexus: The work of nursing assistants in nursing homes." Diss., Search in ProQuest Dissertations & Theses. UC Only, 2007. http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&res_dat=xri:pqdiss&rft_dat=xri:pqdiss:3261253.

Full text
APA, Harvard, Vancouver, ISO, and other styles
3

Jones, Cheryl. "Certified Nursing Assistants' Experiences Regarding Resident-to-Resident Bullying in Nursing Homes." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1541.

Full text
Abstract:
Elder bullying is on the rise and occurs in many contexts such as senior living communities and nursing homes, causing concern for the well-being of the residents by families, staff, themselves, and society in general. Although research has been limited, it does reveal that resident-to-resident bullying in nursing homes is a problem warranting further scholarly attention. The purpose of this study was to investigate the experiences of certified nursing assistants (CNAs) regarding resident-to-resident bullying in nursing homes. The theory of reasoned action and the theory of reflective equilibrium provided a conceptual lens from which to explore and describe the importance of the CNAs' attitudes and behavior when recognizing, observing, and addressing bullying incidences. A phenomenological research design was employed. Using open-ended questions, 10 CNAs were individually interviewed. One major discovery of the study was that 100% of the CNAs interviewed indicated that they experienced resident-to-resident bullying and that it was a major problem in the nursing home. The findings of this study presented many possibilities for positive social change across all levels, from individuals and families to nursing home organizations and society as a whole, but most importantly, it increased awareness about bullying across nursing homes as the ultimate goal was for the improvement on the quality of life experienced by residents in nursing homes.
APA, Harvard, Vancouver, ISO, and other styles
4

Halifax, Elizabeth. "How certified nursing assistants understand their residents' pain." Thesis, University of California, San Francisco, 2013. http://pqdtopen.proquest.com/#viewpdf?dispub=3599383.

Full text
Abstract:

Pain is a significant problem for nursing home residents. Pain assessment is complicated by the high prevalence of cognitive loss in this population. Because licensed nurse (LN) staffing levels are low in nursing homes, the majority of resident care is performed by certified nursing assistants (CNAs) who do not have formal training or skills to assess or manage pain. CNAs' role in the assessment and management of pain in nursing home residents is not well understood, because few studies have explored this issue.

To address this gap in our knowledge, a qualitative study using Grounded Theory Methodology was undertaken. The study was conducted at two skilled nursing facilities: Memory Care Units within a large county run hospital and at a 99 bed for-profit corporate owned facility. Twenty-six individuals were interviewed (16 CNAs and 10 LNs) using semi-structured interview guides. CNAs were asked about their experiences caring for residents in pain. LNs were asked about how they perceived CNAs' role in pain management. Interviews were transcribed verbatim and analyzed using grounded theory constant comparative methods.

Both CNAs and LNs perceived that CNAs had a role in the pain management of nursing home residents. CNAs' recognized pain by using techniques of asking and listening and by observing behaviors. They distinguished pain that they considered normal (everyday pain) from pain that they reported to LNs. As well as reporting pain, they responded to residents who had pain by performing resident-centered care, giving physical care and providing attention to distract residents from their pain. Their ability to do this work was founded on their understanding of pain as multidimensional and their intimate knowledge of individual residents. They described their knowledge of residents as being informed by two types of knowing: working knowledge and knowing residents as individuals. Contextual factors that both promoted and hindered CNAs having a role in pain management were identified. These factors included CNAs' individual skills and experience, low levels of staffing, and working more than 40 hours a week. From this understanding of CNAs' role in pain management, implications for clinical practice and research are identified.

APA, Harvard, Vancouver, ISO, and other styles
5

Webb, Melessia D. "“Innovations in Service Education: Promoting our Nursing Assistants”." Digital Commons @ East Tennessee State University, 2002. https://dc.etsu.edu/etsu-works/8500.

Full text
APA, Harvard, Vancouver, ISO, and other styles
6

Dill, Janette Marshall Victor W. "Supervision, job satisfaction, and retention among nursing assistants." Chapel Hill, N.C. : University of North Carolina at Chapel Hill, 2008. http://dc.lib.unc.edu/u?/etd,1926.

Full text
Abstract:
Thesis (M.A.)--University of North Carolina at Chapel Hill, 2008.
Title from electronic title page (viewed Dec. 11, 2008). "... in partial fulfillment of the requirements for the degree of Master of Arts in the Department of Sociology." Discipline: Sociology; Department/School: Sociology.
APA, Harvard, Vancouver, ISO, and other styles
7

Sargsyan, Alex. "Animal Assistants in Healthcare." Digital Commons @ East Tennessee State University, 2021. https://dc.etsu.edu/etsu-works/8512.

Full text
APA, Harvard, Vancouver, ISO, and other styles
8

Rodriguez, Elizabeth P. "Curriculum development for nursing assistants| Pressure ulcer prevention module." Thesis, California State University, Long Beach, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1570853.

Full text
Abstract:

Pressure ulcers (PUs) remain a relatively common and potentially serious health issue among the elderly in any healthcare setting and have been associated with high mortality and morbidity rate. A low incidence of PUs is highly desirable and is considered as an indication of quality care by patients, caregivers, and regulatory authorities on both the state and federal levels.

Nursing assistants play an integral role in the direct patient care; ongoing training and educational opportunities about pressure ulcer prevention are very important in maintaining their skill, motivation and knowledge. Research findings showed that staff education with reinforcement is the key in decreasing prevalence and incidence of pressure ulcer. This educational curriculum was designed to increase nursing assistants' knowledge about pressure ulcer prevention among elderly in long-term care.

APA, Harvard, Vancouver, ISO, and other styles
9

Norris, Tamala. "Workplace Violence Among Nurses and Nursing Assistants in Texas." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5510.

Full text
Abstract:
Workplace violence (WPV) is ranked as one of the leading causes of occupational injury in the United States and is common in health settings. Nurses have the highest rate of violent victimization reported in the U.S., thus presenting a significant issue for healthcare leaders. Various researchers focus on prevalence rates of WPV among nurses discussing types of violence, location, and the setting where the WPV occurred. Less information exists regarding time taken off work and factors associated with WPV among nurses versus nursing assistants (NAs). This information is important due to the impact on safe work environments for nursing employees. The research questions for the study examined the prevalence of WPV and time taken off work among nurses compared to NAs. The study employed a retrospective secondary analysis of data collected by the Bureau of Labor Statistics, from 2011 to 2014, of nurses and NAs in the State of Texas. Multivariate analysis, partial correlation statistical test, and partition of the sum of squares (ANOVA) determined that NAs experienced more incidents of WPV and spent more time away from work due to injuries than nurses. The study was limited because the data did not provide clear indications of environmental factors that led to the injuries, nor did data related to the culture of the working environments and injuries exist. A recommendation for future research is evaluation of the impact of WPV on productivity, patient safety, and quality of care when nurses continue to work or return to work after experiencing WPV. Results of the study reveal the differences in injuries between the two groups and factors impacting the injuries. This information is important for social change as healthcare leaders evaluate opportunities to create a safe working environment for their staff and provide additional resources for nurses to prevent WPV incidents.
APA, Harvard, Vancouver, ISO, and other styles
10

Harris, Chelsia D. "COMPASSION FATIGUE AND DAILY SPIRITUAL EXPERIENCE AMONG NURSING ASSISTANTS WORKING IN NURSING CARE FACILITIES." Case Western Reserve University Doctor of Nursing Practice / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=casednp1426085078.

Full text
APA, Harvard, Vancouver, ISO, and other styles
11

Rose, II James Michael. "Prayer as a Predictor for Burnout Among Psychiatric Nursing Assistants." ScholarWorks, 2020. https://scholarworks.waldenu.edu/dissertations/7732.

Full text
Abstract:
The psychiatric nursing assistants who care for psychiatric patients in inpatient hospitals, like others who work in the human service field, experience some degree of burnout during their careers. This research used Pargament’s theory of religious coping to examine prayer as a predictor variable for a decrease in burnout experienced by psychiatric nursing assistants. The Maslach Burnout Inventory-Human Services Survey and the Prayer Functions Scale were used to examine the predictor variables of prayer, gender, and years of service in correlation to the 3 dimensions of burnout. An N = 97 was obtained from the psychiatric nursing assistant population from a designated state psychiatric hospital. The data collected were processed through simultaneous multiple linear regression analysis in order to determine if correlates for burnout among the predictor variables existed. The results of this research suggested that prayer, gender, and years of service are predictor variables for the 3 dimensions of burnout. This study can aid in finding better adaptive coping skills among the psychiatric nursing assistants population, which could reduce burnout and negative effects associated with it.
APA, Harvard, Vancouver, ISO, and other styles
12

Enzinger, Iwona Halina. "Teamwork Perceptions of Nurses and Nursing Assistants in a Community Hospital." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4512.

Full text
Abstract:
Teamwork in healthcare is recognized as a significant factor in achieving patient safety and impacting patient outcomes. Despite the general focus on teamwork in healthcare, there has been little research on teamwork among nurses and nursing assistants working on patient care units. The purpose of this doctoral project was to identify, compare, and analyze perceptions of teamwork in a group of nurses and nursing assistants in a community hospital setting where the TeamSTEPPS program has been implemented. The framework of this project was the concept of shared mental model and Imogene King's conceptual system and middle-range theory of goal attainment. Teamwork perceptions were measured using the TeamSTEPPS Teamwork Perceptions Questionnaire (T-TPQ), which is composed of five constructs: (a) team structure, (b) leadership, (c) situation monitoring, (d) mutual support, and (e) communication. Sixty-three nurses and 42 nursing assistants participated in the study. There was a significant difference between nursing assistants and staff nurses with respect to the Total T-TPQ mean score (4.03 and 4.26, respectively; p < 0.03), leadership (4.11 and 4.44, respectively; p < 0.01), and communication (4.13 and 4.35, respectively; p < 0.04). Nurses had a higher level of agreement than nursing assistants for Total T-TPQ, leadership, and communication. The results underscore the need to close the gap between nursing assistants' and nurses' perceptions of teamwork. Hospital and nursing leaders should make significant efforts to improve teamwork to build cohesive and highly functional nursing teams that can improve patient safety and thus create lasting social change.
APA, Harvard, Vancouver, ISO, and other styles
13

Siegel, Elena Ohanian. "An ethnographic approach to understanding the nurse's role as supervisor of nursing assistants in nursing homes /." Thesis, Connect to this title online; UW restricted, 2006. http://hdl.handle.net/1773/7203.

Full text
APA, Harvard, Vancouver, ISO, and other styles
14

Patterson, Jennifer. "Nurse Supervisors and Certified Nursing Assistants: Leadership Characteristics and Job Satisfaction." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5583.

Full text
Abstract:
Significant costs are associated with the turnover rate of certified nursing assistants (CNAs) in skilled nursing facilities (SNFs), and turnover impacts the quality of care for residents of the SNFs through disruption of care. The purpose of this quantitative cross-sectional study was to identify the leadership characteristics of supervisors most associated with the job satisfaction (JS) of CNAs in SNFs. Herzberg's dual factor theory was used as the theoretical framework to explain the relationship between the leadership characteristics and the associated JS. The research question was used to examine the independent variables of trust, teamwork, supportive supervision, leader-follower relationships, and empowerment of supervisors in SNFs that help predict the dependent variable, JS of CNAs. A random sampling of the population of CNAs from 120-bed SNFs located in Florida completed online surveys that included the Organizational Trust Inventory, the Conditions for Work Effectiveness Questionnaire II, and the Benjamin Rose Nurse Assistant Job Satisfaction Scale. Multiple linear regression was used to analyze data to determine the effects of the leadership characteristics on the JS of CNAs in SNFs. Results indicated that the increased levels of trust negatively impact the JS of the CNAs, whereas increased levels of empowerment increase JS. Implementing strategies to address the needs of CNAs positively impacts society by improving the lives of the workers and increasing CNA retention, thus improving the lives of vulnerable members of society through enhanced quality of care.
APA, Harvard, Vancouver, ISO, and other styles
15

White, Mary Kathryn. "Certified nursing assistants' feelings of preparedness in caring for nursing home residents at the end of life." Laramie, Wyo. : University of Wyoming, 2007. http://proquest.umi.com/pqdweb?did=1445048331&sid=8&Fmt=2&clientId=18949&RQT=309&VName=PQD.

Full text
APA, Harvard, Vancouver, ISO, and other styles
16

Wike, Christopher L. Wircenski Jerry L. "Intent to quit perceptions of nursing assistants working in Oklahoma state veterans administration-owned and administered nursing homes." [Denton, Tex.] : University of North Texas, 2007. http://digital.library.unt.edu/permalink/meta-dc-3903.

Full text
APA, Harvard, Vancouver, ISO, and other styles
17

Wike, Christopher L. "Intent to quit perceptions of nursing assistants working in Oklahoma state veterans administration-owned and administered nursing homes." Thesis, University of North Texas, 2007. https://digital.library.unt.edu/ark:/67531/metadc3903/.

Full text
Abstract:
The purpose of this study was to examine a select set of organizational variables and determine their relationship to nursing assistants' intentions to quit in state-owned veterans' long-term care facilities located across the United States. America's long-term care industry (e.g., nursing homes, assisted living facilities) is a multibillion dollar industry. Because the U.S. government is projecting a 250% increase in the elderly population, staffing these nursing homes and related facilities is a critical concern. A vitally important but often overlooked factor of the long-term care industry is employee turnover. Of the staff in long-term care facilities, the nursing assistant (NA) position is particularly susceptible to turnover. Approximately 80% of NAs who enter the workforce leave within the 1st year and many leave within the first 3 months of employment. Some facilities report that they are unable to accept new residents because of a lack of qualified NAs. While many studies have researched this issue, staff turnover in long-term care facilities remains a serious and widespread problem. This study provides a foundation for future research related to the perceptions of intentions to quit of nursing assistants (NAs) working in state-owned veterans long-term care facilities by providing primary data regarding NAs intentions to quit. Results of this study indicate that NA intentions to quit might be reduced provided that pay and rewards are increased, workplace violence is addressed, and better access to patient care plans is provided. This research is useful to state-owned and operated long-term care facilities by giving them additional insights into nursing assistants' intentions to quit perhaps resulting in lower rates of turnover. It is suggested that future research be performed using populations of individuals from other segments of the long-term care industry, mainly, for-profit institutional care nursing homes, and federally owned veterans long-term care facilities.
APA, Harvard, Vancouver, ISO, and other styles
18

Hayden, Deanna Joan, and L. Lee Glenn. "Autonomy of Certified Nurse Assistants and Nursing Guidelines: A Comment on Verkaik (2011)." Digital Commons @ East Tennessee State University, 2011. https://dc.etsu.edu/etsu-works/7509.

Full text
APA, Harvard, Vancouver, ISO, and other styles
19

Page, Christen G. "Perception and Use of Communication Care Plans by Certified Nursing Assistants in Nursing Homes: The Role of Professional Support." UKnowledge, 2015. http://uknowledge.uky.edu/rehabsci_etds/28.

Full text
Abstract:
The majority of individuals in nursing homes have cognitive-communication impairments which impact quality of care because direct care providers, certified nursing assistants, (CNAs) are unsure how to respond to resident’s communication behaviors. One intervention that facilitates staff-resident communication in nursing homes is communication plans; however, the research to date about communication plans has not specifically involved CNAs. The purpose of this study, using a grounded theory qualitative approach, was to describe development, implementation and evaluation of communication care plans (CCPs) for residents with cognitive-communication impairments in nursing homes by CNAs who did and did not receive professional support. Communication care plans are communication plans with the addition of autobiographical information. Twenty residents and ten CNAs from two nursing homes participated in the study. Once CCPs were created, CNA participants in one facility received support each day. Following two weeks, CNAs participated in a semi-structured interview. Interviews were transcribed and analyzed using open, axial and selective coding. Findings revealed a core category, meeting resident’s needs through professional support and communication, which describes the progressive process these CNAs underwent to effectively communicate with residents in nursing homes using CCPs. Evolution of this process occurred as CNA participants became familiar with residents. An underlying component facilitating this familiarity was support during CCP implementation. Initially, these CNAs had negative views about nursing home care because they were unsure how to communicate with residents and received little support from higher levels of nursing authority. Over time and with application of CCPs, CNAs became familiar with residents and their communication behaviors. Application of specific communication strategies on CCPs required ongoing support from the investigator/speech-language pathologist which was evident by the comments between CNA participants from each facility. Participants from both facilities reported positive experiences during application of the autobiographical information on the CCPs. This personal information coupled with increased knowledge about resident’s specific communication abilities fostered the formation of a relationship between residents and CNAs. In summary, support during application of CCPs supplements CNAs’ abilities to meet residents’ needs.
APA, Harvard, Vancouver, ISO, and other styles
20

Metcalf, Ronald Carroll. "CERTIFIED NURSING ASSISTANTS IN LONG-TERM CARE FACILITIES: PERCEPTIONS OF THEIR INITIAL TRAINING PROGRAM." NCSU, 2002. http://www.lib.ncsu.edu/theses/available/etd-20020116-181100.

Full text
Abstract:

Metcalf, Ronald Carroll. Certified Nursing Assistants in long-term care facilities: Perceptions of their initial training program. (Under the direction of John M. Pettitt) Throughout the country, long-term care (LTC) facilities are faced with the challenge of providing residents with the essential care that this growing population deserves. One of the biggest challenges is the critical shortage of certified nursing assistants (CNAs) within the LTC industry. These essential frontline workers provide 90% of the care needed by residents living within these facilities. CNA training programs struggle to provide the LTC industry with well qualified care providers. This critical shortage is compounded by a career track that has maintained an excessively high turnover rate. Effective training programs could have a positive impact on this situation by preparing individuals with quality, realistic experiences during their initial training. Therefore, educators and regulatory agencies must be aware of the connection between the entire learning experience and the development of the CNA?s clinical care skills.Following an extensive literature review, a 45-item questionnaire was developed to determine if a relationship exists in the perceptions by the CNA of their initial training program and (1) the number of months since graduation; (2) the county they were employed; and (3) the type of state-approved training program they attended. The questionnaire was administered to 222 CNAs in eight LTC facilities within four counties of Western North Carolina.CNAs identified the instructor as having an important role related to the elements of effective teaching/learning. Interestingly, some CNAs felt that the length of the training program was ?too short? in relation to the skills needed to care for residents living in LTC facilities. Other CNAs reported that the ?clinical skills? was of most value to them, as related to the number of months since graduation. CNAs also identified components related to overall job satisfaction and the highest-ranking item was the ?ability to work as a team?; followed by the ?number of residents I care for each day?. This study will provide a foundation for future research in using an established questionnaire regarding CNA?s perceptions of their initial training and will provide individuals with the needed information to address job satisfaction for CNAs working in LTC facilities.

APA, Harvard, Vancouver, ISO, and other styles
21

Wilnerzon, Thörn Rose-Marie. "Nursing Assistants’ Perceptions of Physical Activity and Exercise among Older People : a Phenomenographic Study." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-16599.

Full text
Abstract:
Nursing assistants’, as frontline caregivers in the care of older people, have a unique opportunity to encourage physical activity and exercise in older people. Hence, the perceptions by these care providers of physical activity and exercise among older people are an essential factor. The aim of this study is to  describe how nursing assistants perceive physical activity and exercise for older people, over the age of 65, receiving home care and home help. Method: Data was collected through interviews with 19 nursing assistants, selected by strategic sampling and analysed using a phenomenographic approach. Results: The findings show two different perceptions of physical activity for the older people: “physical activity is to  move” described as everyday movements i.e. everyday activities and outdoors activities and “physical activity is to make an effort”, described as older people handling their day-to-day tasks and outdoor activities or struggling to be less inactive and performing healthy activities. Three different perceptions of exercise for the older people emerged: “exercise as physical activity”, described as movement performed, based on individual exercise programmes from the physiotherapist or through day-to-day tasks such as dressing, cleaning or shopping; “exercise as rehabilitation” described as part of the rehabilitation process or as a prescription to follow, and “exercise as an agent” described as enhancing the health and well-being of older people, principally related to mobility or enhancing the older people’s social activities. Conclusion: This study shows that there are a variety of perceptions of physical activity and exercise among nursing assistants which can be important for health professionals to be aware of, in order to provide targeted support. This study also shows two different approaches by nursing assistants towards older people: a health-promotion one and a preventive one; it would seem to be important to be aware of these approaches, if a shift towards promoting health and well-being should be implemented in the care of older people.
APA, Harvard, Vancouver, ISO, and other styles
22

Romo, Abel Javier. "An English for Specific Purposes Curriculum to Prepare English Learners to Become Nursing Assistants." Diss., CLICK HERE for online access, 2006. http://contentdm.lib.byu.edu/ETD/image/etd1407.pdf.

Full text
APA, Harvard, Vancouver, ISO, and other styles
23

Bonner, Alice F. "Certified Nursing Assistants’ Perceptions of Nursing Home Patient Safety Culture: Is There a Relationship to Clinical or Workforce Outcomes?: A Dissertation." eScholarship@UMMS, 2008. https://escholarship.umassmed.edu/gsn_diss/10.

Full text
Abstract:
Patient safety culture (PSC) is a critical factor in creating high reliability healthcare organizations. However, few studies to date have correlated PSC measures with actual safety outcomes. In particular, nursing home studies have only recently appeared in the literature. Nursing homes differ from hospitals in that the vast majority of direct care is provided by certified nursing assistants (CNAs), not licensed nurses. Thus nursing home PSC could differ in important ways from PSC in acute care institutions. This dissertation was a secondary data analysis that examined whether CNAs’ perceptions of patient safety culture were correlated with clinical outcomes in a random sample of 74 nursing homes in five randomly selected states. This study matched CNA PSC survey data using the Hospital Survey of Patient Safety Culture (HSOPSC) with Minimum Data Set (MDS), Area Resource File (ARF) and Online Survey Certification and Reporting (OSCAR) data from those same homes during the first two quarters of 2005. In the original study, 1579 nurse aides out of 2872 completed the survey, for a 55% response rate. In addition to clinical outcomes, this study examined the relationship between CNA PSC scores and staff turnover. The relationship between certain demographic variables, such as level of education, tenure as a CNA, and PSC scores was evaluated. The relationship between certain facility characteristics, such as profit status and bed occupancy was also assessed. An exploratory factor analysis of the original HSOPSC instrument was re-run for this nursing home CNA sample. Data were analyzed using Poisson regression and multilevel techniques; descriptive statistics were compiled for demographic data. Major findings from the regression analyses and combined GEE models suggest that certain factors, such as CNA turnover and LPN staffing may predict CNA PSC scores. CNA PSC scores were associated with rates of falls and restraint use, but were not associated with differences in pressure ulcer rates in this sample. Few associations for CNA PSC with individual subscales were identified. The exploratory factor analysis revealed some potential differences in how items and subscales factored in this nursing home CNA population. This dissertation represents an important step in the evaluation of CNA PSC in nursing homes and the relationship of PSC to safety outcomes. Future work on nursing home PSC and clinical and workforce outcomes is described.
APA, Harvard, Vancouver, ISO, and other styles
24

Ottmar, Hannah. "Resident Aggression, Job Satisfaction, and Organizational Citizenship Behaviors: Investigating the Effects of Certified Nursing Assistants’ Resilience." Xavier University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1531169122990941.

Full text
APA, Harvard, Vancouver, ISO, and other styles
25

Spilsbury, Karen. "Who cares? : a case study to explore health care assistants' jurisdiction in a hospital setting." Thesis, City University London, 2004. http://openaccess.city.ac.uk/8408/.

Full text
Abstract:
Changes to the work of registered nurses (RNs) has generated increasing concern about the ways in which HCAs are used and the basis for the division of nursing work tasks and roles. The theoretical and empirical foundations upon which these divisions lie are often weak. Empirical data are often lacking, or of sufficiently poor quality to be questioned. This thesis seeks to understand the division of work between HCAs and RNs in adult general care in one acute NHS hospital. The thesis makes use of an interactionist perspective to frame the study's examination of the micro-social processes surrounding the daily negotiation of HCAs' work. In doing so, connections are made to the wider (macro) processes that influence nursing work. An in-depth case study approach using documents, survey, interviews, focus groups and participant observation was used to collect data on the demographic and biographic characteristics of HCAs; their perceptions of their work; the nature of observed work; the ways in which their work is supervised; their interactions with other nurses; and RNs' perspectives of HCA work. National, professional and organisation policy expectations emphasise the HCA role as one of assisting RNs under their supervision. This study reveals significant deviation from these policy goals. The workplace arena - and the negotiations that take place in it — actively shapes HCAs' work and yet policy makers often appear to disregard this characteristic. Differing amounts of power associated with the occupational groups in hospitals influence the nature and outcome of work-related negotiations at the organisational level - the results of these negotiations are variable, and lead to dynamic patterns of use, non-use and misuse of the HCA resource. These patterns led to some unintended outcomes: a resentful workforce, the creation of gaps in the application of nursing care, and traditional quality assurance mechanisms left wanting.
APA, Harvard, Vancouver, ISO, and other styles
26

Morey, Sarah Louise. "Adaptation to patienthood : a grounded theory study on the contributions of Healthcare Assistants towards the patient experience." Thesis, Northumbria University, 2016. http://nrl.northumbria.ac.uk/36110/.

Full text
Abstract:
Background: The healthcare assistant (HCA) workforce delivers much of the fundamental care across both health and social care and is therefore in a unique position to influence the patient experience. To date, there has been little qualitative research that explores the HCA role from the perspective of the patient. Research Aim: The research set out to explore, and generate a theoretical understanding of, the role of the HCA from the patient perspective within secondary care. Research Design This study explores patients’ perceptions of the role of the HCA within secondary care. Ethical approval was granted in May 2014. Data were collected in a large teaching hospital in North East England between 2014 and 2015. Employing constructivist grounded theory, twenty patient interviews were coded and analysed. Three later interviews were added for depth to the findings. Findings: Four core categories emerged from the data: · Expectation Participants entered the healthcare environment with varying expectations but told a largely positive story about their experiences, reframing negative episodes within an overall positive narrative. This reframing may indicate participants were indirectly reinvesting in staff for their future care needs. · Observation: Some participants worked out “who was who” through observation, often associating tasks with uniform. Where jurisdiction and performance of the HCA was not as expected, this sometimes made participants more vigilant. · Meaningful connections Meaningful connections involved comfort and consideration from staff and humorous interactions between participants and HCAs. These connections contributed to the patienthood experience and were employed as a trading strategy, to cement relationships and overcome difficult circumstances. · Adaptation Participants worked out when to ask for help, recognising their dependency on staff availability and desire not to be labelled a nuisance. Conclusion: In conclusion, education and development for HCAs that enhances understanding of roles and performance and their impact on relationships with patients would enhance the patient experience. Implications Investigation of the negative patient episodes hidden within reframed positive narratives would inform future policy and educational initiatives.
APA, Harvard, Vancouver, ISO, and other styles
27

Kneafsey, Rosie. "An exploration of the contribution of nurses and care assistants to patients’ mobility rehabilitation." Thesis, University of Birmingham, 2012. http://etheses.bham.ac.uk//id/eprint/3242/.

Full text
Abstract:
Aim of the thesis: To report on a study to describe and explain the contribution of registered nurses’ and care assistants’ to hospitalised patients’ mobility rehabilitation. Background: Studies internationally have shown that older adults often experience a decrease in their ability to mobilise during and after hospitalisation. Rehabilitation nursing interventions could be important in maximising the functional abilities of this population. Methods: A grounded theory approach structured data collection and analysis. Data were derived from three hospital settings (general rehabilitation, spinal injuries and stroke rehabilitation) and included 39 staff interviews and 61 hours of observation. Findings: Mobility rehabilitation is an ‘embedded activity’ and is achieved indirectly when nurses and care assistants transfer patients safely from one place to another. These events are described as ‘A to B transfers’. Practitioners perceive distinct differences in the process and purpose of ‘A to B’ transfers in comparison to ‘therapeutic handling’ activities undertaken by physiotherapists and occupational therapists. The core category for the grounded theory (Care to keep safe: Safe to care) is used to explain the findings. Conclusion: Theoretically, the nursing team could implement more structured intentional strategies’ to promote patients’ mobility rehabilitation. However, teamworking arrangements and work environments do not facilitate this.
APA, Harvard, Vancouver, ISO, and other styles
28

Slay, Thomas A. "Intrinsic and Extrinsic Factors Affecting Job Satisfaction of Nursing Assistants in Two Long-Term Care Facilities." University of Cincinnati / OhioLINK, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1100799057.

Full text
APA, Harvard, Vancouver, ISO, and other styles
29

Curran, John. "Visible and invisible care : an anthropological study of nursing assistants on a psychatric ward in London." Thesis, Goldsmiths College (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.434344.

Full text
APA, Harvard, Vancouver, ISO, and other styles
30

Ryosho, Natsuko. "Job and Personal Resources and Demands: The Effects on Job Satisfaction and Job Search Behavior of Certified Nursing Assistants (CNAs) Working in Nursing Homes." VCU Scholars Compass, 2010. http://scholarscompass.vcu.edu/etd/2062.

Full text
Abstract:
The purpose of the current study was to examine how job resources, job demands, personal resource, personal demands, and demographic characteristics predict job satisfaction and job search behavior of certified nursing assistants (CNAs) working in nursing homes. The study used data from the 2004 National Nursing Assistant Survey (NNAS). The job demands-resources (JD-R) model (Demerouti, Bakker, Nachreiner, & Schaufeli, 2001) provided the basis for the conceptual framework of the study. First, a series of multinomial logistic regression analyses were performed to determine how the five categories of predictor variables predicted the levels of job satisfaction among CNAs. Next, a series of binary logistic regressions was used to assess the effects of the predictor variables on job search behavior. Lastly, binary logistic regression was used to examine the effect of job satisfaction on job search behavior, controlling for other predictor variables. Findings indicated that job resource variables related to positive administrative climate, opportunity for self-advancement, supportive supervisory practices, peer support, and positive interactions with residents predicted job satisfaction. Among job demand variables, lack of perceived respect and physical demands significantly and negatively predicted job satisfaction. In the job search behavior model, CNAs who reported respectful administrative climate, opportunity for self-advancement, and supervisor quality were less likely to search for a new job. Among job demand variables, perceived lack of respect/appreciation for work, perceived racial/ethnic discrimination, and problems with scheduling predicted job search behavior. When the job satisfaction variable was entered into the final job search behavior model, two variables became insignificant: supervisor quality and perceived lack of respect/appreciation for work. In the final model, job satisfaction had the strongest explanatory power of job search behavior. The findings of this study did not support the role of personal resources and demands in determining job attitudes and behavior of CNAs working in nursing homes. Research, education, policy, and practice implications are addressed.
APA, Harvard, Vancouver, ISO, and other styles
31

Holsinger, Amanda Joy Toscano. "Are Nutrition and Food Security Concerns a Priority of Certified Nursing Assistants in Work and Family Environments?" Thesis, Virginia Tech, 2002. http://hdl.handle.net/10919/31932.

Full text
Abstract:
Certified Nursing Assistants (CNAs) are responsible for the care of Americaâ s aging population. CNAs are paid a miniscule amount of money and are often ineligible for medical benefits through their employers. CNAs bathe, change, feed, and help toilet the residents of long-term care facilities. The stressful work and personal lives of CNAs leads to many problems such as high turnover rates, absenteeism, health problems, and elder abuse. In the United States, food insecurity is a concern for many of the uninsured working poor. The purpose of this study was to assess the overall perceived concerns, barriers, and solutions of CNAs in both their work and family environments, identify where nutrition and food security fits into the priorities of CNAs, and identify educational strategies to improve their health and overall quality of life. Twenty-nine CNAs participated in six focus groups across the state of Virginia. Triangulation techniques were used to compare both qualitative (focus groups) and quantitative (participatory activities and questionnaires) research. Participatory activities showed that the top home concern of CNAs was money management. CNAs ranked keeping their family healthy fourth (9.6%), and they ranked preparing fast easy meals eighth (1.7%). The top work concern of CNAs was time management. Staying healthy at work ranked fourth (12.9%), while packing a nutritious lunch was sixth (3.4%). The preferred methods of education for the participants were watching videotapes, attending classes at a central location, and having a mentor to help them with their problems.
Master of Science
APA, Harvard, Vancouver, ISO, and other styles
32

Morin, Sheila Kenny. "Certified nursing assistants' satisfaction with education and training programs in long-term care facilities: A Massachusetts study." CSUSB ScholarWorks, 1994. https://scholarworks.lib.csusb.edu/etd-project/946.

Full text
APA, Harvard, Vancouver, ISO, and other styles
33

Kale, Wendy M. "Use of a performance feedback package to modify behaviors of certified nursing assistants in a psychiatric facility." Scholarly Commons, 2007. https://scholarlycommons.pacific.edu/uop_etds/2688.

Full text
Abstract:
Research has shown the verbal and physical aggression committed against certified nursing assistants (CNAs) by clients in psychiatric settings is a problem in need of attention and that often the behaviors of the CNAs may provoke or exacerbate these attacks. Research also shows that performance feedback improves behavior in many settings. This study sought to evaluate the efficacy of a performance feedback treatment package on altering behaviors of 12 CNAs and reducing violent interactions in a psychiatric facility using a multiple baseline across participants design. The intervention provided performance feedback, antecedents, goal setting, and behavioral consequences. Data evaluation included visual inspection and t-tests. As hypothesized, the performance feedback treatment package was found to be an efficacious method of causing clinically significant changes in inappropriate and appropriate behaviors, resulting in more a professional direct-care staff. The package was also associated with a decrease in incidents of violence within the facility.
APA, Harvard, Vancouver, ISO, and other styles
34

Henderson, Maureen. "Making meal times better for those with a dementia : the impact on nursing home residents and health care assistants of a feeding assistance training programme." Thesis, University College London (University of London), 2012. http://discovery.ucl.ac.uk/1354621/.

Full text
Abstract:
This project evaluates the effectiveness and impact of a feeding assistance programme ‘Making Meal Times Better for those with a Dementia’ (MMB) supported by five sixty minute health professional led support forums as compared to a three hour MMB standalone version and control conditions for health care assistants (HCAs) working with residents with a dementia and oral feeding difficulties. Outcomes were evaluated for 90 participating health care assistants and 451 observed meal times across three nursing homes. Measures of staff knowledge, competency, attitudes and daily care practices were measured using self completion questionnaires alongside observations of the quality of and adequacy of mealtime feeding assistance pre- and five months post intervention, using purposive sampling. HCAs who participated in support forums maintained significantly better knowledge and competency scores five months following training compared to those who received the stand-alone three hour MMB training programme and control conditions. Observations of mealtimes revealed that the nursing home exposed to greatest duration of training demonstrated most improvement in the provision of quality feeding assistance: actively identifying and providing targeted feeding assistance to those residents deemed at risk of malnutrition and relocating more residents into the communal dining room. Beneficial changes were accompanied by a significant reduction in social stimulation. Control conditions demonstrated several changes in feeding behaviours which may be attributed to attempts to increase oral intake without sufficient training. Training increased the food consumption of those residents at risk of malnutrition but did not increase food consumption overall or the high levels of stress and guilt experienced by HCAs. Lack of social cueing and less than five minutes of feeding assistance were correlated with increased risk of malnutrition across nursing homes. A paucity of HCA documentation of oral intake in medical records suggests an organisational barrier to the translation of HCA knowledge to the wider healthcare team.
APA, Harvard, Vancouver, ISO, and other styles
35

Kinsella, Cheyenne. "Strategies that Influence Retention Rate in Ohio Nursing Home State Tested Nurse Aides." Miami University / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=miami1590929444739033.

Full text
APA, Harvard, Vancouver, ISO, and other styles
36

Silva, Nishala Iroshini. "LEARNING STYLES, DEMOGRAPHICS, AND ACHIEVEMENT OF NURSING ASSISTANT STUDENTS IN ILLINOIS: IS THERE A RELATIONSHIP?" OpenSIUC, 2014. https://opensiuc.lib.siu.edu/dissertations/972.

Full text
Abstract:
The relationship between learning styles and achievement has been thoroughly studied by many researchers. However, the nursing assistant population is under represented in these studies. Hence, the purpose of this study was to understand the relationship between learning styles, demographics, and achievement of nursing assistant students in Illinois. The sample for the study consisted of 916 nursing assistant students' in Illinois. The VARK learning style inventory was used to measure the students' learning styles, and a demographic questionnaire was used to gather demographic data. The Illinois Nurse Aide Competency Test score was used to measure the achievement of students. The findings showed that there was a relationship between learning styles and achievement of nursing assistant students. Also, there was a relationship between demographics and learning styles. The dominant learning style was the multimodal all four (VARK) preference. Females were the highest representation in the sample and the majority of students were in age ranges 18-25.
APA, Harvard, Vancouver, ISO, and other styles
37

Burns, Shirley Ann. "Perceptions and experiences of Practice Nurses and Health Care Assistants following the introduction of the HCA role into General Practice." Thesis, Edinburgh Napier University, 2012. http://researchrepository.napier.ac.uk/Output/5685.

Full text
Abstract:
A longitudinal constructivist grounded theory study was undertaken in Scotland with the aim of exploring the on-going perceptions and experiences of HCAs and PNs withinGeneral Practice following the introduction of the HCA role. Data collection and constant comparative analysis took place within two contrasting regions in Scotland over a two year period with each participant. An emergent theory oF HCA role growth and identity was identified.
APA, Harvard, Vancouver, ISO, and other styles
38

Ribeiro, Maria Inês Lemos Coelho. ""A teoria, a percepção e a prática do relacionamento interpessoal"." Universidade de São Paulo, 2005. http://www.teses.usp.br/teses/disponiveis/22/22131/tde-07032006-105727/.

Full text
Abstract:
O presente estudo tem como objetivos investigar junto a pacientes de clínica médica, cirúrgica e psiquiátrica sua compreensão sobre Relacionamento Interpessoal, qual a importância desta habilidade, como ela ocorre entre os técnicos e auxiliares de enfermagem com os pacientes das referidas clínicas, o motivo que os levou a este relacionamento e a freqüência desta interação. A metodologia adotada foi a descritivo-exploratória na abordagem qualitativa. O estudo foi realizado em dois hospitais que atendem pacientes conveniados ao Sistema Único de Saúde (SUS), em Passos, Minas Gerais, sendo um hospital geral com clínicas médica e cirúrgica e o outro um hospital psiquiátrico. Fizeram parte do estudo oitenta e sete (87) pacientes dos quais quinze (15) foram submetidos à uma entrevista prévia e setenta e dois (72) foram observados por observadores treinados que a prática da habilidade descrita acima desenvolvida pelos técnicos e auxiliares de enfermagem referidos. Os resultados das entrevistas apresentaram a visão dos pacientes de como são tratados pelos técnicos e auxiliares de enfermagem que trabalham nos referidos hospitais, os conteúdos de suas conversas com esses profissionais, como essas conversas os ajudam, seus sentimentos, o que mais valorizam para o seu bem estar e suas sugestões para melhorar a assistência de enfermagem. Evidenciouse que apesar dos pacientes relatarem que são bem tratados, suas falas levam ao entendimento de que eles evitam fazer comentários negativos da assistência por medo de serem mal tratados e também por medo de ofender os profissionais. As conversas que ocorreram foram breves, superficiais e mecânicas. Constatou-se a predominância por parte dos técnicos e auxiliares de enfermagem em realizar as técnicas, deixando evidente sua formação instrumental, não sendo incluído nesta o relacionamento interpessoal como técnica. Ficou claro seu despreparo para se comunicarem ou se relacionarem com os pacientes, apesar desses relatarem que um dos fatores que mais influenciam em seu bem estar é o relacionamento interpessoal.
The objective of this present study was to investigate the relationship among patients from medical, surgical and psychiatrist clinics, their understanding about this subject, what is the importance of this hability, how it happens between nursing technicians and nursing assistants and the patients from those clinics, the reason that these professionals decided to apply this relation and how often it has been applied. The metodology adopted was the exploratory – descriptive with qualitative research. The study was performed in a psychiatrist hospital and in a hospital where there were medical and surgical clinics. Both of hospitals attend patients connected to Basic Heath Units, in Passos, Minas Gerais. 87 patients participated in this study, 15 of them were interviewed and 72 patients were observed by trained observers. The results of these interviews related what the patients really think about the way they are treated by the nursing technicians and the nursing assistants that work at those hospitals, and the content of their talks with those professionals, how these talks help them, their feelings, their well being and their suggestions to improve the nursing assistance. Even though the patients reported that they are well treated by the nursing technicians and the nursing assistants it was realized that they tend to avoid making negative comments about the assistance afraid of offending the professionals and being bad treated by them. The talks were brief, superficial and mechanic. It was showed the predominance / willingness of those nursing technicians and assistants in appling the technics, their instrumental formation clearly. Relationship was not include as a technic. What it was also clear was that they were not prepared to communicate or to have a relationship with those patients, even though the patients say relationship is one of the reasons that most brought them their well being.
APA, Harvard, Vancouver, ISO, and other styles
39

Heath, Hazel B. M. "The work of registered nurses and care assistants with older people in nursing homes : can the outcomes be distinguished?" Thesis, Brunel University, 2006. http://bura.brunel.ac.uk/handle/2438/6378.

Full text
Abstract:
The need for Registered Nurses (RNs) in the long-term care of older people is being questioned, particularly in the context of nursing shortages, while suggestions for 'professionalising' Care Assistant (CA) roles are emerging. Despite ongoing debates about the importance of their work, research has so far been unable to provide an evidence-base for the outcomes of the work of either RNs or CAs in UK care homes. Using a multi-method interpretive approach, adopting a structure-process-outcome framework and grounded in the philosophical hermeneutics of Hans-Georg Gadamer, this qualitative research sought to illuminate the distinct contributions made by RNs and CAs to outcomes for older people in care homes. RNs and CAs from around the UK contributed 'significant' examples of their work for Phase 1 of the study and Phase 2 comprised researcher fieldwork (observation, interviews and documentary analysis) in three care homes around England. Participants included RNs, CAs, older residents, relatives, home managers and professionals working in the homes. The findings offer a rich and detailed analysis of the realities of the work, much of which takes place 'behind closed doors' and has been described to a limited extent in the literature. They suggest that the CAs' daily support helps residents to function and to feel valued, and that close, reciprocal, family-type relationships develop. The health knowledge and clinical expertise of good RNs is critical in determining residents' health outcomes, particularly in the long-term, and RNs' 24-hour 'perceptual presence' can make life or death differences in acute or emergency situations. RNs also influence the environment, atmosphere and quality of care in the home. In the context of the literature, the findings offer new insights into the role and contribution of RNs and CAs, the outcomes of their work and the priorities of residents. The study produced new models of RN and CA roles in care homes, encompassing dimensions not previously acknowledged in the literature or their job descriptions, and a new framework within which the outcomes of care for older people could be evaluated. The research offers a positive image of work with older people in independent sector care homes.
APA, Harvard, Vancouver, ISO, and other styles
40

Appleby, Ben. "Exploring the value of an extended theory of planned behaviour model : to explain nurses' and health care assistants' instrumental research utilisation intentions in clinical practice." Thesis, University of Birmingham, 2016. http://etheses.bham.ac.uk//id/eprint/7007/.

Full text
Abstract:
INTRODUCTION: Clinical guidelines, as products of research, are increasingly used to raise the quality of care delivery in acute hospital NHS Trusts. However, their use is impeded by many organizational and individual barriers and understanding of psychological barriers is underexplored. This study aimed to explore ‘intention’ as a psychological explanation of health professionals’ research utilisation behaviour using an extended Theory of Planned Behaviour (TPB) social cognitive model. METHODOLOGY: The ‘care round checklist’ was identified, in collaboration with practice partners, as a suitable guideline behaviour to evaluate. A theory-driven questionnaire was developed and utilized to measure nurses’ and Health Care Assistants’ (HCAs’) intentions. Inferential statistical tests were used to establish differences in nurses’ and HCAs’ intentional behaviour and the predictive value of the TPB model. RESULTS 270 questionnaires were returned from 24 wards. The TPB model explained a modest level of intention; 20% of nurses’ and 24% of HCAs’ care round intentions. Nurses’ attitudes and perceived control best predicted intentions, whilst HCAs’ intentions were predicted by attitude and practice habit. CONCLUSION AND RECOMMENDATIONS: The TPB model lacked sophistication to sufficiently explain intentional guideline behaviour, within a complex guideline behaviour, though role differences were significant. Further variables could add to the predictive value of intention. Future work should acknowledge limitations in the TPB model in explaining intention. Clinically, role differences should be recognized in the future implementation of care rounds.
APA, Harvard, Vancouver, ISO, and other styles
41

Temple, April. "Factors Affecting the Utilization and Quality of Long-Term Care." Scholar Commons, 2009. https://scholarcommons.usf.edu/etd/45.

Full text
Abstract:
The aging of the nation in the coming decades will contribute to an increased demand for long-term care. Given this trend, it is becoming increasingly important to understand utilization of services along the continuum of care and to determine factors that influence the provision of quality care. These insights are needed to reduce national expenditures on long-term care and to maximize independence and well-being among older adults. The purpose of the present dissertation was to explore factors that influence the utilization and quality of long-term care by conducting three separate studies. The first study examined risk of nursing home (NH) placement in a frail sample of older adults receiving publicly-funded long-term care in two settings: home and community-based services (HCBS) or assisted living (AL). Specifically, it explored whether these settings of care modify the relationship between dementia and NH placement. The second study examined NH organizational characteristics and job characteristics of staff in relation to turnover of nursing assistants (NAs) in a nationally representative sample of NHs. Using the same sample, the final study examined the presence of employment-based benefits of NAs and explored the relationship between NH organizational characteristics and the availability of staff benefits. Findings from this dissertation can contribute to a greater understanding of the use of long-term care services and the retention of staff to provide quality care. In the first study, AL was associated with longer time to NH placement for individuals with dementia when compared to HCBS. In the second study, the provision of competitive wages and benefits, involvement of NAs in resident care planning, and high levels of nurse staffing were associated with lower NA turnover, which may be important for quality of NH care. In the final study, for-profit ownership and high Medicaid occupancy were negatively associated with NA benefits whereas facility size, chain membership, occupancy level, union involvement, and education of the NH administrator were positively associated with benefits offered to these staff. Collectively, the findings from this dissertation may have important implications for policy makers, providers, and consumers of long-term care.
APA, Harvard, Vancouver, ISO, and other styles
42

Hypes, Kathe. "Infection Control and Health Care Associated Infection (HCAI) in the Nursing Home: A Study to Determine the Impact of an Educational Video and Pamphlet About Infection Control on Knowledge and Perception of Hand Hygiene in Certified Nurse Assistants." Doctoral diss., University of Central Florida, 2012. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/5317.

Full text
Abstract:
The impact of an education program on perception, knowledge, and infection rate was evaluated in this study. The educational intervention consisted of a video on infection control and a World Health Organization (WHO) pamphlet for hand hygiene. The study was conducted in one nursing home in the Southeastern United States. The survey sample consisted of 66 certified nurse assistants (CNAs). A pre- and post-intervention design was employed using the WHO's Hand Hygiene Knowledge Questionnaire and the WHO Perception Survey. Friedman's test and central tendencies showed no statistical relationship between the educational intervention and the overall knowledge scores of the sample. There also were no statistical differences in perception of hand hygiene in the CNA sample. Infection frequency was reduced with a percent change of -42%. While results of knowledge and perception surveys were not statistically significant, multiple conclusions were derived to suggest that educational opportunities may impact hand hygiene practice in CNAs and lead to a decrease in infection.
D.N.P.
Doctorate
Nursing
Nursing
Nursing Practice
APA, Harvard, Vancouver, ISO, and other styles
43

Herculian, Juliana Gonçalves. "Auxiliares de enfermagem e o cuidado continuum." Universidade de São Paulo, 2007. http://www.teses.usp.br/teses/disponiveis/7/7134/tde-20122007-091835/.

Full text
Abstract:
Esta pesquisa emergiu de vivências práticas que geraram questionamentos a respeito da possibilidade que profissionais de enfermagem têm de conciliar cuidados de dimensões diversas. A história da enfermagem registra uma concentração em atividades tecnicistas, porém, acredita-se que o cuidado é uma atividade profissional complexa e ampliada envolvendo conciliações técnicas e subjetivas, entendido neste trabalho como cuidado continuum. Optou-se por uma pesquisa qualitativa, utilizando a técnica de grupo focal com o objetivo de descrever e analisar como os auxiliares de enfermagem enfrentam os aspectos emocionais das pessoas hospitalizadas, sendo o local de estudo o Hospital Abreu Sodré, no município de São Paulo. A análise de conteúdo, método utilizado para descrever os resultados, evidenciou uma dificuldade neste cuidado. Os relatos destacam a compreensão e a necessidade do cuidado ampliado, porém, fatores sociais, econômicos e pessoais que envolvem estes profissionais, quase o tornam inatingível. Estes fatores estão relacionados às exigências do mercado de trabalho, à necessidade de cumprir protocolos em um curto espaço de tempo, reforçando certa característica robotizada do cuidador. Os sujeitos da pesquisa consideraram o número reduzido de profissionais; excesso de tarefas; falta de tempo; baixos salários; dificuldade de manejo com a questão subjetiva; estresse físico e mental e outros como fatores impeditivos para a efetivação do cuidado continuum. O indicativo resultante da pesquisa é a criação de serviços de apoio, onde os profissionais de enfermagem poderão verbalizar seus sentimentos e “se sentirem mais leves”, viabilizando uma outra modalidade de cuidado às pessoas hospitalizadas e seus acompanhantes
This research has come from practical living which generated questions about the possibility nursing professionals have to conciliate caring in many dimensions. Nursing history registers a concentration in technical activities; however, caring is believed to be a complex and enlarged professional activity involving technical and subjective conciliations, understood in this paper as continuum care. It was opted for a qualitative research, using the focus group technique under the objective of describing and analyzing how the nursing assistants face the hospitalized people emotional aspects and this study takes place in Abreu Sodré Hospital, in São Paulo. The contents analysis, method used to describe the results, has shown a difficulty in this caring. Reports show up comprehension and necessity of enlarged caring, however, social, economical and personal facts which involve these professionals, make it almost impossible to be reached. These factors are related to the working market and the necessity of caring out protocols in shortened time, reinforcing a kind of robotized characteristic to the person in charge of caring. The participants of the research have considered the shortened number of professional; excess of tasks; lack of time; low wages; difficulties on handling the subjective matters; physical and mental stress and others as inhibitive factors to put continuum care into effect. The research indicative resultant is the creation of supporting services, where nursing professionals can verbalize their feelings and “feel lighter”, making another caring modality available to the hospitalized people and their chaperones
APA, Harvard, Vancouver, ISO, and other styles
44

Andersson, Julia, and Shermineh Hassankhani. "Att vårda personer med fysiskt självskadebeteende : Ur vårdpersonalens perspektiv." Thesis, Umeå universitet, Institutionen för omvårdnad, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-183828.

Full text
Abstract:
Background: Self-harm is an old phenomenon. There is no distinct definition of it, though, nor is there enough research on how nurses and nurses’ assistants experience caring for people with self-harm. Aim: The aim of this study was to explore nurses and nurses’ assistants’ experiences of caring for people with physical self-harm behaviour. Methods: This is a literary study based on eight qualitative studies. Database search was conducted in Cinahl and PubMed. The articles were analyzed using Friberg’s five step model. Results: The results showed that caring for people with self-harm behaviour is seen as difficult in many ways, according to the participants. The care given was affected by the nurses and nurses’ assistants’ emotions and attitudes, but also by organizational and financial factors. Conclusion: Caring for people with self-harm behaviour is hard and stressful, but also rewarding according to the participants. It is a complex group of patients, why knowledge and education are required. Nurses and nurses’ assistants consider it to be important in order to provide good care. Support from both colleagues and managers is also important to nurses’ and nurses’ assistants and having adequate resources available. Further research on what can be done to improve nurses and nurses’ assistants’ experiences of the care given is needed.
Bakgrund: Självskadebeteende har funnits sedan lång tid tillbaka. Det finns dock ingen entydig definition av begreppet. Det finns heller inte tillräckligt med forskning som beskriver hur vårdandet av personer med självskadebeteende upplevs av vårdpersonal. Syfte: Syftet med denna litteraturstudie var att undersöka vårdpersonalens upplevelser av att vårda personer med fysiskt självskadebeteende. Metod: Detta arbete är en litteraturstudie av kvalitativ ansats där åtta vetenskapliga artiklar hittades efter sökningar utförda i databaserna PubMed och Cinahl. De analyserades därefter enligt Fribergs femstegsmodell. Resultat: Resultatet visade att vårda personer med självskadebeteende upplevs av vårdpersonal som svårt på flertalet olika sätt. Vården påverkades enligt vårdpersonalens av deras känslor och attityder, men också av organisatoriska och ekonomiska faktorer. Konklusion: Att vårda patienter med självskadebeteende upplevs av vårdpersonal som både krävande och påfrestande, men också givande. Patientgruppen upplevs komplex att arbeta med, därför behövs mer kunskap och utbildning. Vårdpersonal anser att det är viktigt för att bedriva en god vård. Stöttning från både kollegor och chefer är viktigt för vårdpersonal, och att tillräckliga resurser finns tillgängliga. Vidare forskning om vilka åtgärder som kan utföras för att förbättra vårdpersonalens upplevelser av vården de ger behövs.
APA, Harvard, Vancouver, ISO, and other styles
45

Mollitor, Hannah. "A qualitative analysis of the experience of therapeutic relationships between patients and nursing assistants within a medium secure unit for men with learning disabilities." Thesis, University of East London, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.532698.

Full text
APA, Harvard, Vancouver, ISO, and other styles
46

Walker, Helen M. "The experience of care assistants who care for residents in the final stage of life in residential aged care facilities." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2007. https://ro.ecu.edu.au/theses/278.

Full text
Abstract:
This thesis presents the results of a study that explores the experience of care assistants who care for residents in the final stages of life in residential aged care facilities in metropolitan Perth. Care assistants, with little formal training and no regulation, play a pivotal role in the direct care of dying residents in these facilities. Yet little was known about the palliative care role and the impact that caring for residents in the final stage of life has on this health care group. The literature relating to end of life care in residential aged care facilities revealed limited research in this area. In particular, there is a lack of studies that relate specifically to the care assistants' role and their experiences of end of life care. Research to date has focused on the context of palliative care in residential aged care facilities, the workplace environment, how to provide a dignified death, relationships and the central role of the care assistant. This study used a qualitative narrative inquiry research design.
APA, Harvard, Vancouver, ISO, and other styles
47

Darrigo, Melinda. "Clinical Decision Making by Critical Care Mid-Level Practitioners Working within an Interdisciplinary Team: A Dissertation." eScholarship@UMMS, 2009. https://escholarship.umassmed.edu/gsn_diss/12.

Full text
Abstract:
To improve patient safety a major change in health care reduced medical resident work hours to limit provider fatigue, in 2002 (Philibert, Friedmann, Williams, & Hours, 2002). This resulted in mid-level practitioners filling this provider void in health care teams, including critical care units (Buchanan, 1996; Christmas et al., 2005; Hoffman, Tasota, Scharfenberg, Zullo, & Donahoe, 2003; Hoffman, Tasota, Zullo, Scharfenberg, & Donahoe, 2005; Hooker & McCaig, 1996, 2001; Kaups, Parks, & Morris, 1998; Miller, Riehl, Napier, Barber, & Dabideen, 1998; Yeager, Shaw, Casavant, & Burns, 2006). In order to make appropriate clinical decisions for patients in critical care settings, mid-level practitioners are required to interpret data from multiple sources and to assimilate this information in a timely manner (Bernard, Corwin, & MacIntyre, 2000). Although these practitioners are actively involved in decision making individually and among interdisciplinary teams in critical care units, their decision making has not been described in the literature to date (Shortell et al., 1994). Therefore, the purpose of this qualitative study was to describe how critical care mid-level practitioners (N= 17) make decisions within an interdisciplinary team, undergirded by the cognitive continuum theory. A qualitative research design using focus groups guided by naturalistic inquiry enabled data collection. An interview guide, developed from the literature review and undergirded by the cognitive continuum theory, was used to structure discussion in the focus groups. Additionally, a demographic questionnaire and vignette were used to aid in description of findings. Data was managed by note based analysis and summarized on a Microsoft Excel document. Qualitative description was used to illustrate the findings. Prior to this study, there was a paucity of empirical literature describing the clinical decision making of critical care mid-level practitioners. The findings revealed a web of complexity in mid-level practitioner decision making on an interdisciplinary team. This included an overarching theme of quality of care, with central overlapping themes of judgment, resources, and negotiation interwoven with sub-themes of trust, communication, experience, and team structure. This study’s findings have direct implications for mid-level practitioner training courses, mid-level training, critical care orientation programs, theory development, and health policy.
APA, Harvard, Vancouver, ISO, and other styles
48

Souza, Allison Marlene. "Introducing the Health Coach Method of Motivational Interviewing to Medical Assistants to Improve the Patient Care Approach." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3414.

Full text
Abstract:
The emerging health care culture of accountability for patient outcomes compounds problems for already overwhelmed clinicians struggling to fit everything entailed in complicated office visits into 15-minute appointments. Unprocessed frustrations tempt clinicians to use ineffective and outdated methods for trying to get their patients to comply or adhere to their care plans, undermining effective health care management. The intention of this project was to evaluate whether educating medical assistants in the health coaching method of motivational interviewing can improve the patient care approach while simultaneously assisting clinicians struggling with insufficient time. Several individual scheduling conflicts limited the target population into two primary care medical assistants and two auxiliary primary care office staff who voluntarily chose to learn the new approach. Guided by the adult learning theory, an educational lecture project was designed to capture the spirit of motivational interviewing through basic descriptions and strategies that will assist learners to focus on person-centered conversation skills, helping to balance both the needs of the patient and clinician. Following the education, participants filled out an anonymous post-lecture evaluation questionnaire to provide immediate feedback about learner understanding. Responses indicated the project met its stated objectives, and results showed the versatility of the motivational interviewing method which can be learned and effectively applied by health care workers from a wide range of professional backgrounds. Motivational interviewing is an innovative approach that utilizes therapeutic communication to promote behavior changes that lead to improved health of our communities and country.
APA, Harvard, Vancouver, ISO, and other styles
49

Iloabachie, Eric Ik. "Strategies to Minimize Direct Care Worker Shortages." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5204.

Full text
Abstract:
There is a worldwide shortage of direct care workers who help older adults in their own homes. The purpose of this multiple case study was to explore strategies that owners of home health care businesses can use to retain adequate direct care workers for their businesses. Five home care agency owners from Wake County, North Carolina, participated. Each owner had successfully implemented strategies to ensure adequate caregivers to sustain the business. Human relations theory was used to address the business problem. Data collection involved interviewing the 5 owners of home care agency businesses in their offices. Through a process of methodological triangulation, observations and documentary evidence supplemented data collected through semistructured interviews. Deductive and inductive coding were used to arrange and identify 3 emergent themes: company reputation, training and career development, and the role of government. The results of this study may contribute to social change because home care agency owners and other business owners can use the findings to improve on their treatment of low income workers which may help eradicate discrimination to ethnic minorities.
APA, Harvard, Vancouver, ISO, and other styles
50

Juthberg, Christina. "Samvetsstress hos vårdpersonal i den kommunala äldreomsorgens särskilda boenden." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1840.

Full text
Abstract:
The overall aim of this thesis is to describe perception of conscience, stress of conscience (stress related to troubled conscience) and burnout, to explore their relationships and to illuminate meanings of the lived experience of troubled conscience in one’s work among registered nurses (RNs) and nurse assistants (NAs) in municipal residential care for the elderly. The thesis comprises four studies; studies I-III are based on questionnaire data from 50 RNs and 96 NAs and study IV is based on interview data from 6 RNs and 6 NAs selected from the participants in the questionnaire study. Questionnaire data was analysed with multivariate statistics (I-III). Narrative interviews were interpreted with a phenomenological hermeneutic method (IV). Study I showed two relationships explaining a noteworthy amount of the shared variance by themselves (25.6% and 17.8%). One relationship was shown between having to deaden one’s conscience in order to keep working in healthcare and stress of conscience related to external demands which was interpreted as having to deaden one’s conscience in order to be able to collaborate with co-workers. The other relationship was shown between having to deaden one’s conscience in order to keep working in healthcare and stress of conscience related to internal demands which was interpreted as having to deaden one’s conscience in order to be able to feel like a good healthcare professional. Study II showed a relationship between stress of conscience and burnout (43.6% explained variance) indicating that experiences of shortcomings and of being exposed to contradictory demands are strongly related to burnout. The relationship between perceptions of conscience and burnout (33.9% explained variance) indicated that having to deaden one’s conscience in order to keep working in healthcare is strongly related to burnout. Study III showed that both RNs and NAs perceived conscience mainly as an asset and a guide and not as a burden in their work. Lack of time and high demands of work influencing home life were the situations related to the highest stress of conscience for both RNs and NAs. The predictive pattern for RNs was interpreted as RNs showing sensitivity to expectations and demands and NAs using their conscience as a guide in their work. Study IV showed that meanings of the RNs’ lived experience of troubled conscience in their work are of being trapped in feelings of powerlessness and a sense of being inadequate. They feel they are failing to live up to expectations from residents and their families, colleagues and themselves because of feelings of powerlessness, cowardice and incompetence. Meanings of NAs’ lived experience of troubled conscience in their work are a sense of being hindered in providing the level of care they would like to provide because of pre-determined conditions and by feelings of being inadequate. They are betraying the residents and themselves by accepting perceived inadequate working conditions and through their own perceived sense of cowardice and negligence. The conclusion of these studies is that stress of conscience is related to burnout among RNs and NAs in municipal residential care for the elderly. Experiences of inadequacy, powerlessness and feelings of being hindered are shown in situations where they have troubled conscience. When the norms of others and/or the pre-determined conditions do not correspond to their own values and norms it may result in the feeling that they cannot perceive themselves as good healthcare professionals.
APA, Harvard, Vancouver, ISO, and other styles
You might also be interested in the bibliographies on the topic 'Nursing Assistants' for other source types:
Journal articles Books
We offer discounts on all premium plans for authors whose works are included in thematic literature selections. Contact us to get a unique promo code!

To the bibliography