Certified nursing assistants (CNAs) are the heart and soul of long-care facilities. This study surveyed their perceptions of nursing home administrators, supervisors, and coworkers, and then compared generational differences. Regardless of generation, CNAs reported a high sense of intrinsic satisfaction, commitment to their nursing home, and supervisor support. However, all generations of CNAs perceived their administrators as rather insensitive by not showing concern for their health, not calling in additional help when needed, nor making allowances for family emergencies. Two significant generational differences were found: 1) older CNAs, or baby boomers, felt their supervisor didn’t understand their work problems and needs and 2) younger CNAs (Millennials) reported more internal gossiping and negative peer interactions than did older CNAs. These findings are useful as administrators and supervisors strive to create a supportive work environment.

and the Centers for Medicare and Medicaid are engaged in initiatives to address the escalating population of patients who are living with chronic symptomatic disease. Th ese federal initiatives, escalating costs of care, and the increasing prevalence of chronic disease has prompted an evaluation and analysis of the academic preparation for graduate nurses who will provide care and services to this growing patient population. Graduate nurses represent nursing leadership as clinicians, educators, and researchers. Th ese professionals require the knowledge and skills to meet the burgeoning health care demands of the largest segment of the adult American population. Th e objective of this systematic review was to identify and summarize the existing evidence that demonstrates the inclusion of chronic disease and its associated management in graduate nursing curriculum. A collaboration of  doctoral faculty members representing  universities preformed a comprehensive review of the literature over  months through the use of multiple databases and several formats of search and MeSH terms. A predefi ned protocol was developed to reduce bias and included the objectives, inclusion criteria, and exclusion criteria used to guide the review. Findings revealed limitations in current curriculum regarding chronic disease education specifi cally related to symptom and self-management.

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