Immigrant and Non-Immigrant Certified Nursing Assistants in Nursing Homes: How Do They Differ?

Khatutsky, Galina; Wiener, Joshua M.; Anderson, Wayne

doi:10.1080/08959420.2010.485526

Cited by 23 publications

(47 citation statements)

References 9 publications

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“…From the second GLMM analysis, profession and language appeared to influence who elicited the expression of emotional distress. Being a nonnative speaker does not necessarily lead to challenges with communication (Khatutsky, Wiener, & Anderson, ). However, native language competence was associated with the elicitation of emotional expression.…”

Section: Discussionmentioning

confidence: 99%

Emotional communication with older people: A cross‐sectional study of home care

Höglander

Sundler

Spreeuwenberg

et al. 2019

Nursing & Health Sciences

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The aim of this study was to explore the influence of characteristics of nurses and older people on emotional communication in home care settings. A generalized, linear, mixed model was used to analyze 188 audio‐recorded home care visits coded with Verona Coding Definitions of Emotional Sequences. The results showed that most emotional distress was expressed by older females or with female nurses. The elicitation of an expression of emotional distress was influenced by the nurses' native language and profession. Older women aged 65–84 years were given the most space for emotional expression. We found that emotional communication was primarily influenced by sex for nurses and older people, with an impact on the frequency of expressions of and responses to emotional distress. Expressions of emotional distress by older males were less common and could risk being missed in communication. The results have implications for students' and health professionals' education in increasing their knowledge of and attentiveness to the impacts of their and others' characteristics and stereotypes on emotional communication with older people.

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Section: Discussionmentioning

confidence: 99%

Emotional communication with older people: A cross‐sectional study of home care

Höglander

Sundler

Spreeuwenberg

et al. 2019

Nursing & Health Sciences

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“…Given the low appeal of the CNA role by direct care workers, im- Khatutsky et al (2010) found that immigrant CNAs were nearly three times more likely than non-immigrants to report being discriminated against at work due to race or ethnicity (17.4% and 6.0%, respectively).…”

Section: Immigration Status (Immigrants/foreign-born Workers)mentioning

confidence: 99%

“…Given the low appeal of the CNA role by direct care workers, im- (Berdes & Eckert, 2001;Khatutsky et al, 2010;Priester & Reinardy, 2003). Analyzing data from the National Nursing Assistant Survey, Khatutsky et al (2010) found that immigrant CNAs were nearly three times more likely than non-immigrants to report being discriminated against at work due to race or ethnicity (17.4% and 6.0%, respectively).…”

Section: Immigration Status (Immigrants/foreign-born Workers)mentioning

confidence: 99%

Exploring social‐based discrimination among nursing home certified nursing assistants

et al. 2019

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Certified nursing assistants (CNAs) provide the majority of direct care to nursing home residents in the United States and, therefore, are keys to ensuring optimal health outcomes for this frail older adult population. These diverse direct care workers, however, are often not recognized for their important contributions to older adult care and are subjected to poor working conditions. It is probable that social‐based discrimination lies at the core of poor treatment toward CNAs. This review uses perspectives from critical social theory to explore the phenomenon of social‐based discrimination toward CNAs that may originate from social order, power, and culture. Understanding manifestations of social‐based discrimination in nursing homes is critical to creating solutions for severe disparity problems among perceived lower‐class workers and subsequently improving resident care delivery.

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“…Feng, Fennell, Tyler, Clark, and Mor (2011 reported that the number of Hispanics and Asians in nursing homes increased by 54.9% and 54.1%, respectively, between 1999 and 2008, whereas the number of White residents declined by slightly more than 10.0%. According to Khatusky, Wiener, and Anderson (2010), one in five certified nursing assistants was born abroad, and these workers are predominantly persons of color. Khatusky et al (2010) used data from the 2004 National Nursing Home Survey (Centers for Disease Control and Prevention, 2004) to show that concerns held by administrators and staff about language barriers and acculturation for second-language immigrants are valid, although communication problems are also concerns of non-immigrant aides.…”

Section: Effect Of Immigrant Cultures and Languagesmentioning

confidence: 99%

Developing Culturally Diverse Direct Caregivers for Care Work With Older Adults: Challenges and Potential Strategies

Davis¹,

Smith²

2013

J Contin Educ Nurs

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This discussion presents real-world examples of challenges that occur in geriatric training as a contribution to the ongoing conversation about tailored training for direct caregivers. Numerous discussions are available on the need for more geriatric training in nursing, including aspects of care for patients with dementia, but few if any studies have identified a similar need on behalf of direct care workers, including home health care aides,personal care aides, and nursing assistants who are not part of a licensure track or a baccalaureate-based nursing curriculum. This discussion examines three cultural factors that underlie challenges for nursing educators and supervisors in dementia care who oversee direct care workers: (1) the effect of immigrant cultures and languages; (2) the effect of different intergenerational cultural constructs; and (3) the effect of culturally derived attitudes about aging and dementia. Strategies to address these challenges are offered.

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Immigrant and Non-Immigrant Certified Nursing Assistants in Nursing Homes: How Do They Differ?

Cited by 23 publications

References 9 publications

Emotional communication with older people: A cross‐sectional study of home care

Emotional communication with older people: A cross‐sectional study of home care

Exploring social‐based discrimination among nursing home certified nursing assistants

Developing Culturally Diverse Direct Caregivers for Care Work With Older Adults: Challenges and Potential Strategies

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