Perspectives on caregiving: A qualitative evaluation of certified nursing assistants

Kusmaul, Nancy; Bunting, Morgan

doi:10.1016/j.gerinurse.2016.09.004

Cited by 14 publications

(16 citation statements)

References 16 publications

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“…Residents are supported in activities of daily living by care staff (Kusmaul & Bunting, ), also known as certified nursing assistants, auxiliary nurses or personal care assistants; hence, care staff are suitably positioned to play an important role in assisting residents to prevent falls. Previous studies have estimated that care staff in RAC settings spend from 45.4% to 80% of their 8‐hr working shift in direct resident contact delivering care (Gray et al, ; Qian et al, ).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of care staff knowledge, confidence, motivation and opportunity for preventing falls in residential aged care settings: A cross‐sectional survey

Francis‐Coad

Hang

Etherton‐Beer

et al. 2019

Int J Older People Nursing

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Aims:To explore care staff knowledge about falls and confidence, motivation and opportunity to undertake fall prevention strategies, in residential aged care (RAC) along with preferences for fall prevention education.Background: Falls account for the majority of adverse clinical events in RAC settings.Care staff in RAC settings are in a key position to influence residents' actions to prevent falls, provided they have the necessary knowledge and skills. Methods:A cross-sectional survey design with a purposive sample of 147 care staff at eight RAC facilities was undertaken in 2015. A custom-designed questionnaire examining knowledge, confidence, motivation and opportunity to undertake falls prevention strategies was used. Results:Only 39 (26.5%) care staff were aware that the residents they cared for were at high risk of falls. Care staff knowledge of intrinsic falls risk factors was very limited, for example, only 18 (13.53%) observed for side effects of medication and just four (1.04%) were aware of continence issues. Conflicting duties also limited care staff time to undertake falls prevention strategies. Preferences for falls prevention education indicated face-to-face interactive discussions in the workplace (n = 98, [66.7%]) with reminder posters displayed around the facility (n = 80, [70.8%]). Conclusions:Residential aged care organisations need to engage with care staff to provide tailored falls education incorporating learning preferences and targeting knowledge gaps, to improve awareness of intrinsic risk factor impact and uptake of evidence-based prevention strategies. Despite care staff being highly motivated, they have limited opportunity to assist residents with fall prevention within their workload. RAC management and funding bodies must address opportunity for care staff to fulfil this crucial role to benefit resident safety. Implication for practice:This study identified gaps in care staffs' knowledge and skills in undertaking falls prevention strategies in residential aged care settings.These findings will assist residential aged care organisations and health professional educators to design evidence-based falls prevention education tailored to their care staffs' needs and preferences to facilitate adoption.

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Section: Introductionmentioning

confidence: 99%

Evaluation of care staff knowledge, confidence, motivation and opportunity for preventing falls in residential aged care settings: A cross‐sectional survey

Francis‐Coad

Hang

Etherton‐Beer

et al. 2019

Int J Older People Nursing

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“…Achieving to obtain such satisfaction was not easy. Similarly, in other studies, caregivers focused on small increases in engagement, mainly in the form of active communications, as well as affection and respectful attitudes, as important components of care quality (Chung, 2013;Kusmaul & Bunting, 2017). Understanding caregiver perspectives on care quality is helpful and could be used by hospital managers to recognize these components of care work and provide working environments where these aspects of good care can be carried out.…”

Section: Discussionmentioning

confidence: 97%

Nurses’ and Care Workers’ Perception of Care Quality in Japanese Long-Term Care Wards: A Qualitative Descriptive Study

Yamamoto‐Mitani

Saito

Takaoka

et al. 2018

Global Qualitative Nursing Research

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Despite the growing importance of long-term care for older adults, there has been limited attention to its quality assurance issues in Japan. To start planning the initiation of continuous quality improvement in long-term care hospitals, we explored how nurses and care workers themselves perceived current approaches to quality assurance and improvement on their ward. We interviewed 16 licensed nurses and nine care workers, transcribed and analyzed data using qualitative content analysis techniques, and derived six categories: keeping clients alive is barely possible, the absence of a long-term care practice model, the lack of quality indicators, long-term care hospitals as places for castaways, client quality of life as a source of satisfaction, and conflict between staff and client well-being. To develop continuous quality improvement in Japanese long-term care hospitals, it may be first necessary to introduce a practice model of long-term care and mechanisms to evaluate quality.

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“…This was a secondary analysis of interviews collected by the first author for a study on CNA perceptions of care (Kusmaul & Bunting, 2017). This analysis explored the concepts found in study 1: agency practices, roles, and structural support.…”

Section: Methods Studymentioning

confidence: 99%

Direct Caregiving in Older Adults: How Systems of Care Perpetuate the Grand Challenges and What Social Workers Can Do about It

Kusmaul

Wladkowski

2021

Health &Amp; Social Work

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Direct care workers (DCWs) provide personal care, emotional support, and companionship, helping older adults maintain quality lives. DCWs earn low wages, have little training, and experience high turnover rates. While the demand for DCWs grows, real wages continue to fall. Undervaluing DCWs threatens the continuity and quality of care that older adults receive. Through the social work grand challenges lens, this article discusses two qualitative studies, in home care (n = 24) and nursing homes (n = 23), that demonstrate that while DCWs help advance long and productive lives, they experience extreme economic inequality and lack equal opportunity and justice. The article concludes with a discussion of social work’s role in advancing opportunity and justice.

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Perspectives on caregiving: A qualitative evaluation of certified nursing assistants

Cited by 14 publications

References 16 publications

Evaluation of care staff knowledge, confidence, motivation and opportunity for preventing falls in residential aged care settings: A cross‐sectional survey

Evaluation of care staff knowledge, confidence, motivation and opportunity for preventing falls in residential aged care settings: A cross‐sectional survey

Nurses’ and Care Workers’ Perception of Care Quality in Japanese Long-Term Care Wards: A Qualitative Descriptive Study

Direct Caregiving in Older Adults: How Systems of Care Perpetuate the Grand Challenges and What Social Workers Can Do about It

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