Exploring Variation in Certified Nursing Assistant Assignments From the Perspective of Nursing Home Residents: A Comparison of Adopters and Nonadopters of Consistent Assignment

被引：2

作者：

Roberts, Tonya J. ^{[1
]}

Nolet, Kimberly ^{[1
]}

Bowers, Barbara ^{[1
]}

机构：

[1] Univ Wisconsin, 4261 Signe Skott Cooper Hall,701 Highland Ave, Madison, WI 53705 USA

来源：

JOURNAL OF APPLIED GERONTOLOGY | 2019年 / 38卷 / 11期

关键词：

nursing home; consistent assignment; staffing; QUALITY-OF-CARE; LONG-TERM-CARE; CULTURE CHANGE; STAFF; AIDES; SATISFACTION; ASSOCIATION; TURNOVER;

D O I：

10.1177/0733464817711963

中图分类号：

R4 [临床医学]; R592 [老年病学];

学科分类号：

1002 ; 100203 ; 100602 ;

摘要：

Objective: To describe and compare certified nursing assistant (CNA) staffing between adopter and nonadopters of consistent assignment. Data sources: One month of preexisting CNA assignment and scheduling sheets from a purposive sample of 30 homes. Study design: A descriptive comparative study was conducted to calculate and compare numbers of CNAs assigned per resident across homes. Data extraction: Resident names and CNA assignments were abstracted from assignment records and entered into the Advancing Excellence consistent assignment tool to calculate numbers of CNAs assigned per resident. Principal findings: Both variation and overlap existed in the number of CNAs per resident within and between homes. Adopters assigned significantly fewer CNAs per resident. Conclusion: Research is needed to determine how assignment variations affect resident perceptions of quality.

引用

页码：1583 / 1594

页数：12

共 24 条

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