The importance of supervision in retention of CNAs

National Database of Nursing Quality Indicators, University of Kansas Medical Center, School of Nursing, Kansas City, Kansas 66160, USA.
Research in Nursing & Health (Impact Factor: 1.27). 04/2012; 35(2):187-99. DOI: 10.1002/nur.21461
Source: PubMed


Certified nursing assistants (CNAs) provide the majority of direct care in nursing homes, yet recruiting and retaining CNAs has been difficult. Retaining CNAs is important because it has been linked to the better quality of resident care in nursing homes. In this study, the investigators examined the relationships of work-related and personal factors to CNA job satisfaction and intent to leave. Linked data from the 2004 National Nursing Home Survey and the 2004 National Nursing Assistant Survey were analyzed using multilevel logistic regression. Personal factors such as age, education, and job history, were related to intent to leave but not to job satisfaction. Supportive supervision was a significant predictor of both job satisfaction and intent to leave.

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    • "in acute care hospitals are new, but unsurprising. Our findings are in line with previous research on RNs in hospitals (Aiken et al., 2012; Aiken, Clarke, & Sloane, 2002; Klopper, Coetzee, Pretorius, & Bester, 2012; Zhang et al., 2014), as well as on AHAs in nursing homes (Castle et al., 2007; Choi & Johantgen, 2012; Decker et al., 2009; Kuo et al., 2008). Thus, we were able to provide primary evidence to support Aiken et al.'s (2002) hospital organization, nursing organization, and patient outcome model from the perspective of non-RNs. "
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    ABSTRACT: Anticipating nursing shortages, the Swiss healthcare system recently introduced the position of allied healthcare assistant (AHA). However, indicators of AHAs' integration and stability, particularly their perceptions of their work environment quality and related outcomes (i.e., burnout, job satisfaction, and intention to leave), remain unclear. (a) To describe AHAs' ratings of the quality of the nurse work environment, job satisfaction, burnout, and intention to leave their workplaces; (b) to compare AHAs' and registered nurses' (RNs') work environment quality ratings and related outcomes; and (c) to assess links between AHAs' work environment quality ratings and related workforce outcomes. A secondary analysis of RN4CAST data (October 2009 to June 2010) on 61 AHAs and 466 RNs in 13 Swiss acute care hospitals. We used descriptive statistics to summarize data of AHAs and RNs on their units and hospitals. Via binary logistic regression models, we compared AHAs and RNs and identified associations between work environment ratings and workforce outcomes. AHAs' work environment quality ratings were significantly higher than those of RNs, and were associated with lower odds of burnout and intention to leave their current job and higher odds of reported job satisfaction. This study provides primary evidence linking AHAs' work environment quality ratings to burnout, job satisfaction, and intention to leave in acute care hospitals. Given the increasing importance of AHAs for nursing care provision, hospitals should assess the quality of nurse work environment and nurse outcomes from the perspective of all nurses. © 2015 Sigma Theta Tau International.
    Full-text · Article · Jul 2015 · Journal of Nursing Scholarship
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    • "Similarly, Begat and Severinsson[46]reported that clinical supervision had an influence on nurses' experiences of well-being. Based on a quantitative design, Choi and Johantgen[47]showed that supportive supervision was important for job satisfaction among certified nursing assistants in nursing homes. This confirmed findings reported by Hyrkäs[44]and Hyrkäs et al.[48]who also found that levels of stress decreased when supervision was available. "

    Full-text · Article · Jan 2015 · Open Journal of Nursing
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    ABSTRACT: The aim of this study was to investigate the associations between age, gender, self-transcendence, nurse–patient interaction and multidimensional well-being as the outcome among cognitively intact nursing home patients. Self-transcendence is considered to be a vital resource of well-being in vulnerable populations and at the end of life. Moreover, the quality of care and the nurse–patient interaction is found to influence self-transcendence and well-being in nursing home patients. A cross-sectional design employing the Self-Transcendence Scale, the Nurse–Patient Interaction Scale, the FACT-G Quality of Life and the FACIT-Sp Spiritual Well-Being questionnaires was adopted. A sample of 202 cognitively intact nursing home patients from 44 nursing homes in central Norway was selected. A previous documented two-factor construct of self-transcendence was applied. The statistical analyses were carried out by means of independent sample t-test, correlation and regression analyses. Multiple linear regression analyses revealed significant relationships between interpersonal self-transcendence and social, functional and spiritual well-being, whereas intrapersonal self-transcendence significantly related to emotional, social, functional and spiritual well-being. Nurse–patient interaction related to physical, emotional and functional well-being. Age and gender were not significant predictors for well-being, except for functional and spiritual well-being where women scored higher than men. Nurse–patient interaction and self-transcendence are vital resources for promoting well-being physically, emotionally, functionally, socially and spiritually among cognitively intact nursing home patients. Nurse–patient interaction signifies vital and ultimate nursing qualities promoting self-transcendence and multidimensional well-being. These findings are important for clinical nursing intending to increase patients’ well-being.
    Full-text · Article · Nov 2012 · Scandinavian Journal of Caring Sciences
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