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Iowa certified nursing assistants study: self-reported ratings of the nursing home work environment.
Culp K; Ramey S; Karlman S
Res Gerontol Nurs 2008 Apr; 1(2):87-96
Certified nursing assistants (CNAs) are the principal bedside caregivers in nursing homes, yet little is known about their perceptions of the work environment. This population-based, cross-sectional study used a mailed questionnaire to a random sample of Iowa CNAs (N=584), representing 166 nursing homes. Of the respondents, 88.5% (n=517) were currently employed in long-term care settings; however, 11.5% (n=67) indicated they had left their jobs. When CNA responses were compared with those of other occupational groups, general workers reported higher scores on involvement, coworker cohesion, work pressure, and supervisor support. Those who left their CNA jobs rated their work environment as characteristic of excessive managerial control and task orientation. Results of this study emphasize the importance of the relationship between CNAs and their supervisors, CNAs' need for greater autonomy and innovation, and the need for the work environment to change dramatically in the area of human resource management.
Nursing; Nurses; Humans; Men; Women; Medical-services; Medical-personnel; Medical-facilities; Medical-care; Questionnaires; Education; Statistical-analysis; Psychology; Workers
Kennith Culp, PhD, RN, FAAN, FGSA, Professor, Adult and Gerontological Area of Study, The University of Iowa College of Nursing, 50 Newton Road, Iowa City, IA 52241
Issue of Publication
Research In Gerontological Nursing
University of Iowa
Page last reviewed: March 3, 2021
Content source: National Institute for Occupational Safety and Health Education and Information Division