Exploring Variation in Certified Nursing Assistant Assignments From the Perspective of Nursing Home Residents: A Comparison of Adopters and Nonadopters of Consistent Assignment. (November 2019)

• Record Type: Journal Article
• Authors: Roberts, Tonya J.; Nolet, Kimberly; Bowers, Barbara
• Other Names: Stone Robyn guest-editor.
• Is Part Of: Journal of applied gerontology. Volume 38:Number 11(2019)
• Page Start: 1583
• Page End: 1594
• Publication Date: 2019-11
• Subjects: nursing home -- consistent assignment -- staffing; Gerontology -- Periodicals; 362.6
• DOI: 10.1177/0733464817711963
• Languages: English
• ISSNs: 0733-4648

Abstract

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.