Dynamic tension between opposing elements: the lived experience of CNAs in nursing homes

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dc.contributor.author Leiker, Tona
dc.date.accessioned 2006-06-29T18:36:03Z
dc.date.available 2006-06-29T18:36:03Z
dc.date.issued 2006-06-29T18:36:03Z
dc.identifier.uri http://hdl.handle.net/2271/130
dc.description Public Health & Outcome II Room G025 10:48 AM Abstract 131 en
dc.description.abstract The turnover rate of certified nursing assistants (CNAs) within the nursing home setting is greater than 100% in Kansas. Understanding turnover is vital to the recruitment and retention of CNAs. The purpose of this study was to understand the meaning of CNAs' experiences in a nursing home setting using the hermeneutic phenomenological research method. Student researchers completed observations and interviews with four CNAs in one nursing home over a 3-month period. Using an iterative reduction approach, hermeneutical interpretation of the data was conducted through thematic analysis and participant other dialogue. Findings revealed that CNAs constantly strived to balance a dynamic tension between multiple opposing forces. The metaphor, balancing dynamic tension, unified opposing forces in two thematic categories: Tension Between Conflicting Cultures and Tension Between Job and Self. CNAs are expected to balance industry expectations of efficiency with the patience necessary to provide individualized care, to discern between normal and unusual variations in the residents' well-being, and to maintain a sense of community while attempting to balance discrepant and shifting levels of valuing and voice afforded them within the nursing home. When experiencing tension between job and self, the CNAs job required both physical and emotional strength, self protection from injury, and maintenance of connections with residents. These findings offered insights into CAN experiences such as feelings of loss and the need for protection. Support for CNAs may be provided by listening and responding respectfully, recognizing CNAs as expert in knowing, valuing, caring, and increasing CNAs involvement in planning resident care. en
dc.description.sponsorship Thompson, Sarah School of Nursing en
dc.format.extent 2418176 bytes
dc.format.mimetype application/vnd.ms-powerpoint
dc.language.iso en_US en
dc.subject nursing assistants en
dc.subject qualitative research en
dc.subject elderly en
dc.subject nursing homes en
dc.title Dynamic tension between opposing elements: the lived experience of CNAs in nursing homes en
dc.type Presentation en

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