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Exploring Variation in Certified Nursing Assistant Assignments From the Perspective of Nursing Home Residents: A Comparison of Adopters and Nonadopters of Consistent Assignment.
Journal of Applied Gerontology : the Official Journal of the Southern Gerontological Society 2017 June 2
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.
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.
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