Ramirez Mildred, Teresi Jeanne, Holmes Douglas
Hebrew Home for the Aged, Riverdale, USA.
J Cult Divers. 2006 Summer;13(2):119-25.
Certified Nurse Assistants (CNAs) (n=104) caring for a probability sample of residents in 22 New York State nursing homes were interviewed, longitudinally, regarding work demands and stressors, support and training, and job-stress outcomes. Twenty-seven percent of CNAs reported pejorative name-calling by their residents. Hierarchical regression analyses showed that (a) increase in perceived pressure to complete tasks, (b) assignment size, and (c) attendance at support groups were associated with CNAs' demoralization at follow-up. A decrease in perceived racism and increased in-services about confused residents contributed to more positive attitudes toward residents. Examination of the quality of long-term care should include consideration of cultural diversity.
对纽约州22家养老院中照护概率样本居民的104名认证护理助理（CNA）进行了纵向访谈，内容涉及工作要求与压力源、支持与培训以及工作压力结果。27%的CNA报告称遭到了其所照护居民的辱骂。分层回归分析表明：（a）完成任务的感知压力增加、（b）任务量以及（c）参加支持小组与随访时CNA的士气低落有关。感知到的种族主义减少以及针对认知障碍居民的在职培训增加，有助于形成对居民更积极的态度。对长期护理质量的检查应包括对文化多样性的考量。
