Department of Community Health, Center for Gerontology and Health Care Research, Brown University, Providence, Rhode Island 02912, USA.
Gerontologist. 2010 Aug;50(4):550-5. doi: 10.1093/geront/gnq014. Epub 2010 Feb 25.
The purpose of this study was to describe how the prevalence of nurse aide training and competency evaluation programs (NATCEPs) provided in the nursing home (NH) setting changed between 1997 and 2007, to explore the environmental factors that may be influencing the prevalence of these programs, and to examine how the changing prevalence of NH-based NATCEPs may be affecting those considering certified nursing assistant (CNA) work.
We used the Online Survey Certification and Reporting (OSCAR) data to generate descriptive statistics for 3 groups of NHs from 1997 to 2007: NHs that never provided an NATCEP, those that provided the program throughout the study period, and those that provided the program intermittently. We gathered information on states' policies regarding CNA training by telephone and Internet. Data from the National Nursing Assistant Survey were also utilized to describe where CNAs are receiving their training and what proportion of costs they are paying.
Prevalence of NH-based programs dropped throughout the study period. It is likely that most CNAs are now receiving their preemployment training outside the NH setting and paying a greater share of their training costs.
The shifting of CNA training to venues other than NHs raises important questions about the quality of training and states' ability to monitor training programs. In addition, CNAs receiving training outside NHs pay a greater share of their training costs, possibly creating a disincentive to enter the field.
本研究旨在描述在 1997 年至 2007 年间，疗养院中提供护士助理培训和能力评估计划（NATCEPs）的情况是如何变化的，探讨可能影响这些计划普及程度的环境因素，并研究疗养院为基础的 NATCEPs 的变化如何影响那些考虑成为认证护士助理（CNA）的人。
我们使用在线调查认证和报告（OSCAR）数据，对 1997 年至 2007 年的三组疗养院进行描述性统计分析：从未提供过 NATCEP 的疗养院、整个研究期间提供该计划的疗养院以及间歇性提供该计划的疗养院。我们通过电话和互联网收集有关各州 CNA 培训政策的信息。还利用国家护理助理调查的数据来描述 CNAs 在哪里接受培训以及他们支付的培训费用比例。
疗养院的基于计划的普及率在整个研究期间下降。现在，大多数 CNA 很可能在 NH 之外的地方接受其入职前培训，并支付更多的培训费用。
CNA 培训转移到 NH 以外的场所引发了关于培训质量和各州监测培训计划能力的重要问题。此外，在 NH 之外接受培训的 CNAs 支付了更多的培训费用，这可能会对他们进入该领域产生不利影响。
