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在他们自己的话语中:认证护士助理和管理人员在 COVID-19 大流行期间所经历的挑战。

In Their Own Words: The Challenges Experienced by Certified Nursing Assistants and Administrators During the COVID-19 Pandemic.

机构信息

5863The New Jewish Home Research Institute on Aging, New York, NY, USA.

Brookdale Department of Geriatrics and Palliative Medicine, Geriatric Research, Education and Clinical Center, 20071James J. Peters VA Medical Center, New York, NY, USA.

出版信息

J Appl Gerontol. 2022 Jun;41(6):1539-1546. doi: 10.1177/07334648221081124. Epub 2022 Mar 26.

DOI:10.1177/07334648221081124
PMID:35343299
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8958287/
Abstract

This qualitative study aimed to provide an in-depth understanding of the challenges experienced by certified nursing assistants and administrators during the unprecedented COVID-19 crisis. We conducted 6 administrator interviews and 10 remote focus groups with day and evening CNAs at 5 nursing homes ( = 56) in downstate New York. Content analysis was conducted, and emerging themes were identified across sites and roles. Results showed numerous challenges for both CNAs and administrators including many that were personal. These personal challenges included feeling helpless, anxious, or fearful; experience of COVID illness; and balancing high concurrent demands of work and family. There were also many operational challenges such as a lack of COVID testing capacity, information, and consistent guidance and support, staffing and equipment. Understanding these challenges can facilitate goals to promote future safety, skill refinement, and enhanced resilience in the workforce.

摘要

这项定性研究旨在深入了解认证的护理助理员和管理人员在前所未有的 COVID-19 危机期间所面临的挑战。我们在纽约州南部的 5 家养老院(=56 名)中进行了 6 次管理员访谈和 10 次远程焦点小组,采访了白天和晚上的护理助理员。我们进行了内容分析,并在各个地点和角色中确定了新出现的主题。结果表明,护理助理员和管理人员都面临着许多挑战,其中许多是个人层面的。这些个人挑战包括感到无助、焦虑或恐惧;感染 COVID 疾病;以及平衡工作和家庭的高并发需求。还有许多运营方面的挑战,例如缺乏 COVID 检测能力、信息以及一致的指导和支持、人员配备和设备。了解这些挑战可以促进未来的目标,以提高劳动力的安全性、技能提升和增强韧性。

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本文引用的文献

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2
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Health Serv Res. 2022 Aug;57(4):905-913. doi: 10.1111/1475-6773.13954. Epub 2022 Mar 10.
3
The One-Two Punch of High Wages and Empowerment on CNA Retention.高工资和赋权对 CNA 保留的双重影响。
J Appl Gerontol. 2022 Feb;41(2):312-321. doi: 10.1177/07334648211035659. Epub 2021 Aug 2.
4
"I don't know how many nursing homes will survive 2021": Financial sustainability during COVID-19.“我不知道有多少养老院能挺过2021年”:新冠疫情期间的财务可持续性
J Am Geriatr Soc. 2021 Oct;69(10):2785-2788. doi: 10.1111/jgs.17380. Epub 2021 Jul 29.
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J Am Med Dir Assoc. 2021 Jan;22(1):199-203. doi: 10.1016/j.jamda.2020.11.022. Epub 2020 Nov 24.
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Assuring Quality in Nursing Homes: The Black Box of Administrative and Clinical Leadership-A Scoping Review.确保养老院的质量:行政和临床领导力的黑箱——范围综述。
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