The National Nursing Assistant Survey: Improving the Evidence Base for Policy Initiatives to Strengthen the Certified Nursing Assistant Workforce
The National Nursing Assistant Survey: Improving the Evidence Base for Policy Initiatives to Strengthen the Certified Nursing Assistant Workforce
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DOI：
10.1093/geront/gnp024
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发表时间：
2009-04-01
期刊：
影响因子：
5.7
通讯作者：
Han, Beth
中科院分区：
文献类型：
--
作者：
Squillace, Marie R.;Remsburg, Robin E.;Han, Beth
目的：这项研究介绍了第一次全国护理助理调查(NNAs)，这是关于注册护士助理(CNA)数据的一个重大进展，为循证政策、实践和应用研究倡议提供了丰富的资源。我们强调这一新调查的潜在用途，使用精选的人口估计作为如何利用NNAs来为新的政策方向提供信息的例子。设计和方法：NNAs是一项具有全国代表性的调查，于2004-2005年间对3017名在养老院工作的CNA进行了电话采访。主要调查内容包括：招聘；教育；培训和执照；工作历史；家庭生活；管理和监督；客户关系；组织承诺和工作满意度；工作环境；工伤；以及人口统计。结果：1/3的中国家庭接受了某种形式的经济状况调查的公共援助。在过去的一年里，超过一半的国家工商局至少遭受了1000次工伤，近四分之一的人因工伤至少一天不能工作。42%的未参保CNA表示，他们没有参加雇主赞助的保险计划，因为他们负担不起该计划。多年的经验并不能转化为更高的工资；拥有10年或10年以上经验的CNA平均每小时仅比不到1年前开始在该领域工作的助手高出2美元/小时。影响：这项调查可以用来了解CNA员工队伍的问题和挑战，并计划可持续的解决方案来稳定这支队伍。NNAs可以链接到其他现有的数据集，以检查CNA、设施、居民和社区特征之间更全面和更复杂的关系，从而扩大其用途。
Purpose: This study introduces the first National Nursing Assistant Survey (NNAS), a major advance in the data available about certified nursing assistants (CNAs) and a rich resource for evidence-based policy, practice, and applied research initiatives. We highlight potential uses of this new survey using select population estimates as examples of how the NNAS can be used to inform new policy directions. Design and Methods: The NNAS is a nationally representative survey of 3,017 CNAs working in nursing homes, who were interviewed by phone in 2004-2005. Key survey components are recruitment; education; training and licensure; job history; family life; management and supervision; client relations; organizational commitment and job satisfaction; workplace environment; work-related injuries; and demographics. Results: One in three CNAs received some kind of means-tested public assistance. More than half of CNAs incurred at least 1 work-related injury within the past year and almost one quarter were unable to work for at least 1 day due to the injury. Forty-two percent of uninsured CNAs cite not participating in their employer-sponsored insurance plan because they could not afford the plan. Years of experience do not translate into higher wages; CNAs with 10 or more years of experience averaged just $2/hr more than aides who started working in the field less than 1 year ago. Implications: This survey can be used to understand CNA workforce issues and challenges and to plan for sustainable solutions to stabilize this workforce. The NNAS can be linked to other existing data sets to examine more comprehensive and complex relationships among CNA, facility, resident, and community characteristics, thereby expanding its usefulness.