Culture Shock: Exploring Ethnicity in the Nursing Home

文化冲击：探索疗养院中的种族

• 批准号: 6400631
• 负责人: PHYLLIS H MUTSCHLER
• 金额: $ 7.75万
• 依托单位: BRANDEIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-09-30 至 2003-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6400631
• 关键词: administrative personnel; allied health personnel; behavioral /social science research tag; conflict; culture; employment /unemployment; health care personnel performance; health care quality; health care service; health services research tag; human subject; interpersonal relations; job satisfaction; nursing homes; nursing personnel; patient care personnel attitude; patient care personnel relations; racial /ethnic difference

The proposed pilot study consists of research relevant to the following topic areas listed in the Program Announcement: #3 (Racial/Ethnic Differences) and #23 (Care for Older People). New initiatives have been proposed to raise staffing levels in nursing homes, after reports of lower quality of life in these institution due to nursing and paraprofessional shortage. It is well documented that certified nursing assistants (CNAs) face a series of challenges that decrease job satisfaction, increase turnover and therefore, adversely affect continuity and quality of care for the elderly. In as much as a significant number of CNAs are minority and immigrant worker, one issue that has not been studied in nursing homes is the potential impact of ethnic diversity on job satisfaction and retention of CNAs. The proposed pilot study is innovative in that it takes a first step toward exploring racial relation in the nursing home environment, particularly among different levels of the nursing staff-nursing supervisors and CNAs and how those relationships affect job satisfaction and retention of frontline nursing home workers. The proposed project includes the development and implementation of focus groups with CNAs of color and nursing supervisors in nursing home settings in Massachusetts with goal of increasing the understanding of cultural and ethnic issues and/or conflicts among CNAs and nursing supervisors. Further, it explores what impact these issues may have on job satisfaction and retention of the paraprofessional workforce. Transcription of the focus group discussions will be analyzed to identify recurrent themes. At the completion of this pilot project, a larger proposal will be submitted to develop a training program for CNAs and nursing supervisor based on the needs identified by these professionals. The second phase proposal also will conduct a systematic assessment of the training program at a national level.

拟议的试点研究包括与方案公告中列出的下列专题领域有关的研究：#3(种族/民族差异)和#23(照顾老年人)。有报道称，由于护理和副专业人员短缺，养老院的生活质量较低，因此提出了提高养老院工作人员水平的新举措。众所周知，注册护士助理(CNA)面临着一系列挑战，这些挑战降低了工作满意度，增加了人员流失率，从而对老年人护理的连续性和质量产生了不利影响。由于相当数量的CNA是少数民族和移民工人，疗养院还没有研究过一个问题，那就是种族多样性对CNA工作满意度和留住的潜在影响。拟议的试点研究具有创新性，因为它是探索养老院环境中的种族关系的第一步，特别是不同级别的护理人员-护理主管和CNA之间的种族关系，以及这些关系如何影响养老院一线员工的工作满意度和留住。拟议的项目包括在马萨诸塞州的养老院环境中与有色人种CNA和护理监督员建立和实施焦点小组，目的是增加对CNA和护理监督员之间的文化和种族问题和/或冲突的了解。此外，它还探讨了这些问题可能会对工作满意度和准专业劳动力的留住产生什么影响。将对焦点小组讨论的文字记录进行分析，以确定反复出现的主题。在这一试点项目完成后，将提交一份更大的提案，根据这些专业人员确定的需求，为CNA和护理主管制定培训计划。第二阶段的提案还将在国家一级对培训计划进行系统评估。