Abstract
The training and function of Certified Nurse Aides (CNAs) has traditionally focused on safe, hygienic, direct care and concrete, practical task completion. These two basic premises have directed training and job criteria and have evolved without much regard for the personal opinions, desires, and thoughts of the nurse aides themselves. 1 However, CNA roles are expanding and changing daily, and what this expansion means in terms of patient care has ever-increasing relevance. How and what CNAs think and feel about their role and their training, and how both could be improved to meet the needs of patients and the demands of the healthcare system, are of vital interest to all those who rely upon their expertise.
Keywords: Alzheimer's disease, dementia, long-term care, institutional care, certified nurse aides, pain management
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Contributor Information
Dorothy Varholak, University of Hartford, College of Education, Nursing and Health Professions, Hartford, Connecticut..
Janice Costello, Masonic Geriatric Healthcare Center, Wallingford, Connecticut..
References
- McLagan P: Competencies: The next generation. Train Dev. 1997; 40-47. [Google Scholar]
- Ridenour JE: Nurse leadership competencies for the 21st century. Semin Nurse Manag. 1996; 4(2): 93-97. [PubMed] [Google Scholar]
- Joint Committee on Accreditation of Healthcare Organizations: New Standards to assess and manage pain. Joint Commission Perspectives. Sept/Oct, 1999; 5-6. [PubMed] [Google Scholar]
- Walsh C: Developing a successful interdisciplinary pain management program. Group Practice J. 1999; 18-21. [Google Scholar]
- Williams-Lee P: Managing pain by the book. Nurs Manage. 1999; 30(7): 9-9. [PubMed] [Google Scholar]
- SAGE Study Group: Management of pain in elderly patients with cancer. JAMA. 1998; 279(23): 1877-1882. [DOI] [PubMed] [Google Scholar]
- SAGE Study Group: Correlates and management of nonmalignant pain in the nursing home. J Am Geriatr Soc. 1999; 47: 936-942. [DOI] [PubMed] [Google Scholar]
- American Pain Society Committee, Editors: Principles of Analgesic Use in the Treatment of Acute Pain and Cancer Pain, Third Ed. Skokie, Illinois: American Pain Society Publications, 1992. [Google Scholar]
- APS Committee, Editors: Quality improvement guidelines for the treatment of acute pain. JAMA. 1995; 274(23): 1874-1880. [DOI] [PubMed] [Google Scholar]
- Schweikhart SB: Re-engineering the work of caregivers: Role redefinition, team structures and organizational redesign. J Hosp Health Serv Admin. 1996; 41(1): 19-36. [PubMed] [Google Scholar]
- US Dept. of Health & Human Services: Management of cancer pain: Adults. Rockville, Maryland: AHCPR; Publication No. 94-0593; 1994: 1-8. [Google Scholar]
- Curtiss CP: Assessment of pain and pain relief: Key to successful pain control. J Pharm Care Pain Symptom Control. 1997; 5(3): 33-45. [Google Scholar]