An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce
Abstract INTRODUCTION Certified nursing assistants (CNAs) constitute the largest segment of the nursing home workforce, with over 50% of the dementia care workforce comprised of racial and ethnic minoritized individuals. Despite their critical role in dementia care, CNAs face significant inequities...
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| Format: | Article |
| Language: | English |
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Wiley
2024-10-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
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| Online Access: | https://doi.org/10.1002/trc2.70012 |
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| author | Jasmine L. Travers Shivani Shenoy Julia Tague‐LaCrone Hillary Leger |
| author_facet | Jasmine L. Travers Shivani Shenoy Julia Tague‐LaCrone Hillary Leger |
| author_sort | Jasmine L. Travers |
| collection | DOAJ |
| description | Abstract INTRODUCTION Certified nursing assistants (CNAs) constitute the largest segment of the nursing home workforce, with over 50% of the dementia care workforce comprised of racial and ethnic minoritized individuals. Despite their critical role in dementia care, CNAs face significant inequities in terms of salary, treatment, and working conditions. To enhance equity and improve working conditions, valid and reliable measures are essential for nursing homes to assess their current environment, track progress, and refine strategies. This paper synthesizes existing measures and tools that assess equity‐related constructs among CNAs. METHODS We conducted an environmental scan to identify existing measures, tools, and instruments assessing equity‐related constructs among CNAs in nursing homes. Our search focused on nine key equity‐related constructs: training, job satisfaction, compensation, staffing/workload, burnout, working conditions/environment, role, leadership, and turnover. RESULTS Our environmental scan resulted in 15 measures, tools, or instruments relevant to CNA equity. These instruments focused on job satisfaction, retention and turnover, job commitment, leadership experiences, and work environment. Sixty percent of these tools lacked reported validity or reliability data. While the remaining 40% demonstrated strong psychometric properties, overall, the methodological rigor of available measures is inconsistent. A critical gap in the existing literature is the absence of tools measuring burnout or workload, among CNAs. DISCUSSION The identified measures/tools offer potential for evaluating the effectiveness of interventions addressing CNA equity. However, it is imperative to establish the validity and reliability of these instruments across diverse populations, particularly among racial and ethnic minoritized groups, and develop or adapt tools that measure burnout and workload for CNAs. Furthermore, a deeper understanding of the underlying mechanisms driving these inequities through qualitative data is crucial for developing targeted and impactful interventions. Highlights Measuring equity among CNAs is important to evaluate strategies intended to improve equity. The identified tools enable assessment of how CNAs feel about important constructs that are related to equity. We found no tools that comprehensively measured workload or burnout experienced by CNAs. |
| format | Article |
| id | doaj-art-12287a8eff9c4e7a9d2bced0891857bc |
| institution | Kabale University |
| issn | 2352-8737 |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj-art-12287a8eff9c4e7a9d2bced0891857bc2024-12-27T12:20:32ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372024-10-01104n/an/a10.1002/trc2.70012An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforceJasmine L. Travers0Shivani Shenoy1Julia Tague‐LaCrone2Hillary Leger3New York University Rory Meyers College of Nursing New York New York USADepartment of Public Health Policy and Management New York University School of Global Public Health New York New York USADepartment of Public Health Policy and Management New York University School of Global Public Health New York New York USANew York University Rory Meyers College of Nursing New York New York USAAbstract INTRODUCTION Certified nursing assistants (CNAs) constitute the largest segment of the nursing home workforce, with over 50% of the dementia care workforce comprised of racial and ethnic minoritized individuals. Despite their critical role in dementia care, CNAs face significant inequities in terms of salary, treatment, and working conditions. To enhance equity and improve working conditions, valid and reliable measures are essential for nursing homes to assess their current environment, track progress, and refine strategies. This paper synthesizes existing measures and tools that assess equity‐related constructs among CNAs. METHODS We conducted an environmental scan to identify existing measures, tools, and instruments assessing equity‐related constructs among CNAs in nursing homes. Our search focused on nine key equity‐related constructs: training, job satisfaction, compensation, staffing/workload, burnout, working conditions/environment, role, leadership, and turnover. RESULTS Our environmental scan resulted in 15 measures, tools, or instruments relevant to CNA equity. These instruments focused on job satisfaction, retention and turnover, job commitment, leadership experiences, and work environment. Sixty percent of these tools lacked reported validity or reliability data. While the remaining 40% demonstrated strong psychometric properties, overall, the methodological rigor of available measures is inconsistent. A critical gap in the existing literature is the absence of tools measuring burnout or workload, among CNAs. DISCUSSION The identified measures/tools offer potential for evaluating the effectiveness of interventions addressing CNA equity. However, it is imperative to establish the validity and reliability of these instruments across diverse populations, particularly among racial and ethnic minoritized groups, and develop or adapt tools that measure burnout and workload for CNAs. Furthermore, a deeper understanding of the underlying mechanisms driving these inequities through qualitative data is crucial for developing targeted and impactful interventions. Highlights Measuring equity among CNAs is important to evaluate strategies intended to improve equity. The identified tools enable assessment of how CNAs feel about important constructs that are related to equity. We found no tools that comprehensively measured workload or burnout experienced by CNAs.https://doi.org/10.1002/trc2.70012certified nursing assistants (CNAS)equityretentionwork environment |
| spellingShingle | Jasmine L. Travers Shivani Shenoy Julia Tague‐LaCrone Hillary Leger An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce Alzheimer’s & Dementia: Translational Research & Clinical Interventions certified nursing assistants (CNAS) equity retention work environment |
| title | An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce |
| title_full | An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce |
| title_fullStr | An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce |
| title_full_unstemmed | An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce |
| title_short | An environmental scan of equity‐related measures for the certified nursing assistant dementia care workforce |
| title_sort | environmental scan of equity related measures for the certified nursing assistant dementia care workforce |
| topic | certified nursing assistants (CNAS) equity retention work environment |
| url | https://doi.org/10.1002/trc2.70012 |
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