Rules of performance in the nursing home: A grounded theory of nurse-CNA communication

被引:13
作者
Madden, Connie [1 ]
Clayton, Margaret [1 ]
Canary, Heather E. [2 ]
Towsley, Gail [1 ]
Cloyes, Kristin [1 ]
Lund, Dale [3 ]
机构
[1] Univ Utah, Coll Nursing, 10 South 2000 East, Salt Lake City, UT 84112 USA
[2] Univ Utah, Dept Commun, 255 S Cent Campus Dr, Salt Lake City, UT 84112 USA
[3] Univ Utah, Dept Family & Consumer Studies, 225 S 1400 East, Salt Lake City, UT 84112 USA
关键词
Communication; Nursing home; Grounded theory; Nurse; Certified Nursing Assistant; PERSON-CENTERED CARE; QUALITY-OF-CARE; CULTURE CHANGE; SETTINGS; IMPROVEMENT; TEAMWORK; BARRIERS;
D O I
10.1016/j.gerinurse.2016.12.013
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
This study offers an initial theoretical understanding of nurse-CNA communication processes from the perspectives of nurses and CNAs who are providing direct care to residents in nursing homes. A grounded theory approach provided an understanding of nurse-CNA communication process within the complexities of the nursing home setting. Four themes (maintaining information flow, following procedure, fostering collegiality, and showing respect) describe the "rules of performance" that intertwine in nuanced relationships to guide nurse-CNA communication processes. Understanding how these rules of performance guide nurse-CNA communication processes, and how they are positively and negatively influenced, suggests that nurse-CNA communication during direct care of nursing home residents could be improved through policy and education that is specifically designed to be relevant and applicable to direct care providers in the nursing home environment. (C) 2016 Elsevier Inc. All rights reserved.
引用
收藏
页码:378 / 384
页数:7
相关论文
共 34 条
  • [1] [Anonymous], 2006, CONSTRUCTING GROUNDE
  • [2] High-Performance Workplace Practices in Nursing Homes: An Economic Perspective
    Bishop, Christine E.
    [J]. GERONTOLOGIST, 2014, 54 : S46 - S52
  • [3] Blumer Herbert, 1969, SYMBOLIC INTERACTION
  • [4] Measuring Administrators' and Direct Care Workers' Perceptions of the Safety Culture in Assisted Living Facilities
    Castle, Nicholas G.
    Wagner, Laura M.
    Sonon, Kristen
    Ferguson-Rome, Jamie C.
    [J]. JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2012, 38 (08) : 375 - +
  • [5] Understanding Nursing Home Worker Conceptualizations about Good Care
    Chung, Gawon
    [J]. GERONTOLOGIST, 2013, 53 (02) : 246 - 254
  • [6] Coffman E., 1959, The presentation of self in everyday life
  • [7] Patterns of medical and nursing staff communication in nursing homes:: Implications and insights from complexity science
    Colón-Emeric, CS
    Ammarell, N
    Bailey, D
    Corazzini, K
    Lekan-Rutledge, D
    Piven, ML
    Utley-Smith, Q
    Anderson, RA
    [J]. QUALITATIVE HEALTH RESEARCH, 2006, 16 (02) : 173 - 188
  • [8] Committee on the Future Health Care Workforce for Older Americans Board on Health Care Services lnstitute of Medicine, 2008, I MED APR, V2008, P317
  • [9] Denzin N.K., 2011, SAGE HDB QUALITATIVE, V4th, P1
  • [10] Culture Change and Nursing Home Quality of Care
    Grabowski, David C.
    O'Malley, A. James
    Afendulis, Christopher C.
    Caudry, Daryl J.
    Elliot, Amy
    Zimmerman, Sheryl
    [J]. GERONTOLOGIST, 2014, 54 : S35 - S45