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Making a Difference: Nursing Assistants' Perspectives of Restorative Care Nursing

Authors

  • Barbara Resnick PhD CRNP FAAN FAANP,

    Professor, Corresponding author
      University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201 or barbresnick@aol.com.
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    • Barbara Resnick, PhD CRNP FAAN FAANP, is a now a professor at the University of Maryland School of Nursing, Baltimore, MD.

  • Marjorie Simpson MS CRNP,

    Doctoral CandidateSearch for more papers by this author
    • Marjorie Simpson, MS CRNP, is a doctoral candidate at the University of Maryland School of Nursing.

  • Elizabeth Galik MS CRNP,

    Doctoral CandidateSearch for more papers by this author
    • Elizabeth Galik, MS CRNP, is a doctoral candidate at the University of Maryland School of Nursing.

  • Anita Bercovitz PhD,

    Post Doctoral StudentSearch for more papers by this author
    • Anita Bercovitz, PhD, was a post doctoral student at the University of Maryland School of Medicine, Department of Epidemiology, Baltimore, MD.

  • Ann L. Gruber-Baldini PhD,

    Associate ProfessorSearch for more papers by this author
    • Ann L. Gruber-Baldini, PhD, is Associate Professor at the University of Maryland School of Medicine Department of Epidemiology and Preventive Medicine, Division of Gerontology, at the University of Maryland School of Medicine, Baltimore, MD.

  • Sheryl Zimmerman PhD MSW,

    ProfessorSearch for more papers by this author
    • Sheryl Zimmerman, PhD MSW, is a professor at the University of North Carolina School of Social Work, Chapel Hill, NC.

  • Jay Magaziner PhD MS Hyg

    ProfessorSearch for more papers by this author
    • Jay Magaziner, PhD MS Hyg, is a professor in the Department of Epidemiology and Preventive Medicine, Division of Gerontology, at the University of Maryland School of Medicine, Baltimore, MD.


University of Maryland School of Nursing, 655 West Lombard Street, Baltimore, MD 21201 or barbresnick@aol.com.

Abstract

This article explores the experiences of nursing assistants who participated in the Res-Caer Pilot Intervention. A qualitative study used a focus group methodology. An interview guide was used and data from focus groups were audiotaped and transcribed verbatim. A purposive sample of 13 nursing assistants participated in the focus groups. A total of 35 different codes were identified, and these were reduced to the following four themes: resident barriers to restorative care, facility or system barriers to restorative care, nursing assistant strategies, and system facilitators of restorative care. The study supports and adds to previous work that suggests that in order to successfully implement changes in care in nursing home settings the following issues should be addressed: real or perceived workload issues, poor communication with nursing, insufficient knowledge or education, lack of appropriate supplies, and insufficient administrative support. The findings may be used to revise the Res-Care Pilot Intervention and direct future implementation of programs in nursing home settings.

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