| Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents. | |
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MedLine Citation:
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PMID: 16221876 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do for them. Mother wit guided CNAs to treat residents as they would treat their own children. These mental models engendered self-control and affection but also led to actions such as infantilization and misinterpretations about potentially undiagnosed conditions such as depression or pain. Furthermore, the authors found that CNAs were isolated from clinicians; little resident information was exchanged. They suggest ways to alter CNA mental models to give them a better basis for action and strategies for connecting CNAs and clinical professionals to improve information flow about residents. Study results highlight a critical need for registered nurses (RNs) to be involved in frontline care. |
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Authors:
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Ruth A Anderson; Natalie Ammarell; Donald Bailey; Cathleen Colón-Emeric; Kirsten N Corazzini; Melissa Lillie; Mary Lynn Scotton Piven; Queen Utley-Smith; Reuben R McDaniel |
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Publication Detail:
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Type: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: Qualitative health research Volume: 15 ISSN: 1049-7323 ISO Abbreviation: Qual Health Res Publication Date: 2005 Oct |
Date Detail:
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Created Date: 2005-10-13 Completed Date: 2005-12-30 Revised Date: 2013-03-22 |
Medline Journal Info:
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Nlm Unique ID: 9202144 Medline TA: Qual Health Res Country: United States |
Other Details:
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Languages: eng Pagination: 1006-21 Citation Subset: T |
Affiliation:
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Duke University School of Nursing, Durham, North Carolina, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Altruism* Nurses' Aides / psychology* Nursing Homes* Professional-Patient Relations* United States |
| Grant Support | |
ID/Acronym/Agency:
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2P20NR07795-04/NR/NINR NIH HHS; 2R01 NR003178-04A2/NR/NINR NIH HHS; AG000-29/AG/NIA NIH HHS; R01 NR003178/NR/NINR NIH HHS |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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