학술논문

Working Dynamics of Licensed Nurses and Nurse Aides in Nursing Homes: A Scoping Review
Document Type
Report
Source
Journal of Gerontological Nursing. May 2022, Vol. 48 Issue 5, p27, 8 p.
Subject
United States
Language
English
ISSN
0098-9134
Abstract
Collaboration between licensed nurses (LNs) and nurse aides (NAs) is critical in the provision of quality care for residents living in nursing homes (NHs). The current scoping review explores how working dynamics between LNs and NAs in the NH setting are researched and described in the literature. Thirty-five articles were identified and reviewed that address the LN/NA relationship in the context of (a) the LN role as a supervisor and leader; (b) variation in structure; (c) expanding, understanding, and supporting staff roles; and (d) communication. We found that the LN/NA relationship has been primarily explored through the LN lens and often studied in the context of role expansion and revision associated with new models of care. Our contribution to the literature includes the following main points: efforts to improve LN/NA collaboration may be hindered without substantial structural change; collaboration may be limited within the hierarchal LN/NA relationship; LNs and NAs in NHs need greater support, recognition, and empowerment; and NAs require a representative voice. [Journal of Gerontological Nursing, 48(5), 27?34.]
Collaboration and teamwork in the provision of health care are critical in maintaining patient/resident safety and promoting quality, person-centered care. In the nursing home (NH) setting, nurse aides (NAs) provide [...]