The Raging River: Certified Nursing Assistants' Experiences in Rural, Long-Term Care.
Purpose: Certified nursing assistants (CNAs) are essential, direct caregivers within the long-term care (LTC) setting. When traumatic events occur within LTC, CNAs are often involved, resulting in potentially negative consequences for the CNA. There has been limited research about rural LTC CNAs, wh...
| Publicado en: | Online Journal of Rural Nursing & Health Care Vol. 25; no. 1; pp. 72 - 99 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Online Journal of Rural Nursing & Healthcare
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185287471&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185287471 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15393399 1CZA jtl: Online Journal of Rural Nursing & Health Care issn: 15393399 maglogo: N pubinfo: dt: 2025 vid: 25 iid: 1 pid: 24740 pub: Online Journal of Rural Nursing & Healthcare place: Chicago, Illinois artinfo: ui: 185287471 185287471 185287471 10.14574/ojrnhc.v25i1.789 185287471 ppf: 72 ppct: 27 formats: fmt: @attributes: type: P tig: atl: The Raging River: Certified Nursing Assistants' Experiences in Rural, Long-Term Care. aug: au: Carlson, Nicole Brown, Robin Foland, Kay Isaacson, Mary affil: Assistant Professor, College of Nursing, South Dakota State University sug: subj: Certified Nursing Assistants Psychosocial Factors Work Experiences Psychological Trauma Nurse Attitudes Rural Nursing Long Term Care Nursing Long Term Care Nurses Psychosocial Factors Work Environment Stress, Occupational Human Male Female Adult Middle Age Phenomenological Research Phenomenology Semi-Structured Interview Narratives Reflection Questionnaires Descriptive Statistics Data Analysis Software South Dakota Long Term Care Thematic Analysis Patient Assault Empathy Hardiness Emotions Fear Death Shock Adult: 19-44 years Middle Aged: 45-64 years Male Female ab: Purpose: Certified nursing assistants (CNAs) are essential, direct caregivers within the long-term care (LTC) setting. When traumatic events occur within LTC, CNAs are often involved, resulting in potentially negative consequences for the CNA. There has been limited research about rural LTC CNAs, which is a concern due to CNAs' important role and rural disparities they encounter. The purpose of this study was to explore the experience of CNAs who have faced a traumatic event while working in the rural LTC setting. Sample: Nine CNAs were purposively recruited from two rural LTC facilities in a predominately rural upper Midwest state. Inclusion criteria included being a CNA, having experienced a traumatic event in a LTC workplace setting, speaking English, being at least 18 years old, and working in a rural area as defined by HRSA. Method: This study used an interpretive phenomenological design. Semi-structured interviews occurred via Zoom. Analysis involved an iterative process that included dwelling with the data and the use of a hermeneutic circle. Findings: All participants were white females, which is consistent with the CNA demographics within the area. An overarching theme of The Raging River emerged, along with the five supporting themes of Forward Motion, Nourisher, Drowning, Cold Resources, and Desperation for a Lifeline. Conclusions: The CNAs described complex experiences, demonstrating both their strength to continue forward and their vulnerability and necessity of support. Caring for residents in the rural LTC setting brings unique challenges. This study demonstrated a clear need for future research to provide better support to rural LTC CNAs. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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