Assessment of immigrant certified nursing assistants' communication when responding to standardized care challenges

Meredith Massey, Debra L. Roter

Research output: Contribution to journalArticle

Abstract

Objective: Certified nursing assistants (CNAs) provide 80% of the hands-on care in US nursing homes; a significant portion of this work is performed by immigrants with limited English fluency. This study is designed to assess immigrant CNA's communication behavior in response to a series of virtual simulated care challenges. Methods: A convenience sample of 31 immigrant CNAs verbally responded to 9 care challenges embedded in an interactive computer platform. The responses were coded with the Roter Interaction Analysis System (RIAS), CNA instructors rated response quality and spoken English was rated. Results: CNA communication behaviors varied across care challenges and a broad repertoire of communication was used; 69% of response content was characterized as psychosocial. Communication elements (both instrumental and psychosocial) were significant predictors of response quality for 5 of 9 scenarios. Overall these variables explained between 13% and 36% of the adjusted variance in quality ratings. Conclusion: Immigrant CNAs responded to common care challenges using a variety of communication strategies despite fluency deficits. Practice implications: Virtual simulation-based observation is a feasible, acceptable and low cost method of communication assessment with implications for supervision, training and evaluation of a para-professional workforce.

Original languageEnglish (US)
Pages (from-to)44-50
Number of pages7
JournalPatient Education and Counseling
Volume99
Issue number1
DOIs
StatePublished - Jan 1 2016

Keywords

  • Certified nursing assistant
  • Computer simulation
  • Immigrant workforce
  • RIAS

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Assessment of immigrant certified nursing assistants' communication when responding to standardized care challenges'. Together they form a unique fingerprint.

  • Cite this