Meaning making in long-term care: what do certified nursing assistants think?

Certified nursing assistants (CNAs) provide up to 80% of the direct care to older adults in long-term care facilities. CNAs are perceived as being at the bottom of the hierarchy among healthcare professionals often negatively affecting their job satisfaction. However, many CNAs persevere in providing quality care and even reporting high levels of job satisfaction. The aim of the present investigation was to identify primary themes that may help CNAs make meaning of their chosen career; thus potentially partially explaining increases in job satisfaction among this group. Focus groups were conducted with CNAs at three long-term care facilities. Four themes emerged from the data: CNA work is good or special; CNA as relationship builder; CNA as expert; CNA as team member. These themes reflect the perceptions that these CNAs held in regard to themselves and their relationships to others in the work environment and, when present, can contribute to intrinsic job satisfaction. Our meaning-making themes support the premise that CNAs do not passively accept the evaluations of others but instead actively frame identities that validate their importance to residents and the institution.

The future of gerontological social work: what we know and what we don't know about student interest in the field.

As baby boomers age, social work leaders predict there will be a significant shortage of gerontological social workers to care for the older population. Research to explore this predicted shortage has focused on reasons why social work students do not appear interested in working with the older population. Most reasons cluster around three broad research constructs that include: (a) attitudes toward the older population, (b) knowledge about the older population, and (c) personal and professional experience with the older population. In this article the author presents a systematic review of current research to determine what we do and do not know about social work student interest in working with the older population.

Action in the event tent! Medical-legal issues facing the volunteer event physician.

CONTEXT: Physicians need to consider medical-legal issues when volunteering their time to assist with community mass-participation and athletic events. This article also reviews medical-legal aspects of the volunteer physician's out-of-state practice. Seven cases illustrate the importance of expertise and planning to avoid legal issues for the volunteer event physician. EVIDENCE ACQUISITION: Relevant studies, expert opinion, medical-legal legislation, and medical-legal cases were reviewed. RESULTS: Physicians typically make 4 common assumptions regarding these types of events: Good Samaritan legislation, event liability insurance, personal liability insurance, and waivers. We discuss the intent of these assumptions and the reality of how, or how not, they provide any protection to the volunteer event physician. CONCLUSION: The intent of this article is to make physicians aware of medial-legal issues when volunteering their time for community and athletic events.

The future of gerontological social work: a case for structural lag.

The US population is aging. Traditional perspectives have emphasized that a substantial increase in the number of gerontological social workers is needed to care for this population. However, published evidence demonstrates that, along with population growth, economic and social factors must be taken into account before predicting future gerontological social work demand. Structural lag theory is introduced to explain how these factors affect the profession and may limit its presence in gerontological work settings. Recommendations are made to correct the lag, allowing the social work profession a more substantive voice in the aging enterprise.

Factors that prevent roughstock rodeo athletes from wearing protective equipment.

Using a cross-sectional survey design, this study sought to determine usage rates and barriers to the use of protective equipment in roughstock athletes. Between 2004 and 2006, amateur, collegiate, and professional roughstock athletes were surveyed using national organizational mailing lists. Findings revealed that during competition, 69% never wore a helmet. Barriers were a negative effect on performance and sport persona. Conversely, 88% always wore a vest. The perception that vest usage was required encouraged roughstock athletes to wear them. Mouthpiece use results were mixed; 58% always used and 21% never used a mouthpiece. Barriers were discomfort and frequent forgetfulness. Reported injury rate was high, with users noting fewer injuries to head and ribs than nonusers, and riders agreed that protective equipment prevented injury to the head, ribs, and mouth. However, equipment usage rates varied widely by type and seemed to be underutilized because the equipment affected performance, was uncomfortable, and "not cowboy."