Evidence map›Paper›PMID 39748837›Full record

ArticleAlzheimer's & dementia (New York, N. Y.)

An environmental scan of equity-related measures for the certified nursing assistant dementia care workforce.

Jasmine L Travers, Shivani Shenoy, Julia Tague-LaCrone, Hillary Leger

Abstract read
In one paragraph

Article in Alzheimer's & dementia (New York, N. Y.). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Jasmine L TraversNew York University Rory Meyers College of Nursing New York New York USA.
Shivani ShenoyDepartment of Public Health Policy and Management New York University School of Global Public Health New York New York USA.ORCID https://orcid.org/0000-0003-0211-5138
Julia Tague-LaCroneDepartment of Public Health Policy and Management New York University School of Global Public Health New York New York USA.
Hillary LegerNew York University Rory Meyers College of Nursing New York New York USA.

Funding

Identifying Unmet Needs Driving Disproportionate and Avoidable Nursing Home Placements among Black and Latino Persons Living With DementiaK76AG074922 · NIA · NEW YORK UNIVERSITY · PI ALTIZER, JASMINE TRAVERS · 2021 to 2025
$1.1M
NIA NIH HHS K76 AG074922
6 · The paper itself

Abstract

introductionCertified nursing assistants (CNAs) constitute the largest segment of the nursing home workforce, with over 50% of the dementia care workforce comprised of racial and ethnic minoritized individuals. Despite their critical role in dementia care, CNAs face significant inequities in terms of salary, treatment, and working conditions. To enhance equity and improve working conditions, valid and reliable measures are essential for nursing homes to assess their current environment, track progress, and refine strategies. This paper synthesizes existing measures and tools that assess equity-related constructs among CNAs.

methodsWe conducted an environmental scan to identify existing measures, tools, and instruments assessing equity-related constructs among CNAs in nursing homes. Our search focused on nine key equity-related constructs: training, job satisfaction, compensation, staffing/workload, burnout, working conditions/environment, role, leadership, and turnover.

resultsOur environmental scan resulted in 15 measures, tools, or instruments relevant to CNA equity. These instruments focused on job satisfaction, retention and turnover, job commitment, leadership experiences, and work environment. Sixty percent of these tools lacked reported validity or reliability data. While the remaining 40% demonstrated strong psychometric properties, overall, the methodological rigor of available measures is inconsistent. A critical gap in the existing literature is the absence of tools measuring burnout or workload, among CNAs. DISCUSSION: The identified measures/tools offer potential for evaluating the effectiveness of interventions addressing CNA equity. However, it is imperative to establish the validity and reliability of these instruments across diverse populations, particularly among racial and ethnic minoritized groups, and develop or adapt tools that measure burnout and workload for CNAs. Furthermore, a deeper understanding of the underlying mechanisms driving these inequities through qualitative data is crucial for developing targeted and impactful interventions. Highlights: Measuring equity among CNAs is important to evaluate strategies intended to improve equity.The identified tools enable assessment of how CNAs feel about important constructs that are related to equity.We found no tools that comprehensively measured workload or burnout  experienced by CNAs.

Indexed as

certified nursing assistants (CNAS)equityretentionwork environment

Identifiers

PMID39748837
PMCPMC11694519

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.