Determining the CNA Training-Hour Requirement for Quality Care in U.S. Nursing Homes

Critical gaps in knowledge exist regarding the training hours needed for optimal quality of care in U.S. nursing homes (NHs). This study provides empirically derived estimates of the numbers of CNA training hours that yield the best nursing NH resident care outcomes. CNA training regulatory informat...

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Bibliographic Details
Published in:Journal of nursing regulation 2017-04, Vol.8 (1), p.4-10
Main Authors: Trinkoff, Alison M., Yang, Bo Kyum, Storr, Carla L., Zhu, Shijun, Lerner, Nancy B., Han, Kihye
Format: Article
Language:English
Subjects:
CNA training hour requirements
CNAs
nursing homes
nursing regulation
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Summary:Critical gaps in knowledge exist regarding the training hours needed for optimal quality of care in U.S. nursing homes (NHs). This study provides empirically derived estimates of the numbers of CNA training hours that yield the best nursing NH resident care outcomes. CNA training regulatory information was linked to 2014 quality indicator data from 13,608 U.S. NHs. Training hour requirements that yielded the best outcomes were estimated using multivariate regression models with generalized estimating equations. Lower proportions of residents with quality indicators (activities of daily living, falls with injuries, and pain) were found in states requiring more than the federal minimum of 75 CNA training hours compared with states requiring only 75 hours (all p
ISSN:2155-8256
2155-8264
DOI:10.1016/S2155-8256(17)30069-8