Understanding Formal Caregiver Burden in Nursing Assistants in Nursing Homes: A Mixed Methods Approach

The current study aimed to describe formal caregiver burden of nursing assistants in nursing homes. A descriptive, cross-sectional, convergent mixed methods approach identified attributes of formal caregiver burden using phenomenological interviews and established self-report measures. Themes includ...

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Bibliographic Details
Published in:Research in gerontological nursing 2023-09, Vol.16 (5), p.1-240
Main Authors: Kunkle, Rachel, Chaperon, Claudia, Popejoy, Lori L, Struwe, Leeza, Wengel, Steven, Berger, Ann M
Format: Article
Language:English
Subjects:
Care and treatment
Caregivers
Coronaviruses
COVID-19
Dementia
Geriatric nursing
Job stress
Medicaid
Medicare
Mixed methods research
Nurses' aides
Nursing care
Nursing home patients
Nursing homes
Older people
Pandemics
Practice
Prevention
Psychological aspects
Questionnaires
Recruitment
Risk factors
Social aspects
Workforce planning
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Summary:The current study aimed to describe formal caregiver burden of nursing assistants in nursing homes. A descriptive, cross-sectional, convergent mixed methods approach identified attributes of formal caregiver burden using phenomenological interviews and established self-report measures. Themes included nursing assistants' experiences of stress, close relationships, extensive assistance of residents, balancing needs and routines, and feeling accomplished. Self-report measures demonstrated moderate stress, moderate caring behaviors, responsibility, and competence. MDS 3.0 results showed moderate cognitive impairment, minimal depressive symptoms, and decreased functional status of residents. The mixed methods synthesis confirmed the presence of five attributes of formal caregiver burden: perceived stress, caring for another, dependency of the older adult, responsibility, and competence. Burnout was not confirmed. Future investigation of attributes among a larger, diverse sample of nursing assistants, residents, and nursing homes will advance knowledge and inform research design and methods of interventions. [ (x), xx-xx.].
ISSN:1940-4921
1938-2464
DOI:10.3928/19404921-20230706-02