Prof. Jorie Butler



Department of Biomedical Informatics

Division of Geriatrics

University of Utah



Communication Disparities between Nursing Home Team Members


Journal article


Timothy W. Farrell, Jorie M. Butler, G. Towsley, Jacqueline Telonidis, K. Supiano, Caroline E. Stephens, N. M. Nelson, A. May, L. Edelman
International Journal of Environmental Research and Public Health, 2022

Semantic Scholar DOI PubMedCentral PubMed
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APA   Click to copy
Farrell, T. W., Butler, J. M., Towsley, G., Telonidis, J., Supiano, K., Stephens, C. E., … Edelman, L. (2022). Communication Disparities between Nursing Home Team Members. International Journal of Environmental Research and Public Health.


Chicago/Turabian   Click to copy
Farrell, Timothy W., Jorie M. Butler, G. Towsley, Jacqueline Telonidis, K. Supiano, Caroline E. Stephens, N. M. Nelson, A. May, and L. Edelman. “Communication Disparities between Nursing Home Team Members.” International Journal of Environmental Research and Public Health (2022).


MLA   Click to copy
Farrell, Timothy W., et al. “Communication Disparities between Nursing Home Team Members.” International Journal of Environmental Research and Public Health, 2022.


BibTeX   Click to copy

@article{timothy2022a,
  title = {Communication Disparities between Nursing Home Team Members},
  year = {2022},
  journal = {International Journal of Environmental Research and Public Health},
  author = {Farrell, Timothy W. and Butler, Jorie M. and Towsley, G. and Telonidis, Jacqueline and Supiano, K. and Stephens, Caroline E. and Nelson, N. M. and May, A. and Edelman, L.}
}

Abstract

Optimal care in nursing home (NH) settings requires effective team communication. Certified nursing assistants (CNAs) interact with nursing home residents frequently, but the extent to which CNAs feel their input is valued by other team members is not known. We conducted a cross-sectional study in which we administered a communication survey within 20 Utah nursing home facilities to 650 team members, including 124 nurses and 264 CNAs. Respondents used a 4-point scale to indicate the extent to which their input is valued by other team members when reporting their concerns about nursing home residents. We used a one-way ANOVA with a Bonferroni correction. When compared to nurses, CNAs felt less valued (CNA mean = 2.14, nurse mean = 3.24; p < 0.001) when reporting to physicians, and less valued (CNA mean = 1.66, nurse mean = 2.71; p < 0.001) when reporting to pharmacists. CNAs did not feel less valued than nurses (CNA mean = 3.43, nurse mean = 3.37; p = 0.25) when reporting to other nurses. Our findings demonstrate that CNAs feel their input is not valued outside of nursing, which could impact resident care. Additional research is needed to understand the reasons for this perception and to design educational interventions to improve the culture of communication in nursing home settings.


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