title: Making a difference: nursing assistants' perspectives of restorative care nursing.
abstract: This article explores the experiences of nursing assistants who participated in the Res-Care Pilot Intervention. A qualitative study used a focus group methodology. An interview guide was used and data from focus groups were audiotaped and transcribed verbatim. A purposive sample of 13 nursing assistants participated in the focus groups. A total of 35 different codes were identified, and these were reduced to the following four themes: resident barriers to restorative care, facility or system barriers to restorative care, nursing assistant strategies, and system facilitators of restorative care. The study supports and adds to previous work that suggests that in order to successfully implement changes in care in nursing home settings the following issues should be addressed: real or perceived workload issues, poor communication with nursing, insufficient knowledge or education, lack of appropriate supplies, and insufficient administrative support. The findings may be used to revise the Res-Care Pilot Intervention and direct future implementation of programs in nursing home settings.
authors.affiliation: University of Maryland School of Nursing, Baltimore 21201, USA. barbresnick@aol.com
authors.forename: Barbara
authors.initials: B
authors.lastname: Resnick
authors.forename: Marjorie
authors.initials: M
authors.lastname: Simpson
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Galik
authors.forename: Anita
authors.initials: A
authors.lastname: Bercovitz
authors.forename: Ann L
authors.initials: AL
authors.lastname: Gruber-Baldini
authors.forename: Sheryl
authors.initials: S
authors.lastname: Zimmerman
authors.forename: Jay
authors.initials: J
authors.lastname: Magaziner
mesh_terms: D001291:Attitude of Health Personnel; D002983:Clinical Competence / Q000592:standards; D003142:Communication; D004509:Education, Nursing, Continuing / Q000458:organization & administration; D017144:Focus Groups; D007722:Health Knowledge, Attitudes, Practice; D006301:Health Services Needs and Demand; D006801:Humans; D007318:Inservice Training / Q000458:organization & administration; D009042:Motivation; D024802:Nurse's Role; D009728:Nursing Assistants / Q000193:education / Q000458:organization & administration* / Q000523:psychology*; D009735:Nursing Homes / Q000458:organization & administration*; D015404:Nursing Methodology Research; D009745:Nursing, Supervisory / Q000458:organization & administration; D015279:Organizational Culture; D009936:Organizational Innovation; D010687:Philosophy, Nursing; D010865:Pilot Projects; D036301:Qualitative Research; D019145:Rehabilitation Nursing / Q000193:education / Q000458:organization & administration*; D012649:Self Concept; D020377:Self Efficacy; D012944:Social Support; D016526:Workload