title: Does race influence conflict between nursing home staff and family members of residents?
abstract: OBJECTIVE
  This study examines the influence of race on perceived similarity and conflict between nursing home staff and family members of residents. Despite evidence that the caregiving experience varies by race for both family and professional caregivers, little is known about how race plays a role in staff conflict with residents' family members.
  
  
  METHODS
  We used a representative sample of Certified Nursing Assistants (CNAs) to test relationships between race, treatment from family members, similarity to family members in expectations for care by CNAs, and conflicts with family members concerning aspects of resident care.
  
  
  RESULTS
  Results of structural equation modeling indicated that race was not a predictor of staff perception of conflict with family members or of poor treatment from residents' families. However, Black nursing assistants were more likely to perceive that their own expectations of nursing care are dissimilar from those of residents' family members. Dissimilarity predicted reports of poor treatment from family members, and poor treatment was a positive predictor of perception of conflict.
  
  
  CONCLUSIONS
  The personal long-term nature of nursing home care necessitates a high level of connectedness between family caregivers and nursing home staff. Results highlight the importance of establishing organizational pathways for communication of expectations between nursing staff and residents' families.
authors: Department of Public Health, Western Kentucky University, Academic Complex Room 127, Bowling Green, KY 42101, USA. kathleen.abrahamson@wku.edu
authors: Kathleen
authors: K
authors: Abrahamson
authors: Karl
authors: K
authors: Pillemer
authors: Jori
authors: J
authors: Sechrist
authors: Jill
authors: J
authors: Suitor
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology*; D003220:Conflict, Psychological; D006707:Homes for the Aged / Q000458:organization & administration*; D006801:Humans; D009723:Nurse-Patient Relations; D009735:Nursing Homes / Q000458:organization & administration*; D009740:Nursing Staff / Q000458:organization & administration* / Q000523:psychology; D011368:Professional-Family Relations; D011822:Race Relations / Q000523:psychology*