title: Putting Residents First: Strategies Developed by CNAs to Prevent and Manage Resident-to-Resident Violence in Nursing Homes.
abstract: OBJECTIVE
  Resident-to-resident violence (RRV) in nursing homes (NHs) is common and threatens the safety and quality of life of both residents and caregivers. The purpose of this portion of a larger qualitative study was to explore strategies developed by certified nurses' assistants (CNAs) to prevent and manage RRV in NHs.
  
  
  METHODS
  Semistructured interviews were used to collect data. Data were analyzed utilizing content analysis and constant comparison.
  
  
  RESULTS
  Analysis revealed one overriding theme, "Putting Residents First" which the CNAs described as a conscious effort to put themselves or a beloved family member in the place of the resident while administering care. Within this theme, there were three related subthemes: (a) Knowing the Residents, (b) Keeping Residents Safe, and (c) Spending Quality Time.
  
  
  CONCLUSIONS
  Together, these themes suggest that the formulation of strategies for decreasing and managing RRV was influenced significantly by the ability of the CNAs to empathize with the residents for whom they were caring. The results indicate that in the absence of evidence-based interventions, CNAs have developed their own strategies for the management and prevention of RRV. These strategies may provide a foundation for the development and testing of interventions aimed at preventing and managing RRV in NHs.
authors.affiliation: School of Nursing, Arkansas State University, Jonesboro. ksnellgrove@astate.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Snellgrove
authors.affiliation: Department of Geriatrics, University of Arkansas for Medical Sciences, Little Rock.
authors.forename: Cornelia
authors.initials: C
authors.lastname: Beck
authors.affiliation: Department of Nursing Research, Arkansas Childrens' Hospital, Little Rock.
authors.forename: Angela
authors.initials: A
authors.lastname: Green
authors.affiliation: College of Nursing, University of Arkansas for Medical Sciences, Little Rock.
authors.forename: Jean C
authors.initials: JC
authors.lastname: McSweeney
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000374:Aggression / Q000523:psychology; D001291:Attitude of Health Personnel; D004645:Empathy; D005260:Female; D005851:Geriatric Nursing / Q000379:methods*; D006801:Humans; D007297:Inpatients / Q000523:psychology*; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009723:Nurse-Patient Relations; D009728:Nursing Assistants / Q000523:psychology*; D009735:Nursing Homes / Q000458:organization & administration*; D036301:Qualitative Research; D014754:Violence
keywords: Behavior; Formal caregiving; Long-term care