title: Rules of performance in the nursing home: A grounded theory of nurse-CNA communication.
abstract: This study offers an initial theoretical understanding of nurse-CNA communication processes from the perspectives of nurses and CNAs who are providing direct care to residents in nursing homes. A grounded theory approach provided an understanding of nurse-CNA communication process within the complexities of the nursing home setting. Four themes (maintaining information flow, following procedure, fostering collegiality, and showing respect) describe the "rules of performance" that intertwine in nuanced relationships to guide nurse-CNA communication processes. Understanding how these rules of performance guide nurse-CNA communication processes, and how they are positively and negatively influenced, suggests that nurse-CNA communication during direct care of nursing home residents could be improved through policy and education that is specifically designed to be relevant and applicable to direct care providers in the nursing home environment.
authors.affiliation: College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA. Electronic address: connie.madden@nurs.utah.edu.
authors.forename: Connie
authors.initials: C
authors.lastname: Madden
authors.affiliation: College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.
authors.forename: Margaret
authors.initials: M
authors.lastname: Clayton
authors.affiliation: Department of Communication, University of Utah, 255 S. Central Campus Drive, Salt Lake City, UT, 84112, USA.
authors.forename: Heather E
authors.initials: HE
authors.lastname: Canary
authors.affiliation: College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.
authors.forename: Gail
authors.initials: G
authors.lastname: Towsley
authors.affiliation: College of Nursing, University of Utah, 10 South 2000 East, Salt Lake City, UT, 84112, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Cloyes
authors.affiliation: Department of Family & Consumer Studies, University of Utah, 225 S. 1400 East, Salt Lake City, UT, 84112, USA.
authors.forename: Dale
authors.initials: D
authors.lastname: Lund
mesh_terms: D003142:Communication; D066296:Grounded Theory; D006801:Humans; D009728:Nursing Assistants / Q000523:psychology*; D009735:Nursing Homes; D009740:Nursing Staff / Q000523:psychology*; D018802:Patient-Centered Care / Q000592:standards
keywords: Certified Nursing Assistant; Communication; Grounded theory; Nurse; Nursing home