Experiences and needs of certified nursing assistants regarding coaching by bachelor-educated registered nurses in nursing homes: A qualitative study.

Content Provider	Europe PMC
Author	Van Kuppenveld, Marieke Lovink, Marleen Hermien Persoon, Anke
Abstract	Aims and objectivesThis study aimed to gain insight into the experiences and needs of certified nursing assistants regarding their coaching by bachelor‐educated registered nurses in nursing homes.BackgroundCertified nursing assistants are key in providing day‐to‐day nursing home care. They are, however, not trained to meet the increasingly complex needs of nursing home residents. For certified nursing assistants to respond to high‐complexity care, coaching by bachelor‐educated registered nurses may be appropriate. Yet, knowledge of how bachelor‐educated registered nurses can provide valid coaching is lacking.DesignAn explorative qualitative design was adopted.MethodsCertified nursing assistants (n = 13) were purposively selected from 10 Dutch nursing homes. Semi‐structured interviews were conducted in 2020 and 2021, and thematic analysis was applied.ResultsTwo main themes emerged: connecting with certified nursing assistants, and the coaching activities themselves. Certified nursing assistants deemed several aspects important for bachelor‐educated registered nurses to connect with them: respecting the autonomy of certified nursing assistants, being visible and reachable, adapting communication, clarifying own job description, and participating in care. Certified nursing assistants perceived coaching by bachelor‐educated registered nurses as valuable when they fulfil their needs through activities such as empowering, teaching, and mediating between management and certified nursing assistants.ConclusionsValid coaching of certified nursing assistants appears possible and requires specific competencies of bachelor‐educated registered nurses.Relevance to clinical practiceCoaching certified nursing assistants is one way of addressing complex care needs in nursing homes, and coaching can contribute to both professional and team development. As coaching requires specific competencies of bachelor‐educated registered nurses, nursing education profiles should be enriched with this most important role. Management can facilitate coaching by providing bachelor‐educated registered nurses with a clear job description.Patient or public contributionExperts on coaching in nursing home settings informed the topic list. Furthermore, member check was performed.
Page Count	11
Journal	Nursing Open
Volume Number	10
PubMed Central reference number	PMC10170937
Issue Number	6
PubMed reference number	36840713
e-ISSN	20541058
DOI	10.1002/nop2.1664
Language	English
Publisher	John Wiley and Sons Inc.
Publisher Date	2023-02-25
Publisher Place	Hoboken
Access Restriction	Open
Rights License	This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd.
Subject Keyword	bachelor nurses certified nursing assistants coaching empowerment nursing homes qualitative research registered nurse
Content Type	Text
Resource Type	Article
Subject	Nursing