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1. Probst JC, Baek JD, Laditka SB: Characteristics and recruitment paths of certified nursing assistants in rural and urban nursing homes. J Rural Health; 2009;25(3):267-75
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  • [Source] The source of this record is MEDLINE®, a database of the U.S. National Library of Medicine.
  • [Title] Characteristics and recruitment paths of certified nursing assistants in rural and urban nursing homes.
  • CONTEXT: Most nursing home care is provided by certified nursing assistants (CNAs), but little is known about rural CNAs.
  • PURPOSE: To develop a representative geographic profile of the CNA workforce, focusing on paths leading to present job.
  • METHODS: Cross-sectional analysis of data from the 2004 National Nursing Assistant Survey (NNAS), a nationally representative survey of 3,017 CNAs; analysis was restricted to 2,897 currently working CNAs.
  • Location was categorized as metropolitan, micropolitan, or neither (other rural county).
  • Demographics included age, sex, race, education, income, and years at present job.
  • Analyses were weighted to reflect the complex sampling design.
  • FINDINGS: CNAs in micropolitan and other rural nursing homes were more likely to be white and US citizens than were urban CNAs.
  • Rural or micropolitan CNAs were more likely to note "job close to home" as a reason for becoming a CNA than were urban CNAs (70.8%, 66.3%, and 43.6%, respectively; P < .001).
  • Over half of CNAs (52.2%) entered the field from a different job category.
  • CNAs in micropolitan and small rural counties were more likely than urban CNAs to report being trained at a nursing facility (61.4%, 65.4%, 52.5%; P < .001) rather than community college or other site.
  • Informal means (family and friends) were the most common recruitment path.
  • CONCLUSIONS: Career-changers (individuals entering the CNA role from another job) represent a major recruitment target.
  • The prevalence of informal networks in CNA recruitment history suggests that nursing homes seeking to become "employers of choice" will be advantaged when recruiting.
  • [MeSH-major] Certification. Nurses' Aides / standards. Nursing Homes. Personnel Selection. Rural Population. Urban Population
  • [MeSH-minor] Adult. Aged. Career Mobility. Cross-Sectional Studies. Female. Humans. Male. Middle Aged

  • MedlinePlus Health Information. consumer health - Nursing Homes.
  • MedlinePlus Health Information. consumer health - Rural Health Concerns.
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  • (PMID = 19566612.001).
  • [ISSN] 1748-0361
  • [Journal-full-title] The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
  • [ISO-abbreviation] J Rural Health
  • [Language] eng
  • [Publication-type] Journal Article
  • [Publication-country] United States
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