@article{
 title = {Assessment of immigrant certified nursing assistants' communication when responding to standardized care challenges},
 type = {article},
 year = {2016},
 identifiers = {[object Object]},
 keywords = {Certified nursing assistant,Computer simulation,Immigrant workforce,RIAS},
 pages = {44-50},
 volume = {99},
 month = {1},
 publisher = {Elsevier Ireland Ltd},
 city = {National Center for Health Statistics, Hyattsville, MD, USA; Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Health, Behavior and Society, The Johns Hopkins Bloomberg Scho},
 id = {48d3bee5-3eaa-3b93-880c-91f2c09d862c},
 created = {2016-08-20T04:12:16.000Z},
 file_attached = {false},
 profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},
 group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},
 last_modified = {2017-03-14T09:54:45.334Z},
 tags = {Administration,Cultural Factors},
 read = {false},
 starred = {false},
 authored = {false},
 confirmed = {true},
 hidden = {false},
 source_type = {JOUR},
 notes = {CI: Copyright (c) 2015; JID: 8406280; OTO: NOTNLM; 2015/02/20 [received]; 2015/08/05 [revised]; 2015/08/06 [accepted]; 2015/08/12 [aheadofprint]; ppublish},
 folder_uuids = {2b37922a-dcb9-4553-b61e-6a6a7c79bf6f},
 private_publication = {false},
 abstract = {OBJECTIVE: Certified nursing assistants (CNAs) provide 80% of the hands-on care in US nursing homes; a significant portion of this work is performed by immigrants with limited English fluency. This study is designed to assess immigrant CNA's communication behavior in response to a series of virtual simulated care challenges. METHODS: A convenience sample of 31 immigrant CNAs verbally responded to 9 care challenges embedded in an interactive computer platform. The responses were coded with the Roter Interaction Analysis System (RIAS), CNA instructors rated response quality and spoken English was rated. RESULTS: CNA communication behaviors varied across care challenges and a broad repertoire of communication was used; 69% of response content was characterized as psychosocial. Communication elements (both instrumental and psychosocial) were significant predictors of response quality for 5 of 9 scenarios. Overall these variables explained between 13% and 36% of the adjusted variance in quality ratings. CONCLUSION: Immigrant CNAs responded to common care challenges using a variety of communication strategies despite fluency deficits. PRACTICE IMPLICATIONS: Virtual simulation-based observation is a feasible, acceptable and low cost method of communication assessment with implications for supervision, training and evaluation of a para-professional workforce.},
 bibtype = {article},
 author = {Massey, M and Roter, D L},
 journal = {Patient education and counseling},
 number = {1}
}

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This study is designed to assess immigrant CNA's communication behavior in response to a series of virtual simulated care challenges. METHODS: A convenience sample of 31 immigrant CNAs verbally responded to 9 care challenges embedded in an interactive computer platform. The responses were coded with the Roter Interaction Analysis System (RIAS), CNA instructors rated response quality and spoken English was rated. RESULTS: CNA communication behaviors varied across care challenges and a broad repertoire of communication was used; 69% of response content was characterized as psychosocial. Communication elements (both instrumental and psychosocial) were significant predictors of response quality for 5 of 9 scenarios. Overall these variables explained between 13% and 36% of the adjusted variance in quality ratings. CONCLUSION: Immigrant CNAs responded to common care challenges using a variety of communication strategies despite fluency deficits. PRACTICE IMPLICATIONS: Virtual simulation-based observation is a feasible, acceptable and low cost method of communication assessment with implications for supervision, training and evaluation of a para-professional workforce.","bibtype":"article","author":"Massey, M and Roter, D L","journal":"Patient education and counseling","number":"1","bibtex":"@article{\n title = {Assessment of immigrant certified nursing assistants' communication when responding to standardized care challenges},\n type = {article},\n year = {2016},\n identifiers = {[object Object]},\n keywords = {Certified nursing assistant,Computer simulation,Immigrant workforce,RIAS},\n pages = {44-50},\n volume = {99},\n month = {1},\n publisher = {Elsevier Ireland Ltd},\n city = {National Center for Health Statistics, Hyattsville, MD, USA; Department of Health, Behavior and Society, The Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.; Department of Health, Behavior and Society, The Johns Hopkins Bloomberg Scho},\n id = {48d3bee5-3eaa-3b93-880c-91f2c09d862c},\n created = {2016-08-20T04:12:16.000Z},\n file_attached = {false},\n profile_id = {217ced55-4c79-38dc-838b-4b5ea8df5597},\n group_id = {408d37d9-5f1b-3398-a9f5-5c1a487116d4},\n last_modified = {2017-03-14T09:54:45.334Z},\n tags = {Administration,Cultural Factors},\n read = {false},\n starred = {false},\n authored = {false},\n confirmed = {true},\n hidden = {false},\n source_type = {JOUR},\n notes = {CI: Copyright (c) 2015; JID: 8406280; OTO: NOTNLM; 2015/02/20 [received]; 2015/08/05 [revised]; 2015/08/06 [accepted]; 2015/08/12 [aheadofprint]; ppublish},\n folder_uuids = {2b37922a-dcb9-4553-b61e-6a6a7c79bf6f},\n private_publication = {false},\n abstract = {OBJECTIVE: Certified nursing assistants (CNAs) provide 80% of the hands-on care in US nursing homes; a significant portion of this work is performed by immigrants with limited English fluency. This study is designed to assess immigrant CNA's communication behavior in response to a series of virtual simulated care challenges. METHODS: A convenience sample of 31 immigrant CNAs verbally responded to 9 care challenges embedded in an interactive computer platform. The responses were coded with the Roter Interaction Analysis System (RIAS), CNA instructors rated response quality and spoken English was rated. RESULTS: CNA communication behaviors varied across care challenges and a broad repertoire of communication was used; 69% of response content was characterized as psychosocial. Communication elements (both instrumental and psychosocial) were significant predictors of response quality for 5 of 9 scenarios. Overall these variables explained between 13% and 36% of the adjusted variance in quality ratings. CONCLUSION: Immigrant CNAs responded to common care challenges using a variety of communication strategies despite fluency deficits. PRACTICE IMPLICATIONS: Virtual simulation-based observation is a feasible, acceptable and low cost method of communication assessment with implications for supervision, training and evaluation of a para-professional workforce.},\n bibtype = {article},\n author = {Massey, M and Roter, D L},\n journal = {Patient education and counseling},\n number = {1}\n}","author_short":["Massey, M.","Roter, D., L."],"bibbaseid":"massey-roter-assessmentofimmigrantcertifiednursingassistantscommunicationwhenrespondingtostandardizedcarechallenges-2016","role":"author","urls":{},"keyword":["Certified nursing assistant","Computer simulation","Immigrant workforce","RIAS"],"downloads":0},"search_terms":["assessment","immigrant","certified","nursing","assistants","communication","responding","standardized","care","challenges","massey","roter"],"keywords":["certified nursing assistant","computer simulation","immigrant workforce","rias"],"authorIDs":[]}