Certified Nurse Aides and Scope of Practice: Clinical Outcomes and Patient Safety. McMullen, T., L., Resnick, B., Hansen, J., C., Miller, N., & Rubinstein, R. Journal of gerontological nursing, C. Slack, 19, 2015.
Certified Nurse Aides and Scope of Practice: Clinical Outcomes and Patient Safety [link]Website  abstract   bibtex   
To understand the impact of scope of practice and allowable certified nurse aide (CNA) tasks across states, the current study compared clinical outcomes in states with a basic scope of practice versus those that allowed for an expanded scope. The current study used data from the Minimum Data Set as well as staffing data from the Centers for Medicare and Medicaid Services. Clinical outcomes included: (a) percent of residents whose need for help with daily activities has increased, (b) percent of high-risk residents with pressure ulcers, (c) percent of residents who self-report moderate to severe pain, (d) percent of residents experiencing one or more falls with major injury, and (e) CNA staffing hours. There was no difference in clinical outcomes between states with expanded or basic scopes. Many factors influence clinical outcomes among residents and additional staffing and facility characteristics should be considered in future studies. Journal of Gerontological Nursing, xx(x), xx-xx.].; Copyright 2015, SLACK Incorporated.
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 notes = {ID: 26468657; Accession Number: 26468657. Language: English. Date Revised: 20151016. Date Created: 20151015. Update Code: 20151019. Publication Type: JOURNAL ARTICLE. Journal ID: 7510258. Publication Model: Print-Electronic. Cited Medium: Internet. NLM ISO Abbr: J Gerontol Nurs. Linking ISSN: 00989134. Date of Electronic Publication: 2015 Oct 19. ; Original Imprints: Publication: Thorofare, N.J., C. Slack.},
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 abstract = {To understand the impact of scope of practice and allowable certified nurse aide (CNA) tasks across states, the current study compared clinical outcomes in states with a basic scope of practice versus those that allowed for an expanded scope. The current study used data from the Minimum Data Set as well as staffing data from the Centers for Medicare and Medicaid Services. Clinical outcomes included: (a) percent of residents whose need for help with daily activities has increased, (b) percent of high-risk residents with pressure ulcers, (c) percent of residents who self-report moderate to severe pain, (d) percent of residents experiencing one or more falls with major injury, and (e) CNA staffing hours. There was no difference in clinical outcomes between states with expanded or basic scopes. Many factors influence clinical outcomes among residents and additional staffing and facility characteristics should be considered in future studies. Journal of Gerontological Nursing, xx(x), xx-xx.].; Copyright 2015, SLACK Incorporated.},
 bibtype = {article},
 author = {McMullen, Tara L and Resnick, Barbara and Hansen, Jennie Chin and Miller, Nancy and Rubinstein, Robert},
 journal = {Journal of gerontological nursing}
}

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