Page 561 - Encyclopedia of Nursing Research

528 n UnLIcenSeD ASSISTIve PeRSOnneL

preceded licensed nurse documentation of low among residents who were experiencing
change in the medical record by an aver- unreported pain.
U age of 5 days. The 10-item instrument asks Professional nursing supervision of the
if the resident is the same or different daily care delegated to nH UAPs requires
“today” with regard to, for example, food organizational systems and resources to fully
intake, watching Tv, confusion, or needing operationalize the supervisory role (Siegel,
help with personal care. young, Mitchell, & Shannon, 2008). There
A comparison of resident self-reported appears to be a direct relationship between
and cAn report of the presence, location, turnover and informal supervisory systems
and intensity of pain revealed that more resi- and processes. In spite of nurses’ recognition
dents than cnAs reported pain (Horgas & that they have received little formal training
Dunn, 2001). Severity reports of pain by resi- for their supervisory role, they do not per-
dents and cnAs were similar. The cnAs ceive a need for such training. The mediating
were underdetecting pain in some cases and effect (and efforts) of management are effec-
overreporting pain in other cases. Depression tive in crisis intervention but fail to address
was clinically present among residents whose the larger issue of the need for a valued, pre-
pain was not reported by cnAs. conversely, pared, and robust UAP workforce.
feelings of well-being were high among resi-
dents whose cnAs reported their pain and Ethel L. Mitty