Be In the Know!

Last week, the results of a Penn State study on occupational injuries were revealed.  It should come as no surprise that nursing assistants and home health aides were high on the “injured list”.  However, the researchers found that on-the-job injuries caused a lot more than just a few aches and pains.  They also led to increased CNA turnover and, potentially, a bad reputation in the community!  Here’s what Deirdre McCaughey, assistant professor of health policy and administration had to say:

“In our research, we saw a cascading effect.  Employees who had no training or did not believe their training prepared them well had more injuries.  Those employees were also much less likely than non-injured employees to recommend their organization as a place at which to work or seek services.”

Here are some other findings of the study:

• Employees who felt ill-prepared were three times more likely to be injured than employees who were well-trained.
• Employees who felt poorly supervised were also more likely to be injured–not just once, but multiple times.
• Cutting back on training to shave the budget increased employees’ injury risk and turnover rates.  In the long run, this boosted costs rather than saving money!

You’ve probably experienced it firsthand.  When money gets tight, education is one of the first things to go…especially at the nursing assistant level.  But are you really saving money?  What are the injury and turnover rates at your workplace?  If asked, do you think your CNAs would consider themselves both well-trained and well-supervised? Would they recommend your organization as a place to work or as a place to receive care?

At In the Know, we strive to provide quality CNA continuing education to meet every budget.  If you’d like to discuss how you can maintain a top-notch team of (healthy) nursing assistants please give us a call at 877-809-5515.  With more than 130 inservice topics, including modules on safe transfers, back care, the CNA/Nurse relationship and personal wellness, we can meet your CNAs’ learning needs.

Happy Teaching!

Linda

The dictionary defines compassion as “a deep awareness of the suffering of another, coupled with the wish to relieve that suffering.” So, for someone to be compassionate, he or she must be able to put themselves in someone else’s shoes, AND act on his or her desire to lessen that person’s suffering or unhappiness.

It can be hard to always know whether or not your nurse aides act in a compassionate manner while on the job.  That’s why it’s so important to encourage compassionate behavior.  By studying our newly added inservice called “The Caring Qualities of a CNA,” your nurse aides will learn everything they can do to have more empathy, compassion, patience, dedication and respect for their clients.

A Peek Inside the Inservice:

Whether or not you can TEACH compassion is a question that is hard to answer.  However, as a nurse educator, you can ENCOURAGE your nurse aides to be more compassionate.  Try sharing the following tips with your CNAs:

• Remember to put your clients’ needs before your own.
• Treat people fairly and with respect and dignity.
• Show kindness without expecting rewards.
• Get to know your clients.
• Comfort your client’s family members who may be stressed and/or grieving.
• Be sensitive and allow people to vent their frustrations.
• Listen when people confide in you.
• Be friendly to any new co-workers who seem to be overwhelmed.
• Help a co-worker without being asked.
• Try to understand someone you don’t like or with whom you disagree.
• Accept people for who they are–faults and all!

Click here to see a sample page of “The Caring Qualities of a CNA.”

If your client population is comprised mostly of seniors, the National Mental Health Information Center has some terrific (and free) resources for you.  As you probably know, mental health is a big issue for seniors.  In fact, people over age 65 have one of the highest suicide rates of any age group in the United States!

At the National Mental Health Information Center, you can download (at no charge) toolkits, fact sheets and staff workshops all aimed at preventing suicide and promoting optimal mental health among senior citizens.  All you need to take advantage of these materials is Acrobat Reader.

As your nurse aides provide personal care and assist with ADLs, it’s vital that they also pay attention to their clients’ mental health status.  If you are looking for additional mental health resources, don’t forget In the Know inservices.  We offer the following related topics:

• Understanding Depression
• Working with the Mentally Ill
• Understanding Schizophrenia
• Understanding Common Phobias
• Understanding Suicide

Because your CNAs spend so much time with your clients, they are in a good position to notice changes in mental health.  So, be sure to arm your nursing assistants with the knowledge they need to make (and report) appropriate observations about their clients’ mental health.

Your CNAs make observations about their clients all day long.  Therefore, it’s incredibly important that each of your CNAs know what, when and how to report what they see.  Not only should your nurse aides know the procedure for reporting and documenting client care, they should also be aware of what observations are considered abnormal.  After completing our new inservice topic, “Recognizing and Reporting Abnormal Observations”, your nurse aides will be able to:

• Distinguish between normal and abnormal observations in their clients.
• Identify the specific course of action to take with each abnormal observation they may encounter.
• List at least three abnormal observations they might make in regards to:  vital signs, mental status, nutrition and pain.
• Distinguish between objective and subjective observations.
• Demonstrate the ability to recognize and properly report abnormal observations in their daily work.

Would you like to see a sample page from the inservice? Click here to view the PDF file.

Interested in ordering this topic? Click here to visit our website.  If you would prefer to order over the phone, call us toll-free at 877.809.5515 and one of our helpful associates will be happy to assist you!

How do your nursing assistants handle workplace conflict? Do they ignore it and pretend it isn’t happening? Do they give in just to make it go away? Or, do they compromise respectfully with each other? At your next CNA inservice meeting, consider using this case study as a way to open a discussion about conflict management at your organization.

You Can’t Avoid Conflict

It’s true: whenever people spend day after day together, conflict cannot be avoided completely. You may be nodding in agreement or you may be thinking that you’ve never had a dispute with anyone. However, conflict at work happens to everyone at some point in his or her career.

A dispute between people usually begins with a disagreement. When you and a co-worker disagree, you have one opinion and your co-worker has another. Often, it doesn’t really matter to either of you what the other person thinks. You both go on with your lives, each sticking to your own opinion. Usually, disagreements consist of only words and they do not affect how people interact with each other.

For example, Tim and Connie, both CNAs, disagree one day at work about the proper way to give a bath to a bedridden client. They each express their opinion, saying that’s how they were taught in school. They end the discussion by saying, “OK…you do it your way and I’ll do it mine.” Tim and Connie disagree, but they respect each other’s opinion and have no trouble working together.

A full-blown conflict can begin with different opinions, but it grows into something much larger. Generally, it is not what people say, but how they act, that causes a disagreement to escalate into a conflict. In almost all conflicts, the problem is not the initial disagreement, but the way in which it is handled.

Let’s take another look at Tim and Connie’s situation. Imagine that instead of agreeing to disagree about bathing a client, they get into an ongoing struggle about who is right.

Tim starts telling other co-workers that Connie doesn’t know how to give a proper bath. Connie gives Tim hateful looks and refuses to work with him. They have entered into a contest of opposing forces. Having gone past the point of disagreement, Tim and Connie are in a full-blown conflict, which can start causing a disruption among their co-workers and eventually in job performance. Both Tim and Connie are creating a situation where neither will back down; each thinks that they would appear to be wrong by offering a truce. Unless their conflict is resolved, work will remain an unpleasant place for both of them!

Tim and Connie must put an end to their conflict, as it is hurting them both… and is also causing a disruption to the rest of the workplace. Let’s see them fix the problem by going through five simple steps:

1. Connie realizes that they need to stop this fight and asks Tim politely if she can speak to him. Tim agrees and they sit in an empty meeting room together–away from their coworkers.
2. They take turns telling one another their points of view. One speaks while the other actively listens.
3. They see that the problem is they each have a strong personality, are competitive and like to be right. They agree that the problem was never the actual bathing technique—but how they communicated.
4. They discuss the bathing method they each use and decide that both techniques are acceptable. However, Tim and Connie say they will continue using their own method. Neither person wins or loses.
5. Tim and Connie decide that, in the future, they will keep their own techniques to themselves. As long as the job is getting done, they can agree to disagree on the proper method. If either Tim or Connie uses a method that is not getting the job done, they will discuss it politely at that time. In the meantime, they agree that the conflict is over, and they both decide to apologize to their co-workers.

Would Your Nursing Assistants Like to Know More?

If you’d like to give your CNAs more information about workplace conflict, consider presenting an inservice on conflict resolution that includes:

• The common ways that people approach conflict.
• A step-by-step process for resolving workplace conflict.
• How gossip and workplace bullying promote conflict.
• How to respond to an unprofessional coworker.
• How to handle conflict with a supervisor or a client.

Don’t have time to put together your own inservice?  Then, please check out our inservice called Conflict in the Workplace.  It covers all of the above information…and more.

Happy Teaching!

We all know that ongoing education leads to reduced turnover and greater job satisfaction. Not to mention that

Do your CNAs retain knowledge from inservices?

continuing education is a yearly requirement for nurse aides! But, how do you know the information you provide to your nurse aides “sticks?”  Here are some staggering statistics regarding adult learning retention. Over a period of three days:

• Adults retain 10% of information that is read
• Adults retain 30% of information that is seen
• Adults retain 50% of information that is seen and heard
• Adults retain 90% of information that is said and done (applying learning to real life situations)

Many factors affect adult learning retention including age, level of prior education and motivation.  In some of our previous posts, we have given you ideas on how to motivate your nurse aides by keeping education fresh and interesting.  Below are some additional strategies your organization can take with continuing education to ensure that your nurse aides actually retain the information you are giving them.

• Touch upon a medley of learning styles – As you know, our inservices may be used in a group setting or as self-study modules.  If you choose self-study, perhaps get the group in a few times a year to interact in team activities.
• Encourage nurse aide participation – If using the self-study option, set aside time to address any questions your nursing assistants may have regarding the inservice material. If using group participation, use real-life situations, etc. to stimulate discussion.
• Use variety – Adding visual aides to reading material, such as PowerPoints, greatly enhances learning retention.
• Use active learning – Group discussions and activities, problem solving activities that involve critical thinking skills, games, etc. all lead to greater learning retention.
• Review job performance – Check for retention by making sure your caregivers are applying what they have learned to their responsibilities.  Give continuous feedback and address any issues as they arise.

What do you do to make sure your nurse aides retain the information you share with them? Please share any tips and suggestions with us.  We would love to hear from you!

It’s great to know that our inservices are helping health care organizations achieve measurable outcomes. Many customers tell us that it’s a “trickle down” effect; they save time and money with our inservices; the nurse aides add to their knowledge and skill set; and the clients benefit from being cared for by well-prepared staff.

Here are some more ways that In the Know customers have benefited from using our inservices:

“When I ordered ‘Understanding Depression’ from In the Know, I was really thinking of my employees. Gas prices were very high and it didn’t look like we would be having a increase in Medicaid reimbursement. However, since presenting the inservice, I have noticed in our aides weekly notes that they are more aware of their clients’ moods.”
Norma B.
American Healthcare Services
Mount Airy, North Carolina

“We love the ‘Importance of Activity for the Elderly’ inservice from In the Know.. We really believe that keeping our residents active, alert and stimulated mentally as well as physically provides a better quality of life. New staff members have a hard time recognizing the importance of this. However, once we have them do this inservice we notice a huge change in their attitude and we see them get more involved with the activities. Some employees even come to us with new activity ideas that they would like to try. This inservice has really made a difference!”
Teri S.
Latter Days Assisted Living
Santaquin, Utah

“To assist our CNAs in stepping up, we cultivated a group of nursing assistant preceptors. We utilized a number of In the Know inservices as their course content. This helped the preceptors become the ‘go to’ people for the other CNAs. The preceptors provide information and are seen as an ‘on unit’ resource. They also take responsibility for insuring that all the nursing assistants also complete the In the Know modules.”
Stephanie W.
Deborah Heart & Lung Center
Browns Mill, New Jersey

Are your CNA inservices helping you overcome challenges with your nursing assistants and/or client care? If not, they should be! Give us a call today at 877-809-5515 and tell us about a current problem you’d like to solve. We’ll help you find the best solution…guaranteed!

Take care,
Linda

Linda Leekley BS, RN
CEO, In the Know, Inc.

By now, you have probably heard about the terrible tragedy that occurred on Sunday, March 29th, at a nursing home in North Carolina. Our thoughts and prayers are with the people at Pinelake Health & Rehab and the family members of those who died. It appears that this horrible incident, which took the lives of seven residents and one nurse, is a case of domestic violence.

Because this is such an important issue, we are providing you with a link from which you may download a Domestic Violence Fact Sheet. This one page (double-sided) document covers some basic information about domestic violence–and how it can spill over into the workplace. Please feel free to make as many copies as you need for distribution to your staff.

If your nursing assistants would like more information about domestic violence, please call us at 877.809.5515. We will forward our entire “Understanding Domestic Violence” inservice to you, free of charge. We do this in an effort to spread the word about domestic abuse, in the hope that a similar tragedy never happens again.

Sincerely,
The Team at In the Know

Have you ever gathered your nursing assistants for an inservice meeting and found yourself staring at a bunch of tired, dull-eyed and disinterested people? Wouldn’t you rather be greeted by excited, eager to learn employees? Try implementing these 7 tips to freshen up your CNA inservice training:

1. Keep It Relaxed
Adults tend to take their mistakes personally and often feel embarrassed if they make an error in front of their peers. During your inservice sessions, try to keep the atmosphere relaxed and non-threatening. Sit with the group rather than standing and looking down on them. And make sure they know that you welcome questions as an opportunity for everyone to learn—including yourself.

2. Mix Things Up!
Have you assessed how your employees like to learn? Most adults usually learn best in one of three main ways:
1. Visually…by watching someone else perform a task or by looking at diagrams or pictures.
2. Actively…by physically handling pieces of equipment or by practicing a transfer technique.
3. Orally…by listening to a speaker or being talked through a procedure.
So, as you plan your teaching strategy, mix things up by incorporating all three learning styles. For example, spruce up your handouts with photos or relevant clip art. Ask for volunteers to teach part of the inservice by reading it out loud. Encourage relevant activities such as role playing. And, bring in any client care equipment that relates to the inservice topic.

3. Forget Those Boring Pre-Tests
While pre-tests have their place, you can liven things up by simply asking what your staff already knows about the subject. For example, if the inservice topic is Understanding Diabetes, ask the nursing assistants for a list of five or ten things they already know about the disease. You can write their responses on a board or flipchart. In this way, you are giving credit to your staff for their prior learning and experience. (And, if someone has a misconception about the disease, you’ll know to clear it up during the inservice.)

4. Give Self-Study a Try
Adult learners like to feel they have some control over when and how they learn. That’s why self-study inservices are effective. To check for compliance with completing the inservices, try this tip. Distribute your inservice materials for self-study, but don’t give out the quiz. Tell your nursing assistants that they can come to you (or a designee) sometime in the next two weeks to sit down and take the quiz. This prevents the quiz from being completed as an open-book test and provides a clearer sense of what your employees are learning on their own.

5. Ask Questions!
Many adults are better at talking than at listening. Use this to your favor by asking a lot of questions during your inservice meetings. Remember to avoid yes or no questions; instead, come up with questions that generate discussion. Encourage everyone in the group to give input at some point by making it fun. Give out play money to those who participate and have small prizes or snacks they can buy with their loot.

6. Keep Them Moving!
Remember to allow for at least one 2-minute stretch break during each inservice hour. You may also want to devise participatory activities (like role play) that require people to get out of their seats and move a little. This helps get the circulation going and improves learning!

7. Give Them a Reason to Learn
There are a number of ways to help motivate your nursing assistants to continue learning on the job. For example, provide frequent reminders of your state and/or workplace requirements for inservice hours. Or how about giving a small pay raise or a lump sum bonus to employees who never miss an inservice! You might also make prompt inservice completion a stepping stone to higher job status. For example, aides who remain current with their inservice requirements can be designated as preceptors for newly hired nursing assistants.

Incorporating just one of the above tips will liven up your inservice sessions. By adding all 7, your CNAs won’t know what hit them!

Happy Teaching,
Linda Leekley