Direct Care Workforce: An Integral Part of Long-Term Services and Supports. Training

04/01/2013

Overall, most direct care workers believe their training has prepared them well for their job; however, HHAs are more likely than CNAs to report feeling well prepared (Figure 6).

FIGURE 6. Initial Training Rating: How Well Does It Prepare for Direct Care Work?
Bar Chart: Well prepared -- CNAs (66.2%), HHAs (82.2%); Somewhat prepared -- CNAs (30.3%), HHAs (16.0%); Not prepared at all -- CNAs (3.5%), HHAs (1.8%).
SOURCE: RTI analysis of the 2007 National Home Health Aide Survey and the 2004 National Nursing Assistant Survey, 2009. [Available at http://aspe.hhs.gov/daltcp/reports/2011/CNAchart.htm.]
CNAs = certified nursing assistants; HHAs = home health aides.

Turnover in this field of work is high. According to one study, in 2007 annual turnover among CNAs in nursing facilities was 66% and in some states exceeded 100%.7 One in four CNAs and one in five HHAs report that they are looking for another job. Overall, 45% of CNAs and 35% of HHAs report that they are very likely or somewhat likely to leave their current job in the new year.8 High turnover means that direct care workers do not get to know the needs and preferences of individual residents or consumers, with potentially negative effects on quality of care (Figure 7).

FIGURE 7. Currently Looking for Another Job, by Age
Bar Chart: Age 30 and under -- CNAs (30.5%), HHAs (28.4%); Age 31-44 -- CNAs (25.6%), HHAs (20.5%); Age 45 and over -- CNAs (17.6%), HHAs (17.1%).
SOURCE: RTI analysis of the 2007 National Home Health Aide Survey and the 2004 National Nursing Assistant Survey, 2009. [Available at http://aspe.hhs.gov/daltcp/reports/2011/CNAchart.htm.]
CNAs = certified nursing assistants; HHAs = home health aides.

 

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