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DONs in long-term care facilities: contemporary roles, current credentials, and educational needs
J F Aroian1, C A Patsdaughter, M E Wyszynski
1School of Nursing, Bouvé College of Health Sciences, Northeastern University, Boston, MA, USA.
Summary
Directors of nursing (DONs) in long-term care facilities are most involved in nursing management. This study surveyed DONs in New England to understand their roles, education, and needs.
Area of Science:
- Gerontology
- Nursing Administration
- Healthcare Management
Background:
- The demand for skilled nursing leadership in long-term care facilities is increasing.
- Educated nursing leaders are essential for quality care in long-term settings.
- Previous research by Heine (1995) established a baseline for DON roles.
Purpose of the Study:
- To replicate and extend Heine's (1995) study on Directors of Nursing (DONs).
- To determine the roles, responsibilities, educational preparation, and credentialing of DONs in New England long-term care nursing facilities (LTCNF).
- To identify the educational needs of DONs in LTCNF.
Main Methods:
- A descriptive survey was conducted.
- 945 Directors of Nursing (DONs) in New England long-term care nursing facilities (LTCNF) were identified and surveyed.
- A response rate of 26% was achieved with 247 completed questionnaires.
Main Results:
- DONs reported primary involvement in nursing/health services management.
- DONs indicated least involvement in professional nursing and long-term care management.
- The study detailed the educational background and professional credentials of surveyed DONs.
Conclusions:
- Nursing/health services management is the core focus for DONs in LTCNF.
- There may be a gap in DONs' direct involvement in professional nursing and overall long-term care management.
- Findings highlight the need for targeted educational strategies to support DONs in their evolving roles.