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Certified Nursing Assistants' Barriers and Facilitators to Accessing and Using Worksite Health Promotion Programs
Mhinjine Kim1, Yu Chen Lin, Geraldine Luna
1Division of Health Policy and Administration, School of Public Health (Ms Kim, Mr Lin, Dr Stiehl); Department of Medicine (Dr Luna, Dr Ma); Institute for Health Research and Policy (Dr Ma), University of Illinois at Chicago, Chicago, Illinois.
Certified nursing assistants (CNAs) face barriers like time constraints and lack of staffing to workplace health promotion (WHP). Enhancing support and program accessibility can improve CNA participation in health initiatives.
Area of Science:
- Healthcare worker health
- Occupational health promotion
- Nursing home resident care
Background:
- Certified nursing assistants (CNAs) are essential healthcare workers providing direct resident care in nursing homes.
- CNAs experience significant health disparities, yet research on their workplace health promotion (WHP) barriers is limited.
Purpose of the Study:
- To explore perceived barriers and facilitators influencing Certified Nursing Assistants' (CNAs) participation in workplace health promotion (WHP).
Main Methods:
- Semi-structured, in-depth interviews were conducted with 24 CNAs in two nursing homes.
- The Consolidated Framework for Implementation Research (CFIR) informed the study design.
Main Results:
- Key barriers included time constraints, insufficient staffing, lack of access to WHP programs, and limited organizational support.
- Facilitators comprised available WHP programs, breaks, workplace benefits, and supportive leadership and family.
Conclusions:
- Effective WHP programs for CNAs must address work-related, organizational, and environmental barriers.
- Suggestions are provided to enhance CNA access and utilization of workplace health promotion initiatives.
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