Understanding the Root Causes of Unprofessional Behavior in Nursing Homes
Have you ever noticed that despite the essential role they play in providing care, some certified nursing assistants (CNAs) and nurses in nursing homes display unprofessional behavior? Why do these situations arise, and what can be done to address them?
Understaffing: The Culprit Behind Unprofessional Behavior
One of the primary reasons for this behavior is understaffing. When nursing homes are understaffed, the job becomes incredibly stressful even when there is adequate support. However, when there is a critical shortage of staff, the situation deteriorates significantly. This lack of support can lead to burnout, increased stress, and a higher likelihood of unprofessional behaviors like aggression, neglect, or insensitivity.
These roles, such as a CNA or nurse, do not come with high salaries, which can contribute to resentment among the staff. When employees are paid less than what their work is worth, they may become more likely to feel undervalued and less motivated to treat their patients with the care and respect they deserve. This resentment and stress can manifest in their daily interactions with residents and can lead to unprofessional behavior.
Character and Job Paths
Some individuals, regardless of their professional path, may exhibit behavior that is not aligned with their job responsibilities. Just as there are bad mechanics, cops, librarians, and nurses, there are good mechanics, cops, librarians, and nurses as well. The question of whether someone has good or bad character is far more complex than simply their job path or certification.
There is no consistent method to test a person's character before they enter a profession. While we can have certain expectations based on the nature of the job, such as a nurse needing to be compassionate and caring, we cannot predict with certainty how any individual will behave. There are simply too many external factors and individual differences to consider.
Implications for Nursing Home Employees
The combination of low wages, emotionally and physically demanding work, and a lack of support can contribute to a toxic work environment. Employees in these roles are often pushed to the limit, both physically and mentally, which can lead to resentment, stress, and ultimately, unprofessional behavior.
Nursing homes need to ensure that the ratio of staff to residents meets state regulations. While this is a necessary measure, it is often not enough to prevent unprofessional behavior. The key issue is not just the number of staff members but the overall quality of care and the working environment.
The Current State of Nursing Homes
The root cause of unprofessional behavior in nursing homes often lies in the business model of these facilities. More often than not, for-profit nursing homes prioritize financial gain over the well-being of their residents. The lack of incentives to retain highly skilled and caring employees, combined with the pressure to cut costs, can result in an environment where only the least caring staff remain.
It is concerning that management continues to pay individuals who demonstrate unprofessional behavior to continue working in these facilities. This not only affects the quality of care for the residents but also the morale and well-being of the remaining staff.
One nurse, who has worked both as a nurse and a CNA in long-term care facilities, describes the overwhelming stress and the need to treat every patient with respect regardless of the situation. They state, 'Never have I ever retaliated. When I take a LTC job, those are now my grandparents. I can’t always give them the amount of time I’d like, but I damn sure will make sure no harm comes to my patients while I’m there.’
The actions of these professionals show a strong commitment to their duty and a clear understanding that unprofessional behavior is unacceptable. However, it is the responsibility of management and the broader system to address the underlying issues that contribute to such behavior, ensuring that nursing homes provide the care and support that all residents deserve.
Conclusion
The behavior of some certified nursing assistants and nurses in nursing homes is a complex issue influenced by multiple factors. Understaffing, low pay, and a toxic work environment are major contributors to unprofessional behavior. Addressing these issues requires a comprehensive approach, including improving working conditions, increasing staff ratios, and ensuring fair treatment and compensation for all employees. Ultimately, the quality of care in nursing homes depends on creating a sustainable and supportive environment for all.