I've worked in a nursing home as both a certified nursing assistant (CNA) and an RN supervisor (“The Impact of Turnover in Nursing Homes,” Journal Watch, September 2014).
In addition to my leadership responsibilities, I cared for as many as 30 patients during an average shift. Many were recently discharged from the hospital and needed intensive care. It was impossible to grow as a leader when you did not have time to lead.
Administrators need to adjust the nurse-to-patient ratio and train more CNAs. They should also use tuition reimbursement to encourage CNAs to obtain a nursing license. From these nurses will come your next generation of leaders.
Richard Wolfe, RN