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Fight the power.(OFF THE TOP)(managing health care facilities)

Contemporary Long Term Care

| April 01, 2007 | Shough, Noelle | COPYRIGHT 2007 HCPro, Inc. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

"My CNAs are holding me hostage," my friend told me one night over a cup of coffee.

"What?!" I choked, ready for a good story about her trials and tribulations as a therapist in a nursing home. "How can that be?"

After all, certified nursing assistants (CNA), as I considered them, were the hardworking frontline soldiers of any nursing home, taking flack from all sides to care for the residents. I hadn't heard of them taking prisoners.

It was true, my therapist friend related. The CNAs at her facility would quietly refuse to do some of the messier jobs unless she and the other higher-ups bent down and kissed their feet. These CNAs did not like being told what to do--even if it was in the form of training. In an unusual twist, frontline staff members at my friend's facility held a passive-aggressive power over the rest of the staff with their subtle sabotage of projects.

From forgetting to get residents ready for therapy to wandering away from incontinence accidents, these CNAs would make life hard for staff members who didn't acknowledge their ultimate power. One CNA would even make a certain hand gesture at my friend that meant, "Who's got the power?" My friend had to sign back, "You've ...

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