First Advisor

Cullen, Patricia


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

48 pages


Certified nursing assistants (CNAs) make up 66% of the healthcare work force making them the largest group of health-care workers (American Health Care Association Department of Research [American Health Care Assoc.], 2011). A variety of factors contribute to a 36% turnover rate of CNAs nationwide (2015 Staffing Report, 2015). The consequences of turnover are also disruptive to the quality of patient care. According to Stone and Wiener (2001) high rates of turnover and staff vacancies have multi-layered consequences; patient care suffers, cost of constantly replacing workers soars, and worker job dissatisfaction increases. This study examined the CNAs’ beliefs about job satisfaction as an approach to prevent job turnover and retain high achieving staff in one acute care hospital in a south eastern region. A qualitative key informant design was used to interview a purposive sample of nine nursing assistants who had been employed at the hospital for at least six months. This nurse researcher conducted individual 20-minute face-to-face interviews that were recorded, transcribed and coded for themes using constant comparative analysis. Four major categories emerged from the interviews: CNA Views of Job Satisfaction, Clinical Ladder Option, Support Services Option and What CNAs Want.

Date of Award

Spring 2016

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

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