Examining Relational Coordination Among Nurses and Nursing Assistants in Veterans Affairs Community Living Centers

Examining Relational Coordination Among Nurses and Nursing Assistants in Veterans Affairs Community Living Centers | Authorea try { document.documentElement.classList.add('js'); } catch (e) { } var _gaq = _gaq || []; _gaq.push(['_setAccount', 'G-8VDV14Y67G']); _gaq.push(['_trackPageview']); (function() { var ga = document.createElement('script'); ga.type = 'text/javascript'; ga.async = true; ga.src = ('https:' == document.location.protocol ? 'https://ssl' : 'http://www') + '.google-analytics.com/ga.js'; var s = document.getElementsByTagName('script')[0]; s.parentNode.insertBefore(ga, s); })(); Skip to main content Preprints Collections Wiley Open Research IET Open Research Ecological Society of Japan All Collections About About Authorea FAQs Contact Us Quick Search anywhere Search for preprint articles, keywords, etc. Search Search ADVANCED SEARCH SCROLL Journal of Evaluation in Clinical Practice This is a preprint and has not been peer reviewed. Data may be preliminary. 30 April 2025 V1 Latest version Share on Examining Relational Coordination Among Nurses and Nursing Assistants in Veterans Affairs Community Living Centers Authors : Princess Nash 0009-0009-9275-7396 [email protected] , Emma Quach , Valerie Clark , Shibei Zhao , A. Lynn Snow , and Christine Hartmann Authors Info & Affiliations https://doi.org/10.22541/au.174599865.52079380/v1 249 views 145 downloads Contents Abstract Supplementary Material Information & Authors Metrics & Citations View Options References Figures Tables Media Share Abstract Aims: The Veterans Health Administration (VA) is the largest healthcare entity in the United States dedicated to serving Veterans. The VA has focused on improving resident-centered care through increased communication and strengthened relationships among staff who work in Community Living Centers (CLCs). This study employed the Relational Coordination (RC) survey to assess communication and relationships among nurses and nursing assistants in CLCs. Design: The study used a mixed methods design grounded in the theory of RC. Methods: 134 CLCs were identified by ranking their quality of care measures. The top half of the facilities were stratified using patient-centered care measures, with eight highest-ranking CLCs invited to complete the RC Survey to assess the following dimensions: frequent communication, timely communication, accurate communication, problem-solving communication, shared goals, shared knowledge, and mutual respect. A total of 153 nurses and 133 nursing assistants responded (25% response rate). Within-group and between-group mean ratings for each dimension were computed and classified as “weak,” “medium,” or “strong.” Results: Nursing assistant ratings fell into the strong category when assessing the frequency of communication with fellow nursing assistants and with nurses. Nurse ratings fell into the strong category when assessing communication frequency with other nurses and moderate when assessing communication frequency with nursing assistants. When looking at timely, accurate, and problem-solving communication between nurses and nursing assistants, ratings fell into the weak category. Shared goals and mutual respect fell into the weak category for within-role and across-role relationships for nurses and nursing assistants. Nursing assistant ratings for shared knowledge with nurses fell into the moderate rating category. Conclusions: High frequency of communication may co-exist with low quality of communication and relationships. Impact: Nurses and nursing assistants play a critical role in nursing home care. Our study points to specific dimensions of RC as foci of CLC quality improvement efforts. Supplementary Material File (figure 1_journal of evalution in clinical practice.docx) Download 35.08 KB File (rca recharge paper_journal of evaluation in clincal practice.docx) Download 89.97 KB Information & Authors Information Version history V1 Version 1 30 April 2025 Copyright This work is licensed under a Non Exclusive No Reuse License. Collection Journal of Evaluation in Clinical Practice Keywords health services research nursing patient-centered care Authors Affiliations Princess Nash 0009-0009-9275-7396 [email protected] Tuscaloosa VA Medical Center View all articles by this author Emma Quach VA Center for Healthcare Organization & Implementation Research Bedford Campus View all articles by this author Valerie Clark VA Center for Healthcare Organization & Implementation Research Bedford Campus View all articles by this author Shibei Zhao VA Center for Healthcare Organization & Implementation Research Bedford Campus View all articles by this author A. Lynn Snow Tuscaloosa VA Medical Center View all articles by this author Christine Hartmann Edith Nourse Rogers Memorial Veterans Hospital View all articles by this author Metrics & Citations Metrics Article Usage 249 views 145 downloads .FvxKWukQNSOunydq8rnd { width: 100px; } Citations Download citation Princess Nash, Emma Quach, Valerie Clark, et al. Examining Relational Coordination Among Nurses and Nursing Assistants in Veterans Affairs Community Living Centers. Authorea . 30 April 2025. DOI: https://doi.org/10.22541/au.174599865.52079380/v1 If you have the appropriate software installed, you can download article citation data to the citation manager of your choice. Simply select your manager software from the list below and click Download. For more information or tips please see 'Downloading to a citation manager' in the Help menu . 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