Nurse assistant mental models, sensemaking, care actions, and consequences for nursing home residents

  • Anderson R
  • Ammarell N
  • Bailey D
 et al. 
  • 42


    Mendeley users who have this article in their library.
  • 52


    Citations of this article.


In a nursing home case study using observation and interview data, the authors described two mental models that guided certified nurse assistants (CNAs) in resident care. The Golden Rule guided CNAs to respond to residents as they would want someone to do for them. Mother wit guided CNAs to treat residents as they would treat their own children. These mental models engendered self-control and affection but also led to actions such as infantilization and misinterpretations about potentially undiagnosed conditions such as depression or pain. Furthermore, the authors found that CNAs were isolated from clinicians; little resident information was exchanged. They suggest ways to alter CNA mental models to give them a better basis for action and strategies for connecting CNAs and clinical professionals to improve information flow about residents. Study results highlight a critical need for registered nurses (RNs) to be involved in frontline care.

Author-supplied keywords

  • Case study research
  • Management practices
  • Nursing
  • Nursing facilities
  • Unlicensed assistive personnel

Get free article suggestions today

Mendeley saves you time finding and organizing research

Sign up here
Already have an account ?Sign in

Find this document


  • Ruth A. Anderson

  • Natalie Ammarell

  • Donald Bailey

  • Cathleen Colón-Emeric

  • Kristen N. Corazzini

  • Melissa Lillie

Cite this document

Choose a citation style from the tabs below

Save time finding and organizing research with Mendeley

Sign up for free