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From Nursing Home to Green House: Changing Contexts of Elder Care in the United States

Journal Article
March 1, 2011

This article outlines certified nursing assistants (CNAs) roles in Green House nursing homes, compared with roles in standard, institutionalized nursing homes. It concludes that the quality of relationships between CNAs and residents vastly improve when a nursing home makes a transition to a Green House format. Relationships are less rushed and feature better communication. Additionally, CNAs report a greater sense of empowerment in Green House homes.

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Key Takeaways

In traditionally structured nursing homes, CNA-resident interactions were more rushed, detached, and adversarial.
In Green House nursing homes, interdependence and strong ties are promoted between CNAs and residents.
Workers reported greater empowerment and less guilt in the Green House model.

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