Letter to the Editor| Volume 21, ISSUE 5, P708-709, May 2020

Mindful Self-Compassion Training for Nursing Assistants in Long-Term Care: Challenges and Future Directions

Published:January 17, 2020DOI:
      Certified nursing assistants (CNAs) play a critical role in the care of more than 1.4 million nursing home (NH) residents, and demand for their services is projected to grow.
      PHI. U.S. Nursing
      Assistants Employed in Nursing Homes: Key Facts (2019).
      Yet the CNA workforce has long been in crisis. Challenging work-related factors—including low wages, heavy workloads, and inadequate training—contribute to CNA burnout, high job turnover rates, and compromised resident care.
      PHI. U.S. Nursing
      Assistants Employed in Nursing Homes: Key Facts (2019).
      In addition, more than 90% of CNAs are women, and approximately half identify as racial and ethnic minorities and are from low-income households.
      PHI. U.S. Nursing
      Assistants Employed in Nursing Homes: Key Facts (2019).
      Thus, CNAs' work challenges may be compounded by socioeconomic adversity and race and gender disparities.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of the American Medical Directors Association
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • PHI. U.S. Nursing
        Assistants Employed in Nursing Homes: Key Facts (2019).
        PHI, New York2019
        • Gilster S.D.
        • Boltz M.
        • Dalessandro J.L.
        Long-term care workforce issues: Practice principles for quality dementia care.
        Gerontologist. 2018; 58: S103-S113
        • Lamothe M.
        • Rondeau E.
        • Malboeuf-Hurtubise C.
        • et al.
        Outcomes of MBSR or MBSR-based interventions in health care providers: A systematic review with a focus on empathy and emotional competencies.
        Complement Ther Med. 2016; 24: 19-28
        • Proulx J.
        • Croff R.
        • Oken B.
        • et al.
        Considerations for research and development of culturally relevant mindfulness interventions in American minority communities.
        Mindfulness. 2018; 9: 361-370
        • Waldron E.M.
        • Hong S.
        • Moskowitz J.T.
        • Burnett-Zeigler I.
        A systematic review of the demographic characteristics of participants in US-based randomized controlled trials of mindfulness-based interventions.
        Mindfulness. 2018; 9: 1671-1692
        • Neff K.D.
        • Germer C.K.
        A pilot study and randomized controlled trial of the mindful self-compassion program.
        J Clin Psychol. 2013; 69: 28-44
        • Colón-Emeric C.
        • Toles M.
        • Cary Jr., M.P.
        • et al.
        Sustaining complex interventions in long-term care: A qualitative study of direct care staff and managers.
        Implement Sci. 2015; 11: 94
        • Paula B.
        Developing an enhanced perspective of turnover and retention of nurses and health care aides in long term care homes.
        Perspectives. 2015; 38: 25-30