Learning and developmental needs of health assistants and nursing aides : an explanatory study

Abstract

The aim of this dissertation was to explore the learning and developmental needs amongst Health Assistants and Nursing Aides working at a public residential entity for the elderly in Malta. This research study reported in the dissertation, sought to explore (i) whether there are any skills gaps amongst the health assistants and nursing aides working at a residential home for older adults, (ii) what skills and competencies are needed to improve the current performance levels of these nursing aides and health assistants, and (iii) what learning and developmental activities are prevalent amongst health assistants and nursing aides. The Chief Nursing Manager leading the entity, six charge nurses and two deputy charge nurses, all working in the entity, were interviewed using a semi-structured interview schedule which was developed for the purpose of this research study. All the nurses worked within different wards at the entity. A thematic analysis of the gathered data revealed five main themes; (a) the job of the health assistants and the nursing aides, (b) gaps identified in the performance of health assistants and nursing aides, (c) learning and developmental needs, (d) registration and regularisation of health assistants and nursing aides, and (e) challenges identified amongst carers who are supplied through a private contractor. These themes were discussed against the specific context of the study and the backdrop of the literature. The findings of the research study reveal gaps in the health assistants’ and nursing aides’ knowledge, skills and abilities. Moreover, the findings suggest the need for regulating these health care support workers upon which this study focused. This is a much needed milestone in care because it will help in identifying and regulating individuals who are employed in such roles. A series of recommendations stemming from the findings are identified in an attempt to contribute to the enhancement of learning and to the development of the performance of these support workers.