The CNAs can receive satisfactory information about the patient during a shift since the nurse provides detailed information at the shift.  The quality of care that is provided by the CNAs is determined by an efficient sharing of information which is carried out between the CNAs and the RNs.  Job satisfaction is achieved when employees feel that they are receiving the right direction on their job and can deliver effectively without any barrier. CNAs are likely to be satisfied with the condition of their employment when nurses can communicate effectively during shifts. The quality of care that patients get at the healthcare setting depends on how diligent the CAN understands the information provided by the nurse during the change. When perfect information is supplied during handoffs, the CNAs can use the information correctly to understand the patients’ information and hence be able to provide appropriate care. Satisfied CNAs offers proper care for the patient, and the ultimate outcome becomes an improved quality of life for the patient. When the quality of care provided to the patients is satisfactory, the patients are also satisfied, and in the long run, the reputation of the clinical setting improves accordingly. Satisfied CNAs can improve on commitment and work engagement which positively affects performance. When employees are satisfied with the working conditions within the clinical setting, CNAs experiences “affective commitment” while at the organisation. Through “affective commitment” employees are obliged to stay at their workstations since they are satisfied with the work experiences. Employees stay at their work station for an extended period and hence they can understand all the clinical requirements. When the CNAs are satisfied with the information they obtain from the nurses, their retention is improved as the turnover level reduces. The healthcare setting spends reduced finances in the recruitment of new staff and hence reduce minimal cost goes to the recruitment and training process of the new employees. The healthcare setting increases on the financial savings and they can improve on their performance resulting in better patient care.

Challenges or obstacles

During the research project, specific challenges were experienced which acted as barriers towards obtaining relevant information. The challenges that were encountered were observed from poor coordination from the director of Acadia Nursing centre and Rehab who could not provide satisfactory information on their financial performance. To obtain the right result on the financial performance of Acadia after the research, the answers received on the post-questionnaire were found not to be consistent, and hence the analysis of the information was not a simple task. The process of designing the questionnaires and delivering them to the CNAs and the RNs was tasking and required a lot of resources such as financial costs. Nurses were identified to be not willing to discuss these challenges since most of them felt that they should not be sitting in the same room with their assistants addressing their issues. Since the nurses thought that their privacy was not given enough attention, most of them were not willing to provide enough information to the research team.

The challenge that was observed among the nurses is that they lack good interpersonal communication skills and this even affected the process of data collection. The nurses did not want to share their relationship with their CNAs at the clinical setting. Lack of adequate information from the nurses acted as an obstacle towards the analysis of the relationship that exists between the nurses and the CNAs. Therefore, determining how the factor has impacted the quality of healthcare services at the hospital was a complicated task. The data provided by the CNAs was genuine, but while comparing the questionnaire that was given to the nurses, the information was not uniform. Lack of uniformity in the information provided by the RNs and the CNAs was a clear indication that there was a lack of honesty in answering the questions.

The technology that was applied in the process had certain complexities that certain CNAs did not comprehend. The CNAs participants did not have a good understanding of the modern technological advancements in HealthCare, and this could open up a path for lack of understanding with the nurses. The training procedure was on the application of technology did not have careful coordination with the participants. Proper training is required before the survey since the lack of adequate training resulted in low-quality data collected.

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