Developing direct care workers’ leadership skills can be an effective way of improving job and care quality in long-term care, according to early feedback from a collaboration between the Direct Care Alliance and four New York City-area nursing homes. The program is part of a pilot being conducted by DCA, the Beth Abraham Family of Health Services in New York City, and the Service Employees International Union (SEIU).
The project partners developed a new job description for certified nursing assistants (CNAs), creating an intermediary Senior Resident Care Associate position between the traditional CNA position and licensed nurses. The main goal is to develop direct care workers’ leadership skills so they can better advocate for improved working conditions, career advancement, and respect. The new position essentially creates a CNA career track, allowing seasoned nursing assistants to take on more responsibility and earn more pay without having to abandon the profession.
According to sociologist Deborah Little, PhD, the program’s evaluator, 30 CNA leaders—“the cream of the cream of the crop”—will be trained over the next three years. The first ten came from two of Beth Abe’s four homes. Each of the remaining two homes will contribute ten more. Training began for the first group this fall and begins for the last group next spring.









