Hanson and Arnetz (2008) had indicated that future interventions needed to overcome or prevent work-related exhaustion and initiate the progress in competence with the aim of raising work satisfaction among the nursing staff in care settings. This paper is exploring the reasons for the incompetent care management in nursing homes and the approaches that could be adopted to educating the staff for changing their level of competency to better management of the elder care.The services provided by most of the nursing homes as indicated in the survey of 1997 were 99.2% nutrition; 98.3 percent social services and physical therapy of 97. This included assistance for families to manage their socio-environmental and emotional problems. The issues which were least managed were home health problems and hospice services (Gabrel, NCHS).The work involved in nursing homes was representative of several disciplines. Catheterisation of the urine, management of psychiatric patients and dementia including Alzheimer’s where patients become totally dependent on carers were some of the requirements. Catering to the social activities of the residents was another.On many occasions, staff who were not qualified for injections had to do the work. Approaches to Effective In-service Education of Clinical Nursing Home Personnel.
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