Long term care such as nursing homes are doing less in house training for certified nursing assistants therefore retention is the key to maintaining a full staff of nursing homes or hospitals.
Nursing assistants are getting their training and certifications more in community colleges, technical vocational schools, high schools, red cross and proprietary training facilities. The training are often the expense of nursing assistants but at times get reimburse by their prospective employer under state medicaid programs.
The cost of CNA training outside the nursing homes can cost as much as $1500 and the cost is too much for CNAs because their wages is quite low.
Because more and more training and certifications programs for CNAs outside the healthcare facilities setting, employers have more and more difficulty recruiting new CNAs, especially nursing homes. Nursing homes have more difficulty because majority of CNAs are employed by long term care facilities. Because outside training is done, the quality of training is also a question mark. Sometimes these CNAs don't have the adequate training to start working. Nursing aid is for sure a quality part in the entire care of residents at hospitals and long term care.
In some states, such as Iowa, have programs for CNA recruitment retention and their mission is to find solutions and keeping good direct care workers such as nurse aid, and care providers.
The emphasis has been on finding ways to retain quality workers to benefits residents by low turn over ratio, consistent care, and to reduce the cost of hiring and retraining of nurse aid.
The Bureau of Labor and Statistics listed healthcare as the fastest growing careers and the medical staffing employment agencies are billion dollar business.