A descriptive analysis of nursing staff behaviors in a teaching nursing home: differences among NAs, LPNs, and RNs

Louis D. Burgio, Bernard T. Engel, Andre Hawkins, Kathleen McCormick, Ann Scheve

Research output: Contribution to journalArticlepeer-review

57 Scopus citations


Various staff behaviors in a nursing home were sampled seven times a day, 5 days a week over 37 months and were coded separately for LPNs, RNs, and NAs. The behavior most frequently observed was patient care, which occurred during 56.9% of the samples. We observed staff interacting with patients during 10.7% and with other staff during 19.5% of the samples. The LPNs displayed significantly more patient care behaviors and NAs significantly more nonwork behaviors than other nursing staff. RNs displayed the least nonwork behavior. We conclude that nursing staff devote most of their time to patient needs and relatively little time to nonproductive activities.

Original languageEnglish (US)
Pages (from-to)107-112
Number of pages6
Issue number1
StatePublished - Feb 1990


  • Behavioral assessment
  • Naturalistic observation
  • Staff performance

ASJC Scopus subject areas

  • Gerontology
  • Geriatrics and Gerontology

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