abstract: 'Objective: Certified nursing assistants (CNAs) are low-wage healthcare

  workers who provide direct care to nursing home residents, yet also

  experience significant health disparities. However, limited research has

  been conducted on CNAs'' perceived barriers and facilitators to workplace

  health promotion (WHP) participation. Method: Informed by the

  Consolidated Framework for Implementation Research (CFIR), 24 CNA

  semi-structured, in-depth interviews were conducted in two Chicagoland

  nursing homes. Results: Key barriers were time-constraints and lack of

  staffing, lack of access to WHP programs, and limited organizational and

  employer support. Facilitators included the availability of WHP

  programs, breaks, and other workplace benefits, and enhanced leadership

  and familial support. Conclusion: An effective WHP program must attempt

  to minimize the work-related, organizational, and environmental barriers

  while supporting high motivation of CNAs in health promotion. We offer

  some suggestions for enhancing CNAs'' WHP access and utilization.'
affiliation: 'Stiehl, E (Corresponding Author), Univ Illinois, Sch Publ Hlth, Div
  Hlth Policy \& Adm, MC 923,1603 West Taylor St, Chicago, IL 60612 USA.

  Kim, Mhinjine; Lin, Yu Chen; Stiehl, Emily, Univ Illinois, Sch Publ Hlth, Div Hlth
  Policy \& Adm, MC 923,1603 West Taylor St, Chicago, IL 60612 USA.

  Luna, Geraldine; Ma, Jun, Univ Illinois, Dept Med, Chicago, IL 60612 USA.

  Ma, Jun, Univ Illinois, Inst Hlth Res \& Policy, Chicago, IL 60612 USA.'
author: Kim, Mhinjine and Lin, Yu Chen and Luna, Geraldine and Ma, Jun and Stiehl,
  Emily
author-email: estiehl@uic.edu
author_list:
- family: Kim
  given: Mhinjine
- family: Lin
  given: Yu Chen
- family: Luna
  given: Geraldine
- family: Ma
  given: Jun
- family: Stiehl
  given: Emily
da: '2023-09-28'
doi: 10.1097/JOM.0000000000002007
eissn: 1536-5948
files: []
issn: 1076-2752
journal: JOURNAL OF OCCUPATIONAL AND ENVIRONMENTAL MEDICINE
keywords: 'employee; health promotion; nursing; nursing home; occupational health;

  qualitative research; work environment; workplace'
keywords-plus: 'LIFE-STYLE INTERVENTION; CONSOLIDATED FRAMEWORK; SOCIOECONOMIC-STATUS;

  PRIMARY-CARE; WEIGHT-LOSS; WORKPLACE; IMPLEMENTATION; OBESITY; WORKERS;

  INCOME'
language: English
month: NOV
number: '11'
number-of-cited-references: '46'
orcid-numbers: Stiehl, Emily/0000-0003-1169-9016
pages: 943-952
papis_id: dfaa322b1442cbda02352c4a956cb624
ref: Kim2020certifiednursing
times-cited: '6'
title: Certified Nursing Assistants' Barriers and Facilitators to Accessing and Using
  Worksite Health Promotion Programs
type: article
unique-id: WOS:000598229000022
usage-count-last-180-days: '1'
usage-count-since-2013: '5'
volume: '62'
web-of-science-categories: Public, Environmental \& Occupational Health
year: '2020'