Assessing The Quality Nursing Care Provided by Nurse Assistant at Shalamar Hospital Lahore

Abstract

This research examined in healthcare teams, both Certified Nurse’s Assistants (CNAs) and Non‑Certified Nursing Assistants (often simply called nurse aide) are instrumental in delivering patient care. The key difference lies in formal qualifications: CNAs complete a state‑approved training program and pass a certification exam, granting them legal recognition, inclusion in state registries, and a broader scope of duties such as monitoring vital signs, providing basic nursing care under nurse supervision in health care settings.

Objective: The comparison of quality nursing care between certified and non-certified nursing assistant.

Materials and Methods: In this study descriptive observational study research was carried out at Shalamar Hospital Lahore and Shalamar Nursing College. The information was gathered from 44 students through a survey. The collected data were examined using SPSS software utilizing frequency distribution table’s percentages and graphical tables to be used.

Results: In terms of comparative analysis between Certified Nurse’s Assistants (CNAs) and Non-Certified Nurse’s Assistants reveals notable differences across age, gender, education, and unit placement. In terms of age distribution, a slightly higher proportion of CNAs (54.5%) fall within the 30–40 age group compared to Non-CNAs (63.6%), while a greater percentage of CNAs (45.5%) are in the 20–30 age range than their non-certified counterparts (36.4%)practices and most demographic factors, Certified Nurse’s Assistants (CNAs) scored 278, demonstrating consistent and trained delivery of practices that foster patient comfort and emotional support a reflection of their comprehensive formal training. Non‑Certified Nurse’s Assistants, with a score of 213, show they generally follow these practices, but less reliably, likely due to having less formal preparation or standardized protocols. However, Certified Nurse’s Assistants (CNAs) scored 354, showing strong and consistent adherence to safety and hygiene protocols, while Non‑Certified Nurse’s Assistants, with a score of 191, demonstrated a markedly less consistent approach.

Conclusion: This study highlights the comparative analysis clearly demonstrates that Certified Nurse’s Assistants (CNAs) consistently outperform their Non-Certified counterparts across all evaluated areas. CNAs show stronger adherence to patient safety and hygiene protocols, offer more consistent emotional support and comfort to patients, exhibit higher task competency, and manage their time and responsibilities more efficiently. These findings suggest that formal certification is a key factor in improving the quality of patient cares, enhancing both clinical performance and soft skills essential in healthcare settings. In contrast, the inconsistent practices among Non-Certified Nurse’s Assistants highlight gaps in training, standardization, and preparedness, which may affect the overall patient experience and care outcomes.