In the long-term care system, gender, race, ethnicity, and class intersect. While both care providers and consumers are predominantly women, their caregiving and working relationships reflect a hierarchical pattern that is based on race and socioeconomic status. This qualitative study explored perceived racism and cultural conflicts of eight female minority and immigrant certified nursing assistants (CNAs) who work at the bottom of the nursing home industry hierarchy. On the basis of the findings, the author discusses implications for feminist practice in addressing interracial and cultural issues in nursing homes. © 2011 SAGE Publications.

Nursing homes Long-term care Racism Nursing assistants

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