Short answer: HCA is the common term in the UK, CNA (Certified Nursing Assistant) is used in the USA and PSW (Personal Support Worker) is used in Canada. All three provide basic care under the supervision of nurses.
Healthcare Assistant (HCA)
Common in the UK and Nigeria. Supports nurses with personal care, observations and mobility.
Certified Nursing Assistant (CNA)
Used in the USA. CNAs usually complete a state-approved program and pass a competency exam to be listed on a state registry.
Personal Support Worker (PSW)
Used in Canada. PSWs and Home Support Workers are found in hospitals, long-term care and home care.
What they share
- Infection prevention and hand hygiene
- Vital signs and reporting changes
- Bathing, dressing, feeding and toileting with dignity
- Safe transfers and fall prevention
- Documentation and communication
Requirements, registration and titles vary by country and employer, so always check the current rules of your destination before applying.