The critical role of Certified Nursing Assistants (CNAs) to help elderly nursing home residents' move through declining conditions or diseases to death is salient. It is important for CNAs and nursing home leaders to understand CNAs' attitudes, fears, and anxieties toward death and dying. The quantitative study investigated CNA's attitudes, anxieties, and fears towards death and dying and whether CNAs perceived that their personal death perspectives affected the quality of patient care. CNAs did report moderately high levels of death anxiety; but did not perceive that their personal death perspectives toward death and dying affected the quality of patient care. Understanding CNA's personal death dimensions may foster improvement of curriculum, workplace placement, team development, and leadership. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]