Home Health Aide vs. Certified Nurses Aide : What's the difference?
Fordham Institute Inc. • January 21, 2023
When it comes to starting a career in the healthcare field, you may be wondering about the difference between being a Home Health Aide (HHA) and a Certified Nursing Assistant (CNA). Both positions involve providing basic care for patients, but there are some key differences to consider when choosing which career path is right for you.
One of the main differences between HHAs and CNAs is the work environment. HHAs work in patients' homes, providing in-home care for those who are recovering from an illness or injury, or who have chronic health conditions. They typically assist with activities of daily living, such as bathing, dressing, and grooming, as well as basic health care tasks like taking vital signs and administering medications.
A Certified Nursing Assistant (CNA) is a healthcare worker who provides basic care for patients in a hospital or long-term care facility. They typically assist with activities of daily living, such as bathing, dressing, and grooming, as well as basic health care tasks like taking vital signs and monitoring patients' conditions. They also assist nurses and other healthcare professionals in providing care for patients.
Another difference between the two careers is the level of responsibility and autonomy. HHAs often work independently, while CNAs may work as part of a team of healthcare professionals. This means that HHAs may have more autonomy in their work, but they may also have more responsibility for the overall care of the patient. CNAs, on the other hand, may have more direct supervision, but they may also have more opportunities for growth and advancement within the healthcare field.
When it comes to education and certification, both HHAs and CNAs are required to complete a certain amount of training and pass a certification exam. However, the requirements for each position may vary depending on the state you live in. It's important to research the specific requirements in your area before making a decision.
So, how do you choose which career path is right for you? Consider your personal preferences and goals. If you are comfortable working independently and enjoy being in patients' homes, then being an HHA may be a good fit for you. If you prefer working as part of a team and have an interest in a more structured work environment, then becoming a CNA may be a better choice.
Ultimately, both HHA and CNA positions are important roles in the healthcare field, and both can be rewarding and fulfilling careers. By considering your personal preferences and goals, as well as the specific requirements in your area, you can make an informed decision about which path is the best choice for you.
It's worth mentioning that both positions can be a stepping stone to other healthcare positions like LPN or RN, and with more education and experience you can advance in your career, but it's important to make sure you enjoy the role you're starting with.
When starting your journey as a Home Health Aide (HHA) or Certified Nursing Assistant (CNA), it’s easy to focus on the big picture—finishing the program, passing the exam, and starting your first job. But here’s a secret: it’s the small wins along the way that really shape your success. At Fordham Institute Inc., we remind our students that every step forward counts, even if it feels small. Building skills, confidence, and good habits takes time—and celebrating those moments makes the journey less stressful and more rewarding. Why Small Wins Matter They build momentum – Each success boosts your confidence to tackle the next challenge. They keep you motivated – Seeing progress, even in small ways, helps you stay committed. They reduce burnout – Celebrating progress reminds you that you are moving forward. They create lasting habits – Consistency in small steps builds the foundation for bigger achievements. Examples of Small Wins in Training Understanding a skill you once struggled with Finishing your homework early Getting positive feedback from an instructor Showing up to class on time for a whole week Mastering a new term or concept without looking at your notes These wins may seem small in the moment—but they add up to your overall success. How to Recognize and Celebrate Your Wins Keep a Progress Journal – Write down one thing you achieved each day. Share with a Friend or Classmate – Talking about your progress can make it feel more real. Treat Yourself – A favorite snack, a relaxing activity, or a bit of extra rest can be a reward. Look Back Often – Remember where you started, and see how far you’ve come. Progress Over Perfection In healthcare training—and in life—perfection is impossible. What matters most is showing up, learning, and improving over time. The best HHAs and CNAs aren’t perfect—they’re consistent, compassionate, and committed. Your Journey Is Worth Celebrating Whether you’ve taken one step or a hundred, you are building a future filled with purpose and opportunity. At Fordham Institute Inc., we’re here to help you grow, one win at a time. 📞 Ready to take the first step toward a rewarding career? Call 718-480-1804 Small wins lead to big changes—and your journey starts with just one.
Being a Home Health Aide (HHA) or Certified Nursing Assistant (CNA) means more than just checking vitals or helping with daily tasks—it also means being present during some of life’s most vulnerable moments. Whether you're working in a facility or someone’s home, caregiving can touch your heart in unexpected ways. At Fordham Institute Inc., we know that while caregiving is rewarding, it can also be emotionally demanding. Some days are joyful; others are heavy. And that’s okay. Here’s how to care for your emotional well-being—so you can keep showing up strong, balanced, and grounded. 1. Acknowledge What You Feel You might feel overwhelmed, frustrated, or even sad after a long shift. That’s normal. The emotional work you do is real—and it's okay to feel it. Bottling it up doesn’t make you stronger. Honoring your feelings does. 2. Create Space to Unwind After work, give yourself a few minutes to reset: Sit in silence Take a walk Play calming music Write in a journal You don’t have to “fix” how you feel—just give yourself room to breathe and let go. 3. Find Someone Safe to Talk To Whether it’s a friend, a fellow caregiver, or a mentor, talking about your experience can be incredibly healing. Even a short conversation can lift a huge weight off your chest. You’re not alone in this work—and you don’t have to carry it all on your own. 4. Set Emotional Boundaries As much as you care, it’s important to protect your emotional space. Remind yourself: You’re doing your best You can care without becoming overwhelmed It’s okay to take breaks to recharge Boundaries are not barriers—they're bridges to long-term wellness. 5. Fill Your Cup Outside of Work Make time for things that bring you joy: Reading Music Creative hobbies Spiritual practice or meditation Rest! You spend so much time giving to others—make sure you're giving to you, too. Caregivers Need Care, Too The emotional side of caregiving is real—but so is your strength. You’ve chosen a career that touches lives every day, and that means your heart is one of your greatest tools. Don’t forget to nurture it. 📞 Interested in becoming a caregiver or continuing your training? Call 718-480-1804 You show up for others—now it’s time to show up for yourself, too. Because strong caregivers know that emotional care is part of the job, starting with their own .
Training to become a Home Health Aide (HHA) or Certified Nursing Assistant (CNA) is an exciting step toward a meaningful career—but let’s be honest, it’s not always easy. Between balancing class, studying, personal responsibilities, and maybe even a job on the side, motivation can sometimes start to fade. At Fordham Institute Inc., we’ve seen how determination and small changes in routine can help students stay focused and push through even the most challenging weeks of training. If you’re in the middle of a tough stretch, here are a few ways to reset, refocus, and move forward. 1. Remember Your “Why” Before you enrolled, something inspired you to begin this journey. Maybe it was a dream of helping others, finding a stable job, or building a better future for your family. Keep that reason close. Write it down. Say it out loud. Remind yourself: “This is worth it.” 2. Set Mini Goals Instead of thinking about the entire program at once, break it down into manageable pieces. Try: Completing one chapter this week Showing up to class on time every day Practicing one new skill until you feel confident Each mini goal gets you one step closer to the finish line. 3. Build a Study Routine That Works for You Even 15–30 minutes of review a day can make a big difference. Choose a time when your mind is clear—maybe in the morning, after dinner, or on your lunch break—and stick to it. Bonus Tip: Review your notes in small chunks instead of cramming the night before an exam. 4. Ask for Help When You Need It Feeling stuck? You’re not alone. Whether it’s a classmate, instructor, or a support system outside of school, reach out when you’re struggling. Questions are part of learning—and asking them shows strength, not weakness. 5. Take Care of Your Body and Mind When you’re drained, it’s hard to focus. Stay fueled with simple, healthy meals, get enough rest when you can, and take quick breaks to breathe or stretch during the day. Caring for others starts with caring for yourself. 6. Visualize Your Future Picture yourself in your scrubs, starting your first job, helping a patient with compassion and skill. That vision is real—and it’s waiting for you. Don’t let a tough week stop you from reaching it. Keep Going—You’re Closer Than You Think Every CNA and HHA once stood where you are—uncertain, tired, but hopeful. The effort you're putting in today is building the foundation of a stronger, more confident future. 📞 Need support or want to learn more about joining a class? Call 718-480-1804 Tough weeks don’t last—but the strength you gain from them will. You've got this.