Journal of Evaluation in Clinical Practice,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 25, 2024
Abstract
Rationale
Practice
context
is
known
to
influence
the
deployment
of
competencies.
The
COVID‐19
pandemic
created
a
major
disruption
in
many
practice
contexts.
objective
was
understand
lived
experience
rehabilitation
clinicians
during
their
context,
namely,
pandemic.
Methods
We
used
longitudinal
phenomenological
design.
Eligible
were
occupational
therapists
(OT),
physical
(PT),
physiotherapy
technologists
(Phys
T.),
speech‐language
pathologists
(S‐LP)
and
audiologists
(AUD),
working
same
workplace
for
at
least
2
years
before
March
2020
(the
pandemic).
Clinicians
who
reassigned
roles
outside
field
excluded.
conducted
individual
online
interviews
using
guide
developed
by
team
with
expertise
knowledge
phenomenon.
An
interpretative
analysis
carried
out.
Results
discussed
until
research
reached
consensus.
A
total
32
participated
study
(12
OT,
5
PT,
Phys
T.,
7
S‐LP,
3
AUD),
variety
clienteles
work
settings,
an
average
11.7
±
7.6
setting.
wide
range
emotions
(e.g.
anger,
sadness,
guilt,
fear,
pride)
reflected
clinicians'
disruption.
Professional
perceived
as
being
enhanced
stepped
out
comfort
zone;
this
encouraged
reflective
recognition
need
be
more
explicit
about
decision‐making
process.
Collaboration
colleagues
key
effective
coping
adaptative
expertise.
Conclusions
may
have
positive
effects
on
professional
through
mobilization
practice.
Journal of Long-Term Care,
Journal Year:
2024,
Volume and Issue:
unknown
Published: June 24, 2024
Context:
During
the
COVID-19
pandemic,
patients
using
post-acute
care
generally
avoided
skilled
nursing
facilities,
presumably
to
reduce
their
chance
of
illness
and
death.
However,
staying
at
home
after
an
acute
inpatient
hospitalization
carries
its
own
risks.
Objectives:
To
assess
whether
avoiding
facilities
in
2020
saved
lives
this
behavior
also
led
a
change
readmission
rates.
Methods:
Retrospective
cohort
study
Medicare
Fee-for-Service
medical
claims
data
for
Michigan.
Findings:
Between
2019
2020,
use
fell
by
8
percentage
points,
which
was
not
due
patient
characteristics.
The
reduction
facility
associated
with
23.3%
lower
90-day
mortality
rate
during
pandemic
than
otherwise
expected,
117
lives.
There
small
increase
across
years.
Finally,
between-group
disparities
worsened,
vast
majority
both
readmissions
seen
among
who
were
dually
eligible
Medicaid.
Limitations:
are
limited
state
Implications:
Findings
from
should
be
used
inform
health
professionals
benefits
risk
following
times
increased
disease
transmission.
Extra
consideration
given
outcomes
dual-eligible
patients.
BMC Health Services Research,
Journal Year:
2024,
Volume and Issue:
24(1)
Published: Sept. 2, 2024
During
2020–2021
Australia
maintained
comparatively
low
rates
of
COVID-19
in
the
community
and
residential
aged
care
facilities
(RAC)
due
to
stringent
public
health
measures
such
as
lockdowns.
However,
implemented
may
have
had
unintended
impacts
on
critical
RAC
resident
outcomes,
falls,
routine
disruptions
isolation.
We
utilised
a
longitudinal
data
assess
association
between
lockdowns
rate
falls
settings.
A
cohort
study
was
conduct
using
routinely
collected
from
25
one
non-profit
provider
Sydney,
Australia.
The
included
2,996
long
term
residents
March
2019
2021.
outcome
were
all
injurious
assessed
requiring
hospitalisation.
Generalised
estimating
equations
(GEE)
applied
determine
lockdown
periods
fall-related
outcomes
while
adjusting
for
confounders
seasonality.
period
11,658
recorded.
Residents
frequently
experienced
at
least
fall
during
(median:
1,
interquartile
range:
0–4).
Lockdown
1
(March-June
2020)
increased
32%
(IRR
1.32,
95%
CI
1.19–1.46,
p
<
0.01)
by
28%
1.28,
1.12–1.46,
compared
pre-pandemic
rates.
hospitalisation
remained
unchanged
1.07,
0.86–1.32,
=
0.519).
2
(Dec
2020-Jan
2021)
did
not
change
significantly
These
findings
suggest
that
consequences
restrictions,
seen
produced
changes
residents'
which
contributed
more
associated
harm.
subsequent
lockdown,
less
restrictive
occurred
after
staff
gained
experience,
with
no
significant
increase
rate.
nature
extent
infection
control
need
balance
multiple
potential
adverse
effects.
Factors
facilitated
resilience
this
require
exploration
future
research.
Journal of Evaluation in Clinical Practice,
Journal Year:
2024,
Volume and Issue:
unknown
Published: Sept. 25, 2024
Abstract
Rationale
Practice
context
is
known
to
influence
the
deployment
of
competencies.
The
COVID‐19
pandemic
created
a
major
disruption
in
many
practice
contexts.
objective
was
understand
lived
experience
rehabilitation
clinicians
during
their
context,
namely,
pandemic.
Methods
We
used
longitudinal
phenomenological
design.
Eligible
were
occupational
therapists
(OT),
physical
(PT),
physiotherapy
technologists
(Phys
T.),
speech‐language
pathologists
(S‐LP)
and
audiologists
(AUD),
working
same
workplace
for
at
least
2
years
before
March
2020
(the
pandemic).
Clinicians
who
reassigned
roles
outside
field
excluded.
conducted
individual
online
interviews
using
guide
developed
by
team
with
expertise
knowledge
phenomenon.
An
interpretative
analysis
carried
out.
Results
discussed
until
research
reached
consensus.
A
total
32
participated
study
(12
OT,
5
PT,
Phys
T.,
7
S‐LP,
3
AUD),
variety
clienteles
work
settings,
an
average
11.7
±
7.6
setting.
wide
range
emotions
(e.g.
anger,
sadness,
guilt,
fear,
pride)
reflected
clinicians'
disruption.
Professional
perceived
as
being
enhanced
stepped
out
comfort
zone;
this
encouraged
reflective
recognition
need
be
more
explicit
about
decision‐making
process.
Collaboration
colleagues
key
effective
coping
adaptative
expertise.
Conclusions
may
have
positive
effects
on
professional
through
mobilization
practice.
