The predictable crisis of covid-19 in Canada’s long term care homes

BMJ, Journal Year: 2023, Volume and Issue: unknown, P. e075148 - e075148

Published: July 24, 2023

Sharon Straus and colleagues argue that residents, families, staff in long term care homes Canada were failed by governments during the pandemic need coordinated efforts across federal, provincial, territorial to safeguard these populations

Language: Английский

---

Cracks in the foundation: The experience of care aides in long‐term care homes during the COVID‐19 pandemic

Journal of the American Geriatrics Society, Journal Year: 2022, Volume and Issue: 71(1), P. 198 - 205

Published: Sept. 9, 2022

Care aides (certified nursing assistants, personal support workers) are the largest workforce in long-term care (LTC) homes (nursing homes). They provide as much 90% of direct to residents. Their health and well-being directly affect both quality life for The aim this study was understand impact COVID-19 on working LTC during first year pandemic.We conducted semi-structured interviews with a convenience sample 52 from 8 Alberta one British Columbia, Canada, between January April 2021. Nursing were purposively selected across: (1) ownership model (2) COVID (the rate infections reported March December 2020). Interviews recorded analyzed using inductive content analysis.Care mainly female (94%) older (74% aged 40 years or older). Most spoke English an additional language (76%), 54% worked full-time homes, 37% multiple positions before "one worksite policies" implemented. Two themes emerged our analysis: experienced mental emotional distress enforcing resident isolation, grief related deaths, fear contracting spreading COVID-19, increased workload combined staffing shortages, rapidly changing policies. aides' resilience supported by their strong relationships, faith community, capacity maintain positive attitudes.These findings suggest significant, ongoing adverse effects through pandemic. Our data demonstrate considerable strength occupational group. results emphasize urgent need appropriately meaningfully adequately resource workforce. We recommend improved policy guidelines interventions.

Language: Английский

---

Learning from the covid-19 outbreaks in long-term care facilities: a systematic review

BMC Geriatrics, Journal Year: 2023, Volume and Issue: 23(1)

Published: Oct. 2, 2023

Abstract Background The COVID-19 pandemic has devastatingly affected Long-Term Care Facilities (LTCF), exposing aging people, staff members, and visitors. world learned through the lessons can be taken to adopt effective measures deal with outbreaks in LTCF. We aimed systematically review available evidence on effect of minimize risk transmission LTCs during since 2021. Methods search method was guided by preferred reporting items for systematic reviews (PRISMA) guideline synthesis without meta-analysis (SWiM) reviews. performed April 2023. Observational interventional studies from databases PubMed, Web Science, Scopus, Cochrane Systematic Reviews, CINAHL, Academic Search were reviewed. included conducted LTCF that quantitatively assess non-pharmacological cases COVID-19. Two authors independently reviewed titles inclusion, extracted data, undertook bias according pre-specified criteria. quality analyzed using Joanna Briggs Institute Critical Appraisal. Results Thirteen included, 8442 experiencing 598 thousand participants (residents members). Prevention control infection interventions grouped into three themes: strategic, tactical, operational measures. strategic reveal importance prevention as structural characteristics, namely size, new admissions, surveillance, architectural structure. At tactical level, lack personal long shifts is related COVID-19's spread. Operational a favorable preventing are sufficient. Personal protective equipment stock, correct mask use, signaling, social distancing, resident cohorting. Conclusions Operational, approaches may have spread LTCFs outbreaks. Given heterogeneous nature measures, performing not possible. Future research should use more robust study designs explore similar endemic situations comparable Trial registration protocol this registered PROSPERO (CRD42020214566).

Language: Английский

---

Treatment and Care for Nursing Home Residents with COVID-19: A Qualitative Study

Journal of Multidisciplinary Healthcare, Journal Year: 2024, Volume and Issue: Volume 17, P. 2935 - 2946

Published: June 1, 2024

Purpose: Coronavirus disease 2019 (COVID-19) placed a significant strain on nursing homes, leading to numerous outbreaks and high mortality rates. This situation created considerable stress challenges for residents, their physicians nurses, as well family caregivers. By understanding these challenges, we can gain new insights learn valuable lessons. Thus, the purpose of this study is examine treatment care provided home residents with COVID-19, experienced by physicians, Participants Methods: secondary analysis 35 interviews caregivers, each personal experience caring diagnosed COVID-19. The took place from December 2020 April 2021. We analyzed transcriptions based Braun Clarke's reflexive thematic model followed qualitative descriptive design outlined Sandelowski. Findings: produced three themes: 1) Balancing medical treatment, 2) need increased systematic monitoring vital functions, 3) Determining level residents. These themes were explored through unique perspectives participant groups: findings revealed several related applied both relief symptoms, assessment use advance planning. Conclusion: Drawing experiences there should be unified plan at municipal or national competency development in homes prepare future crises like pandemics epidemics. Additionally, safe engagement caregivers relatives given priority. Keywords: alleviation, palliative care, pandemic, safekeeping, mapping

Language: Английский

---

A qualitative interview study of care home managers’ experiences of medicines optimisation for residents with dementia during the COVID-19 pandemic

BMJ Open, Journal Year: 2025, Volume and Issue: 15(1), P. e091645 - e091645

Published: Jan. 1, 2025

Objectives To explore care home managers’ views and experiences of optimising medicines use for residents with dementia during the COVID-19 pandemic. Design, setting participants A descriptive exploratory qualitative study using semistructured interviews (conducted via telephone or online videoconferencing platform), managers across Northern Ireland, purposively sampled from homes that provided dementia. Care were asked to describe their accessing primary healthcare services (such as those by general practitioners community pharmacists), how was affected pandemic, what they had learnt experiences. Data analysed inductive thematic analysis. Results Fourteen conducted between January July 2022. Four themes, ‘isolation’, ‘burden’, ‘disruption’ ‘connection communication’, identified; isolation a cross-cutting theme permeated other themes. described feeling isolated professionals, residents’ family members. This placed additional burden on staff increasing workload negatively affecting well-being. Participants reported disruption service provision, particularly practices, significant impact lack face-to-face contact medication reviews often ceased take place. The connection communication key stakeholders perceived be important when Conclusions has highlighted challenges initial pandemic optimisation dementia, which characterised isolation. Further research is needed determine extent long-term this resident population. In future public health crises, better professionals homes.

Language: Английский

---

Demographic, occupational factors and pandemic-related stressors associated with heightened mental health difficulties among UK health and social care workers supported by regional Resilience Hubs during the COVID-19 pandemic

BMJ Open, Journal Year: 2025, Volume and Issue: 15(2), P. e082817 - e082817

Published: Feb. 1, 2025

Background During the COVID-19 pandemic, 40 mental health and well-being hubs were funded in England to support social care staff affected by pandemic. Aims To describe characteristics of accessing four for identify associated with clinically significant difficulties work functioning. Method Routinely collected screening data analysed from 1973 individuals across 4 hubs, including health, demographic occupational pandemic-related stressors. Factors identified via logistic regression. Results Most hub clients as white women who worked UK National Health Service; other groups less well represented. Hub reported high levels difficulties: 60% had severe often co-occurring (ie, depression, anxiety, post-traumatic stress disorder or alcohol use) 80% significantly impaired Younger age, disability status, identifying a minority ethnic group, sexual orientations excluding heterosexual higher likelihood having difficulties. Suffering financial loss during prepandemic emotional concerns most consistent factors Conclusions The supported Outreach engagement under-represented should be undertaken address potential barriers service access. findings add knowledge base on needs workforce planning response future crises.

Language: Английский

---

Maximising inclusivity in care home research: Lessons learned from the AFRI-c randomised controlled trial

The Journal of Frailty & Aging, Journal Year: 2025, Volume and Issue: 14(3), P. 100038 - 100038

Published: April 7, 2025

Ethical and procedural requirements make research in care homes challenging. With people living longer globally, it is essential that older are included research, including within the home setting. We conducted a randomised controlled trial (AFRI-c) 91 across England, aiming to study available every eligible resident. Facilitators flexible models for receiving consent; commitment from staff, residents families; tailored specific training staff; support national infrastructure engage research. To facilitate inclusive we recommend consulting with about their priorities; continuing investment homes; using advance directives planning residents; embedding nurses environments; more guidance researchers ethics committees on applying legal frameworks regarding capacity settings.

Language: Английский

---

Addressing organisational elder abuse using the Participatory Occupational Justice Framework

Journal of Occupational Science, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 16

Published: April 24, 2025

Language: Английский

---

Changes in work conditions and well-being among healthcare professionals in long-term care settings in the Netherlands during the COVID-19 pandemic: a longitudinal study

Human Resources for Health, Journal Year: 2023, Volume and Issue: 21(1)

Published: July 28, 2023

Abstract Background Healthcare professionals working in long-term care facilities reported heavy job demands and a lack of resources during the 2019 coronavirus disease (COVID-19) pandemic. However, how these changed pandemic, possible changes affected professionals’ work-related well-being, remains unclear. Thus, we explored face surging COVID-19 infection rates, investigated associations with burnout work engagement, among healthcare Netherlands. Methods This longitudinal study was conducted five Data were collected early late 2021, when rates low high (mean, 29.1 275.4 infections/day), respectively. In total, 173 completed validated Job Demands Resources Questionnaire, Copenhagen Burnout Inventory, Utrecht Work Engagement Scale at both timepoints. We performed paired-samples t tests to examine resources, fixed-effects linear regression analyses within-person those engagement. Results perceived increased workloads, associated decreased engagement period. Within-person increases collegial support positively negatively symptoms. Conclusions workloads wake resulting These also response declining support. Efforts protect well-being pandemic context that focus on workload reduction promotion may be most beneficial.

Language: Английский

---

Listen to the voices of nurses: the role of community chief nurses and registered nurses in the provision of care for older people in Sweden during the COVID-19 pandemic – a cross-sectional study

BMC Geriatrics, Journal Year: 2024, Volume and Issue: 24(1)

Published: Feb. 2, 2024

Abstract Background During the pandemic in Sweden, aim was to protect older people, especially those among them who were sick, frail and vulnerable residential care facilities. A ban put on visits at all facilities March 2020 prevent spread of infection people. This study aims describe experiences Community Chief Nurses Registered provided medical nursing for people home during first wave COVID-19 pandemic, examine factors associated with quality care. Methods The has a mixed method cross-sectional design (STROBE). Data collected using web-based survey that comprised two questionnaires, developed study. analysed descriptive statistics logistic regression models, as well qualitative content analyses. Results majority reported adequate opportunities work management handle pandemic. care, person’s safety, negatively affected Factors good follows: information-sharing; ability comply hygiene practices; competence how persons COVID-19; physician bedside assessing their health; support from frontline managers. Conclusion highlights crucial facets organizations must address enhance readiness future pandemics or disasters, ensuring security well-being

Language: Английский

---