Health Expectations, Год журнала: 2023, Номер 26(4), С. 1668 - 1678
Опубликована: Апрель 20, 2023
Care home staff working during the COVID-19 pandemic experienced higher levels of stress and increased workloads. People from diverse ethnic backgrounds were disproportionately affected by pandemic. This study explored identity experiences care in context
Язык: Английский
Journal of Applied Gerontology, Год журнала: 2022, Номер 42(5), С. 1118 - 1136
Опубликована: Дек. 21, 2022
Background: Although healthcare workers (HCWs) in long-term care (LTC) have experienced significant emotional and psychological distress throughout the pandemic, little is known about their unique experiences. Objective: This scoping review synthesizes existing research on experiences of HCWs LTC during COVID-19 pandemic. Method: Following Arksey O’Malley’s framework, data published between March 2020 to June 2022, were extracted from six databases. Results: Among 3808 articles screened, 40 included final analysis. Analyses revealed three interrelated themes: carrying load (moral distress); building pressure burning out (emotional exhaustion); working through it (a sense duty care). Conclusion: Given impacts pandemic both HCW wellbeing patient care, every effort must be made address workforce crisis evaluate best practices for supporting experiencing mental health concerns post-COVID-19.
Язык: Английский
Процитировано
39
Journal of Advanced Nursing, Год журнала: 2022, Номер 78(7), С. 2191 - 2202
Опубликована: Фев. 21, 2022
The aim of this study was to explore the impact pandemic on emotional and mental well-being family carers, care home staff residents, in light changing restrictions, increased testing vaccination rollout UK.Longitudinal, qualitative semi-structured interview study.Remote interviews were conducted with carers residents dementia from different homes across UK. Baseline follow-up October/November 2020 March 2021, respectively. Data analysed using inductive thematic analysis involving members public caring experiences.In all, 42 participated at baseline, 20 followed up. We identified four themes: (1) Developing anger frustration; (2) Impact relationships; (3) Stress burnout; (4) Behavioural changes, perceived residents. health everyone involved, including has been negatively affected, relationships between have severely strained. There a general lack adequate support, little relief.The had detrimental lives those surrounding homes-from carers. Consideration should be given how best support needs all three groups, by providing easily accessible for all. This also focus rebuilding staff.This is first paper highlight effects long-lasting miscommunicated restrictions staff, urgent need continued support.
Язык: Английский
Процитировано
31
International Psychogeriatrics, Год журнала: 2023, Номер 36(7), С. 540 - 563
Опубликована: Май 12, 2023
ABSTRACT Objectives: To evaluate and synthesize the evidence base on barriers facilitators to accessing using community-based social care in dementia. Design: Mixed-methods systematic review. Setting: Community-based (such as day care, respite paid home peer support groups). Participants: People living with dementia unpaid carers. Measurements: Seven databases were searched March 2022, including English German published from 2000 focusing inequalities for across globe. Titles abstracts screened by two reviewers, all full texts reviewers also. Study quality was assessed QualSyst. Results: From 3,904 records, 39 papers included. The majority of studies qualitative, 23 countries represented. Barriers could be categorized into following five categories/themes: situational, psychological, interpersonal, structural, cultural. notably more prominent than multifaceted, many factors hindering or facilitating access linked together. Conclusions: carers experience significant community, a varied approach multiple levels is required address systemic individual-level enable equitable all.
Язык: Английский
Процитировано
14
Healthcare Management Forum, Год журнала: 2022, Номер 35(5), С. 286 - 290
Опубликована: Июль 20, 2022
The COVID-19 pandemic produced unprecedented adoption and deployment of technology in rural northern areas; however, this expansion widened the digital divide for many. Evidence shows that older adults' use has increased. Coupled with an increasing number available technologies to enhance healthcare delivery, social engagement, meaningful activities, support carers, we are at a crossroads change. Emerging strategies used by organizations promote efforts bridge close discussed. In post-pandemic society, policy-makers can play critical role ensure improvements, efficiency gains, lessons learned fully leveraged reap benefits adults, care partners, system. Recommendations given capitalize on opportunity narrow those communities.
Язык: Английский
Процитировано
22
Dementia, Год журнала: 2025, Номер unknown
Опубликована: Фев. 12, 2025
Background In the UK, care home staff are often involved in musical practices as part of their professional activities. However, to date there is a lack relational evidence that underpins improvisational music-making programmes homes, related wellbeing and musicians who deliver such work. This process evaluation accesses Manchester Camerata’s 20-week ‘Music Mind Training’ programme for working with people living dementia focus on staff. Aims (i) To produce Theory Change model outlining core mechanisms change Music Training; (ii) evaluate ‘in-the-moment’ prospective impact Training participating practice wellbeing. Methods Conducted two study employed online observation hour-long training sessions ( n = 18), semi structured interviews 4), oral histories stakeholders development 18). Findings Participating reported general increase motivation, wellbeing, confidence through taking programme, while indicating drop future delivery at end. The also indicated how implemented day-to-day by incorporating learning into interactions residents music sessions, more broadly daily interactions. Conclusion presented details interpersonal this centred (1) collaboration, (2) shared values, (3) respect validation, (4) openness reflection, pathways regarding Subject further refinement testing, could be applied other contexts help provide rounded account education settings.
Язык: Английский
Процитировано
0
BMC Geriatrics, Год журнала: 2025, Номер 25(1)
Опубликована: Фев. 24, 2025
Early in the COVID-19 pandemic, care homes (long-term facilities) globally were severely impacted many ways, including end-of-life and death of residents. They experienced significantly elevated mortality rates amongst residents, compounded by restrictions on support from external healthcare specialist palliative providers. Family access to dying residents was often restricted. This paper explores experiences deaths, during first year pandemic (Spring 2020–2021). As part a wider study Northern England early we conducted semi-structured interviews with home staff (16), (3), family members (5) health service (10). Interviews analysed using reflexive thematic analysis, this secondary analysis focusing over period. Thematic generated three key themes: (1) Preparing for large scale deaths: Care reported sense foreboding at requirements prepare resident sometimes feeling left minimal manage this, uneasy about rapid roll-out emergency planning residents; (2) Balancing policing visiting terminal phase: The requirement restrict when their relatives as distressing both staff; and, (3) Distress surrounding deaths families: distressed frequency speed that they witnessed had outbreak. separation near time source distress everyone involved, suggestions led regrets bereavement members, moral staff. experience waves extremely challenging members. Our suggests ramifications stringent visitation policies consequent may shape bereavement. Monitoring longer term consequences, such prolonged grief injury, should be priority.
Язык: Английский
Процитировано
0
International Journal of Environmental Research and Public Health, Год журнала: 2025, Номер 22(4), С. 520 - 520
Опубликована: Март 28, 2025
(1) Background: The enduring impact of COVID-19 on the long-term care (LTC) sector remains uncertain, necessitating targeted efforts to address current and emerging challenges. This study aims identify key stressors faced by healthcare workers (HCWs) in LTC co-develop innovative, actionable strategies that mitigate these stressors, foster resilience, promote workforce retention. (2) Methods: utilized a qualitative co-design methodology within mixed-methods, multi-phase framework conducted between July 2023 October 2024. article focuses Phase 1, which involved 11 semi-structured focus groups steering group discussions with 24 HCWs, including personal support (PSWs), nurses, administrators across Ontario explore workplace-related distress shared understanding challenges sector. Data were audio-recorded, transcribed verbatim, analyzed using thematic analysis derive themes insights. (3) Results: Key from sessions included need for (i) effective workload management tools, (ii) prioritization psychological safety mental health services, (iii) reducing regulatory bureaucratic burdens, (iv) strengthening practices, (v) fostering recognition positive image. Co-design HCWs leaders facilitated identification priority issues high-level solutions, addressing issues, implementing programs, enhancing work–life integration, improving training, promoting settings. (4) Conclusions: deepens our workplace factors contributing HCWs’ distress. Leveraging approach offers valuable insights into lived experiences leaders. findings provide guidance policymakers create effective, tailored interventions actively engage mitigating recurrent
Язык: Английский
Процитировано
0
BMC Infectious Diseases, Год журнала: 2025, Номер 25(1)
Опубликована: Апрель 29, 2025
Infectious diseases can propagate between nursing homes through asymptomatic staff members who are employed at multiple facilities. However, the transmission dynamics of infections, both within individual and across facilities, has been less investigated. To fill this gap, we developed an agent-based model two extendible to a network n connected with different percentages shared staff. Focusing on outbreaks COVID-19 in U.S. homes, calibrated according prevalence data estimated levels for each State. The simulations indicate that reducing percentage below 5% plays significant role controlling spread infection from one home another personal protective equipment usage, rapid testing, vaccination. As increases more than 30%, these measures become effective, mean reaches steady state homes. hazard ratios mortality higher occupancy rates significantly affected by increased staff-sharing percentages. In conclusion, burden greater sharing particularly high-occupancy where amplified due resident density interactions.
Язык: Английский
Процитировано
0
BMC Geriatrics, Год журнала: 2024, Номер 24(1)
Опубликована: Март 27, 2024
Abstract Background Care homes (long-term care facilities) were profoundly impacted early in the COVID-19 pandemic, both terms of resident mortality and restrictions for infection control. This study investigated impact on emotional well-being home staff challenges faced at this time, strategies used to manage them. Methods Semi-structured interviews conducted October 2020-June 2021 with health service working them explored waves pandemic (March 2021). Interview data analysed using reflexive thematic analysis. Results participants 16 10 staff. Analysis generated four key themes: 1)Anxiety distress, 2)Overwhelming workload, 3)Pulling through; 4)Resilience a time crisis. experienced Anxiety distress due uncertainty what expect; witnessing illness deaths residents; concerns regarding their own health, sometimes feeling work was under-recognised. They also an Overwhelming workload control measures, caring sick residents reduction external healthcare support. Our theme Pulling through reflects peer support problem-solving which managed along sense responsibility meaning towards work. An overarching Resilience crisis drew other three themes describes how many managed, maintained, often increased despite pandemic. Participants described increasing fatigue as continued. Conclusions paper builds literature staff, exploring ways that responded impact. These findings can help inform planning future crises including disease outbreaks, raise important questions further develop preparedness beyond. wider about current cultural status work, may have exposed greater risk contrasts professionalism shown by response challenges.
Язык: Английский
Процитировано
3
The British Journal of Social Work, Год журнала: 2023, Номер 54(3), С. 885 - 904
Опубликована: Ноя. 3, 2023
Abstract Prior to the COVID pandemic, staffing levels, staff turnover and vacancies in adult social care work within UK were a major concern, with experiencing high workloads, burnout, stress poor morale. The paucity of published evidence rapidly evolving contemporary situation indicated suitability scoping review. Systematic searching produced between 1 December 2019 9 May 2023. Out ninety-seven articles retrieved, final analysis included thirty nine articles. To report review findings clearly accessibly, used Patterns, Advances, Gaps, Evidence for practice Research recommendations framework. Abundant emerged on psychological distress impact COVID-19 working environment workers, but psychosocial resilience, supporting managers, Personal Assistants moral injury. Social needs statutory duties are likely become even more intense. pandemic magnified chronic lack funding, staffing, support regard care, no future planning compared NHS. This legacy backlogs assessment service delivery concern despite proposed actions Adult Care Reform Act England.
Язык: Английский
Процитировано
9