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Tytuł pozycji:

Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic.

Tytuł :
Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic.
Autorzy :
White EM; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA. Electronic address: .
Wetle TF; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA.
Reddy A; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Center for Long-Term Care Quality and Innovation, Brown University School of Public Health, Providence, RI, USA.
Baier RR; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA; Center for Long-Term Care Quality and Innovation, Brown University School of Public Health, Providence, RI, USA.
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Źródło :
Journal of the American Medical Directors Association [J Am Med Dir Assoc] 2021 Jan; Vol. 22 (1), pp. 199-203. Date of Electronic Publication: 2020 Nov 24.
Typ publikacji :
Journal Article; Research Support, Non-U.S. Gov't
Język :
English
Imprint Name(s) :
Publication: 2005- : [New York?] : Elsevier
Original Publication: Hagerstown, MD : Lippincott Williams & Wilkins, c2000-
MeSH Terms :
Nurse's Role*
Nurse-Patient Relations*
Burnout, Professional/*psychology
COVID-19/*nursing
Nursing Homes/*organization & administration
Nursing Staff/*psychology
COVID-19/epidemiology ; Female ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; Male ; Personal Protective Equipment/statistics & numerical data ; Personnel Turnover
References :
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Contributed Indexing :
Keywords: COVID-19*; Nursing home*; pandemic*; qualitative*; staff*
Entry Date(s) :
Date Created: 20201215 Date Completed: 20210122 Latest Revision: 20210330
Update Code :
20210330
PubMed Central ID :
PMC7685055
DOI :
10.1016/j.jamda.2020.11.022
PMID :
33321076
Czasopismo naukowe
Objective: The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge for nursing homes, where staff have faced rapidly evolving circumstances to care for a vulnerable resident population. Our objective was to document the experiences of these front-line health care professionals during the pandemic.
Design: Electronic survey of long-term care staff. This report summarizes qualitative data from open-ended questions for the subset of respondents working in nursing homes.
Setting and Participants: A total of 152 nursing home staff from 32 states, including direct-care staff and administrators.
Methods: From May 11 through June 4, 2020, we used social media and professional networks to disseminate an electronic survey with closed- and open-ended questions to a convenience sample of long-term care staff. Four investigators identified themes from qualitative responses for staff working in nursing homes.
Results: Respondents described ongoing constraints on testing and continued reliance on crisis standards for extended use and reuse of personal protective equipment. Administrators discussed the burden of tracking and implementing sometimes confusing or contradictory guidance from numerous agencies. Direct-care staff expressed fears of infecting themselves and their families, and expressed sincere empathy and concern for their residents. They described experiencing burnout due to increased workloads, staffing shortages, and the emotional burden of caring for residents facing significant isolation, illness, and death. Respondents cited the presence or lack of organizational communication and teamwork as important factors influencing their ability to work under challenging circumstances. They also described the demoralizing impact of negative media coverage of nursing homes, contrasting this with the heroic public recognition given to hospital staff.
Conclusions and Implications: Nursing home staff described working under complex and stressful circumstances during the COVID-19 pandemic. These challenges have added significant burden to an already strained and vulnerable workforce and are likely to contribute to increased burnout, turnover, and staff shortages in the long term.
(Copyright © 2020 AMDA – The Society for Post-Acute and Long-Term Care Medicine. Published by Elsevier Inc. All rights reserved.)
Erratum in: J Am Med Dir Assoc. 2021 Mar 26;:. (PMID: 33781733)

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