Beyond the case numbers: Social determinants and contextual factors in patient narratives of recovery from COVID-19

Hitch, Danielle; Deféin, Elle; Lloyd, Melanie; Rasmussen, Bodil Steen; Haines, Kimberley; Garnys, Eleanor

doi:10.1016/j.anzjph.2022.100002

Cited by 4 publications

(1 citation statement)

References 26 publications

(27 reference statements)

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“…International research has described the impact of these changes on HCWs, many of whom feel underprepared and undertrained to deal with both acute and Long COVID (12). Several authors recommend the development of professional development education for HCWs to build capacity across the workforce (13)(14)(15)(16), but there are not published studies describing the approach or content required in these programs. Qualitative research with consumers describes frustrating and distressing encounters with clinicians with little to no knowledge about Long COVID (17), which emphasises the negative impact under-development in this area has on both clinicians and patients alike.…”

Section: Introductionmentioning

confidence: 99%

Supporting rehabilitation practice for COVID-19 recovery: a descriptive qualitative analysis of allied health perspectives

Van Laake,

Hitch

2024

Aust. Health Rev.

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The study aimed to explore the perspective of healthcare workers on the resources they need to provide quality rehabilitation for people recovering from COVID-19 infection. MethodsA descriptive qualitative approach using re exive thematic analysis was employed. Focus groups and interviews were performed with 9 healthcare workers (1 Intensive Care Unit Physiotherapist, 1 Respiratory What are the implications for practitioners? Resources to support healthcare workers practice with these patients are urgently needed and must be designed to meet their needs and preferences.

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Section: Introductionmentioning

confidence: 99%

Supporting rehabilitation practice for COVID-19 recovery: a descriptive qualitative analysis of allied health perspectives

Van Laake,

Hitch

2024

Aust. Health Rev.

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Occupational therapy practice for post‐acute COVID‐19 inpatients requiring rehabilitation

Scott,

Neale,

Harrington

et al. 2024

Aus Occup Therapy J

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IntroductionCOVID‐19 caused significant occupational disruption to people's life roles, with some people requiring an inpatient rehabilitation admission. Occupational therapists assessed and treated these patients using previous knowledge of similar conditions due to limited specificity in available guidelines to inform practice. The aim of this study was to investigate current practice with post‐acute COVID‐19 (PAC) patients within an inpatient rehabilitation setting in Australia, to better understand the role and impact of occupational therapy.MethodsA mixed‐method study was conducted, including electronic medical record audits (October 2021 October 2022) and descriptive patient interviews at a large metropolitan subacute service. Descriptive statistics and qualitative analysis were used to summarise and interpret data.Consumer and Community InvolvementNo involvement.ResultsA total of 24 patient electronic medical records were audited, and 10 patient interviews were completed. Three overarching categories were identified within the 685 occasions of occupational therapy service audited—occupational engagement, education provision and discharge planning. Patients identified the value of occupational therapy by reflecting on their lived experiences of engaging with occupational therapists and associated changes in occupational performance between COVID‐19 diagnoses and discharge home.ConclusionOccupational therapists possess a unique skill set that directly addresses the occupational needs and priorities of PAC patients. This study adds to the growing body of evidence supporting the contribution of occupational therapy to the management of COVID‐19; however, further research is needed to develop evidence‐based practice resources and advocate for system changes that improve quality of life for COVID‐19 patients.PLAIN LANGUAGE SUMMARYDuring the COVID‐19 pandemic, a lot of people got very sick. Some of these people needed more time and support to get better. Occupational therapists were important during this time because they helped these people to do their daily activities again. Because there were not many resources on how to do this, we looked into what occupational therapists were doing to help these people. We looked at patient hospital files and also talked to them to understand this better. We found that occupational therapists focused on three main areas: helping patients do activities that were important to them, teaching them about COVID‐19 and helping them plan to leave the hospital. This study shows that occupational therapists are skilled at helping people with COVID‐19. But more research is needed to make resources and also help with changing the healthcare system to further help people get better from COVID‐19.

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Supporting rehabilitation practice for COVID-19 recovery: A descriptive qualitative analysis of healthcare worker perspectives.

Laake,

Hitch

2023

Preprint

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Objective The study aimed to explore the perspective of healthcare workers on the resources they need to provide quality rehabilitation for people recovering from COVID-19 infection.Methods A descriptive qualitative approach using reflexive thematic analysis was employed. Focus groups and interviews were performed with 9 healthcare workers (1 Intensive Care Unit Physiotherapist, 1 Respiratory Therapist and 7 Occupational Therapists) with experience treating patients recovering from COVID-19 infection within hospital and in the community. Verbatim transcripts were coded and analysed for themes.Results Healthcare workers perceive an urgent need for resources about recovery from COVID-19 infection to support quality care. They particularly want detailed guidance about potential trajectories of recovery, and what should be expected over time for people with Long COVID. Many observed that this group of patients required higher oxygen requirement and experienced slower recovery than others with serious respiratory conditions. Supports for quality care do exist but are not perceived as sufficient by participants. They want any new resources developed to be accessible, quick to access and targeted to specific healthcare worker roles and services settings. Participants identified several barriers to accessing practice supports, including the time poor nature of healthcare and financial costs to both patients and healthcare workers.Conclusion Healthcare workers perceive an urgent need for the development of resources to support quality rehabilitation for people recovering from COVID-19 infection, to support best outcomes for this group of patients. Any resources developed must consider identified barriers to their access and use to maximise their impact.

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Beyond the case numbers: Social determinants and contextual factors in patient narratives of recovery from COVID-19

Cited by 4 publications

References 26 publications

Supporting rehabilitation practice for COVID-19 recovery: a descriptive qualitative analysis of allied health perspectives

Supporting rehabilitation practice for COVID-19 recovery: a descriptive qualitative analysis of allied health perspectives

Occupational therapy practice for post‐acute COVID‐19 inpatients requiring rehabilitation

Supporting rehabilitation practice for COVID-19 recovery: A descriptive qualitative analysis of healthcare worker perspectives.

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