Rising to the Occasion: A National Nursing Home Study Documenting Attempts to Address Social Isolation During the COVID-19 Pandemic

Lapane, Kate L.; Lim, Emily; Mack, Deborah; Hargraves, J. Lee; Cosenza, Carol; Dubé, Catherine

doi:10.1016/j.jamda.2023.05.018

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…The quantitative survey (described elsewhere [ 33 ]) that preceded qualitative open-ended questions was a self-administered questionnaire completed by directors of nursing or administrative leaders who were working at U.S. nursing homes during the COVID-19 pandemic. These leaders assessed the experiences of staff and residents during the pandemic both before and after vaccines were widely available.…”

Section: Methodsmentioning

confidence: 99%

“…Explained elsewhere in detail [ 33 ], participant selection and survey process are briefly described here. In preparation for survey administration, a purposive sample was constructed.…”

Section: Methodsmentioning

confidence: 99%

“…Topics addressed by the quantitative survey included stress and concerns about direct care staff burnout, intentions to leave, and staffing challenges; social isolation among residents; and what nursing homes did to address resident social isolation. Questions primarily employed rating scales or multiple-choice response sets [ 33 ].…”

Section: Methodsmentioning

confidence: 99%

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U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

Dubé,

Nielsen,

McPhillips

et al. 2023

PLoS ONE

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Objectives To explore experiences of U.S. (United States) nursing home leadership during the COVID-19 pandemic in their efforts to address resident loneliness and social isolation and to elicit stories about personal and professional impacts on themselves and staff. Design Qualitative inquiry via three optional open-ended questions appended to a national self-administered survey of American nursing home leaders was employed. Textual data was analyzed using an iterative reflexive thematic approach. Setting and participants A stratified sample frame defined by facility size (beds: 30–99, 100+) and quality ratings (1, 2–4, 5) was employed. Web survey links and paper surveys were sent to 1,676 nursing home directors of nursing between February and May 2022. Results Open text responses were collected from 271 nursing homes. Broad themes included: 1) Addressing needs of residents & families; 2) Challenges; and 3) Personal experiences of nursing home leadership/staff. Respondents described trauma to residents, staff, and leadership. Resident loneliness was addressed using existing and newer technologies and innovative indoor and outdoor activities. Residents experienced fear, illness, loss, and sometimes death. Isolation from family and lack of touch were particularly difficult. Regulations were seen as punitive while ignoring emotional needs of residents. Staffing challenges and pressures to do more with less created additional stress. Leadership and staff made significant sacrifices resulting in physical, social, and emotional consequences. Beneficial outcomes included staff bonding, professional growth, and permanent implementation of new interventions. Conclusions and implications New and creative interventions were successfully implemented to address social isolation and loneliness. Improved Wi-Fi and other nursing home infrastructure upgrades are needed to maintain them. Reimagining often conflicting overlapping federal, state, and local regulations, grounding them in good clinical judgement, and incentivizing performance improvement should be considered. Trauma experienced by staff needs to be addressed to deal with current and future workforce needs.

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Section: Methodsmentioning

confidence: 99%

“…Explained elsewhere in detail [ 33 ], participant selection and survey process are briefly described here. In preparation for survey administration, a purposive sample was constructed.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

Dubé,

Nielsen,

McPhillips

et al. 2023

PLoS ONE

View full text Add to dashboard Cite

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“…Esses achados são consistentes com os de estudos realizados no início da pandemia, nos quais a dimensão Realização Pessoal não foi significativamente afetada (4,24) . Dado que 84% dos enfermeiros que participaram da pesquisa eram (25) ; no entanto, incentivos financeiros e alternativas para uma comunicação contínua e eficaz entre os profissionais de saúde e suas famílias durante seus turnos (por exemplo, videochamadas e cobertura da Internet) podem potencialmente aliviar esse fardo (26)(27)(28) .…”

Section: A Unidade Deunclassified

Sintomas de burnout entre médicos e enfermeiros antes, durante e depois do cuidado de pacientes com COVID-19

Valdes-Elizondo,

Álvarez-Maldonado,

Ocampo-Ocampo

et al. 2023

Rev. Latino-Am. Enfermagem

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Objetivo: este estudo avaliou os sintomas de burnout entre médicos e enfermeiros antes, durante e após o cuidado dos pacientes contaminados com o COVID-19. Método: estudo transversal comparativo realizado na unidade de Atenção Pulmonar de um hospital público de nível terciário. Foi utilizado o Inventário de Burnout de Maslach. Resultados: 280 formulários de pesquisa foram distribuídos em três períodos: antes (n=80), durante (n=105) e após (n=95) os cuidados dos pacientes contaminados com COVID-19; 172 formulários foram respondidos. As taxas de resposta foram de 57,5%, 64,8% e 61,1%, respectivamente. A prevalência de burnout grave foi de 30,4%, 63,2% e 34,5% antes, durante e após o atendimento dos pacientes (p<0,001). Os sintomas de exaustão emocional (p<0,001) e despersonalização (p=0,002) foram mais prevalentes entre os enfermeiros do que entre os médicos. O burnout grave foi mais prevalente em mulheres, enfermeiros e funcionários do turno da noite. Conclusão: a alta prevalência de burnout dobrou no primeiro pico de internações hospitalares e voltou aos níveis pré-pandemia um mês após o término dos cuidados dos pacientes contaminados com COVID-19. O burnout variou de acordo com o sexo, turno e profissão, encontrando-se os enfermeiros entre os grupos mais vulneráveis. O foco na avaliação precoce e nas estratégias de mitigação é necessário para apoiar os enfermeiros não apenas durante a crise, mas de forma permanente.

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“…homes and live in specially designed shelters for fear of infecting their families. Ensuring adequate staffing levels and resources is critical to lowering burnout among nurses during a crisis (25) ; nevertheless, financial incentives and alternatives for continual and effective communication between healthcare workers and their families during their shifts (e.g., video calls and Internet coverage) might potentially ease this burden (26)(27)(28) .…”

Section: The Time Elapsed From the First Peak Of Contagions Inmentioning

confidence: 99%

Burnout symptoms among physicians and nurses before, during and after COVID-19 care

Valdes-Elizondo,

Álvarez-Maldonado,

Ocampo-Ocampo

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: this study evaluated burnout symptoms among physicians and nurses before, during and after COVID-19 care. Method: a cross-sectional comparative study in the Pulmonary Care unit of a tertiary-level public hospital. The Maslach Burnout Inventory was used. Results: 280 surveys were distributed across three periods: before (n=80), during (n=105) and after (n=95) COVID-19 care; 172 surveys were returned. The response rates were 57.5%, 64.8% and 61.1%, respectively. The prevalence of severe burnout was 30.4%, 63.2% and 34.5% before, during and after COVID-19 care (p<0.001). Emotional exhaustion (p<0.001) and depersonalization (p=0.002) symptoms were more prevalent among nurses than among physicians. Severe burnout was more prevalent in women, nurses and night shift staff. Conclusion: the high prevalence of burnout doubled in the first peak of hospital admissions and returned to pre-pandemic levels one month after COVID-19 care ended. Burnout varied by gender, shift and occupation, with nurses among the most vulnerable groups. Focus on early assessment and mitigation strategies are required to support nurses not only during crisis but permanently.

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Rising to the Occasion: A National Nursing Home Study Documenting Attempts to Address Social Isolation During the COVID-19 Pandemic

Cited by 5 publications

References 25 publications

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

U.S. nursing home leadership experiences with COVID-19 and its impact on residents and staff: A qualitative analysis

Sintomas de burnout entre médicos e enfermeiros antes, durante e depois do cuidado de pacientes com COVID-19

Burnout symptoms among physicians and nurses before, during and after COVID-19 care

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