The impact of COVID-19 on Therapeutic Recreation practice in long-term care homes across Canada

Genoe, M. Rebecca; Johnstone, Jenna

doi:10.1080/16078055.2021.1957011

Cited by 10 publications

(5 citation statements)

References 29 publications

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“…Given that many residents survived a COVID-19 infection, they missed the rehabilitation needed to overcome the functional decline they suffered during the infection (Spilsbury et al, 2020). While the vast majority of COVID-19 deaths occurred in LTC homes, there was a lack of prioritization of LTC home residents’ social, rehabilitation, and recreational needs (TRO, 2020; Genoe & Johnstone, 2021). Subsequently, there is need for the governments to recognize the role of OTs, PTs, social workers, and therapeutic recreationists and include them in LTC home staff mix while increasing their ratio to residents and the average hour of care provided by each of these staff category.…”

Section: Discussionmentioning

confidence: 99%

Who’s in the House? Staffing in Long-Term Care Homes Before and During COVID-19 Pandemic

Vellani

Zúñiga

Spilsbury

et al. 2022

Gerontology and Geriatric Medicine

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Critical gaps exist in our knowledge on how best to provide quality person-centered care to long-term care (LTC) home residents which is closely tied to not knowing what the ideal staff is complement in the home. A survey was created on staffing in LTC homes before and during the COVID-19 pandemic to determine how the staff complement changed. Perspectives were garnered from researchers, clinicians, and policy experts in eight countries and the data provides a first approximation of staffing before and during the pandemic. Five broad categories of staff working in LTC homes were as follows: (1) those responsible for personal and support care, (2) nursing care, (3) medical care, (4) rehabilitation and recreational care, and (5) others. There is limited availability of data related to measuring staff complement in the home and those with similar roles had different titles making it difficult to compare between countries. Nevertheless, the survey results highlight that some categories of staff were either absent or deemed non-essential during the pandemic. We require standardized high-quality workforce data to design better decision-making tools for staffing and planning, which are in line with the complex care needs of the residents and prevent precarious work conditions for staff.

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Section: Discussionmentioning

confidence: 99%

Who’s in the House? Staffing in Long-Term Care Homes Before and During COVID-19 Pandemic

Vellani

Zúñiga

Spilsbury

et al. 2022

Gerontology and Geriatric Medicine

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“…To this end, we examine how COVID-19 impacted LTCF residents and their family members in Israel from the perspective of administrative staff. We also examine COVID-19's impact on recreational activities offered in LTCFs, a topic that has been addressed in only one other study that described therapeutic recreational staff perspectives on the impact of COVID-19 in Canada [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

Direct and Indirect Effects of COVID-19 on Long-Term Care Residents and Their Family Members

Cohen‐Mansfield

Meschiany

2022

Gerontology

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Introduction: The first cases of COVID-19 in Israel were reported in February 2020. Family visits were prohibited from March 10, 2020, and then allowed on a limited basis on April 20, 2020. This article examines how COVID-19 impacted long-term care residents and their family members from the perspective of long-term care facility (LTCF) administrative staff. Methods: An online survey was sent to Israeli LTCF administrators between mid-July and mid-October 2020, resulting in 52 completed questionnaires. Quantitative analysis involved descriptive statistics using SPSS, with differences compared via t tests, ANOVA, and χ2 tests. Qualitative analysis involved thematic analysis of responses to open-ended questions. Results: COVID-19 was reported to have multiple types of negative impact on residents, including direct effects on morbidity and mortality as well as indirect effects manifested as negative reactions to measures aimed at limiting infection, including isolation from relatives, decreased activities for residents, and COVID-19 testing. The impact of isolation on LTCF residents was reported as negative or very negative by over three-quarters of the respondents. Behavioral problems among residents increased in 32% of the facilities. The qualitative results suggested that adverse effects on residents and family members were partially mitigated by the use of communication technologies. Discussion/Conclusion: The interplay of multiple factors affected LTCF residents against the backdrop of COVID-19 restrictions. The emergence of mitigating factors which provide solutions to some of the challenges has the potential of improving quality of care for LTCF residents as the pandemic continues and thereafter.

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“…In the present study, caregivers perceived inconsistencies in visitor restrictions, policies and adherence across LTC homes in Ontario which prompted feelings of uncertainty, distress and powerlessness. In some LTC homes, recreational and therapeutic activities were maintained, however, in other homes, activities stopped during the early state of the COVID-19 pandemic potentially placing residents at earlier risk for deterioration (Genoe & Johnstone, 2021). Some LTC staff have also been reported as being lenient with rules and more compassionate toward caregivers than others.…”

Section: Discussionmentioning

confidence: 99%

Insight into the experiences of caregivers of older adults in long‐term care homes: A photovoice study

Boamah,

Yous,

Gao

et al. 2023

Journal of Advanced Nursing

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AimsTo explore the lived experiences of caregivers of people living in long‐term care (LTC) homes during the initial phases of the COVID‐19 pandemic and potential supports and resources needed to improve caregivers' quality of life.BackgroundCarers (or care partners) of adults in LTC contribute substantially to the health and well‐being of their loved ones by providing physical care, emotional support and companionship. Despite their critical role, little is known about how caregivers have been impacted by the pandemic.DesignAn interpretive descriptive approach that incorporated the photovoice method was used.MethodsUsing a purposive sampling strategy, six family carers in Ontario, Canada were recruited between September and December 2021. Over a 4‐week period, caregivers took pictures depicting their experience of the pandemic that were shared in a virtual focus group. Visual and text data were analysed using thematic analysis with an inductive approach.FindingsCaregivers expressed feelings of frustration, confusion and joy. Emerging themes included: (i) feeling like a ‘criminal’ amidst visitor restrictions and rules; (ii) experiencing uncertainty and disappointment in the quality of care of long‐term care homes; (iii) going through burnout; and (iv) focusing on small joys and cherished memories.ConclusionsThe combination of visual and textual methods provided unique insight into the mental distress, isolation and intense emotional burdens experienced by caregivers during the pandemic.ImpactOur findings underscore the need for LTC organizations to work in unison with caregivers to optimize the care of residents and support the mental health of caregivers.Reporting MethodThis work adhered to the consolidated criteria for reporting qualitative research (COREQ) checklist.Public ContributionsThe caregivers included in the study were involved in the co‐creative process as active contributors informing the design and validation of the codes and themes.

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The impact of COVID-19 on Therapeutic Recreation practice in long-term care homes across Canada

Cited by 10 publications

References 29 publications

Who’s in the House? Staffing in Long-Term Care Homes Before and During COVID-19 Pandemic

Who’s in the House? Staffing in Long-Term Care Homes Before and During COVID-19 Pandemic

Direct and Indirect Effects of COVID-19 on Long-Term Care Residents and Their Family Members

Insight into the experiences of caregivers of older adults in long‐term care homes: A photovoice study

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