The implications of
            <scp>COVID</scp>
            ‐19 on health and social care personnel in long‐term care facilities for older people: An international scoping review

Jones, Kerry; Schnitzler, Katy; Borgstrom, Erica

doi:10.1111/hsc.13969

Cited by 14 publications

(8 citation statements)

References 58 publications

(205 reference statements)

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“…Notably, today's almost worldwide challenges, such as unusually high workloads, social distancing, staff shortages (Jones et al, 2022) and the COVID-19 pandemic, may affect the nurse's assessment of a Ω = OMEGA measure of reliability. Omega as a point estimate overcomes some of the fundamental problems intrinsic to the calculation of internal consistency evident with Cronbach's alpha coefficient (Dunn et al, 2014).…”

Section: Discussionmentioning

confidence: 99%

“…Nurses' self‐assessed competence in promoting older people's involvement in the care process was between moderate and good. Notably, today's almost worldwide challenges, such as unusually high workloads, social distancing, staff shortages (Jones et al, 2022) and the COVID‐19 pandemic, may affect the nurse's assessment of residents' involvement in the caring process. During the data collection, there were also isolation situations in those units, which may have affected the results.…”

Section: Discussionmentioning

confidence: 99%

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Person‐centred care competence and person‐centred care climate described by nurses in older people's long‐term care—A cross‐sectional survey

Pakkonen

Stolt

Edvardsson

et al. 2023

Int J Older People Nursing

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Background Person‐centred care requires that nurses are competent in this approach to care. There may be an association between person‐centred care competence and person‐centred care climate, but it has not been demonstrated in the literature. This is the justification for the survey study to gain staff's perceptions of such a relationship. Objectives The aim of this study was to analyse the levels and associations between person‐centred care competence and the person‐centred care climate as assessed by professional nurses in long‐term care settings for older people. Methods A descriptive cross‐sectional survey design with cluster sampling was used to recruit professional nurses of different levels from six long‐term care institutions for older people. Data were collected using the Patient‐centred Care Competency scale (PCC) and the Person‐centred Climate Questionnaire staff version (PCQ‐S) in September 2021 and analysed with descriptive and inferential statistics. Results The mean score on the PCC was rated at a good level of 3.80 (SD 0.45), and the PCQ‐S was rated at a good level of 3.87 (SD 0.53). The correlation between PCC and PCQ‐S total scores (r = .37, p < .001) indicated that person‐centred care competence and person‐centred care climate were associated. No associations were detected between nurses’ educational levels and PCC (p = .19) or PCQ‐S (p = .13) or in terms of age or work experience. Conclusions The results provide insights into competence and climate levels of person‐centred care and preliminary evidence of an association between nurses’ assessed competence in person‐centred care and the perceived person‐centred care climate in long‐term care. Nurses’ individual characteristics did not appear to affect the level of person‐centred care competence or climate. In the future professional nurses of different levels could benefit from effective continuing education in person‐centred care. This study design serving for the future intervention study registered to the ClinicalTrials.goc NCT04833153

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Person‐centred care competence and person‐centred care climate described by nurses in older people's long‐term care—A cross‐sectional survey

Pakkonen

Stolt

Edvardsson

et al. 2023

Int J Older People Nursing

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“…The additional care needs of often frail COVID-19 survivors also placed a further burden on formal and on informal caregivers, who had already been physically and psychologically challenged by staff shortages, fear of infection and frequent encounters with death 11 16 17. Furthermore, the pandemic was also a disruption to the provision of routine primary care—for example, in Germany, general practitioners (GPs) cared for 90% of COVID-19 patients 18 19…”

Section: Introductionmentioning

confidence: 99%

Impact of the COVID-19 pandemic on people in need of care or support: protocol for a SARS-CoV-2 registry

Gensichen,

Zöllinger,

Gagyor

et al. 2023

BMJ Open

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IntroductionPeople in need of care or support are severely affected by the COVID-19 pandemic. We lack valid data of long-term assessments. We present a register study to detect the physical and psychosocial impact of the COVID-19 pandemic on people in need of care or support in Bavaria, Germany. To describe the persons’ life conditions comprehensively, we assess the perspectives and needs of the respective care teams too. Results will serve as evidence-based source to manage the pandemic and long-term prevention strategies.Methods and analysisThe ‘Bavarian ambulatory COVID-19 Monitor’ is a multicentre registry including a purposive sample of up to 1000 patient–participants across three study sites in Bavaria. The study group consists of 600 people in need of care with a positive SARS-CoV-2 PCR test. Control group 1 comprises 200 people in need of care with a negative SARS-CoV-2 PCR test, while control group 2 comprises 200 people with a positive SARS-CoV-2 PCR test but are not in need of care. We assess the clinical course of infection, psychosocial aspects and care needs using validated measures. Follow-up is every 6 months for up to 3 years. Additionally, we assess up to 400 people linked to these patient–participants (caregivers, general practitioners (GPs)) for their health and needs. Main analyses are stratified by level of care I–V (I=minor/V=most severe impairment of independence), inpatient/outpatient care setting, sex and age. We use descriptive and inferential statistics to analyse cross-sectional data and changes over time. In qualitative interviews with 60 stakeholders (people in need of care, caregivers, GPs, politicians), we explore interface problems of different functional logics, of everyday and professional perspectives.Ethics and disseminationThe Institutional Review Board of the University Hospital LMU Munich (#20-860) and the study sites (Universities of Wurzburg and Erlangen) approved the protocol. We disseminate the results by peer-reviewed publications, international conferences, governmental reports, etc.

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“…From the start of the COVID-19 pandemic, the high number of deaths occurring in care homes was the subject of intense policy, media, and research scrutiny. This focused on infection prevention/control, including testing for COVID-19, visiting restrictions, and personal protective equipment, as well as the psychological impact of the pandemic on staff, residents, and family carers (7)(8)(9)(10)(11)(12)(13). However, research examining the impact of the COVID-19 pandemic on the provision of palliative and end-of-life care in care homes has been limited (14).…”

Section: Introductionmentioning

confidence: 99%

Provision of palliative and end-of-life care in UK care homes during the COVID-19 pandemic: A mixed methods observational study with implications for policy

Bradshaw

Ostler²,

Goodman³

et al. 2023

Front. Public Health

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IntroductionLittle consideration has been given to how the provision of palliative and end-of-life care in care homes was affected by COVID-19. The aims of this study were to: (i) investigate the response of UK care homes in meeting the rapidly increasing need for palliative and end-of-life care during the COVID-19 pandemic and (ii) propose policy recommendations for strengthening the provision of palliative and end-of-life care within care homes.Materials and methodsA mixed methods observational study was conducted, which incorporated (i) an online cross-sectional survey of UK care homes and (ii) qualitative interviews with care home practitioners. Participants for the survey were recruited between April and September 2021. Survey participants indicating availability to participate in an interview were recruited using a purposive sampling approach between June and October 2021. Data were integrated through analytic triangulation in which we sought areas of convergence, divergence, and complementarity.ResultsThere were 107 responses to the survey and 27 interviews. We found that (i) relationship-centered care is crucial to high-quality palliative and end-of-life care within care homes, but this was disrupted during the pandemic. (ii) Care homes' ability to maintain high-quality relationship-centered care required key “pillars” being in place: integration with external healthcare systems, digital inclusion, and a supported workforce. Inequities within the care home sector meant that in some services these pillars were compromised, and relationship-centered care suffered. (iii) The provision of relationship-centered care was undermined by care home staff feeling that their efforts and expertise in delivering palliative and end-of-life care often went unrecognized/undervalued.ConclusionRelationship-centered care is a key component of high-quality palliative and end-of-life care in care homes, but this was disrupted during the COVID-19 pandemic. We identify key policy priorities to equip care homes with the resources, capacity, and expertise needed to deliver palliative and end-of-life care: (i) integration within health and social care systems, (ii) digital inclusivity, (iii) workforce development, (iv) support for care home managers, and (v) addressing (dis)parities of esteem. These policy recommendations inform, extend, and align with policies and initiatives within the UK and internationally.

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The implications of COVID ‐19 on health and social care personnel in long‐term care facilities for older people: An international scoping review

Cited by 14 publications

References 58 publications

Person‐centred care competence and person‐centred care climate described by nurses in older people's long‐term care—A cross‐sectional survey

Person‐centred care competence and person‐centred care climate described by nurses in older people's long‐term care—A cross‐sectional survey

Impact of the COVID-19 pandemic on people in need of care or support: protocol for a SARS-CoV-2 registry

Provision of palliative and end-of-life care in UK care homes during the COVID-19 pandemic: A mixed methods observational study with implications for policy

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