ABSTRACT
Background: Eating disorder inpatient admissions have risen since the beginning of the COVID-19 pandemic. Even with increased admissions, there is little understanding of this experience for the individual. There has been research into the experiences of individual patients, but no systematic review of the literature. Therefore, the objective of this systematic review was to consider the experiences of inpatient admissions and identify elements which contribute to a more positive experience. Method(s): Searches were performed on the following online databases: PsycINFO, PsycArticles, PsycTherapy MEDLINE, Embase, CINAHL, ASSIA and Scopus. Proquest Open Access Theses and Dissertations data base was searched for unpublished research. Only papers with qualitative data regarding the experiences of individuals who have received inpatient eating disorder treatment were included in the final selection. The papers were selected if written in English and published between January 2000 and June 2021. Independent researchers extracted data regarding the study design, sample demographics and details on their admissions. The results from the final papers were extracted following Thomas and Harden's (2008) method of thematic synthesis. GRADE-COREQual was used to check for quality. Extracted data will be synthesised using the method for thematic synthesis outlined by Thomas and Harden (2008) to collate the available data. Result(s): The thematic synthesis is ongoing at the time of writing but will be finished by the time of the conference. Conclusion(s): As the thematic synthesis is not finished, a conclusion to the study cannot be provided at this point.
ABSTRACT
Objectives: To describe the lived experience of healthcare staff during the Coronavirus Disease 2019 (COVID-19) pandemic relating to the use of personal protective equipment (PPE) and investigate risks associated with PPE use, error mitigation and acceptability of mindfulness incorporation into PPE practice. Methods: A qualitative human factors' study at two Irish hospitals occurred in late 2020. Data was collected by semi-structured interview and included role description, pre-COVID-19 PPE experience, the impact of COVID-19 on lived experience, risks associated with PPE use, contributory factors to errors, error mitigation strategies and acceptability of incorporating mindfulness into PPE practice. Results: Of 45 participants, 23 of whom were nursing staff (51%), 34 (76%) had previously worn PPE and 25 (56%) used a buddy system. COVID-19 lived experience impacted most on social life/home-work interface (n=36, 80%). Nineteen staff (42%) described mental health impacts. The most cited risk concerned 'knowledge of procedures' (n=18, 40%). Contributory factors to PPE errors included time (n=15, 43%) and staffing pressures (n=10, 29%). Mitigation interventions included training/education (n=12, 40%). The majority (n=35, 78%) supported mindfulness integration into PPE practice. Conclusions: PPE training should address healthcare staff lived experiences and consider incorporation of mindfulness and key organisational factors contributing to safety.
ABSTRACT
Background: The Community Liaison Speech and Language Therapy (CL SLT) service was established in July 2010. The aim of this new model of care was to provide a fast track home visit service to older persons with communication and swallowing difficulties living in one of the 27 nursing homes in the region. The service facilitates a safer discharge from hospital and admission avoidance with aspiration pneumonia due to rapid SLT follow up in the nursing home. Methods: This is a retrospective analysis of the CL SLT service over the last ten years. Activity data, key performance indicators (KPIs) and staff and service user feedback were reviewed both quantitatively and qualitatively. How the service operated during the COVID-19 pandemic was also examined to explore if new creative ways of working emerged. Results: Analysis of the data showed a total of 5,699 SLT visits over the ten year period. Review of the KPIs showed that priority 1 referrals were seen within the ten working day target which meant that in some incidences residences were not kept on overly modified diets unnecessarily and in other cases the Speech and Language Therapist could respond rapidly to support decision making around quality of life feeding. User feedback showed high satisfaction with the service. Virtual clinics provided an adjunct to the service during COVID-19 and of note, face to face service was only stopped for two 6 week periods in the first and third waves of the pandemic. Conclusion: The CL SLTmodel provides a quality, person centred service for older persons living in a nursing home. The care pathways from the acute hospital have allowed for admission avoidance with effective SLT management decisions, including around end of life feeding being made in the nursing home so that residences receive the right service in the right place and time.