ABSTRACT
This paper presents a nationwide survey about how Japanese home-visit nursing stations prepared and coped with the coronavirus disease 2019 COVID-19 pandemic. This study also aimed to provide a practical foundation and guide to develop business continuity plans (BCPs) for home-visit nursing stations and nursing care facilities to cope with pandemics. We applied a resource-focused BCP framework to efficiently collect and summarize knowledge and experiences from many facilities about the responses and countermeasures based on the three fundamental purposes to keep resources: prevent loss, promote increase, and utilize limited resources. We conducted a survey during Japan's third wave of the COVID-19 pandemic and analyzed the responses using a qualitative and inductive content analysis method. We could develop categories to summarize various responses and countermeasures in a consistent and comprehensive manner. Based on the analysis results, we proposed six fundamental sub-plans to reorganize resource-focused BCP. The categorization and sub-plans are not special or innovative;however, since they focus only on resources and explain what we need to consider in BCPs in terms of action plans for resources, we expect that it is easier for BCP non-experts to understand the concept and utilize it for developing practical responses and countermeasures. © Fuji Technology Press Ltd.
ABSTRACT
This study aims to clarify the impact of COVID-19 on the mental health of users with mental illness of home visit nursing services. We sent a questionnaire to 1,740 home visit nursing station managers, 374 (21.5%) of whom responded. The total number of valid responses was 328, which amounted to 87.7% of the returned surveys. In total, 103 (31.4%) stations reported that their users' mental health deteriorated owing to the spread of COVID-19. Eighty-nine (86.4%) stations reported that their users' anxiety increased. More than 80% of the stations explained infection control measures to their users, but 194 (59.1%) stations answered that their users found it challenging to practice cleanliness. A total of 207 (63.1%) stations answered that the promotion of strategies for coping with stress is necessary for their users. Users with mental illness are vulnerable to stress and have a higher risk of death due to COVID-19. Thus, they should be carefully observed and referred to facilities if required. Home visit nursing staff have an important role to play in the preservation of the well-being of their users with mental illness during the COVID-19 pandemic.