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How to bring residents' psychosocial well-being to the heart of the fight against Covid-19 in Belgian nursing homes-A qualitative study.
Kaelen, Sanne; van den Boogaard, Wilma; Pellecchia, Umberto; Spiers, Sofie; De Cramer, Caroline; Demaegd, Gwennin; Fouqueray, Edouard; Van den Bergh, Rafael; Goublomme, Stephanie; Decroo, Tom; Quinet, Muriel; Van Hoof, Elke; Draguez, Bertrand.
  • Kaelen S; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • van den Boogaard W; Médecins Sans Frontières, Operational Centre Brussels, Operational Research Unit (LuxOR), Luxembourg, Luxembourg/Brussels, Belgium.
  • Pellecchia U; Médecins Sans Frontières, Operational Centre Brussels, Operational Research Unit (LuxOR), Luxembourg, Luxembourg/Brussels, Belgium.
  • Spiers S; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • De Cramer C; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • Demaegd G; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • Fouqueray E; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • Van den Bergh R; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • Goublomme S; Belgium Covid-19 Project, Médecins Sans Frontières, Operational Centre Brussels, Brussels, Belgium.
  • Decroo T; Institute of Tropical Medicine, Antwerp, Belgium.
  • Quinet M; Iriscare, Public Health Institute, Brussels, Belgium.
  • Van Hoof E; Working Group on the Psychosocial Impact of the COVID-19 Pandemic Within the Superior Health Council, Brussels, Belgium.
  • Draguez B; Mental Health Sub-working Group, GEES, Brussels, Belgium.
PLoS One ; 16(3): e0249098, 2021.
Article in English | MEDLINE | ID: covidwho-1477519
Semantic information from SemMedBD (by NLM)
1. COVID-19 AFFECTS Old age
Subject
COVID-19
Predicate
AFFECTS
Object
Old age
2. infection prophylaxis COEXISTS_WITH Psychosocial care (regime/therapy)
Subject
infection prophylaxis
Predicate
COEXISTS_WITH
Object
Psychosocial care (regime/therapy)
3. COVID-19 AFFECTS Old age
Subject
COVID-19
Predicate
AFFECTS
Object
Old age
4. infection prophylaxis COEXISTS_WITH Psychosocial care (regime/therapy)
Subject
infection prophylaxis
Predicate
COEXISTS_WITH
Object
Psychosocial care (regime/therapy)
ABSTRACT

BACKGROUND:

Nursing homes (NH) for the elderly have been particularly affected by the Covid-19 pandemic mainly due to their hosted vulnerable populations and poor outbreak preparedness. In Belgium, the medical humanitarian organization Médecins Sans Frontières (MSF) implemented a support project for NH including training on infection prevention and control (IPC), (re)-organization of care, and psychosocial support for NH staff. As psychosocial and mental health needs of NH residents in times of Covid-19 are poorly understood and addressed, this study aimed to better understand these needs and how staff could respond accordingly.

METHODS:

A qualitative study adopting thematic content analysis. Eight focus group discussions with direct caring staff and 56 in-depth interviews with residents were conducted in eight purposively and conveniently selected NHs in Brussels, Belgium, June 2020.

RESULTS:

NH residents experienced losses of freedom, social life, autonomy, and recreational activities that deprived them of their basic psychological needs. This had a massive impact on their mental well-being expressed in feeling depressed, anxious, and frustrated as well as decreased meaning and quality of life. Staff felt unprepared for the challenges posed by the pandemic; lacking guidelines, personal protective equipment and clarity around organization of care. They were confronted with professional and ethical dilemmas, feeling 'trapped' between IPC and the residents' wellbeing. They witnessed the detrimental effects of the measures imposed on their residents.

CONCLUSION:

This study revealed the insights of residents' and NH staff at the height of the early Covid-19 pandemic. Clearer outbreak plans, including psychosocial support, could have prevented the aggravated mental health conditions of both residents and staff. A holistic approach is needed in NHs in which tailor-made essential restrictive IPC measures are combined with psychosocial support measures to reduce the impact on residents' mental health impact and to enhance their quality of life.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Vulnerable Populations / COVID-19 / Nursing Staff Type of study: Etiology study / Qualitative research / Randomized controlled trials Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0249098

Full text: Available Collection: International databases Database: MEDLINE Main subject: Quality of Life / Vulnerable Populations / COVID-19 / Nursing Staff Type of study: Etiology study / Qualitative research / Randomized controlled trials Limits: Aged / Female / Humans / Male / Middle aged Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0249098