Implementing lateral flow devices in long-term care facilities: experiences from the Liverpool COVID-19 community testing pilot in care homes- a qualitative study.
BMC Health Serv Res
; 21(1): 1153, 2021 Oct 25.
Article
in English
| MEDLINE | ID: covidwho-1484313
ABSTRACT
INTRODUCTION:
Antigen-based lateral flow devices (LFDs) offer the potential of widespread rapid testing. The scientific literature has primarily focused on mathematical modelling of their use and test performance characteristics. For these tests to be implemented successfully, an understanding of the real-world contextual factors that allow them to be integrated into the workplace is vital. To address this gap in knowledge, we aimed to explore staff's experiences of integrating LFDs into routine practice for visitors and staff testing with a view to understand implementation facilitators and barriers.METHODS:
Semi-structured interviews and thematic analysis.RESULTS:
We identified two main themes and five subthemes. The main themes included visitor-related testing factors and staff-related testing factors. Subthemes included restoring a sense of normality, visitor-related testing challenges, staff-related testing challenges, and pre-pilot antecedent factors.CONCLUSION:
Our study demonstrates that the real-world implementation of LFDs to test visitors and staff faces significant challenges as a result of several contextual factors negatively affecting the work practice and environment. More comprehensive studies are needed to identify and inform effective implementation strategies to ensure that LFDs can be adopted in an agile way that better supports an already exhausted and morally depleted workforce.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Long-Term Care
/
COVID-19
Type of study:
Qualitative research
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
BMC Health Serv Res
Journal subject:
Health Services Research
Year:
2021
Document Type:
Article
Affiliation country:
S12913-021-07191-9
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