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A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic.
Snyder, Rachel L; Anderson, Laura E; White, Katelyn A; Tavitian, Stephanie; Fike, Lucy V; Jones, Heather N; Jacobs-Slifka, Kara M; Stone, Nimalie D; Sinkowitz-Cochran, Ronda L.
  • Snyder RL; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Anderson LE; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • White KA; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Tavitian S; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Fike LV; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Jones HN; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Jacobs-Slifka KM; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Stone ND; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
  • Sinkowitz-Cochran RL; Division of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
PLoS One ; 16(11): e0260055, 2021.
Article in English | MEDLINE | ID: covidwho-1518367
ABSTRACT

BACKGROUND:

A large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better understand what individual and facility level factors may have contributed to the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff working in nursing homes.

METHODS:

Based on a simple random sample from the National Healthcare Safety Network (NHSN), 7,520 facilities were emailed invitations requesting one CNA and/or one EVS staff member for participation in a voluntary focus group over Zoom. Facility characteristics were obtained via NHSN and publicly available sources; participant demographics were collected via SurveyMonkey during registration and polling during focus groups. Qualitative information was coded using NVIVO and Excel.

RESULTS:

Throughout April 2021, 23 focus groups including 110 participants from 84 facilities were conducted homogenous by participant role. Staffing problems were a recurring theme reported. Participants often cited the toll the pandemic took on their emotional well-being, describing increased stress, responsibilities, and time needed to complete their jobs. The lack of consistent and systematic guidance resulting in frequently changing infection prevention protocols was also reported across focus groups.

CONCLUSIONS:

Addressing concerns of low wages and lack of financial incentives may have the potential to attract and retain employees to help alleviate nursing home staff shortages. Additionally, access to mental health resources could help nursing home staff cope with the emotional burden of the COVID-19 pandemic. These frontline staff members provided invaluable insight and should be included in improvement efforts to support nursing homes recovering from the impact of COVID-19 as well as future pandemic planning.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Caregivers / Pandemics / COVID-19 / Nursing Homes Type of study: Etiology study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260055

Full text: Available Collection: International databases Database: MEDLINE Main subject: Caregivers / Pandemics / COVID-19 / Nursing Homes Type of study: Etiology study / Qualitative research / Randomized controlled trials / Risk factors Limits: Adult / Female / Humans / Male / Middle aged / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260055