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Front-line Nursing Home Staff Experiences During the COVID-19 Pandemic.
White, Elizabeth M; Wetle, Terrie Fox; Reddy, Ann; Baier, Rosa R.
  • White EM; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA. Electronic address: elizabeth_white@brown.edu.
  • Wetle TF; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA.
  • Reddy A; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Center for Long-Term Care Quality and Innovation, Brown University School of Public Health, Providence, RI, USA.
  • Baier RR; Center for Gerontology and Healthcare Research, Brown University School of Public Health, Providence, RI, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, Providence, RI, USA; Center for Long-Term Care Quality and Innovation, Brown University School
J Am Med Dir Assoc ; 22(1): 199-203, 2021 01.
Article in English | MEDLINE | ID: covidwho-977126
Semantic information from SemMedBD (by NLM)
1. Experience PROCESS_OF Staff
Subject
Experience
Predicate
PROCESS_OF
Object
Staff
2. Nursing Homes LOCATION_OF Work
Subject
Nursing Homes
Predicate
LOCATION_OF
Object
Work
3. Nursing Homes LOCATION_OF media coverage
Subject
Nursing Homes
Predicate
LOCATION_OF
Object
media coverage
4. Challenge AFFECTS Physical and emotional exhaustion state
Subject
Challenge
Predicate
AFFECTS
Object
Physical and emotional exhaustion state
5. Experience PROCESS_OF Staff
Subject
Experience
Predicate
PROCESS_OF
Object
Staff
6. Nursing Homes LOCATION_OF Work
Subject
Nursing Homes
Predicate
LOCATION_OF
Object
Work
7. Nursing Homes LOCATION_OF media coverage
Subject
Nursing Homes
Predicate
LOCATION_OF
Object
media coverage
8. Challenge AFFECTS Physical and emotional exhaustion state
Subject
Challenge
Predicate
AFFECTS
Object
Physical and emotional exhaustion state
ABSTRACT

OBJECTIVE:

The Coronavirus disease 2019 (COVID-19) pandemic is an unprecedented challenge for nursing homes, where staff have faced rapidly evolving circumstances to care for a vulnerable resident population. Our objective was to document the experiences of these front-line health care professionals during the pandemic.

DESIGN:

Electronic survey of long-term care staff. This report summarizes qualitative data from open-ended questions for the subset of respondents working in nursing homes. SETTING AND

PARTICIPANTS:

A total of 152 nursing home staff from 32 states, including direct-care staff and administrators.

METHODS:

From May 11 through June 4, 2020, we used social media and professional networks to disseminate an electronic survey with closed- and open-ended questions to a convenience sample of long-term care staff. Four investigators identified themes from qualitative responses for staff working in nursing homes.

RESULTS:

Respondents described ongoing constraints on testing and continued reliance on crisis standards for extended use and reuse of personal protective equipment. Administrators discussed the burden of tracking and implementing sometimes confusing or contradictory guidance from numerous agencies. Direct-care staff expressed fears of infecting themselves and their families, and expressed sincere empathy and concern for their residents. They described experiencing burnout due to increased workloads, staffing shortages, and the emotional burden of caring for residents facing significant isolation, illness, and death. Respondents cited the presence or lack of organizational communication and teamwork as important factors influencing their ability to work under challenging circumstances. They also described the demoralizing impact of negative media coverage of nursing homes, contrasting this with the heroic public recognition given to hospital staff. CONCLUSIONS AND IMPLICATIONS Nursing home staff described working under complex and stressful circumstances during the COVID-19 pandemic. These challenges have added significant burden to an already strained and vulnerable workforce and are likely to contribute to increased burnout, turnover, and staff shortages in the long term.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / Nurse's Role / COVID-19 / Nurse-Patient Relations / Nursing Homes / Nursing Staff Type of study: Observational study / Qualitative research Limits: Female / Humans / Male Language: English Journal: J Am Med Dir Assoc Journal subject: History of Medicine / Medicine Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Burnout, Professional / Nurse's Role / COVID-19 / Nurse-Patient Relations / Nursing Homes / Nursing Staff Type of study: Observational study / Qualitative research Limits: Female / Humans / Male Language: English Journal: J Am Med Dir Assoc Journal subject: History of Medicine / Medicine Year: 2021 Document Type: Article