Author:
Hung Lillian,Yang Sophie C.,Guo Ellen,Sakamoto Mariko,Mann Jim,Dunn Sheila,Horne Neil
Abstract
Abstract
Background
COVID-19 has significant impact on long-term care (LTC) residents and staff. The purpose of this paper is to report the data gathered during a COVID-19 outbreak in a Canadian LTC home regarding staff experiences, challenges, and needs, to offer lessons learned and implications.
Methods
A total of 30 staff from multiple disciplines participated in the study, including nurses, care workers, recreational staff, and a unit clerk. Focus groups (n = 20) and one-on-one interviews (n = 10) were conducted as part of a larger participatory action research (PAR) study in a Canadian LTC home. All data collection was conducted virtually via Zoom, and thematic analysis was performed to identify themes.
Results
Four main themes were identified: We are Proud, We Felt Anxious, We Grew Closer to Residents and Staff Members, and The Vaccines Help.
Conclusions
This research details the resilience that characterizes staff in LTC, while highlighting the emotional toll of the pandemic, particularly during an outbreak. LTC staff in this study found innovative ways to connect and support residents and this resulted in stronger connections and relationships. Leadership and organizational support are pivotal for supporting team resilience to manage crisis and adapt positively in times of COVID-19 pandemic, especially during the period of outbreak.
Funder
Vancouver Coastal Health Research Institute
Publisher
Springer Science and Business Media LLC
Reference32 articles.
1. Canadian Institute for Health Information. Pandemic Experience in the Long-Term Care Sector: How Does Canada Compare With Other Countries? In: CIHI Snapshot. CIHI. 2020. [cited 2021 Dec 30] https://www.cihi.ca/sites/default/files/document/covid-19-rapid-response-long-term-care-snapshot-en.pdf.
2. Canadian Institute for Health Information. Long-term care homes in Canada : how many and who owns them ? Can Inst Heal Inf [Internet]. 2020 [cited 2021 Dec 30];1–5. Available from: https://www.cihi.ca/en/long-term-care-homes-in-canada-how-many-and-who-owns-them
3. Dementia in long-term care | CIHI [Internet]. 2018 [cited 2021 Dec 29]. Available from: https://www.cihi.ca/en/dementia-in-canada/dementia-care-across-the-health-system/dementia-in-long-term-care
4. Xu H, Intrator O, Bowblis JR. Shortages of staff in nursing homes during the COVID-19 pandemic: What are the driving factors? J Am Med Dir Assoc [Internet]. 2020 [cited 2021 Jun 9];21(10):1371–7. Available from: https://www.clinicalkey.com/#!/content/playContent/1-s2.0-S1525861020306915?returnurl=null&referrer=null
5. McGarry BE, Grabowski DC, Barnett ML. Severe staffing and personal protective equipment shortages faced by nursing homes during the covid-19 pandemic. Health Aff. 2020;39(10):1812–21.