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Understanding contributors to quality of care in long-term care and changes under COVID-19

机译:了解在Covid-19下长期护理和变化的护理质量的贡献者

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Abstract Nursing home facilities are responsible for providing care for some of the most vulnerable groups in society, including the elderly and those with chronic medical conditions. In times of crisis, such as COVID-19 or other pandemics, the delivery of ‘regular’ care can be significantly impacted. In relation to COVID-19, there is an insufficient supply of personal protective equipment (PPE) to care for residents, as PPE not only protects care staff but also residents. Nursing homes across the United States and Canada have also taken protective measures to maximize the safety of residents by banning visitors, stopping all group activities, and increasing infection control measures. This presentation shares a research protocol and early findings from a study investigating the impact of COVID-19 on quality of care in residential long-term care (LTC) in the Canadian province of New Brunswick. This study used a qualitative description design to explore what contributes to quality of care for residents living in long-term care, and how this could change in times of crisis from the perspective of long-term care staff. Interviews were conducted with a broad range of staff at one LTC home. A semi-structured interview guide and approach to thematic analysis was framed by a social ecological perspective, making it possible to include the individual and proximal social influences as well as community, organizations, and policy influencers. Insights gained will improve the understanding of quality of care, as well as potential barriers and facilitators to care during times of crisis.
机译:摘要护理家庭设施负责为社会中的一些最脆弱的团体提供护理,包括老年人和慢性医疗条件的群体。在危机时期,如Covid-19或其他流行病,“常规”护理的交付可能会受到重大影响。关于Covid-19,由于PPE不仅可以保护护理人员,而且还保护居民,也存在个人防护设备(PPE)供应不足以照顾居民。美国和加拿大的养老院也采取了保护措施,以最大限度地禁止访客,阻止所有集团活动,增加感染控制措施。本演示文稿股份研究协议和早期调查结果调查Covid-19对加拿大新不伦瑞克省住宅长期护理(LTC)的护理质量的影响。本研究采用了一个定性的描述设计来探索生活在长期护理中居民的照顾质量的原因,以及从长期护理人员的角度来看,这可能会如何在危机时期发生变化。采访是在一个LTC家中广泛的员工进行的。半结构化访谈指南和对主题分析的方法是通过社会生态观点构成的,使得可以包括个人和近端的社会影响以及社区,组织和政策影响者。获得的见解将提高对护理质量的理解,以及在危机时期照顾潜在的障碍和促进者。

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