Administrator Perspectives on Skilled Nursing Facility Building Design for Managing COVID-19 Infections and Outbreaks.

IF 2.1 3区 社会学 Q2 GERONTOLOGY
Joan F Brazier, Aseel Rafat, Amy Meehan, Elizabeth M White, Renee R Shield, David C Grabowski, Momotazur Rahman, Courtney Hawes, Emily A Gadbois
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Abstract

The COVID-19 pandemic highlighted the importance of infection control practices in skilled nursing facilities (SNFs). This study examined SNF administrator perspectives on implementing built environment strategies to manage and mitigate COVID-19 transmission into and within their facility. Semi-structured interviews with SNF administrators were conducted between July 2020-December 2021. Administrators emphasized (1) the effective implementation of built environment strategies for quarantine and isolation protocols, (2) facility-level modifications used to manage and mitigate COVID-19 transmission, and (3) the challenges posed by outdated or high-density building layouts. Insights from this study's findings suggest important considerations for SNF architectural modifications and design as a mechanism for infection control. Thoughtful SNF architectural planning and design are critically important for the long-term care industry to expand and successfully meet the future challenges of pandemics, severe weather events, and other public health emergencies.

管理COVID-19感染和疫情的熟练护理设施建筑设计的管理员观点
2019冠状病毒病大流行凸显了在熟练护理机构(snf)实施感染控制措施的重要性。本研究考察了SNF管理人员在实施建筑环境战略以管理和减轻COVID-19在其设施内传播方面的观点。在2020年7月至2021年12月期间对SNF管理人员进行了半结构化访谈。管理人员强调(1)有效实施检疫和隔离协议的建筑环境战略,(2)用于管理和减轻COVID-19传播的设施级修改,以及(3)过时或高密度建筑布局带来的挑战。本研究结果的见解提示了SNF结构修改和设计作为感染控制机制的重要考虑因素。考虑周到的SNF建筑规划和设计对于长期护理行业的扩展和成功应对未来流行病、恶劣天气事件和其他公共卫生紧急情况的挑战至关重要。
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来源期刊
CiteScore
13.00
自引率
3.90%
发文量
57
期刊介绍: The Journal of Aging & Social Policy offers a platform for insightful contributions from an international and interdisciplinary group of policy analysts and scholars. It provides an in-depth examination and analysis of critical phenomena that impact aging and the development and implementation of programs for the elderly from a global perspective, with a broad scope that encompasses not only the United States but also regions including Europe, the Middle East, Australia, Latin America, Asia, and the Asia-Pacific rim. The journal regularly addresses a wide array of issues such as long-term services and supports, home- and community-based care, nursing-home care, assisted living, long-term care financing, financial security, employment and training, public and private pension coverage, housing, transportation, health care access, financing, and quality, family dynamics, and retirement. These topics are of significant importance to the field of aging and social policy, reflecting the journal's commitment to presenting a comprehensive view of the challenges and solutions related to aging populations around the world.
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