Journal of long-term care最新文献_第9页

Day Centres for Homeless People in South London: Early Learning Points from Operating During the First COVID-19 Lockdown in England 伦敦南部无家可归者日间中心:英国第一次COVID-19封锁期间的早期学习要点

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.65

C. Green, J. Manthorpe, K. Samsi, S. Burridge

{"title":"Day Centres for Homeless People in South London: Early Learning Points from Operating During the First COVID-19 Lockdown in England","authors":"C. Green, J. Manthorpe, K. Samsi, S. Burridge","doi":"10.31389/jltc.65","DOIUrl":"https://doi.org/10.31389/jltc.65","url":null,"abstract":"Context: Many day centres for homeless people remained open during the first national lockdown in England following the COVID-19 pandemic. Lacking any official guidance on how to adapt, day centres for homeless people had to navigate risks of infection and changes in the situation of homeless people during this time. Objective: This small study aimed to discover how some day centres for homeless people approached and experienced the implications of lockdown. The objective was to draw early learning points to inform further research on the future trajectory of day centre provision for homeless people during the pandemic and beyond. Methods: This rapid qualitative study included semi-structured phone interviews with day centre managers (n = 5) and a systematic search of public facing websites of day centres (n = 10) across four South London boroughs. Data were analysed inductively, using the framework method. Findings: Findings indicate three learning points 1: the importance of strong networks between day centres with local authorities and other organisations for homeless people to enable services to provide humanitarian assistance, 2: the significance of day centres in their role as humanitarian assistants as a first point of contact for newly homeless people 3: the value of a central information hub. Limitations: The regional focus on South London and the sample size, which reflects ethical imperatives involved in avoiding undue pressure on day centre staff during the COVID-19 pandemic, limit this study. The findings are to be considered as a springboard for in-depth research into day centres’ support for homeless people during and after the COVID-19 pandemic. Implications: Findings are valuable as a snapshot of this largely under-researched group of services and service users during the first lockdown. Further research based on the findings could lead to good practice examples to inform the future trajectory of social care provision for homeless people. © 2021 The Author(s).","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88213412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

State Policy Responses to COVID-19 in Nursing Homes 在养老院应对COVID-19的国家政策

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.81

C. V. Van Houtven, K. Miller, Rebecca J Gorges, H. Campbell, W. Dawson, J. McHugh, Brian E. McGarry, Ryan Gilmartin, N. Boucher, B. Kaufman, L. Chisholm, S. Beltran, S. Fashaw, Xiaochuan Wang, Olivia Reneau, A. Chun, Joseph W. Jacobs, Kathleen Abrahamson, K. Unroe, C. Bishop, G. Arling, Sheila Kelly, R. Werner, R. Konetzka, E. Norton

{"title":"State Policy Responses to COVID-19 in Nursing Homes","authors":"C. V. Van Houtven, K. Miller, Rebecca J Gorges, H. Campbell, W. Dawson, J. McHugh, Brian E. McGarry, Ryan Gilmartin, N. Boucher, B. Kaufman, L. Chisholm, S. Beltran, S. Fashaw, Xiaochuan Wang, Olivia Reneau, A. Chun, Joseph W. Jacobs, Kathleen Abrahamson, K. Unroe, C. Bishop, G. Arling, Sheila Kelly, R. Werner, R. Konetzka, E. Norton","doi":"10.31389/jltc.81","DOIUrl":"https://doi.org/10.31389/jltc.81","url":null,"abstract":"Context: COVID-19 has a high case fatality rate in high-risk populations and can cause severe morbidity and high healthcare resource use. Nursing home residents are a high-risk population; they live in congregate settings, often with shared rooms, and require hands-on care. Objectives: To assess state responses to the coronavirus pandemic related to nursing homes in the first half of 2020. Methods: An in-depth examination of 12 states’ responses to the COVID-19 pandemic in nursing homes through June 2020, using publicly reported information such as government decrees, health department guidance, and news reports. Findings: No state emerged as a model of care. All states faced difficulty with limited availability of testing and Personal Protective Equipment (PPE). State-level efforts to increase pay and benefits as a strategy to enable infected staff to quickly physically separate from residents were minimal, and other separation strategies depended on the ability to obtain test results rapidly and on state rules regarding accepting discharged COVID-19 patients into nursing homes. Visitor restrictions to reduce risk were ubiquitous, though based on a slim evidence-base. Limitations: The information used was limited to that which was publicly available. Implications: Overall, the results suggest that the states that handle the ongoing pandemic in nursing homes best will be those that find ways to make sure nursing homes have the resources to follow best practices for testing, PPE, separation, and staffing. Evidence is needed on visitor restrictions and trans mission, as states and their citizens would benefit from finding safe ways to relax visitor restrictions.","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87451921","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Environmental Toolkit to Promote Quality Sleep in Long-Term Care: A Quality Improvement Initiative 促进长期护理中高质量睡眠的环境工具包:一项质量改进倡议

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.60

Brenda Frie, Cynthia Graham, A. Hynes, S. Dusek, Lecia Heinen, Mary Mehelich, Katherine Campbell

引用次数: 0

How Residents’ Quality of Life are Represented in Long-Term Care Policy: A Novel Method to Support Policy Analysis 长期照护政策如何反映居民生活品质:支持政策分析的新方法

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.79

Deanne Taylor, J. Keefe

引用次数: 3

Caring in Covid-19: Personal Assistants’ Changing Relationships with their Clients’ Family Members 2019冠状病毒病中的关怀:个人助理与客户家庭成员关系的变化

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.77

J. Manthorpe, K. Samsi, C. Norrie, J. Woolham

{"title":"Caring in Covid-19: Personal Assistants’ Changing Relationships with their Clients’ Family Members","authors":"J. Manthorpe, K. Samsi, C. Norrie, J. Woolham","doi":"10.31389/jltc.77","DOIUrl":"https://doi.org/10.31389/jltc.77","url":null,"abstract":"equipment Context: The impact of Covid-19 on people working as personal assistants (PAs) or directly employed care workers potentially affects not only themselves and their clients but sometimes clients’ family members or carers. Objectives: This interview-based study aimed to hear directly from PAs of their experiences during the pandemic to inform policy and practice. Methods: A sample of 41 PAs working in England were interviewed by telephone during the early months of Covid-19 (April–June 2020) in England. Interview data were analysed thematically and accounts of PAs’ engagement with their clients’ family members were explored. Findings: Study findings illustrate the fluidity of relationships at this time within four dimensions: 1) some family members working more closely with PAs, 2) the development of tensions between PAs and family members, 3) displacement by family members of PAs and other care services, 4) PA accounts of working with clients who had little or no family contact or other assistance during the pandemic. Limita -tions: This study did not interview family members to hear their views of the relationships and circum stances discussed by the PAs. Implications for research include a need to hear from other care workers operating as live-in PAs and from family members and employers and to follow-up with PAs as the pandemic progressed. Policy implications include the need to encourage contingency planning and to ensure support for PAs. Practice implications are for staff responsible for individualised funding to ensure PAs are known to their systems to enable their support.","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86731789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

The Development of a Core Outcome Set for Trials and Evaluative Studies in Adult Social Care 成人社会关怀试验和评价研究的核心结果集的发展

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.98

T. Sugavanam, James Caiels, M. Peters, R. Fitzpatrick

引用次数: 1

It’s All about the Nurse Aides 都是关于护士助理的

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.103

Cynthia Beynon, K. Supiano, Elena O. Siegel, L. Edelman, Sara E Hart, Connie Madden

引用次数: 2

Reducing Sepsis Hospitalisations through a Standardized Quality Improvement Program in Skilled Nursing Facilities 通过熟练护理机构的标准化质量改进计划减少败血症住院

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.71

M. Han, Salvatore Volpe, Aleksandra Zagorin, Patricia A. Tooker, Joseph Conte

引用次数: 0

Lessons Learned from Italian Nursing Homes during the COVID-19 Outbreak: A Tale of Long-Term Care Fragility and Policy Failure 2019冠状病毒病疫情期间意大利养老院的经验教训:长期护理脆弱性和政策失败的故事

Journal of long-term care Pub Date : 2021-01-01 DOI: 10.31389/jltc.73

Elisabetta Notarnicola, Eleonora Perobelli, Andrea Rotolo, Sara Berloto

引用次数: 5

Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile 在长期护理机构实施COVID-19措施的推动因素和障碍:智利混合方法实施科学评估

Journal of long-term care Pub Date : 2020-12-11 DOI: 10.21203/rs.3.rs-125014/v1

J. Salas, J. Palacios, Pablo Villalobos Dintrans, I. Madero-Cabib, R. Quilodrán, A. Ceriani, D. Meza

{"title":"Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile","authors":"J. Salas, J. Palacios, Pablo Villalobos Dintrans, I. Madero-Cabib, R. Quilodrán, A. Ceriani, D. Meza","doi":"10.21203/rs.3.rs-125014/v1","DOIUrl":"https://doi.org/10.21203/rs.3.rs-125014/v1","url":null,"abstract":"\u0000 BackgroundThe COVID-19 affected disproportionately older people, and particularly people living in long-term care facilities. Considering this problem, the Chilean government issued a series of guidelines and protocols to prevent and manage COVID-19 outbreaks in these facilities. MethodsThis study aims to identify barriers and enablers that affect the implementation of these prevention and management measures. For the analysis, we used an implementation science approach and a mixed-method strategy—survey to facilities’ managers and interviews to carers—, classifying enablers and barriers into four categories: agreement with the intervention’s goals, financial resources to implement the measures, technical needs of the intervention, and cultural factors in the facilities.ResultsResults highlight the importance of the four aforementioned factors in the implementation of COVID-19 guidelines and protocols. Managers and caregivers differ in their view of the main enablers and barriers for implementation. However, they both identify the knowledge about the measures and availability of personal protective equipment as enablers and human resources as a potential barrier. ConclusionsThe identification of several factors related to goals and culture highlights the need to adopt a broad implementation approach when designing intervention for long-term care facilities, avoiding restricting the discussion to resources availability.","PeriodicalId":73807,"journal":{"name":"Journal of long-term care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73700895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6