COVID-19 大流行期间长期护理机构员工的应变能力:定性研究

COVID Pub Date : 2024-06-03 DOI:10.3390/covid4060049
Behrouz Danesh, Shannon Freeman, Piper J. Jackson, T. Klassen-Ross, Alexandria Freeman-Idemilih, D. Banner
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引用次数: 0

摘要

COVID-19 大流行对长期护理机构(LTCF)产生了重大影响。虽然大流行病对住户的影响受到了广泛关注,但对员工的经历以及影响他们面对在 LTCF 工作的挑战时的应变能力的因素却关注较少。本研究描述了在不列颠哥伦比亚省(BC 省)北部发生 COVID-19 大流行期间促进 LTCF 工作人员复原力的因素。53 名参与者完成了一小时的半结构化访谈,研究人员对访谈记录进行了主题分析。所有参与者都曾在大流行期间在不列颠哥伦比亚省北部的一家 LTCF 机构工作过。LTCF 工作人员将抗逆力描述为适应不断变化的环境和协议的能力,同时在逆境中保持积极的态度和振奋的精神。分析揭示了影响员工抗逆力的五个关键主题:(1)员工资源的可用性和供应;(2)LTCF 内部的领导和管理;(3)员工可获得的社会支持;(4)居民士气对员工抗逆力的影响;以及(5)员工的个人属性和特征。了解并解决这五个主题,可以指导制定有针对性的策略和干预措施,以提高员工在充满挑战的环境中的抗逆力和幸福感。通过认识和解决长者照护中心员工的特殊需求,可以提高长者照护中心的整体照护质量,促进住客和员工的福祉。研究结果揭示了这些主题的相互作用及其对 LTCF 员工的深远影响。确定员工的需求以及有助于提高其抗逆力的因素,可以降低员工流失率,从而建立一个更强大、更有抗逆力的医疗保健系统,能够保护弱势群体,尤其是在 COVID-19 大流行等危机时期。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Staff Resiliency in Long-Term Care during the COVID-19 Pandemic: A Qualitative Study
The COVID-19 pandemic has had a major impact on long-term care facilities (LTCFs). While much attention has been paid to the impact of the pandemic on residents, less attention has been given to the experiences of staff and factors impacting their resilience in facing challenges working in LTCF. This research describes the factors contributing to the resiliency of LTCF staff during the COVID-19 pandemic in northern British Columbia (BC). Transcripts from 53 participants who completed one-hour semi-structured interviews were included and thematic analysis was conducted. All participants had experience working in a LTCF facility in northern BC during the pandemic. The LTCF staff described resilience as the ability to adapt to changing circumstances and protocols, while also maintaining a positive attitude and uplifting spirits during times of adversity. The analysis revealed five key themes influencing staff resilience: (1) availability and provision of resources for staff, (2) leadership and management within LTCFs, (3) social support available to staff, (4) impact of residents’ morale on staff resilience, and (5) personal attributes and characteristics of the staff. Understanding and addressing the five themes can guide the development of targeted strategies and interventions aimed at enhancing staff resilience and well-being during challenging circumstances. By recognizing and addressing the specific needs of LTCF staff, it is possible to improve the overall quality of care provided in LTCF and promote the well-being of both residents and staff. The findings shed light on the interplay of these themes and their profound influence on LTCF staff. Identifying staff’s needs and factors that contribute to their resilience may lower staff turnover, leading to a stronger and more resilient healthcare system, capable of safeguarding vulnerable populations, particularly during times of crisis such as the COVID-19 pandemic.
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