'Going Above and beyond': Residential Aged Care Staff Experiences of Providing Care During the Changing Context of COVID-19.

The COVID-19 pandemic required residential aged care facilities (RACFs) to meet the high care needs of residents in the context of stringent public health measures and staffing pressures. Given the likelihood of ongoing COVID-19 waves and seasonal surges in acute respiratory infection outbreaks, this study explored RACF staff experiences in providing care while limiting COVID-19 risk. Ten focus groups were conducted across six RACFs in metropolitan and regional New South Wales, Australia. Findings highlighted the impact of negative media representation on staff and the need for risk-based clear public health messages to reduce complacency. Findings also highlighted challenges in meeting clinical needs while keeping residents safe, and the benefit of new initiatives and opportunities for future training. Clear, targeted communication is essential to ensure ongoing understanding and adoption of public health measures when required. Awareness of the challenges provides RACFs and policymakers valuable insights for future planning including staff support and training needs. Key areas that require attention include promoting work in RACFs as a valued profession, clear public health risk messaging, strategies to facilitate prioritizing care, and broadened scope of skills.