Deployed in Disaster: Perspectives of Personnel Deployed in Ontario Long-Term Care During the Pandemic

Aim

The aim of the study is to explore the experience and perspectives of healthcare personnel deployed from the hospitals and military into long-term care (LTC) in Ontario during the pandemic.

Background

Personnel from acute care hospitals, community care, the Canadian Armed Forces (CAF), and the Canadian Red Cross were deployed in support of LTC homes across Ontario.

Introduction

This article reports on the study of personnel deployed into LTC during the COVID-19 pandemic. Understanding the experiences and lessons learned will be useful to improve planning and responses to future pandemics and disasters.

Methods

A descriptive, exploratory research study design with a demographic questionnaire and semi-structured interviews was used. Data analysis used a combination of open and process coding to identify thematic categories. The COREQ checklist was used for reporting on the study.

Findings

Interviews were conducted with 30 participants who described common challenges of navigating the unknown, defining one's role, and establishing order. Lessons included the importance of adaptability, flexibility, and pragmatism and emphasized the role of leadership.

Discussion

The findings highlight challenges that personnel from civilian and military backgrounds experience when responding to disaster, and underscore the importance of communication, effective leadership, and cohesive teams. These findings are consistent with existing literature, contribute to the understanding of how personnel in disasters address challenges, and inform how to better prepare and train personnel for future disasters.

Implications for Nursing and Health Policy

These findings can be used to inform disaster theory and practice, including disaster competencies such as the International Council of Nurses Disaster Nursing Competencies, and provide a framework to improve disaster planning and responder training.