Dealing With Covid-19 in Dutch Nursing Homes

Schols, Jos M. G. A.; Poot, Betty; Nieuwenhuizen, N. M.; Achterberg, Wilco P.

doi:10.14283/jnhrs.2020.7

Cited by 7 publications

(7 citation statements)

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“…To prevent and reduce the number of infections, nursing homes have taken very restrictive measures that have changed the way of living and working in nursing homes. Examples are bans on visitors and volunteers, isolation of residents, reduced contact time between residents and direct care staff, as well as restrictions or bans of medical and allied health professionals (Schols et al., 2020). Nevertheless, as of 27 October 2020, estimations of electronic resident files indicate that 15,987 residents in Dutch nursing homes (had) suffer(ed) from (suspected) COVID‐19, of which 2,219 residents have died and 3,154 have recovered (Verenso, 2020).…”

Section: Introductionmentioning

confidence: 99%

Working in a Dutch nursing home during the COVID‐19 pandemic: Experiences and lessons learned

et al. 2021

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Aims To gain insight into how direct care staff in Dutch nursing homes experienced work during the COVID‐19 pandemic. Design A qualitative study consisting of semi‐structured, face‐to‐face focus groups was conducted using “the active dialogue approach”. Methods Participants ( n = 29) were care staff from four care teams at Dutch nursing homes. Teams were selected based on the number of COVID‐19 infections amongst residents. Data were analysed with conventional content analysis. Results Themes emerging from the data were the loss of (daily) working structure, interference between work and private life for direct care staff, the importance of social support by the team and a leader, and the effects on relationship‐centred care of the measures. Results offer concrete implications for similar situations in the future: psychological support on‐site; autonomy in daily work of care staff; an active role of a manger on the work floor and the importance of relationship‐centred care.

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Section: Introductionmentioning

confidence: 99%

Working in a Dutch nursing home during the COVID‐19 pandemic: Experiences and lessons learned

et al. 2021

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“…Further work in pathway planning and evaluation is important for those with dementia and palliative care planning. Further attention may be needed to understand the support needs of residential and nursing home staff (Schols et al., 2020).…”

Section: Discussionmentioning

confidence: 99%

Impact of the Enhanced Universal Support Offer to Care Homes during COVID‐19 in the UK: Evaluation using appreciative inquiry

Fowler-Davis

Cholerton

Philbin

et al. 2021

Health Social Care Comm

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There are over 2,300 care homes in the North East and Yorkshire Region, with rising rates of COVID‐19 infection in April 2020. The Enhanced Universal Support Offer (EUSO) planned to improve support to care homes, working collaboratively with local integrated community services. Implementation was organised at ‘place’, through clinical commissioning and it was focused on leadership, prevention, additional clinical support, and workforce planning. The aim of the evaluation research was to understand the impact of the EUSO. The evaluation was co‐produced by a group of senior leaders with additional academic involvement. An appreciative inquiry approach informed the interviews and focus groups with representative stakeholders. A thematic analysis using NVivo enabled a validation process and the data were charted into a systems framework. Data analysis resulted in five high level themes: Communication, Working Relationships, Systemic Perceptions, COVID‐19 Implementation, and Organisational Support. Best practices were associated with joint working between health, local authority and care homes including medication optimisation and technology use. Care homes valued access to a named General Practitioner and community nursing working as a part of a wider multidisciplinary team. Conversely an overly reactive response to care homes combined with ‘command and control’ limited the benefits that were achieved. The EUSO was delivered at pace and resulted in an increased appreciation of the policy and principles of care home residents and workforce. The evaluation reflected a need to appreciate the care homes' knowledge and experience of resident wellbeing, and more fully involve them in the design of the support.

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“…Nursing home residents were disproportionately affected by COVID-19 because of their greater likelihood of co-morbidity (Jordan, Adab, & Cheng, 2020;Logar, 2020;Wister & Speechley, 2020) and because of organizational factors (Huang et al, 2020), such as the large number of people living closely together in those institutions. These factors as well as a lack of protective equipment and difficulty of achieving the complete isolation of certain residents (e.g., persons with dementia) made it difficult to control the spread of the virus (Schols, Poot, Nieuwenhuizen, & Achterberg, 2020).…”

Section: Restrictive Measures To Deal With the Covid-19 Outbreak In N...mentioning

confidence: 99%

“You Needed to Accept the Situation”: Resilience of Nursing Home Residents in Times of COVID-19

De Witte,

Noten,

Vinckers

et al. 2023

Can. J. Aging

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The restrictive measures taken by nursing homes during the COVID-19 outbreak in 2020 (e.g., quarantine) may have been important stressors for which residents needed resilience to safeguard their well-being. Based on 30 semi-structured interviews with nursing home residents and close relatives, this study explored the lived experiences with respect to the restrictive measures. The data were collected in psychogeriatric, somatic, and mixed wards in The Netherlands and Flanders, Belgium. The restrictive measures were important stressors for residents, indicated by feelings of loneliness, sadness, and powerlessness. To deal with these measures, residents used various resources, which were determined by factors in the individual (e.g., health), interactional (e.g., possibilities for social interactions) and contextual (e.g. nursing home policy) domains. Because the lived experiences with respect to the restrictive measures seemed to relate to the resilience of nursing home residents, it is crucial to reinforce resources in the individual, interactional, and contextual domains.

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Dealing With Covid-19 in Dutch Nursing Homes

Cited by 7 publications

References 0 publications

Working in a Dutch nursing home during the COVID‐19 pandemic: Experiences and lessons learned

Working in a Dutch nursing home during the COVID‐19 pandemic: Experiences and lessons learned

Impact of the Enhanced Universal Support Offer to Care Homes during COVID‐19 in the UK: Evaluation using appreciative inquiry

“You Needed to Accept the Situation”: Resilience of Nursing Home Residents in Times of COVID-19

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