From wave to wave: a Dutch national study on the long-term impact of COVID-19 on well-being and family visitation in nursing homes

Backhaus, Ramona; Verbeek, Hilde; Boer, Bram de; Urlings, Judith; Gerritsen, Debby L.; Koopmans, Raymond T.C.M.; Hamers, Jan P.H.

doi:10.1186/s12877-021-02530-1

Cited by 19 publications

(11 citation statements)

References 10 publications

(23 reference statements)

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“…Nursing homes lockdown involved important restrictions in social relationships, high doses of exposure to suffering and an increased workload for nursing home staff [ 41 ]. Prolonged exposition to these stressors is likely to have negative effects on health [ 42 ]. Resilience is understood as an ability to adapt successfully in stressful situations and adversity [ 43 ].…”

Section: Discussionmentioning

confidence: 99%

Psychosocial changes during COVID-19 lockdown on nursing home residents, their relatives and clinical staff: a prospective observational study

et al. 2023

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Background Previous works have observed an increase of depression and other psychological disorders on nursing home residents as a consequence of coronavirus disease 2019 (COVID-19) lockdown; however, there are few studies that have performed a comprehensive evaluation of all people involved in nursing homes environment. The objective of the work was to analyse the impact of lockdown on psychosocial factors of nursing home residents, relatives and clinical staff and how these variables have influenced residents’ survival. Methods A prospective study was designed. Evaluations were performed at three different times: a) at the beginning of Spanish confinement, in March 2020; b) just before the second wave of the pandemic, with relaxation of security measures but in lockdown, and c) in January–February 2021, at the end of the second wave, when visits were already allowed. The study was conducted on three different nursing homes. Three hundred and one residents, 119 clinical staff and 51 relatives took part in the study. Anxiety and depression were evaluated in all participants. A scale on the meaning of suffering was also performed. In addition, burnout status was also determined in the clinical staff. Results All participants showed lower depression during lockdown, while at the beginning and at the end of the confinement, these values were significantly increased. In residents, these changes were dependent of cognitive status (p = 0.012). Anxiety was significantly higher in residents. The evolution of anxiety was similar than with depression, with lower values during confinement, although clinical staff showed higher anxiety levels at the beginning. The feeling of suffering was significantly lower in the clinical staff than in resident and relative groups. Residents’ survival was dependent of cognitive status (p = 0.018) and voluntary confinement (p < 0.001). Conclusions During the first COVID-19 lockdown, psychological wellbeing of residents cared in nursing homes, their relatives and staff did not seem to be seriously affected. Previous mental health in relatives and staff together with a resilient approach to the adversity might partly be protecting factors. The lack of consequences on residents’ anxiety, depression and perception of social support may reflect the special attention and care they received. Finally, as in the current study only data of the first two COVID-19 waves were analysed, its findings might be partly generalized to all the pandemic.

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Section: Discussionmentioning

confidence: 99%

Psychosocial changes during COVID-19 lockdown on nursing home residents, their relatives and clinical staff: a prospective observational study

et al. 2023

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“…Ethical approval for the work was granted by the University of Salford with support from the Hospital Director. [5]…”

Section: The Attendants Studymentioning

confidence: 99%

“…The authors contend that 'IPC and compassionate care are not mutually exclusive' and articulate an urgent need for policy review to prevent policy institutionalisation and facilitate 'de-implementation' (p.407). Other authors make a similar case to support heightened preparedness (Backhaus et al, 2021). A minority of papers go a step further, arguing that informal carers play an important role in infection prevention.…”

Section: Introductionmentioning

confidence: 98%

Compassion Versus Infection Prevention and Control in Hospital Visiting; A False Dichotomy? A Case Study of Informal Caregiving in a Ugandan Regional Referral Hospital

Ackers,

Ackers-Johnson,

Mugahi

et al. 2024

Preprint

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This paper addresses the role of visitors or ‘attendants’ in the transmission and management of infection risk in a public referral hospital in Uganda. The study built on research on maternal sepsis which found that over 50% antibiotics administered in the hospital were for Healthcare Associated Infections (HAIs). The data was collected during the COVID-19 pandemic which introduced new risks and heightened concern about social movements within hospitals and between hospitals and communities. In the first study of its kind, observational data was collected on a 24/7 basis to capture the presence and roles of attendants in a low resource setting exposing both the infection risks associated with these forms of movement but also the absolute necessity of attendants in the management of infection risk in such contexts. The paper responds directly to a recent call for a ‘new conversation on infection prevention and compassion’ (Storr et al, 2023;408).

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“…Increased resident acuity and stagnant staffing ratios are persistent issues in the LTC sector ( Chamberlain et al, 2019 ; Hoben et al, 2019 ), and restrictions had significant negative consequences for LTC home staff and residents. Staffing shortages were prevalent because of staff illness and pandemic-instigated rules limiting staff to working at only one home, and staff were often performing additional tasks because of limited external supports ( Backhaus et al, 2021 ; Gray et al, 2021 ; Low et al, 2021 ). When community transmission lessened, Canadian provincial officials allowed on-site visitation, initially outdoors, and subsequently through “support visitations,” where a designated person was allowed access to the LTC home to assist with care tasks.…”

Section: Background and Objectivesmentioning

confidence: 99%

With COVID Comes Complexity: Assessing the Implementation of Family Visitation Programs in Long-Term Care

et al. 2022

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Background and Objectives COVID-19 pandemic visitor restrictions to long-term care facilities have demonstrated that eliminating opportunities for family-resident contact has devastating consequences for residents’ quality of life. Our study aimed to understand how public health directives to support family visitations during the pandemic were navigated, managed, and implemented by staff. Research Design and Methods Guided by the Consolidated Framework for Implementation Research, we conducted video/telephone interviews with 54 direct care and implementation staff in six long term care homes in two Canadian provinces to assess implementation barriers and facilitators of visitation programs. Equity and inclusion issues were examined in the program’s implementation. Results Despite similar public health directives, implementation varied by facility, largely influenced by the existing culture and processes of the facility and the staff understanding of the program; differences resulted in how designated family members were chosen and restrictions around visitations (e.g., scheduling, location). Facilitators to implementation were good communication networks, leadership, and intentional planning to develop the visitor designation processes. However, lack of consultation with direct care staff led to logistical challenges around visitation and ignited conflict around visitation rules and procedures. Discussion and Implications Insights into the complexities of implementing family visitation programs during a pandemic are discussed and opportunities for improvement are identified. Our results reveal the importance of proactively including direct care staff and family in planning for future outbreaks.

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From wave to wave: a Dutch national study on the long-term impact of COVID-19 on well-being and family visitation in nursing homes

Cited by 19 publications

References 10 publications

Psychosocial changes during COVID-19 lockdown on nursing home residents, their relatives and clinical staff: a prospective observational study

Psychosocial changes during COVID-19 lockdown on nursing home residents, their relatives and clinical staff: a prospective observational study

Compassion Versus Infection Prevention and Control in Hospital Visiting; A False Dichotomy? A Case Study of Informal Caregiving in a Ugandan Regional Referral Hospital

With COVID Comes Complexity: Assessing the Implementation of Family Visitation Programs in Long-Term Care

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