Impact of the COVID-19 Pandemic on the Perceived Quality of Palliative Care in Nursing Homes

Mota-Romero, Emilio; Campos-Calderón, Concepción; Puente‐Fernández, Daniel; Hueso‐Montoro, César; Esteban-Burgos, Ana Alejandra; Montoya‐Juárez, Rafael

doi:10.3390/jcm11195906

Cited by 3 publications

(1 citation statement)

References 32 publications

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“…The pandemic also limited resident–family connectedness, which negatively affected residents' and families' psychosocial and emotional well‐being (Palacios‐Ceña et al, 2021; Pirhonen et al, 2022; Salcedo‐Pérez‐Juana et al, 2022). Several aspects of care (e.g., social support, information sharing and patient participation) were poorly achieved during the pandemic (Mota‐Romero et al, 2022).…”

Section: Introductionmentioning

confidence: 99%

Long‐term care facilities' response to the COVID‐19 pandemic: An international, cross‐sectional survey

Eltaybani,

Igarashi,

Cal

et al. 2023

Journal of Advanced Nursing

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AimsTo (i) assess the adherence of long‐term care (LTC) facilities to the COVID‐19 prevention and control recommendations, (ii) identify predictors of this adherence and (iii) examine the association between the adherence level and the impact of the pandemic on selected unfavourable conditions.DesignCross‐sectional survey.MethodsManagers (n = 212) and staff (n = 2143) of LTC facilities (n = 223) in 13 countries/regions (Brazil, Egypt, England, Hong Kong, Indonesia, Japan, Norway, Portugal, Saudi Arabia, South Korea, Spain, Thailand and Turkey) evaluated the adherence of LTC facilities to COVID‐19 prevention and control recommendations and the impact of the pandemic on unfavourable conditions related to staff, residents and residents' families. The characteristics of participants and LTC facilities were also gathered. Data were collected from April to October 2021. The study was reported following the STROBE guidelines.ResultsThe adherence was significantly higher among facilities with more pre‐pandemic in‐service education on infection control and easier access to information early in the pandemic. Residents' feelings of loneliness and feeling down were the most affected conditions by the pandemic. More psychological support to residents was associated with fewer residents' aggressive behaviours, and more psychological support to staff was associated with less work–life imbalance.ConclusionsPre‐pandemic preparedness significantly shaped LTC facilities' response to the pandemic. Adequate psychological support to residents and staff might help mitigate the negative impacts of infection outbreaks.ImpactThis is the first study to comprehensively examine the adherence of LTC facilities to COVID‐19 prevention and control recommendations. The results demonstrated that the adherence level was significantly related to pre‐pandemic preparedness and that adequate psychological support to staff and residents was significantly associated with less negative impacts of the pandemic on LTC facilities' staff and residents. The results would help LTC facilities prepare for and respond to future infection outbreaks.Patient or public contributionNo Patient or Public Contribution.

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Section: Introductionmentioning

confidence: 99%

Long‐term care facilities' response to the COVID‐19 pandemic: An international, cross‐sectional survey

Eltaybani,

Igarashi,

Cal

et al. 2023

Journal of Advanced Nursing

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Video training of nursing home healthcare workers in palliative care

Lim,

Toh,

Tan

et al. 2024

BMJ Support Palliat Care

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ObjectivesThe provision of palliative care in nursing homes (NHs) is of paramount importance, a realism underscored by the frailty and medical complexity of the residents. However, palliative care (PC) education tends to be resource-intensive both for educators and healthcare workers (HCWs). The aim of this study was to investigate how PowerFacts, a video animation series that taught basic PC to NH HCWs in Singapore impacted their knowledge, attitudes and confidence.MethodsA cohort study design was adopted for the study. A total of 264 NH HCWs across 12 NHs in Singapore participated in the study from January 2021 to October 2022. Participants were assessed using a 20-summative multiple-choice question assessment, a 30-item Frommelt Attitude Toward Care of the Dying Scale (FATCOD) and four questions on their confidence level before and after the PowerFacts course.ResultsPaired t-test was performed. Significant changes were noted in the knowledge and confidence score post-intervention. The knowledge score improved significantly from preintervention (12.2±3.5) to post-intervention (15.8±3.4; p<0.01). The confidence score increased significantly from 14.7±2.7 to 16.7±2.2 (p<0.01). However, the FATCOD score did not reveal any significant changes between preintervention and post-intervention results (p>0.05).ConclusionsPowerFacts has demonstrated its potential as a valuable addition to the array of teaching methods available to NH HCWs. Future studies are required to evaluate the impact of animation on patient care and clinical practice.

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Patient-Perceived Quality Assessment in Orthopedics and Traumatology Departments during COVID-19 Pandemic

Bancsik,

Ilea,

Daina

et al. 2024

Healthcare

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The COVID-19 pandemic has led to significant disruptions in various healthcare systems. In Romania, the elective procedures in the orthopedic and traumatology specialty were one of the most affected. The study aims to investigate the influence of the COVID-19 pandemic on patient perceptions of quality in these departments. Standardized assessment tools were used, which consist of satisfaction questionnaires addressed to patients in order to assess the quality of health services in orthopedics and traumatology departments. Thus, a retrospective study was conducted using satisfaction questionnaires addressed to patients admitted to the orthopedics and traumatology departments of the County Clinical Emergency Hospital Bihor between January 2019 and December 2022. Eight reports, based on 746 questionnaires conducted during the studied period, were evaluated. To gauge patient satisfaction, Likert scales featuring five response options were used. A total of 627 questionnaires were valid, the exclusion criteria being incomplete questionnaires (the patients did not respond on all questions, n = 119). Four domains were analyzed: demographic data, hotel conditions, quality of medical care, and overall satisfaction. Demographic data highlight that patients exhibited an equitable distribution across residences, with 50.2% hailing from urban locales, while 53.5% (n = 333) were female. Regarding the overall impression, in 2020, there was a decline in the top rating of 5 compared to 2019, dropping to just 45.10% from 53.45%. Scores of 4 increased to 41.83%, while scores of 3 stayed under 8.5%. Scores of 2 and 1 were negligible. In 2021 and 2022, we can observe a sustained increase in the number of patients who awarded 5 points for overall impression and a decrease in the number of patients who awarded 4 points compared to previous years. The maximum difference between 2020 and 2021 and the period before and after this period was 27.24% (p-value < 0.001). The results indicate that while overall impressions of the hospital remained positive throughout the studied period, there were notable fluctuations in satisfaction levels during the pandemic. Patient satisfaction with attending physicians dipped in 2020 from 86.70% to 77.78% but recovered by 2022. The same trend can be observed with nurses and caregivers, as well as hotel services, during this period. These findings underscore the importance of addressing patient concerns and improving the quality of care delivery, particularly during times of crisis.

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Impact of the COVID-19 Pandemic on the Perceived Quality of Palliative Care in Nursing Homes

Cited by 3 publications

References 32 publications

Long‐term care facilities' response to the COVID‐19 pandemic: An international, cross‐sectional survey

Long‐term care facilities' response to the COVID‐19 pandemic: An international, cross‐sectional survey

Video training of nursing home healthcare workers in palliative care

Patient-Perceived Quality Assessment in Orthopedics and Traumatology Departments during COVID-19 Pandemic

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