Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis?

McGilton, Katherine S.; Escrig-Piñol, Astrid; Gordon, Adam L; Chu, Charlene H.; Zúñiga, Franziska; Gea-Sánchez, Montserrat; Boscart, Véronique; Meyer, Julienne; Corazzini, Kirsten; Jacinto, Alessandro Ferrari; Spilsbury, Karen; Backman, Annica; Scales, Kezia; Fagertun, Anette; Wu, Bei; Edvardsson, David; Lepore, Michael; Leung, Angela Yee Man; Siegel, Elena O.; Noguchi‐Watanabe, Maiko; Wang, Jing; Bowers, Barbara J.

doi:10.1016/j.jamda.2020.06.010

Cited by 157 publications

(179 citation statements)

References 9 publications

(7 reference statements)

Supporting

Mentioning

169

Contrasting

Unclassified

Order By: Relevance

“…Numbers of registered nurses have also decreased in favour of licensed practical nurses as a cost saving measure (McGregor et al 2010). These changes reflect widening inability or reluctance to meet the increasingly complex needs of nursing home residents by matching those needs to appropriate nursing skills (McGilton et al 2020).…”

Section: The Regulated Paid Workforcementioning

confidence: 99%

See 1 more Smart Citation

Restoring trust: COVID-19 and the future of long-term care in Canada

Estabrooks

Straus

Flood

et al. 2020

FACETS

163

257

View full text Add to dashboard Cite

The Royal Society of Canada Task Force on COVID-19 was formed in April 2020 to provide evidence-informed perspectives on major societal challenges in response to and recovery from COVID-19. The Task Force established a series of working groups to rapidly develop policy briefings, with the objective of supporting policy makers with evidence to inform their decisions. This paper reports the findings of the COVID-19 Long-Term Care (LTC) working group addressing a preferred future for LTC in Canada, with a specific focus on COVID-19 and the LTC workforce. First, the report addresses the research context and policy environment in Canada’s LTC sector before COVID-19 and then summarizes the existing knowledge base for integrated solutions to challenges that exist in the LTC sector. Second, the report outlines vulnerabilities exposed because of COVID-19, including deficiencies in the LTC sector that contributed to the magnitude of the COVID-19 crisis. This section focuses especially on the characteristics of older adults living in nursing homes, their caregivers, and the physical environment of nursing homes as important contributors to the COVID-19 crisis. Finally, the report articulates principles for action and nine recommendations for action to help solve the workforce crisis in nursing homes.

show abstract

Section: The Regulated Paid Workforcementioning

confidence: 99%

“…Many care aides cannot get full-time or regular part-time work with benefits, because some employers rely on casual staff (McGilton et al 2020;Yinfei et al 2020).…”

mentioning

confidence: 99%

Restoring trust: COVID-19 and the future of long-term care in Canada

Estabrooks

Straus

Flood

et al. 2020

FACETS

163

257

View full text Add to dashboard Cite

show abstract

“…The workload of LTCF staff members is has been increased by the pandemic because of: the ban of family members and other volunteers who provide supportive care; and the increase of staff absenteeism due to COVID-19 symptom and/or fear of contracting the virus or transmitting it to their loved ones. In addition, due to the COVID-19 pandemic, the actions of health authorities have generated a feeling of abandonment in LTCF staff members and of degrading [ 55 ]. Coupled with the moral distress of losing residents they have cared for over many years, the potential guilt of their own role in transmission, and the feeling of violating their own ethical or moral codes when working under high pressure, there is a high risk of staff experiencing psychological trauma in LTCFs.…”

Section: Second Interim Eugms Guidance To Prepare European Long-term mentioning

confidence: 99%

August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

et al. 2020

View full text Add to dashboard Cite

Purpose The European Geriatric Medicine Society (EuGMS) is launching a second interim guidance whose aim is to prevent the entrance and spread of COVID-19 into long-term care facilities (LTCFs). Methods The EuGMS gathered experts to propose a guide of measures to prevent COVID-19 outbreaks in LTCFs. It is based on the specific features of SARS-CoV-2 transmission in LTCFs, residents’ needs, and on experiences conducted in the field. Results Asymptomatic COVID-19 residents and staff members contribute substantially to the dissemination of COVID-19 infection in LTCFs. An infection prevention and control focal point should be set up in every LTCF for (1) supervising infection prevention and control measures aimed at keeping COVID-19 out of LTCFs, (2) RT-PCR testing of residents, staff members, and visitors with COVID-19 symptoms, even atypical, and (3) isolating subjects either infected or in contact with infected subjects. When a first LCTF resident or staff member is infected, a facility-wide RT-PCR test–retest strategy should be implemented for detecting all SARS-CoV-2 carriers. Testing should continue until no new COVID-19 cases are identified. The isolation of residents should be limited as much as possible and associated with measures aiming at limiting its negative effects on their mental and somatic health status. Conclusions An early recognition of symptoms compatible with COVID-19 may help to diagnose COVID-19 residents and staff more promptly. Subsequently, an earlier testing for SARS-CoV-2 symptomatic and asymptomatic LTCF staff and residents will enable the implementation of appropriate infection prevention and control. The negative effects of social isolation in residents should be limited as much as possible.

show abstract

“…In addition, we advocate for respite areas for staff members that include access to natural light and nature, given the challenges posed by COVID-19 in the context of mental health. 54 , 55 …”

Section: From Site Location To Building Details: Design Issues Acrossmentioning

confidence: 99%

Nursing Home Design and COVID-19: Balancing Infection Control, Quality of Life, and Resilience

Anderson

Grey

Kennelly

et al. 2020

Journal of the American Medical Directors Association

View full text Add to dashboard Cite

Many nursing home design models can have a negative impact on older people and these flaws have been compounded by Coronavirus Disease 2019 and related infection control failures. This article proposes that there is now an urgent need to examine these architectural design models and provide alternative and holistic models that balance infection control and quality of life at multiple spatial scales in existing and proposed settings. Moreover, this article argues that there is a convergence on many fronts between these issues and that certain design models and approaches that improve quality of life, will also benefit infection control, support greater resilience, and in turn improve overall pandemic preparedness.

show abstract

Uncovering the Devaluation of Nursing Home Staff During COVID-19: Are We Fuelling the Next Health Care Crisis?

Abstract: JAMDA j o u r n a l h o m e p a g e : w w w . j a m d a . c o m

Cited by 157 publications

References 9 publications

Restoring trust: COVID-19 and the future of long-term care in Canada

Restoring trust: COVID-19 and the future of long-term care in Canada

August 2020 Interim EuGMS guidance to prepare European Long-Term Care Facilities for COVID-19

Nursing Home Design and COVID-19: Balancing Infection Control, Quality of Life, and Resilience

Contact Info

Product

Resources

About