在 COVID-19 疫情期间长期护理机构中一线工作人员和领导人的生活体验：一项定性研究。

Lived experiences of frontline workers and leaders during COVID-19 outbreaks in long-term care: A qualitative study.

机构信息

Office of the Chief Medical Health Officer, Vancouver Coastal Health Authority, Vancouver, British Columbia, Canada; School of Population and Public Health, University of British Columbia, Vancouver, British Columbia, Canada.

出版信息

Am J Infect Control. 2021 Aug;49(8):978-984. doi: 10.1016/j.ajic.2021.03.006. Epub 2021 Mar 21.

DOI:10.1016/j.ajic.2021.03.006

PMID:33762181

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7981788/

Abstract

BACKGROUND

Long-term care facilities across Canada have been disproportionately affected by the COVID-19 pandemic. This study aims to describe the experiences of frontline workers and leaders involved in COVID-19 outbreak management in these facilities, identify best practices, and provide recommendations for improvement.

METHODS

This is a qualitative study using key informant, semi-structured interviews. Key informants were defined as individuals with direct experience managing COVID-19 outbreaks in long-term care. Thematic content analysis of interview transcripts identified key themes important for outbreak management.

RESULTS

Twenty-three interviews were conducted with key informants from the following categories: public health, health authority leadership for long-term care, infection prevention and control, long-term care operators, and frontline staff. Eight themes were identified as critical factors for outbreak management on thematic analysis, which included: (1) early identification of cases, (2) the suite of public health interventions implemented, (3) external support and assistance, (4) staff training and education, (5) personal protective equipment use and supply, (6) workplace culture, organizational leadership and management, (7) coordination and communication, and (8) staffing.

CONCLUSIONS

Best practices and areas for improvement in outbreak response identified in this study can help to inform policy and practice to reduce the impact of COVID-19 in these settings.

摘要

背景

加拿大各地的长期护理机构受到 COVID-19 大流行的不成比例影响。本研究旨在描述参与这些设施 COVID-19 爆发管理的一线工作人员和领导人的经验，确定最佳实践，并提出改进建议。

方法

这是一项使用关键知情人、半结构化访谈的定性研究。关键知情人的定义是直接参与管理长期护理中 COVID-19 爆发的个人。对访谈记录的主题内容分析确定了爆发管理的重要主题。

结果

对来自以下类别的关键知情人进行了 23 次访谈：公共卫生、长期护理卫生当局领导、感染预防和控制、长期护理运营商以及一线工作人员。主题分析确定了爆发管理的八个关键因素，包括：（1）早期发现病例，（2）实施的公共卫生干预措施套件，（3）外部支持和援助，（4）员工培训和教育，（5）个人防护设备的使用和供应，（6）工作场所文化、组织领导和管理，（7）协调和沟通，以及（8）人员配备。