老年护理机构应对新冠疫情的准备工作：一项质性研究，探索老年护理机构管理人员针对大流行病的规划经验。
COVID-19 preparedness in aged care: A qualitative study exploring residential aged care facility managers experiences planning for a pandemic.
作者信息
Sunner Carla, Giles Michelle, Parker Vicki, Kable Ashley, Foureur Maralyn
机构信息
Hunter New England Nursing and Midwifery Research Centre, Newcastle, NSW, Australia.
School of Nursing and Midwifery, University of Newcastle, Callaghan, NSW, Australia.
出版信息
J Clin Nurs. 2021 Jul 12. doi: 10.1111/jocn.15941.
AIMS AND OBJECTIVES
The study aims to understand the changing context of RACFs and the role of RACF managers in preparing to confront the COVID-19 pandemic and to provide insights into how the use of visual telehealth consultation might be incorporated to assist with managing whatever might arise.
DESIGN
An interpretive descriptive study design was employed, and data were collected using semi-structured interviews conducted via telephone or videoconference. Purposive recruitment targeted clinical managers responsible for the COVID-19 response in RACFs.
METHODS
RACF clinical managers were invited to discuss their responses to COVID-19 including the management of RACF and staff. Semi-structured interviews explored the COVID-19-related challenges, the response to these challenges and how telehealth might assist in overcoming some of these challenges. This study followed Thorne's (2008) three-stage process of interpretive description. The COREQ checklist was used in preparing this manuscript.
RESULTS
Two main themes were identified. The first theme 'keeping people safe' was comprised of three subthemes; fear and uncertainty, managing the risks and retaining and recruiting staff. The second theme was 'keeping people connected', had two subthemes; being disconnected and isolated and embracing technology.
CONCLUSION
Findings from this study provide valuable insight into understanding the context and the challenges for RACFs and the staff as they attempt to keep residents safe and connected with healthcare providers and the outside world.
RELEVANCE TO CLINICAL PRACTICE
Understanding the experiences of RACF managers in preparing to respond to the pandemic will better inform practice development in aged care in particular the use of telehealth and safe practices during COVID-19. Increased awareness of the challenges faced by RACFs during a pandemic provides policymakers with valuable insights for future planning of pandemic responses.
目的与目标
本研究旨在了解老年护理机构（RACFs）不断变化的背景以及RACF管理人员在准备应对新冠疫情中的作用，并深入探讨如何采用视频远程医疗咨询来协助应对可能出现的任何情况。
设计
采用解释性描述性研究设计，通过电话或视频会议进行半结构化访谈收集数据。目的抽样招募了负责RACFs新冠疫情应对工作的临床管理人员。
方法
邀请RACF临床管理人员讨论他们对新冠疫情的应对措施，包括RACF和员工的管理。半结构化访谈探讨了与新冠疫情相关的挑战、对这些挑战的应对措施以及远程医疗如何有助于克服其中一些挑战。本研究遵循了索恩（2008年）的解释性描述三阶段流程。在撰写本论文时使用了COREQ清单。
结果
确定了两个主要主题。第一个主题“保障人员安全”由三个子主题组成；恐惧与不确定性、管理风险以及留住和招聘员工。第二个主题是“保持人员联系”，有两个子主题；隔离与脱节以及拥抱技术。
结论
本研究结果为理解RACFs及其员工在试图保障居民安全并与医疗服务提供者及外部世界保持联系时的背景和挑战提供了宝贵的见解。
与临床实践的相关性
了解RACF管理人员在准备应对疫情方面的经验将为老年护理实践发展提供更好的信息，特别是在新冠疫情期间远程医疗的使用和安全实践。提高对RACFs在疫情期间面临挑战的认识，为政策制定者进行未来疫情应对规划提供了宝贵的见解。
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