Department of Health Promotion, School of Public Health, Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Minerva Center for Interdisciplinary Study of End of Life, Tel Aviv University, Tel Aviv, Israel.
J Nurs Manag. 2022 Oct;30(7):2470-2478. doi: 10.1111/jonm.13667. Epub 2022 May 24.
We examined the impact of COVID-19 regarding organizational and management issues at Israeli long-term care facilities.
Residents in facilities were very vulnerable to significant disease and mortality during COVID-19.
A survey of 52 facilities in Israel was conducted in 2020, consisting of closed- and open-ended questions. Mixed methods were used to analyze data both quantitatively and qualitatively.
Three main effects emerged: worsened financial status of long-term-care facilities resulting from high expenditures for preventive measures and reduced revenue due to deaths and fewer resident admissions, increased workload due to decreased workforce and additional duties, and negative mental health effects on staff because of increased workload and the conflict between maintaining good clinical practice and following COVID-19 regulations.
The development of government directives needs to take into account potential conflicts between the directives and quality care principles and to provide a balanced approach that assures humane care. Facilities and their staff lacked adequate pandemic-related guidance and support.
The results highlight the need to address staff shortages and training, to provide more support and clearer guidance to facilities and their staff, and to devise a framework and strategies for future health crises.
我们研究了 COVID-19 对以色列长期护理机构组织和管理问题的影响。
在 COVID-19 期间，设施中的居民极易受到严重疾病和死亡的影响。
2020 年对以色列 52 家机构进行了调查，包括封闭式和开放式问题。采用混合方法对数据进行定量和定性分析。
出现了三个主要影响：由于预防措施支出高和死亡人数减少以及入住居民减少导致长期护理机构财务状况恶化，由于劳动力减少和额外职责导致工作量增加，以及由于工作量增加和在遵循 COVID-19 规定和保持良好临床实践之间存在冲突，工作人员的心理健康受到负面影响。
政府指令的制定需要考虑指令与优质护理原则之间可能存在的冲突，并提供一种平衡的方法，以确保人性化的护理。设施及其工作人员缺乏足够的大流行病相关指导和支持。
研究结果强调需要解决人员短缺和培训问题，为设施及其工作人员提供更多支持和更明确的指导，并制定未来卫生危机的框架和策略。
