SHARE Centre for Resilience in Healthcare, Department of Quality and Health Technology, Faculty of Health Sciences, University of Stavanger, Stavanger, Norway.
Centre for Development of Institutional and Home Care Services, Oslo, Norway.
Leadersh Health Serv (Bradf Engl). 2022 Nov 29;ahead-of-print(ahead-of-print):200-18. doi: 10.1108/LHS-05-2022-0052.
This study aims to explore nursing home and home care managers' strategies in handling the COVID-19 pandemic.
DESIGN/METHODOLOGY/APPROACH: This study has a qualitative design with semistructured individual interviews conducted digitally by videophone (Zoom). Eight managers from nursing homes and five managers from home care services located in a large urban municipality in eastern Norway participated. Systematic text condensation methodology was used for the analysis.
The managers used several strategies to handle challenges related to the COVID-19 pandemic, including being proactive and thinking ahead in terms of possible scenarios that might occur, continuously training of staff in new procedures and routines and systematic information sharing at all levels, as well as providing different ways of disseminating information for staff, service users and next-of-kins. To handle staffing challenges, managers used strategies such as hiring short-term staff that were temporary laid off from other industries and bringing in students.
ORIGINALITY/VALUE: The COVID-19 pandemic heavily affected health-care systems worldwide, which has led to many health-care studies. The situation in nursing homes and home care services, which were strongly impacted by the pandemic and in charge of a vulnerable group of people, has not yet received enough attention in research. This study, therefore, seeks to contribute to this research gap by investigating how managers in nursing homes and home care services used different strategies to handle the COVID-19 pandemic.
本研究旨在探讨养老院和家庭护理管理者在应对 COVID-19 大流行时的策略。
设计/方法/途径：本研究采用定性设计，通过视频电话（Zoom）进行半结构化的个人访谈。来自挪威东部一个大城市的 8 名养老院管理者和 5 名家庭护理服务管理者参与了此项研究。采用系统文本浓缩方法进行分析。
管理者使用了几种策略来应对与 COVID-19 大流行相关的挑战，包括积极主动地思考可能出现的各种情况，不断培训员工新的程序和常规，并在各个层面进行系统的信息共享，以及为员工、服务用户和家属提供不同的信息传播方式。为了应对人员配备方面的挑战，管理者采取了招聘临时下岗人员和学生等短期员工的策略。
原创性/价值：COVID-19 大流行在全球范围内严重影响了医疗保健系统，这导致了许多医疗保健研究。在养老院和家庭护理服务中，由于受到大流行的强烈影响，且负责照顾弱势群体，因此在研究中尚未得到足够的关注。因此，本研究通过调查养老院和家庭护理服务的管理者如何使用不同的策略来应对 COVID-19 大流行，旨在弥补这一研究空白。
