COVID-19 对养老院以患者为中心的护理实践的影响。
The Impact of COVID-19 on the Person-Centered Care Practices in Nursing Homes.
机构信息
Georgia State University, Atlanta, GA, USA.
University of Maryland, Baltimore, MD, USA.
出版信息
J Appl Gerontol. 2023 Jul;42(7):1582-1587. doi: 10.1177/07334648231154544. Epub 2023 Feb 2.
The COVID-19 pandemic has had a significant impact on long-term care residents, family, and staff. Nursing homes are facing persistent challenges such as staff shortage, lack of personal protective equipment (PPE), and staff experiencing mental health issues including burnout. COVID-19 precautions may have made implementing person-centered care (PCC) in nursing homes more difficult. This report provides a descriptive analysis of perceived COVID-19 impact on the PCC practice in nursing homes. Surveys ( = 379) were collected from 11 nursing homes across Georgia. PCC practice barriers include reduced choice for residents, staff anxiety related to COVID-19 precautions, increased prevalence of short-staffing, and expanded duties for direct care workers. Facilitators for PCC were also present and included staff engagement, the provision of mental health resources, supervisor support, and empowerment of staff. Applied practice and research to address these barriers and expand implementation of facilitators is needed.
新冠疫情对长期护理居民、家庭和工作人员产生了重大影响。 养老院面临持续的挑战，包括员工短缺、个人防护设备 (PPE) 缺乏以及员工面临 burnout 等心理健康问题。新冠疫情防范措施可能使得在养老院实施以患者为中心的护理 (PCC) 更加困难。本报告对养老院中感知到的新冠疫情对 PCC 实践的影响进行了描述性分析。该调查从乔治亚州的 11 家养老院收集了（=379）份调查。PCC 实践障碍包括减少了居民的选择、与新冠疫情防范相关的员工焦虑、人手不足的普遍增加以及直接护理人员职责扩大。同时，也存在促进 PCC 的因素，包括员工参与、提供心理健康资源、主管支持和员工赋权。需要应用实践和研究来解决这些障碍，并扩大促进因素的实施。
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