Institute of Health Policy, Management and Evaluation, University of Toronto, 155 College St, Toronto, ON, M5T 3M6, Canada.
Institute for Better Health Trillium Health Partners, 100 Queensway West, Mississauga, ON, L5B 1B8, Canada.
BMC Geriatr. 2023 Sep 26;23(1):598. doi: 10.1186/s12877-023-04295-1.
The COVID-19 pandemic has contributed to a global crisis in long-term care (LTC) with devastating consequences for residents, families and health professionals. In Ontario, Canada the severity of this crisis has prompted some care partners to move residents home with them for the duration or a portion of the pandemic. This type of care transition, from LTC to home care, was highly unusual pre-pandemic and arguably suboptimal for adults with complex needs. This paper presents the findings of a qualitative study to better understand how residents, care partners, and health professionals made care transition decisions in Ontario's LTC settings during the pandemic.
Semi-structured interviews were conducted with 32 residents, care partners and health professionals who considered, supported or pursued a care transition in a LTC setting in Ontario during the pandemic. Crisis Decision Theory was used to structure the analysis.
The results highlighted significant individual and group differences in how participants assessed the severity of the crisis and evaluated response options. Key factors that had an impact on decision trajectories included the individuals' emotional responses to the pandemic, personal identities and available resources.
The findings from this study offer novel important insights regarding how individuals and groups perceive and respond to crisis events.
COVID-19 大流行给长期护理（LTC）带来了全球性危机，给居民、家庭和卫生专业人员带来了毁灭性的后果。在加拿大安大略省，这场危机的严重性促使一些护理伙伴在疫情期间或疫情的一部分时间将居民带回家照顾。这种从长期护理到家庭护理的护理过渡类型在大流行前是非常不寻常的，对于有复杂需求的成年人来说，这种护理方式可能不是最佳选择。本文介绍了一项定性研究的结果，以更好地了解在 COVID-19 大流行期间，安大略省的长期护理环境中的居民、护理伙伴和卫生专业人员如何做出护理过渡决策。
对 32 名在安大略省长期护理环境中考虑、支持或寻求护理过渡的居民、护理伙伴和卫生专业人员进行了半结构化访谈。危机决策理论被用来构建分析。
结果突出了参与者评估危机严重程度和评估应对方案的个体和群体差异。对决策轨迹有影响的关键因素包括个人对大流行的情绪反应、个人身份和可用资源。
本研究的结果提供了关于个人和群体如何感知和应对危机事件的新颖而重要的见解。
