Health Research Institute, Department of Nursing and Midwifery, University of Limerick, Limerick, Ireland.
School of Law, Faculty of Arts, Humanities and Social Sciences, University of Limerick, Limerick, Ireland.
BMC Palliat Care. 2024 May 22;23(1):126. doi: 10.1186/s12904-024-01458-8.
Nursing homes and other long-term care services account for a disparate share of COVID-19 cases and casualties worldwide. During COVID-19 there is a distinct need to preserve a holistic view of the wellbeing of residents of nursing homes, be mindful of their rights as citizens, and to be aware of protecting residents from infection. The delivery of health and social care throughout a pandemic must remain person-centred and adhere to a human rights-based approach.
This study aimed to capture nursing home residents, their families and staff's perspective of the nursing homes residents experience, approaches of staff and the nursing home environment. An online survey was distributed via stakeholder networks and online platforms across Ireland. This study was performed and reported in line with the Consensus-Based Checklist for Reporting of Survey Studies (CROSS).
25 residents, 42 family members and 51 staff completed the survey (n = 118). Across the domains measured all but one aspect scored above 50% (residents get up and go to bed when they want 41.5%) with the highest score of 89.1% scored for the nursing home is comfortable and well-kept. Results highlight evidence of positive experiences and endeavours to preserve social connections, residents were in a safe place cared for by staff who did their best in a difficult position and who went above and beyond their duty of care. However, some families reported poor communication, no internet connections, not enough phones or tablets, and that staff were busy and unable at times to assist residents who needed help using phones/tablets.
This study highlights the importance of human rights and how they ought to inform and shape the advancement of public health advice and policy documents. Overall, nursing home residents, their families and staff reported favourably on the study measures. However, issues pertaining to communication are essential and there is a need to address issues such as the provision of accurate timely information, communication infrastructure and resources, and inconsistencies in communications. Of note is that while healthcare professionals have a duty to uphold the rights of nursing home residents, they themselves have human rights which must also be protected and supported.
养老院和其他长期护理服务在全球范围内占 COVID-19 病例和死亡人数的相当大比例。在 COVID-19 期间，需要特别注意保持对养老院居民整体福祉的关注，尊重他们作为公民的权利，并注意保护居民免受感染。在大流行期间，医疗和社会保健服务必须仍然以个人为中心，并坚持基于人权的方法。
本研究旨在了解养老院居民、他们的家人和工作人员对养老院居民体验、工作人员方法和养老院环境的看法。通过利益相关者网络和爱尔兰各地的在线平台分发在线调查。本研究按照基于共识的调查研究报告清单（CROSS）进行和报告。
共有 25 名居民、42 名家属和 51 名工作人员完成了调查（n=118）。在所测量的各个领域，除了一个方面（居民想何时起床和就寝就何时起床和就寝，得分为 41.5%）得分低于 50%外，其余方面的得分均高于 50%，最高得分为 89.1%，即养老院舒适且维护良好。结果突出了积极体验的证据，并努力保持社交联系，居民处于一个安全的地方，由尽最大努力的工作人员照顾，而工作人员在困难的情况下超越了他们的护理职责。然而，一些家庭报告说沟通不畅、没有互联网连接、电话或平板电脑数量不足，以及工作人员有时忙于无法帮助需要使用电话/平板电脑的居民。
本研究强调了人权的重要性，以及它们应该如何为公共卫生建议和政策文件的制定提供信息和指导。总体而言，养老院居民、他们的家人和工作人员对研究措施的评价较为积极。然而，沟通问题至关重要，需要解决提供准确及时的信息、沟通基础设施和资源、沟通不一致等问题。值得注意的是，虽然医疗保健专业人员有责任维护养老院居民的权利，但他们自己也有人权，这些权利也必须得到保护和支持。
