Hawes Courtney, Brazier Joan F, Meehan Amy, White Elizabeth, Weems Jacy, Grabowski David C, Gadbois Emily A
Department of Health Services, Policy & Practice Brown University, Providence, RI, USA.
Department of Health Services, Policy & Practice Brown University, Providence, RI, USA.
J Am Med Dir Assoc. 2025 Jun;26(6):105573. doi: 10.1016/j.jamda.2025.105573. Epub 2025 Apr 9.
To assess how visitation restrictions and protocols were implemented by administrators during the COVID-19 pandemic.
This qualitative study consisted of 156 semistructured interviews repeated at 3-month intervals from July 2020 to December 2021.
Interviewers were conducted with administrators of 40 nursing homes across 8 health care markets across the United States.
Interviews were conducted virtually or via phone. Thematic analysis and modified grounded theory were used to identify themes across coded transcripts.
Findings demonstrated that in-person visitation restriction was followed by nursing homes using new strategies to maintain relationships between visitors and residents, including virtual visitation and visits through windows. Nursing homes also relied on compassionate care and essential caregivers, allowing family members into nursing homes under certain circumstances; however, visitation was still limited. As in-person visitation began again, nursing homes introduced required screening measures and infection control procedures to prevent the spread of infection. Administrators reported that strategies associated with changes to visitation restrictions received mixed reactions from visitors and residents.
Policymakers should clarify future visitation regulations in nursing homes based on insights from administrators while ensuring clear communication and delineation policies for compassionate care and essential caregiver programs. Policymakers and industry experts should reevaluate and clarify the implementation protocols of future visitation mandates among nursing homes based on insights from administrators and ensure clear policies for compassionate care and essential caregiver programs. Additionally, future screening measures should be given additional attention to ensure efficient and productive protocols.
评估在新冠疫情期间管理人员如何实施探视限制和方案。
这项定性研究包括从2020年7月至2021年12月每隔3个月进行一次的156次半结构化访谈。
对美国8个医疗市场的40家养老院的管理人员进行了访谈。
通过视频或电话进行访谈。采用主题分析和改良的扎根理论来识别编码记录中的主题。
研究结果表明，养老院在实施面对面探视限制后，采用了新策略来维持探视者与居民之间的关系，包括虚拟探视和透过窗户探视。养老院还依赖于关怀护理和必要护理人员，在某些情况下允许家庭成员进入养老院；然而，探视仍然有限。随着面对面探视再次开始，养老院引入了必要的筛查措施和感染控制程序以防止感染传播。管理人员报告称，与探视限制变化相关的策略在探视者和居民中得到了不同的反应。
政策制定者应根据管理人员的见解，明确养老院未来的探视规定，同时确保为关怀护理和必要护理人员项目制定清晰的沟通和界定政策。政策制定者和行业专家应根据管理人员的见解，重新评估并明确养老院未来探视规定的实施方案，并确保为关怀护理和必要护理人员项目制定清晰的政策。此外，应更多关注未来的筛查措施，以确保方案高效且有效。
