Mélanie Lavoie-Tremblay1, Guylaine Cyr2, Thalia Aubé2, GenevièVe Lavigne2. 1. Professor and Vice Dean Research, Innovation and Entrepreneuriat, Faculty of Nursing, University of Montreal, Montreal, QC. 2. Research Assistant, Ingram School of Nursing, McGill University, Montreal, QC.
Abstract
BACKGROUND: The COVID-19 crisis in long-term care (LTC) homes was devastating for residents and front-line workers. Recent reports have detailed what went wrong in LTC facilities, including equipment shortages, lack of preparedness, underestimation of COVID-19's virulence and bans on caregiver visits. Less is known about what went well in some facilities. PURPOSE: To describe nurses' and other staff members' experiences and lessons learned in two LTC facilities in Quebec that reported no COVID-19 outbreaks during the first wave of the pandemic. METHODS: Methods: A case study design guided by appreciative inquiry was conducted, in which a case was defined as a LTC facility without COVID-19 outbreaks; two cases were included. Twenty-three healthcare team members from the two sites were recruited and interviewed between October and November, 2020. RESULTS: Several common themes were identified: being informed and respecting outbreak protocols; the presence of key outbreak protocols, which allowed for stable teams; a clear action plan; and access to materials and resources. Key management themes included team support and reward, ongoing communication and providing compassionate care to residents. CONCLUSION: This study highlights several lessons learned that have the potential to strengthen the LTC health system.
BACKGROUND: The COVID-19 crisis in long-term care (LTC) homes was devastating for residents and front-line workers. Recent reports have detailed what went wrong in LTC facilities, including equipment shortages, lack of preparedness, underestimation of COVID-19's virulence and bans on caregiver visits. Less is known about what went well in some facilities. PURPOSE: To describe nurses' and other staff members' experiences and lessons learned in two LTC facilities in Quebec that reported no COVID-19 outbreaks during the first wave of the pandemic. METHODS: Methods: A case study design guided by appreciative inquiry was conducted, in which a case was defined as a LTC facility without COVID-19 outbreaks; two cases were included. Twenty-three healthcare team members from the two sites were recruited and interviewed between October and November, 2020. RESULTS: Several common themes were identified: being informed and respecting outbreak protocols; the presence of key outbreak protocols, which allowed for stable teams; a clear action plan; and access to materials and resources. Key management themes included team support and reward, ongoing communication and providing compassionate care to residents. CONCLUSION: This study highlights several lessons learned that have the potential to strengthen the LTC health system.
Authors: Michael Liu; Colleen J Maxwell; Pat Armstrong; Michael Schwandt; Andrea Moser; Margaret J McGregor; Susan E Bronskill; Irfan A Dhalla Journal: CMAJ Date: 2020-09-30 Impact factor: 8.262
Authors: Y Rolland; M-H Lacoste; A de Mauleon; A Ghisolfi; P De Souto Barreto; H Blain; H Villars Journal: J Nutr Health Aging Date: 2020 Impact factor: 4.075