With COVID Comes Complexity: Assessing the Implementation of Family Visitation Programs in Long-Term Care.
Background and Objectives Coronavirus disease 2019 (COVID-19) pandemic visitor restrictions to long-term care facilities have demonstrated that eliminating opportunities for family-resident contact has devastating consequences for residents' quality of life. Our study aimed to understand how public...
| Publicado en: | Gerontologist Vol. 63; no. 3; pp. 490 - 501 |
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| Autores principales: | , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Apr2023
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=162734681&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 162734681 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00169013 GET jtl: Gerontologist issn: 00169013 maglogo: N pubinfo: dt: Apr2023 vid: 63 iid: 3 pid: 622 pub: Oxford University Press / USA artinfo: ui: 162734681 10.1093/geront/gnac175 ppf: 490 ppct: 11 formats: tig: atl: With COVID Comes Complexity: Assessing the Implementation of Family Visitation Programs in Long-Term Care. aug: au: Chamberlain, Stephanie A Warner, Grace Andrew, Melissa K Hande, Mary Jean Hubley, Emily Weeks, Lori E Keefe, Janice M affil: Faculty of Nursing, College of Health Sciences, University of Alberta , Edmonton, Alberta , Canada School of Occupational Therapy, Faculty of Health, Dalhousie University , Halifax, Nova Scotia , Canada Department of Medicine (Geriatrics), Dalhousie University , Halifax, Nova Scotia , Canada Department of Sociology, Trent University , Peterborough, Ontario , Canada Nova Scotia Centre on Aging, Mount Saint Vincent University , Halifax, Nova Scotia , Canada School of Nursing, Faculty of Health, Dalhousie University , Halifax, Nova Scotia , Canada Department of Family Studies and Gerontology, Mount Saint Vincent University , Halifax , Nova Scotia , Canada su: Canada Caregivers Leadership Families Interviewing Human services programs COVID-19 pandemic Visiting the sick Attitudes of medical personnel Research funding Long-term health care sug: subj: Caregivers Leadership Families Interviewing Human services programs COVID-19 pandemic Canada Visiting the sick Attitudes of medical personnel Research funding Long-term health care keyword: Family/friend caregivers Implementation science Nursing home Pandemic Visitation policies Family/friend caregivers Implementation science Nursing home Pandemic Visitation policies ab: Background and Objectives Coronavirus disease 2019 (COVID-19) pandemic visitor restrictions to long-term care facilities have demonstrated that eliminating opportunities for family-resident contact has devastating consequences for residents' quality of life. Our study aimed to understand how public health directives to support family visitations during the pandemic were navigated, managed, and implemented by staff. Research Design and Methods Guided by the Consolidated Framework for Implementation Research, we conducted video/telephone interviews with 54 direct care and implementation staff in six long-term care homes in two Canadian provinces to assess implementation barriers and facilitators of visitation programs. Equity and inclusion issues were examined in the program's implementation. Results Despite similar public health directives, implementation varied by facility, largely influenced by the existing culture and processes of the facility and the staff understanding of the program; differences resulted in how designated family members were chosen and restrictions around visitations (e.g. scheduling and location). Facilitators of implementation were good communication networks, leadership, and intentional planning to develop the visitor designation processes. However, the lack of consultation with direct care staff led to logistical challenges around visitation and ignited conflict around visitation rules and procedures. Discussion and Implications Insights into the complexities of implementing family visitation programs during a pandemic are discussed, and opportunities for improvement are identified. Our results reveal the importance of proactively including direct care staff and family in planning for future outbreaks. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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