"It changed everything": The safe Home care qualitative study of the COVID-19 pandemic's impact on home care aides, clients, and managers.
"It changed everything": The safe Home care qualitative study of the COVID-19 pandemic's impact on home care aides, clients, and managers.
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DOI：
10.1186/s12913-021-07076-x
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发表时间：
2021-10-05
影响因子：
2.8
通讯作者：
Karlsson N
中科院分区：
文献类型：
--
作者：
Markkanen P;Brouillette N;Quinn M;Galligan C;Sama S;Lindberg J;Karlsson N
家庭护理服务对老年人、残疾人和慢性病患者的健康和社会福利至关重要。虽然HC部门在美国发展迅速，但HC助手的工作流动率很高。健康照护是基础设施照护的重要替代方案，但在更大的卫生保健系统中常常被忽视：最近的一次是在COVID-19大流行规划中。本研究的目的是定性表征COVID-19大流行对HC三个关键利益相关者（客户、助手和机构经理）的影响。该研究包括在2020年4月至11月期间进行的37次电话访谈：HC客户（n = 9），助手（n = 16）和代理经理（n = 12）。所有采访都有录音，并逐字抄写。文本的定性分析遵循扎根理论方法。采访记录被NVivo 12软件逐行编码为分层主题，该软件允许根据编码的采访次数对主题进行加权。对HC客户和助手感染和传播的恐惧是强烈的主题。感染防控成为指导各机构日常业务运作的重中之重；为工作人员采购足够的个人防护装备是最紧迫的任务。卫生保健中心的助手对他们的客户表示担忧，他们的客户由于在大流行期间加强隔离而表现出抑郁迹象。由于身体保持距离的做法，安慰触摸的消失改变了HC助手-客户护理关系中同情的表达。研究结果表明，大流行进一步增加了HC助手的心理社会工作需求。客户日益孤立可能导致老年人孤独和抑郁这一更广泛的公共健康问题。为了在当前的COVID-19大流行期间支持卫生保健利益攸关方，为未来的大流行规划或其他卫生紧急情况提供支持，重要的是改善卫生保健助理的保留工作。这一行动还可以缓解日益增长的老年人中严重的护理服务短缺问题。在线版本包含补充材料，可在10.1186/s12913-021-07076-x获得。
Home care (HC) services are crucial to the health and social wellbeing of older adults, people with disabilities, and the chronically ill. Although the HC sector is growing rapidly in the USA, there is high job turnover among the HC aide workforce. HC provides an important alternative to facility-based care, yet it has often been overlooked within the larger health care system: most recently, in COVID-19 pandemic planning. The objective of the study was to characterize qualitatively the impact of the COVID-19 pandemic on three key HC stakeholders: clients, aides, and agency managers. The study included 37 phone interviews conducted during April – November 2020: HC clients (n = 9), aides (n = 16), and agency managers (n = 12). All interviews were audio recorded and transcribed verbatim. Qualitative analysis of the transcripts followed the grounded theory approach. The interview transcriptions were coded line-by-line into hierarchical themes with NVivo 12 software which allowed weighting of themes based on the number of interviews where they were coded. Fear of infection and transmission among HC clients and aides were strong themes. Infection prevention and control became the top priority guiding day-to-day business operations at agencies; sourcing adequate personal protective equipment for staff was the most urgent task. HC aides expressed concerns for their clients who showed signs of depression, due to increased isolation during the pandemic. The disappearance of comforting touch – resulting from physical distancing practices – altered the expression of compassion in the HC aide-client care relationship. The findings suggest that the pandemic has further increased psychosocial job demands of HC aides. Increased isolation of clients may be contributing to a wider public health problem of elder loneliness and depression. To support the HC stakeholders during the on-going COVID-19 pandemic, for future pandemic planning or other health emergencies, it is important to improve HC aide job retention. This action could also ease the serious care services shortage among the growing population of older adults. The online version contains supplementary material available at 10.1186/s12913-021-07076-x.
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影响因子：
4.5
作者：
Markkanen P;Galligan C;Laramie A;Fisher J;Sama S;Quinn M
通讯作者：
Quinn M
影响因子：
3.4
作者：
Giebel, Clarissa;Cannon, Jacqueline;Gabbay, Mark
通讯作者：
Gabbay, Mark
影响因子：
3.5
作者：
Karlsson, Nicole D.;Markkanen, Pia K.;Quinn, Margaret M.
通讯作者：
Quinn, Margaret M.
DOI：
10.1097/jom.0b013e3180326552
发表时间：
2007-03-01
影响因子：
3.2
作者：
Markkanen, Pia;Quinn, Margaret;Laramie, Angela
通讯作者：
Laramie, Angela
影响因子：
4.1
作者：
Giebel, Clarissa;Hanna, Kerry;Gabbay, Mark
通讯作者：
Gabbay, Mark