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      Experiences of residents, family members and staff in residential care settings for older people during COVID‐19: A mixed methods study

      research-article
      , RGN, BSc, PhD 1 , , , BSc, MSc, PhD 1 , , RGN, MSc, PhD 1 , , RGN, BSc, PhD 1 , , BA, MSc, D.Ed 1 , , MSc 2 , , MSc, PhD 1
      Journal of Nursing Management
      John Wiley and Sons Inc.
      COVID‐19—Impact and experiences, nursing management, older people, residential care settings

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Abstract

          Aim

          The aim of this study was to explore the COVID‐19 pandemic as it was experienced by people on the front line in residential care settings for older people in the Republic of Ireland (ROI).

          Background

          The COVID‐19 pandemic had a disproportionate effect in residential care settings for older people in Ireland.

          Methods

          A two‐phased mixed methods study was conducted, consisting of an online survey administered shortly after the first wave of the virus to staff, residents and family members and one‐to‐one interviews with family members shortly after wave 2 of the virus.

          Results

          Isolation, loss of connectedness as well as a reduction in the level/quality of care provision led to significant adverse impacts for both residents and their families. Staff reported high levels of stress, trauma and burnout. Family input to care was suspended, with adverse consequences.

          Conclusion

          The pandemic had an extremely adverse impact on residents, family members and staff in care settings for older people.

          Implications for Nursing Management

          Strategies to ensure that residents' physical, emotional and social needs and staffs' professional and personal needs are appropriately supported during future waves of the pandemic should now be implemented.

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          Most cited references18

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          The psychological impact of quarantine and how to reduce it: rapid review of the evidence

          Summary The December, 2019 coronavirus disease outbreak has seen many countries ask people who have potentially come into contact with the infection to isolate themselves at home or in a dedicated quarantine facility. Decisions on how to apply quarantine should be based on the best available evidence. We did a Review of the psychological impact of quarantine using three electronic databases. Of 3166 papers found, 24 are included in this Review. Most reviewed studies reported negative psychological effects including post-traumatic stress symptoms, confusion, and anger. Stressors included longer quarantine duration, infection fears, frustration, boredom, inadequate supplies, inadequate information, financial loss, and stigma. Some researchers have suggested long-lasting effects. In situations where quarantine is deemed necessary, officials should quarantine individuals for no longer than required, provide clear rationale for quarantine and information about protocols, and ensure sufficient supplies are provided. Appeals to altruism by reminding the public about the benefits of quarantine to wider society can be favourable.
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            Systematic methodological review: developing a framework for a qualitative semi-structured interview guide.

            To produce a framework for the development of a qualitative semi-structured interview guide.
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              Covid‐19: Supporting nurses’ psychological and mental health

              Abstract At the time of writing (11th April 2020) there are 1.72 million Covid‐19 infections and 104,889 deaths worldwide. In the UK the first recorded death was on the 5th of March 2020 and in just 37 days 9,875 deaths in hospital have been recorded. The 10th of April saw the highest number of UK daily deaths (980) to date. These UK figures do not include those who died in care homes or in the community. Similar death rates have been experienced in China earlier this year (3,339) and are rising globally with particularly high death rates in the US (18,761 with over half of deaths in New York State), Italy (18,939), Spain (16,353) and France (13,197).
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                Author and article information

                Contributors
                Role: Head of School of Nursing, Psychotherapy and Community Health at DCU and Associate Prof Health Systems/Public Health Researchmaryrose.sweeney@dcu.ie
                Role: Post‐Doctoral Researcher
                Role: Assistant Professor in Nursing
                Role: Assistant Professor in Nursing
                Role: Associate Professor in Nursing
                Role: Technical Officer, School of Psychology, DCU
                Role: Professor of Health Systems Research, DCU
                Journal
                J Nurs Manag
                J Nurs Manag
                10.1111/(ISSN)1365-2834
                JONM
                Journal of Nursing Management
                John Wiley and Sons Inc. (Hoboken )
                0966-0429
                1365-2834
                20 March 2022
                May 2022
                20 March 2022
                : 30
                : 4 ( doiID: 10.1111/jonm.v30.4 )
                : 872-882
                Affiliations
                [ 1 ] School of Nursing, Psychotherapy and Community Health Dublin City University Dublin Ireland
                [ 2 ] School of Psychology Dublin City University Dublin Ireland
                Author notes
                [*] [* ] Correspondence

                Mary Rose Sweeney, School of Nursing, Psychotherapy and Community Health, Dublin City University, Dublin, Ireland.

                Email: maryrose.sweeney@ 123456dcu.ie

                Author information
                https://orcid.org/0000-0001-7469-4568
                Article
                JONM13574
                10.1111/jonm.13574
                9115212
                35246894
                26906ebf-54e9-405a-9b23-190af04ec816
                © 2022 The Authors. Journal of Nursing Management published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.

                History
                : 22 February 2022
                : 16 November 2021
                : 01 March 2022
                Page count
                Figures: 6, Tables: 1, Pages: 11, Words: 6919
                Categories
                Original Article
                Original Articles
                Custom metadata
                2.0
                May 2022
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.1.6 mode:remove_FC converted:18.05.2022

                covid‐19—impact and experiences,nursing management,older people,residential care settings

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