A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic

<h4>Background</h4> A large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better u...

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Autores principales:	Rachel L. Snyder, Laura E. Anderson, Katelyn A. White, Stephanie Tavitian, Lucy V. Fike, Heather N. Jones, Kara M. Jacobs-Slifka, Nimalie D. Stone, Ronda L. Sinkowitz-Cochran
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/e2bcec8018d34171887a90e3da785850
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spelling	oai:doaj.org-article:e2bcec8018d34171887a90e3da7858502021-11-25T06:10:54ZA qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic1932-6203https://doaj.org/article/e2bcec8018d34171887a90e3da7858502021-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8592470/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4> A large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better understand what individual and facility level factors may have contributed to the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff working in nursing homes. <h4>Methods</h4> Based on a simple random sample from the National Healthcare Safety Network (NHSN), 7,520 facilities were emailed invitations requesting one CNA and/or one EVS staff member for participation in a voluntary focus group over Zoom. Facility characteristics were obtained via NHSN and publicly available sources; participant demographics were collected via SurveyMonkey during registration and polling during focus groups. Qualitative information was coded using NVIVO and Excel. <h4>Results</h4> Throughout April 2021, 23 focus groups including 110 participants from 84 facilities were conducted homogenous by participant role. Staffing problems were a recurring theme reported. Participants often cited the toll the pandemic took on their emotional well-being, describing increased stress, responsibilities, and time needed to complete their jobs. The lack of consistent and systematic guidance resulting in frequently changing infection prevention protocols was also reported across focus groups. <h4>Conclusions</h4> Addressing concerns of low wages and lack of financial incentives may have the potential to attract and retain employees to help alleviate nursing home staff shortages. Additionally, access to mental health resources could help nursing home staff cope with the emotional burden of the COVID-19 pandemic. These frontline staff members provided invaluable insight and should be included in improvement efforts to support nursing homes recovering from the impact of COVID-19 as well as future pandemic planning.Rachel L. SnyderLaura E. AndersonKatelyn A. WhiteStephanie TavitianLucy V. FikeHeather N. JonesKara M. Jacobs-SlifkaNimalie D. StoneRonda L. Sinkowitz-CochranPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 11 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Rachel L. Snyder Laura E. Anderson Katelyn A. White Stephanie Tavitian Lucy V. Fike Heather N. Jones Kara M. Jacobs-Slifka Nimalie D. Stone Ronda L. Sinkowitz-Cochran A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic
description	<h4>Background</h4> A large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better understand what individual and facility level factors may have contributed to the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff working in nursing homes. <h4>Methods</h4> Based on a simple random sample from the National Healthcare Safety Network (NHSN), 7,520 facilities were emailed invitations requesting one CNA and/or one EVS staff member for participation in a voluntary focus group over Zoom. Facility characteristics were obtained via NHSN and publicly available sources; participant demographics were collected via SurveyMonkey during registration and polling during focus groups. Qualitative information was coded using NVIVO and Excel. <h4>Results</h4> Throughout April 2021, 23 focus groups including 110 participants from 84 facilities were conducted homogenous by participant role. Staffing problems were a recurring theme reported. Participants often cited the toll the pandemic took on their emotional well-being, describing increased stress, responsibilities, and time needed to complete their jobs. The lack of consistent and systematic guidance resulting in frequently changing infection prevention protocols was also reported across focus groups. <h4>Conclusions</h4> Addressing concerns of low wages and lack of financial incentives may have the potential to attract and retain employees to help alleviate nursing home staff shortages. Additionally, access to mental health resources could help nursing home staff cope with the emotional burden of the COVID-19 pandemic. These frontline staff members provided invaluable insight and should be included in improvement efforts to support nursing homes recovering from the impact of COVID-19 as well as future pandemic planning.
format	article
author	Rachel L. Snyder Laura E. Anderson Katelyn A. White Stephanie Tavitian Lucy V. Fike Heather N. Jones Kara M. Jacobs-Slifka Nimalie D. Stone Ronda L. Sinkowitz-Cochran
author_facet	Rachel L. Snyder Laura E. Anderson Katelyn A. White Stephanie Tavitian Lucy V. Fike Heather N. Jones Kara M. Jacobs-Slifka Nimalie D. Stone Ronda L. Sinkowitz-Cochran
author_sort	Rachel L. Snyder
title	A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic
title_short	A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic
title_full	A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic
title_fullStr	A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic
title_full_unstemmed	A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic
title_sort	qualitative assessment of factors affecting nursing home caregiving staff experiences during the covid-19 pandemic
publisher	Public Library of Science (PLoS)
publishDate	2021
url	https://doaj.org/article/e2bcec8018d34171887a90e3da785850
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A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic

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