Artikel
COVID-19 pandemic: challenges, strategies and consequences for direct nursing home care – multi-centre qualitative study
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Autoren
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Marco Sander
- Institute of Nursing Science, Medical Faculty, University of Cologne, Cologne, Germany
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A. Bieber
- Institute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
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A. Dammermann
- Institute of Social Medicine and Epidemiology, Nursing Research Unit, University of Lübeck, Lübeck, Germany
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S. Fleischer
- Institute for Health and Nursing Science, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany
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S. Köpke
- Institute of Nursing Science, Medical Faculty, University of Cologne, Cologne, Germany
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M. N. Dichter
- Institute of Nursing Science, Medical Faculty, University of Cologne, Cologne, Germany
| Veröffentlicht: | 5. Juli 2021 |
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Gliederung
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Background: In early 2020, German care homes had to adapt their practice in response to the COVID-19 pandemic facing outbreaks among residents and staff. New infection control guidelines and policies had to be implemented instantaneously.
Objectives: To examine the challenges, strategies and consequences of the pandemic in direct nursing home care from the perspective of nursing home managers and head nurses.
Design and methods: Cross-sectional qualitative design. Nursing home managers and head nurses throughout Germany were interviewed via telephone. Data analysis was carried out using the thematic framework analysis according to Ritchie and Spencer.
Results: From April to June 2020, 78 interviews (40 with nursing home managers and 38 with head nurses from 43 nursing homes) were conducted. Results show that the pandemic was accompanied by various challenges for direct care. These include additional workload due to the implementation of new guidelines, enabling social contacts for residents, and communication while using personal protective equipment. The pandemic led to anxiety and an increased need for communication among residents, relatives, and nursing home staff.
Conclusions: Nursing homes were faced with multiple challenges that were addressed with various adaptations of direct care for residents, relatives and nursing home staff. Based on the study, recommendations can be made for future situations that require the rapid implementation of infection control measures during a pandemic.
Declaration of potential conflict of interest: All authors declare no conflict of interest.
