Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.

Nursing homes are one of the hardest-hit environments in terms of mortality from COVID-19. Given the reactive management of the pandemic, it is necessary to reflect on, and answer, the question as to which good practices (interventions) were implemented in care homes (population) to improve manageme...

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Detalles Bibliográficos
Autores: Martínez-Payá M, Carrillo I, Guilabert M
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:España
Institución:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
Repositorio:r-FISABIO. Repositorio Institucional de Producción Científica
OAI Identifier:oai:fisabio.fundanetsuite.com:p14798
Acceso en línea:https://fisabio.portalinvestigacion.com/publicaciones/14798
Access Level:acceso abierto
Palabra clave:COVID-19
long-term care
nursing homes
pandemic
residential facilities
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spelling Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.Martínez-Payá MCarrillo IGuilabert MCOVID-19long-term carenursing homespandemicresidential facilitiesNursing homes are one of the hardest-hit environments in terms of mortality from COVID-19. Given the reactive management of the pandemic, it is necessary to reflect on, and answer, the question as to which good practices (interventions) were implemented in care homes (population) to improve management and care quality (outcomes). This systematic review aimed to identify and describe good practices adopted in care homes during the COVID-19 pandemic or other recent epidemics. We conducted searches in Embase, PubMed, ScienceDirect, ProQuest Central, and Scopus over the period 1-30 November, 2021, using the descriptors "nursing homes", "long-term care", "long-term care facilities" and "COVID-19"; and the keywords "learnings", "lessons", "positive learnings", "positive lessons", "SARS", "MERS", "COVID-19" and "pandemic". We identified 15 papers describing 14 best practices and 26 specific actions taken for COVID-19 management in long-term care facilities. Following the IDEF methodology, the practices were classified into strategic processes (staff training, communication with the national health system, person-centered care, and protocols), operational processes (cohorts, diagnostic testing, case monitoring, personal protective equipment, staff reinforcement, restriction of visits, social distancing, and alternative means for communication with families) and support processes (provision of equipment and hygiene reinforcement). Fifty percent of practices were likely to be maintained beyond the outbreak to improve the operation and quality of the long-term care facilities. This review summarizes the most common measures adopted to manage the COVID-19 pandemic in the context of increased vulnerability and highlights the deficiencies that must be addressed.MDPI2022info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttps://fisabio.portalinvestigacion.com/publicaciones/14798International Journal of Environmental Research and Public HealthISSN: 16617827ISSNe: 16604601reponame:r-FISABIO. Repositorio Institucional de Producción Científicainstname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)Inglésinfo:eu-repo/semantics/openAccessoai:fisabio.fundanetsuite.com:p147982026-06-11T12:45:17Z
dc.title.none.fl_str_mv Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
title Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
spellingShingle Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
Martínez-Payá M
COVID-19
long-term care
nursing homes
pandemic
residential facilities
title_short Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
title_full Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
title_fullStr Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
title_full_unstemmed Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
title_sort Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review.
dc.creator.none.fl_str_mv Martínez-Payá M
Carrillo I
Guilabert M
author Martínez-Payá M
author_facet Martínez-Payá M
Carrillo I
Guilabert M
author_role author
author2 Carrillo I
Guilabert M
author2_role author
author
dc.subject.none.fl_str_mv COVID-19
long-term care
nursing homes
pandemic
residential facilities
topic COVID-19
long-term care
nursing homes
pandemic
residential facilities
description Nursing homes are one of the hardest-hit environments in terms of mortality from COVID-19. Given the reactive management of the pandemic, it is necessary to reflect on, and answer, the question as to which good practices (interventions) were implemented in care homes (population) to improve management and care quality (outcomes). This systematic review aimed to identify and describe good practices adopted in care homes during the COVID-19 pandemic or other recent epidemics. We conducted searches in Embase, PubMed, ScienceDirect, ProQuest Central, and Scopus over the period 1-30 November, 2021, using the descriptors "nursing homes", "long-term care", "long-term care facilities" and "COVID-19"; and the keywords "learnings", "lessons", "positive learnings", "positive lessons", "SARS", "MERS", "COVID-19" and "pandemic". We identified 15 papers describing 14 best practices and 26 specific actions taken for COVID-19 management in long-term care facilities. Following the IDEF methodology, the practices were classified into strategic processes (staff training, communication with the national health system, person-centered care, and protocols), operational processes (cohorts, diagnostic testing, case monitoring, personal protective equipment, staff reinforcement, restriction of visits, social distancing, and alternative means for communication with families) and support processes (provision of equipment and hygiene reinforcement). Fifty percent of practices were likely to be maintained beyond the outbreak to improve the operation and quality of the long-term care facilities. This review summarizes the most common measures adopted to manage the COVID-19 pandemic in the context of increased vulnerability and highlights the deficiencies that must be addressed.
publishDate 2022
dc.date.none.fl_str_mv 2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://fisabio.portalinvestigacion.com/publicaciones/14798
url https://fisabio.portalinvestigacion.com/publicaciones/14798
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv International Journal of Environmental Research and Public Health
ISSN: 16617827
ISSNe: 16604601
reponame:r-FISABIO. Repositorio Institucional de Producción Científica
instname:Fundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat Valenciana (FISABIO)
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collection r-FISABIO. Repositorio Institucional de Producción Científica
repository.name.fl_str_mv
repository.mail.fl_str_mv
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