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Long-term care facilities' response to the COVID-19 pandemic: An international, cross-sectional survey

  • Sameh Eltaybani
  • , Ayumi Igarashi
  • , Ayse Cal
  • , Claudia K.Y. Lai
  • , Cristina Carrasco
  • , Dianis Wulan Sari
  • , Eunhee Cho
  • , Gørill Haugan
  • , Jorge D. Bravo
  • , Nesreen A. Abouzeid
  • , Patrick Alexander Wachholz
  • , Sang arun Isaramalai
  • , Shaimaa Samir Dawood
  • , Yannis Pappas
  • , Abeer Abd El Galeel Abd El Moneam
  • , Ana Beatriz Rodríguez
  • , Bader A. Alqahtani
  • , Catarina Lino Neto Pereira
  • , Cathrine Ragna Solheim Jenssen
  • , Doris S.F. Yu
  • Fatma Refaat Ahmed, Felismina Rosa P. Mendes, Gurch Randhawa, Hanaa Abou El soued Hussein Ahmed, Haruno Suzuki, Hery Prambudi, Ilknur Aydin Avci, Imam Waluyo, Irma Nurbaeti, Jitka Vseteckova, Joanna Kathryn Horne, Justina Yw Liu, Kari Ingstad, Kosuke Kashiwabara, Louise Grant, Maha Mohammed Abd El Moniem, Mariko Sakka, Mohamed Ezzelregal Abdelgawad, Muhammad Arsyad Subu, Nichola Kentzer, Noura A. Almadani, Pablo Tomas-Carus, Renata Cunha Matheus Rodrigues Garcia, Retno Indarwati, Sonthaya Maneerat, Wai Tong Chien, Yuko Amamiya, Yuri Wanderley Cavalcanti, Noriko Yamamoto-Mitani
  • The University of Tokyo
  • Ankara Medipol University
  • Hong Kong Polytechnic University
  • University of Extremadura
  • Universitas Airlangga
  • Yonsei University
  • Norwegian University of Science and Technology
  • Nord University
  • University of Évora
  • Princess Nourah Bint Abdulrahman University
  • Alexandria University
  • Universidade Estadual Paulista Júlio de Mesquita Filho
  • Prince of Songkla University
  • University of Bedfordshire
  • The University of Hong Kong
  • University of Sharjah
  • An Nasher Institute of Healh Sciences
  • Ondokuz Mayis University
  • Padma Kumara Foundation and Consultant International
  • Syarif Hidayatullah State Islamic University
  • Open University Milton Keynes
  • University of Tsukuba
  • University of Sharjah
  • Universidade Estadual de Campinas
  • Praboromarajchanok Institute
  • Chinese University of Hong Kong
  • Chiba Prefectural University of Health Sciences
  • Universidade Federal da Paraíba

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Aims: To (i) assess the adherence of long-term care (LTC) facilities to the COVID-19 prevention and control recommendations, (ii) identify predictors of this adherence and (iii) examine the association between the adherence level and the impact of the pandemic on selected unfavourable conditions. Design: Cross-sectional survey. Methods: Managers (n = 212) and staff (n = 2143) of LTC facilities (n = 223) in 13 countries/regions (Brazil, Egypt, England, Hong Kong, Indonesia, Japan, Norway, Portugal, Saudi Arabia, South Korea, Spain, Thailand and Turkey) evaluated the adherence of LTC facilities to COVID-19 prevention and control recommendations and the impact of the pandemic on unfavourable conditions related to staff, residents and residents' families. The characteristics of participants and LTC facilities were also gathered. Data were collected from April to October 2021. The study was reported following the STROBE guidelines. Results: The adherence was significantly higher among facilities with more pre-pandemic in-service education on infection control and easier access to information early in the pandemic. Residents' feelings of loneliness and feeling down were the most affected conditions by the pandemic. More psychological support to residents was associated with fewer residents' aggressive behaviours, and more psychological support to staff was associated with less work–life imbalance. Conclusions: Pre-pandemic preparedness significantly shaped LTC facilities' response to the pandemic. Adequate psychological support to residents and staff might help mitigate the negative impacts of infection outbreaks. Impact: This is the first study to comprehensively examine the adherence of LTC facilities to COVID-19 prevention and control recommendations. The results demonstrated that the adherence level was significantly related to pre-pandemic preparedness and that adequate psychological support to staff and residents was significantly associated with less negative impacts of the pandemic on LTC facilities' staff and residents. The results would help LTC facilities prepare for and respond to future infection outbreaks. Patient or public contribution: No Patient or Public Contribution.

Original languageEnglish
Pages (from-to)350-365
Number of pages16
JournalJournal of Advanced Nursing
Volume80
Issue number1
DOIs
StatePublished - Jan 2024

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • COVID-19
  • adherence
  • aged
  • compliance
  • long-term care
  • multilevel analysis
  • older adults

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