Cargando…
Nurse Practitioners Rising to the Challenge During the Coronavirus Disease 2019 Pandemic in Long-Term Care Homes
BACKGROUND AND OBJECTIVES: There is an urgency to respond to the longstanding deficiencies in health human resources in the long-term care (LTC) home sector, which have been laid bare by the coronavirus disease 2019 (COVID-19) pandemic. Nurse practitioners (NPs) represent an efficient solution to hu...
Autores principales: | , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7989234/ https://www.ncbi.nlm.nih.gov/pubmed/33659982 http://dx.doi.org/10.1093/geront/gnab030 |
_version_ | 1783668913420107776 |
---|---|
author | McGilton, Katherine S Krassikova, Alexandra Boscart, Veronique Sidani, Souraya Iaboni, Andrea Vellani, Shirin Escrig-Pinol, Astrid |
author_facet | McGilton, Katherine S Krassikova, Alexandra Boscart, Veronique Sidani, Souraya Iaboni, Andrea Vellani, Shirin Escrig-Pinol, Astrid |
author_sort | McGilton, Katherine S |
collection | PubMed |
description | BACKGROUND AND OBJECTIVES: There is an urgency to respond to the longstanding deficiencies in health human resources in the long-term care (LTC) home sector, which have been laid bare by the coronavirus disease 2019 (COVID-19) pandemic. Nurse practitioners (NPs) represent an efficient solution to human resource challenges. During the current pandemic, many Medical Directors in LTC homes worked virtually to reduce the risk of transmission. In contrast, NPs were present for in-person care. This study aims to understand the NPs’ roles in optimizing resident care and supporting LTC staff during the pandemic. RESEARCH DESIGN AND METHODS: This exploratory qualitative study employed a phenomenological approach. A purposive sample of 14 NPs working in LTC homes in Ontario, Canada, was recruited. Data were generated using semistructured interviews and examined using thematic analysis. RESULTS: Four categories relating to the NPs’ practices and experiences during the pandemic were identified: (a) containing the spread of COVID-19, (b) stepping in where needed, (c) supporting staff and families, and (d) establishing links between fragmented systems of care by acting as a liaison. DISCUSSION AND IMPLICATIONS: The findings suggest that innovative models of care that include NPs in LTC homes are required moving forward. NPs embraced a multitude of roles in LTC homes, but the need to mitigate the spread of COVID-19 was central to how they prioritized their days. The pandemic clearly accentuated that NPs have a unique scope of practice, which positions them well to act as leaders and build capacity in LTC homes. |
format | Online Article Text |
id | pubmed-7989234 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-79892342021-04-01 Nurse Practitioners Rising to the Challenge During the Coronavirus Disease 2019 Pandemic in Long-Term Care Homes McGilton, Katherine S Krassikova, Alexandra Boscart, Veronique Sidani, Souraya Iaboni, Andrea Vellani, Shirin Escrig-Pinol, Astrid Gerontologist Special Issue: Workforce Issues in Long-Term Care BACKGROUND AND OBJECTIVES: There is an urgency to respond to the longstanding deficiencies in health human resources in the long-term care (LTC) home sector, which have been laid bare by the coronavirus disease 2019 (COVID-19) pandemic. Nurse practitioners (NPs) represent an efficient solution to human resource challenges. During the current pandemic, many Medical Directors in LTC homes worked virtually to reduce the risk of transmission. In contrast, NPs were present for in-person care. This study aims to understand the NPs’ roles in optimizing resident care and supporting LTC staff during the pandemic. RESEARCH DESIGN AND METHODS: This exploratory qualitative study employed a phenomenological approach. A purposive sample of 14 NPs working in LTC homes in Ontario, Canada, was recruited. Data were generated using semistructured interviews and examined using thematic analysis. RESULTS: Four categories relating to the NPs’ practices and experiences during the pandemic were identified: (a) containing the spread of COVID-19, (b) stepping in where needed, (c) supporting staff and families, and (d) establishing links between fragmented systems of care by acting as a liaison. DISCUSSION AND IMPLICATIONS: The findings suggest that innovative models of care that include NPs in LTC homes are required moving forward. NPs embraced a multitude of roles in LTC homes, but the need to mitigate the spread of COVID-19 was central to how they prioritized their days. The pandemic clearly accentuated that NPs have a unique scope of practice, which positions them well to act as leaders and build capacity in LTC homes. Oxford University Press 2021-02-28 /pmc/articles/PMC7989234/ /pubmed/33659982 http://dx.doi.org/10.1093/geront/gnab030 Text en © The Author(s) 2021. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial License (http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) ), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Special Issue: Workforce Issues in Long-Term Care McGilton, Katherine S Krassikova, Alexandra Boscart, Veronique Sidani, Souraya Iaboni, Andrea Vellani, Shirin Escrig-Pinol, Astrid Nurse Practitioners Rising to the Challenge During the Coronavirus Disease 2019 Pandemic in Long-Term Care Homes |
title | Nurse Practitioners Rising to the Challenge During the Coronavirus
Disease 2019 Pandemic in Long-Term Care Homes |
title_full | Nurse Practitioners Rising to the Challenge During the Coronavirus
Disease 2019 Pandemic in Long-Term Care Homes |
title_fullStr | Nurse Practitioners Rising to the Challenge During the Coronavirus
Disease 2019 Pandemic in Long-Term Care Homes |
title_full_unstemmed | Nurse Practitioners Rising to the Challenge During the Coronavirus
Disease 2019 Pandemic in Long-Term Care Homes |
title_short | Nurse Practitioners Rising to the Challenge During the Coronavirus
Disease 2019 Pandemic in Long-Term Care Homes |
title_sort | nurse practitioners rising to the challenge during the coronavirus
disease 2019 pandemic in long-term care homes |
topic | Special Issue: Workforce Issues in Long-Term Care |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7989234/ https://www.ncbi.nlm.nih.gov/pubmed/33659982 http://dx.doi.org/10.1093/geront/gnab030 |
work_keys_str_mv | AT mcgiltonkatherines nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes AT krassikovaalexandra nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes AT boscartveronique nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes AT sidanisouraya nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes AT iaboniandrea nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes AT vellanishirin nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes AT escrigpinolastrid nursepractitionersrisingtothechallengeduringthecoronavirusdisease2019pandemicinlongtermcarehomes |