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Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic

Due to its major impact on Dutch care homes for older people, the COVID-19 pandemic has presented care staff with unprecedented challenges. Studies investigating the experiences of care staff during the COVID-19 pandemic have shown its negative impact on their wellbeing. We aimed to supplement this...

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Autores principales: Dohmen, Marleen D. W., van den Eijnde, Charlotte, Thielman, Christina L. E., Lindenberg, Jolanda, Huijg, Johanna M., Abma, Tineke A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872056/
https://www.ncbi.nlm.nih.gov/pubmed/35206293
http://dx.doi.org/10.3390/ijerph19042106
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author Dohmen, Marleen D. W.
van den Eijnde, Charlotte
Thielman, Christina L. E.
Lindenberg, Jolanda
Huijg, Johanna M.
Abma, Tineke A.
author_facet Dohmen, Marleen D. W.
van den Eijnde, Charlotte
Thielman, Christina L. E.
Lindenberg, Jolanda
Huijg, Johanna M.
Abma, Tineke A.
author_sort Dohmen, Marleen D. W.
collection PubMed
description Due to its major impact on Dutch care homes for older people, the COVID-19 pandemic has presented care staff with unprecedented challenges. Studies investigating the experiences of care staff during the COVID-19 pandemic have shown its negative impact on their wellbeing. We aimed to supplement this knowledge by taking a narrative approach. We drew upon 424 personal narratives written by care staff during their work in a Dutch care home during the COVID-19 pandemic. Firstly, our results show that care staff have a relational-moral approach to good care. Residents’ wellbeing is their main focus, which they try to achieve through personal relationships within the triad of care staff–resident–significant others (SOs). Secondly, our results indicate that caregivers experience the COVID-19 mitigation measures as obstructions to relational-moral good care, as they limit residents’ wellbeing, damage the triadic care staff–residents–SOs relationship and leave no room for dialogue about good care. Thirdly, the results show that care staff experiences internal conflict when enforcing the mitigation measures, as the measures contrast with their relational-moral approach to care. We conclude that decisions about mitigation measures should be the result of a dialogic process on multiple levels so that a desired balance between practical good care and relational-moral good care can be determined.
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spelling pubmed-88720562022-02-25 Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic Dohmen, Marleen D. W. van den Eijnde, Charlotte Thielman, Christina L. E. Lindenberg, Jolanda Huijg, Johanna M. Abma, Tineke A. Int J Environ Res Public Health Article Due to its major impact on Dutch care homes for older people, the COVID-19 pandemic has presented care staff with unprecedented challenges. Studies investigating the experiences of care staff during the COVID-19 pandemic have shown its negative impact on their wellbeing. We aimed to supplement this knowledge by taking a narrative approach. We drew upon 424 personal narratives written by care staff during their work in a Dutch care home during the COVID-19 pandemic. Firstly, our results show that care staff have a relational-moral approach to good care. Residents’ wellbeing is their main focus, which they try to achieve through personal relationships within the triad of care staff–resident–significant others (SOs). Secondly, our results indicate that caregivers experience the COVID-19 mitigation measures as obstructions to relational-moral good care, as they limit residents’ wellbeing, damage the triadic care staff–residents–SOs relationship and leave no room for dialogue about good care. Thirdly, the results show that care staff experiences internal conflict when enforcing the mitigation measures, as the measures contrast with their relational-moral approach to care. We conclude that decisions about mitigation measures should be the result of a dialogic process on multiple levels so that a desired balance between practical good care and relational-moral good care can be determined. MDPI 2022-02-13 /pmc/articles/PMC8872056/ /pubmed/35206293 http://dx.doi.org/10.3390/ijerph19042106 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Dohmen, Marleen D. W.
van den Eijnde, Charlotte
Thielman, Christina L. E.
Lindenberg, Jolanda
Huijg, Johanna M.
Abma, Tineke A.
Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic
title Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic
title_full Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic
title_fullStr Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic
title_full_unstemmed Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic
title_short Good Care during COVID-19: A Narrative Approach to Care Home Staff’s Experiences of the Pandemic
title_sort good care during covid-19: a narrative approach to care home staff’s experiences of the pandemic
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8872056/
https://www.ncbi.nlm.nih.gov/pubmed/35206293
http://dx.doi.org/10.3390/ijerph19042106
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