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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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Autores principales: Martínez-Payá, Marina, Carrillo, Irene, Guilabert, Mercedes
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779143/
https://www.ncbi.nlm.nih.gov/pubmed/36554806
http://dx.doi.org/10.3390/ijerph192416919
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author Martínez-Payá, Marina
Carrillo, Irene
Guilabert, Mercedes
author_facet Martínez-Payá, Marina
Carrillo, Irene
Guilabert, Mercedes
author_sort Martínez-Payá, Marina
collection PubMed
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.
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spelling pubmed-97791432022-12-23 Lessons Learned from the COVID-19 Pandemic in Nursing Homes: A Systematic Review Martínez-Payá, Marina Carrillo, Irene Guilabert, Mercedes Int J Environ Res Public Health 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 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. MDPI 2022-12-16 /pmc/articles/PMC9779143/ /pubmed/36554806 http://dx.doi.org/10.3390/ijerph192416919 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 Review
Martínez-Payá, Marina
Carrillo, Irene
Guilabert, Mercedes
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
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_short 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
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9779143/
https://www.ncbi.nlm.nih.gov/pubmed/36554806
http://dx.doi.org/10.3390/ijerph192416919
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