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Nurse Practitioners Navigating the Consequences of Directives, Policies, and Recommendations Related to the COVID-19 Pandemic in Long-Term Care Homes.
McGilton, Katherine S; Krassikova, Alexandra; Wills, Aria; Durante, Vanessa; Yeung, Lydia; Vellani, Shirin; Sidani, Souraya; Escrig-Pinol, Astrid.
Affiliation
  • McGilton KS; KITE, 7961Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
  • Krassikova A; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
  • Wills A; KITE, 7961Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
  • Durante V; Rehabilitation Sciences Institute, Faculty of Medicine, University of Toronto, Toronto, ON, Canada.
  • Yeung L; KITE, 7961Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
  • Vellani S; Lawrence S. Bloomberg Faculty of Nursing, University of Toronto, Toronto, ON, Canada.
  • Sidani S; KITE, 7961Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
  • Escrig-Pinol A; KITE, 7961Toronto Rehabilitation Institute - University Health Network, Toronto, ON, Canada.
J Appl Gerontol ; 41(11): 2296-2306, 2022 11.
Article in En | MEDLINE | ID: mdl-35758019
ABSTRACT

OBJECTIVES:

New models for the workforce are required in long-term care (LTC) homes, as was made evident during the Coronavirus Disease 2019 (COVID-19) pandemic. Nurse Practitioner (NP)-led models of care represent an effective solution. This study explored NPs' roles in supporting LTC homes as changes in directives, policies, and recommendations related to COVID-19 were introduced.

DESIGN:

Qualitative exploratory study. CONTEXT Thirteen NPs working in LTC homes in Ontario, Canada.

METHODS:

Semi-structured interviews were conducted in March/April 2021. A five-step inductive thematic analysis was applied.

FINDINGS:

Analysis generated four themes leading the COVID-19 vaccine rollout; promoting staff wellbeing related to COVID-19 fatigue; addressing complexities of new admissions; and negotiating evolving collaborative relationships.

CONCLUSIONS:

Nurse practitioners were instrumental in supporting LTC homes through COVID-19 regulatory changes producing unintended consequences. The NPs' leadership in transforming care is equally essential in LTC homes as in other established healthcare settings, such as primary and acute care.
Subject(s)
Key words

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: COVID-19 / Nurse Practitioners Type of study: Prognostic_studies / Qualitative_research Limits: Humans Country/Region as subject: America do norte Language: En Journal: J Appl Gerontol Year: 2022 Type: Article Affiliation country: Canada

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: COVID-19 / Nurse Practitioners Type of study: Prognostic_studies / Qualitative_research Limits: Humans Country/Region as subject: America do norte Language: En Journal: J Appl Gerontol Year: 2022 Type: Article Affiliation country: Canada