Geriatric nursing (New York, N.Y.) · 2026
Protecting long-term care facilities in the next pandemic: Lessons regarding visitation and activity restrictions during COVID-19.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Xu Shengjia, Ge Yimin, Capron Alexander M, Hlávka Jakub P
Аннотация
AIMS: To examine nursing home restrictions in the US during COVID-19 in light of staff and resident/family attitudes and of bioethical principles.
DESIGN: Online survey of nursing home leaders (e.g., facility administrators, medical directors, directors of nursing, and other managerial staff).
DATA SOURCES: Nursing home leaders from 48 states and the District of Columbia were surveyed between October 2022 and May 2023.
RESULTS: Federal, state, and local regulations were the key factors in the policies facilities implemented (92% of facilities rated them "very important."). "Non-maleficence" and "beneficence" were the primary ethical considerations in initial and revised restrictions, although over time "autonomy" and "justice" became more significant. Staff and residents/caregivers generally regarded strict restrictions on visitation and contact unfavorably.
CONCLUSION: Nursing homes reported challenges in implementing standardized restrictions due to a lack of facility-level discretion and the ethical dilemmas these directives created. When promulgating restrictions on long-term care, public health officials should balance safety with psychosocial well-being, permit greater local flexibility in policies, and conduct follow-up studies on the restrictions' enduring effects.
IMPLICATIONS: This study highlights the ethical dilemmas staff faced in balancing infection control with residents' well-being. Greater discretion in policy implementation and expanded psychosocial support for residents and caregivers should be integral to pandemic preparedness.
DESIGN: Online survey of nursing home leaders (e.g., facility administrators, medical directors, directors of nursing, and other managerial staff).
DATA SOURCES: Nursing home leaders from 48 states and the District of Columbia were surveyed between October 2022 and May 2023.
RESULTS: Federal, state, and local regulations were the key factors in the policies facilities implemented (92% of facilities rated them "very important."). "Non-maleficence" and "beneficence" were the primary ethical considerations in initial and revised restrictions, although over time "autonomy" and "justice" became more significant. Staff and residents/caregivers generally regarded strict restrictions on visitation and contact unfavorably.
CONCLUSION: Nursing homes reported challenges in implementing standardized restrictions due to a lack of facility-level discretion and the ethical dilemmas these directives created. When promulgating restrictions on long-term care, public health officials should balance safety with psychosocial well-being, permit greater local flexibility in policies, and conduct follow-up studies on the restrictions' enduring effects.
IMPLICATIONS: This study highlights the ethical dilemmas staff faced in balancing infection control with residents' well-being. Greater discretion in policy implementation and expanded psychosocial support for residents and caregivers should be integral to pandemic preparedness.