A Phenomenological Study of Nursing Home Residents' Experience During the COVID-19 Pandemic: Lessons Learned.

BACKGROUND

The COVID-19 pandemic has inflicted widespread fear and distress on older populations globally. As highlighted by the World Health Organization, those residing in nursing homes are especially at risk due to the communal living arrangements and the high prevalence of chronic health conditions among residents. Because of the increased vulnerability of nursing home residents, harsher restrictive measures, such as social isolation, were implemented as part of infection control strategies, with a particular emphasis on reducing mortality rates and limiting the spread of disease. As a result of social isolation, older residents experienced feelings of loneliness that have been shown to be associated with many deleterious physical and mental health consequences. Despite the abundance of literature about the COVID-19 pandemic, little is known about how older residents themselves experienced this crisis. This phenomenological study explored the lived experiences of nursing home residents during the COVID-19 pandemic to uncover lessons for future care and preparedness.

AIM: This study aims to explore the impact of COVID-19 restrictions on the lives of nursing home residents, with particular emphasis on their perceptions of how social isolation has influenced their overall well-being. Additionally, it seeks to uncover key lessons learned from the pandemic experience.

DESIGN

Descriptive phenomenological research methodology.

METHODS

Semi-structured in-depth interviews were conducted with 14 older residents. Data were analyzed using thematic analysis following a general inductive approach.

RESULTS

Four themes emerged from analysis of data: Embedding resilience, decreased connectedness with loved ones, using spiritual and religious practices, and reminiscing on their past experiences.

IMPLICATIONS: This study offers new qualitative insights into how older adults have managed and adapted during the COVID-19 pandemic highlighting the importance of centering residents' voices in long-term care policies and emphasizing the need for holistic, person-centered approaches in times of crisis. Lessons learned from this study can inform more compassionate and responsive practices in nursing homes during future public health emergencies.The findings also lay the foundation for developing evidence-based interventions aimed at enhancing positive coping mechanisms and resilience among older residents and informing clinical intervention measures tailored for this population.Reporting Method:Two standards were followed for reporting this study: Standards for Reporting Qualitative Research (SRQR) and Consolidated Criteria for Reporting Qualitative Research (COREQ).