Evidence map›Paper›PMID 33659982›Full record

ArticleThe Gerontologist2021

Nurse Practitioners Rising to the Challenge During the Coronavirus Disease 2019 Pandemic in Long-Term Care Homes.

Katherine S McGilton, Alexandra Krassikova, Veronique Boscart, Souraya Sidani, Andrea Iaboni, Shirin Vellani, Astrid Escrig-Pinol

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Gerontologist, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  9. Review
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  12. Experiences of Healthcare Workers in Long-Term Care during COVID-19: A Scoping Review.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2023
    Article
  13. Review
  14. Long-Term Care and the COVID-19 Pandemic: Lessons Learned.The Nursing clinics of North America · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Nurse Practitioners Navigating the Consequences of Directives, Policies, and Recommendations Related to the COVID-19 Pandemic in Long-Term Care Homes.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2022
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  19. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Katherine S McGiltonKITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0003-2470-9738
Alexandra KrassikovaKITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-9828-1231
Veronique BoscartSchlegel Centre for Advancing Seniors Care, Kitchener, Ontario, Canada.
Souraya SidaniDaphne Cockwell School of Nursing, Ryerson University, Toronto, Ontario, Canada.
Andrea IaboniKITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0003-4268-6832
Shirin VellaniKITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.ORCID 0000-0001-6032-0266
Astrid Escrig-PinolKITE, Toronto Rehabilitation Institute, University Health Network, Toronto, Ontario, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesThere is an urgency to respond to the longstanding deficiencies in health human resources in the long-term care (LTC) home sector, which have been laid bare by the coronavirus disease 2019 (COVID-19) pandemic. Nurse practitioners (NPs) represent an efficient solution to human resource challenges. During the current pandemic, many Medical Directors in LTC homes worked virtually to reduce the risk of transmission. In contrast, NPs were present for in-person care. This study aims to understand the NPs' roles in optimizing resident care and supporting LTC staff during the pandemic. RESEARCH DESIGN AND

methodsThis exploratory qualitative study employed a phenomenological approach. A purposive sample of 14 NPs working in LTC homes in Ontario, Canada, was recruited. Data were generated using semistructured interviews and examined using thematic analysis.

resultsFour categories relating to the NPs' practices and experiences during the pandemic were identified: (a) containing the spread of COVID-19, (b) stepping in where needed, (c) supporting staff and families, and (d) establishing links between fragmented systems of care by acting as a liaison. DISCUSSION AND IMPLICATIONS: The findings suggest that innovative models of care that include NPs in LTC homes are required moving forward. NPs embraced a multitude of roles in LTC homes, but the need to mitigate the spread of COVID-19 was central to how they prioritized their days. The pandemic clearly accentuated that NPs have a unique scope of practice, which positions them well to act as leaders and build capacity in LTC homes.

Indexed as

COVID-19Nurse PractitionersHumansLong-Term CareOntarioPandemicsSARS-CoV-2COVID-19Models of careNurse practitionersNursing homes

Identifiers

PMID33659982
PMCPMC7989234

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.