Evidence map›Paper›PMID 34780563›Full record

ArticlePloS one2021

A qualitative assessment of factors affecting nursing home caregiving staff experiences during the COVID-19 pandemic.

Rachel L Snyder, Laura E Anderson, Katelyn A White, Stephanie Tavitian, Lucy V Fike, Heather N Jones, Kara M Jacobs-Slifka, Nimalie D Stone, Ronda L Sinkowitz-Cochran

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
10.7field-weighted citation impact, top 1% of its field
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

21 citing papers in PubMed, 42 citations in OpenAlex.

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  11. 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
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  17. Managing the Impact of COVID-19 in Nursing Homes and Long-Term Care Facilities: An Update.Journal of the American Medical Directors Association · 2022
    Article
  18. Communication Disparities between Nursing Home Team Members.International journal of environmental research and public health · 2022
    Article
  19. Article
  20. Article
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

9 authors at 1 institution in 1 country.

Rachel L SnyderDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.ORCID 0000-0001-5747-5072
Laura E AndersonDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Katelyn A WhiteDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Stephanie TavitianDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Lucy V FikeDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Heather N JonesDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Kara M Jacobs-SlifkaDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Nimalie D StoneDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Ronda L Sinkowitz-CochranDivision of Healthcare Quality Promotion, Centers for Disease Control and Prevention, Atlanta, Georgia, United States of America.
Centers for Disease Control and Prevention · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA large portion of COVID-19 cases and deaths in the United States have occurred in nursing homes; however, current literature including the frontline perspective of staff working in nursing homes is limited. The objective of this qualitative assessment was to better understand what individual and facility level factors may have contributed to the impact of COVID-19 on Certified Nursing Assistants (CNAs) and Environmental Services (EVS) staff working in nursing homes.

methodsBased on a simple random sample from the National Healthcare Safety Network (NHSN), 7,520 facilities were emailed invitations requesting one CNA and/or one EVS staff member for participation in a voluntary focus group over Zoom. Facility characteristics were obtained via NHSN and publicly available sources; participant demographics were collected via SurveyMonkey during registration and polling during focus groups. Qualitative information was coded using NVIVO and Excel.

resultsThroughout April 2021, 23 focus groups including 110 participants from 84 facilities were conducted homogenous by participant role. Staffing problems were a recurring theme reported. Participants often cited the toll the pandemic took on their emotional well-being, describing increased stress, responsibilities, and time needed to complete their jobs. The lack of consistent and systematic guidance resulting in frequently changing infection prevention protocols was also reported across focus groups.

conclusionsAddressing concerns of low wages and lack of financial incentives may have the potential to attract and retain employees to help alleviate nursing home staff shortages. Additionally, access to mental health resources could help nursing home staff cope with the emotional burden of the COVID-19 pandemic. These frontline staff members provided invaluable insight and should be included in improvement efforts to support nursing homes recovering from the impact of COVID-19 as well as future pandemic planning.

Indexed as

CaregiversNursing HomesPandemicsAdultCOVID-19FemaleHealth FacilitiesHumansMaleMiddle AgedNursing StaffRisk FactorsYoung Adult

Identifiers

PMID34780563
PMCPMC8592470
OpenAlexW3212014603

What OpenQuestion holds

Textmetadata
LicenceCC0
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.