Evidence map›Paper›PMID 34806233›Full record

ArticleHealth & social care in the community2022

Taking the 'care' out of care homes: The moral dilemma of institutional long-term care provision during COVID-19.

Clarissa Giebel, Kerry Hanna, Jacqueline Cannon, Justine Shenton, Stephen Mason, Hilary Tetlow, Paul Marlow, Manoj Rajagopal, Mark Gabbay

Abstract read
In one paragraph

Article in Health & social care in the community, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Residential Environment Assessment by Older Adults in Nursing Homes during COVID-19 Outbreak.International journal of environmental research and public health · 2022
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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

9 authors.

Clarissa GiebelDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.ORCID 0000-0002-0746-0566
Kerry HannaDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
Jacqueline CannonLewy Body Society, Wigan, UK.
Justine ShentonSefton Advocacy, Sefton, UK.
Stephen MasonPalliative Care Unit, University of Liverpool, Liverpool, UK.
Hilary TetlowSURF Liverpool, Liverpool, UK.
Paul MarlowNIHR ARC NWC, Liverpool, UK.
Manoj RajagopalLancashire & South Cumbria NHS Trust, Lancaster, UK.
Mark GabbayDepartment of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Little is known on how the pandemic has changed care home care delivery. The aim of this study was to explore the impact of COVID-19 on care provision and visits in care homes from staff and family members' perspectives. For this purpose, we conducted a telephone- and zoom-based qualitative semi-structured interview study. Care home staff and family carers of people living with dementia (PLWD) across the UK were recruited via convenience sampling and participated via telephone or online. Participants took part in a semi-structured remote interview. Data were collected between October and November 2020. Anonymised transcripts were analysed separately by two research team members using thematic analysis, with codes discussed and themes generated jointly, supported by research team input. 42 participants (26 family carers and 16 care home staff) took part. Five themes were generated: (a) Care home reputation and financial implications; (b) Lack of care; (c) Communication or lack thereof; (d) Visiting rights/changes based on residents' needs; (e) Deterioration of residents. With a lack of clear guidance throughout the pandemic, care homes delivered care differently with disparities in the levels and types of visiting allowed for family members. Lack of communication between care homes and family members, but also government and care homes, led to family carers feeling excluded and concerned about the well-being of their relative. Improved communication and clear guidance for care homes and the public are required to negate the potentially damaging effects of COVID-19 restrictions upon residents, their families and the carers who support them.

Indexed as

COVID-19Nursing HomesFamilyHumansLong-Term CareMoralscare deliverycare homesCOVID-19dementianursingstaff

Identifiers

PMID34806233
PMCPMC9011824

What OpenQuestion holds

Textmetadata
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.