Evidence map›Paper›PMID 35314604›Full record

ArticleGeriatrics (Basel, Switzerland)2022

Disaster Response in Italian Nursing Homes: A Qualitative Study during the COVID-19 Pandemic.

Barbara Plagg, Giuliano Piccoliori, Adolf Engl, Christian J Wiedermann, Angelika Mahlknecht, Verena Barbieri, Dietmar Ausserhofer, Peter Koler, Sara Tauber, Manuela Lechner and 3 more

Open access · goldAbstract read
In one paragraph

Article in Geriatrics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. 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

13 authors at 3 institutions in 2 countries.

Barbara PlaggInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.ORCID 0000-0002-6116-7504
Giuliano PiccolioriInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.
Adolf EnglInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.
Christian J WiedermannInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.ORCID 0000-0002-4639-8195
Angelika MahlknechtInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.
Verena BarbieriInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.
Dietmar AusserhoferInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.
Peter KolerNonprofit Organization Forum Prevention, 39100 Bolzano, Italy.
Sara TauberNonprofit Organization Forum Prevention, 39100 Bolzano, Italy.
Manuela LechnerNonprofit Organization Forum Prevention, 39100 Bolzano, Italy.
Walter A LorenzDepartment of Applied Social Sciences, Faculty of Humanities, Charles University, 182 00 Prague, Czech Republic.ORCID 0000-0001-8762-6644
Andreas ConcaDepartment of Psychiatry, Bolzano Central Hospital, 39100 Bolzano, Italy.
Klaus EisendleInstitute of General Practice and Public Health, Provincial College for Health Professions Claudiana, 39100 Bolzano, Italy.ORCID 0000-0002-8234-9964
Ospedale di Bolzano · ITCharles University · CZFree University of Bozen-Bolzano · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nursing homes (NHs) have been among the care settings most affected by both the virus itself and collateral damage through infection protection and control measures (IPC). However, there is a paucity of research regarding disaster response and preparedness of these institutions. The present study aimed to analyze disaster response and management and to develop prospective strategies for disaster management in NHs. A qualitative survey including (i) residents, (ii) nursing staff, (iii) relatives of residents, and (iv) NHs' medical leads was performed. Data were collected by 45 in-depth interviews. Our results indicate that the shift from resident-centered care towards collective-protective approaches led through the suspending of established care principles to an emergency vacuum: implementable strategies were lacking and the subsequent development of temporary, immediate, and mostly suboptimal solutions by unprepared staff led to manifold organizational, medical, and ethical conflicts against the background of unclear legislation, changing protocols, and fear of legal consequences. IPC measures had long-lasting effects on the health and wellbeing of residents, relatives, and professionals. Without disaster preparedness protocols and support in decision-making during disasters, professionals in NHs are hardly able to cope with emergency situations.

Indexed as

disaster managementdisaster preparednessinfection prevention and control measuresnursing home careprevention

Identifiers

PMID35314604
PMCPMC8938780
OpenAlexW4220742394

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.