Nurse practitioner led implementation of huddles for staff in long term care homes during the COVID-19 pandemic

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• dc.contributor.author McGilton, Katherine S.
• dc.contributor.author Krassikova, Alexandra
• dc.contributor.author Wills, Aria
• dc.contributor.author Bethell, Jennifer
• dc.contributor.author Boscart, Veronique
• dc.contributor.author Escrig-Piñol, Astrid
• dc.contributor.author Iaboni, Andrea
• dc.contributor.author Vellani, Shirin
• dc.contributor.author Maxwell, Colleen
• dc.contributor.author Keatings, Margaret
• dc.contributor.author Stewart, Steven C.
• dc.contributor.author Sidani, Souraya
• dc.date.accessioned 2024-10-02T06:15:31Z
• dc.date.available 2024-10-02T06:15:31Z
• dc.date.issued 2023
• dc.description.abstract Background: Staff working in long-term care (LTC) homes during COVID-19 frequently reported a lack of communication, collaboration, and teamwork, all of which are associated with staff dissatisfaction, health concerns, lack of support and moral distress. Our study introduced regular huddles to support LTC staff during COVID-19, led by a Nurse Practitioner (NP). The objectives were to evaluate the process of huddle implementation and to examine differences in outcomes between categories of staff (direct care staff, allied care and support staff, and management) who attended huddles and those who did not. Methods: All staff and management at one LTC home (< 150 beds) in Ontario, Canada were included in this pre-experimental design study. The process evaluation used a huddle observation tool and focused on the dose (duration, frequency) and fidelity (NP's adherence to the huddle guide) of implementation. The staff attending and non-attending huddles were compared on outcomes measured at post-test: job satisfaction, physical and mental health, perception of support received, and levels of moral distress. The outcomes were assessed with validated measures and compared between categories of staff using Bayesian models. Results: A total of 42 staff enrolled in the study (20 attending and 22 non-attending huddles). Forty-eight huddles were implemented by the NP over 15 weeks and lasted 15 min on average. Huddles were most commonly attended by direct care staff, followed by allied care/support, and management staff. All huddles adhered to the huddle guide as designed by the research team. Topics most often addressed during the huddles were related to resident care (46%) and staff well-being (34%). Differences were found between staff attending and non-attending huddles: direct care staff attending huddles reported lower levels of overall moral distress, and allied care and support staff attending huddles perceived higher levels of support from the NP. Conclusions: NP-led huddles in LTC homes may positively influence staff outcomes. The process evaluation provided some understanding of why the huddles may have been beneficial: the NP addressed resident care issues which were important to staff, encouraged a collaborative approach to solving issues on the unit, and discussed their well-being. Trial registration number: NCT05387213, registered on 24/05/2022.
• dc.format.mimetype application/pdf
• dc.identifier.citation McGilton KS, Krassikova A, Wills A, Bethell J, Boscart V, Escrig-Pinol A, et al. Nurse practitioner led implementation of huddles for staff in long term care homes during the COVID-19 pandemic. BMC Geriatr. 2023 Nov 2;23(1):713. DOI: 10.1186/s12877-023-04382-3
• dc.identifier.doi http://dx.doi.org/10.1186/s12877-023-04382-3
• dc.identifier.issn 1471-2318
• dc.identifier.uri http://hdl.handle.net/10230/61288
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof BMC Geriatr. 2023 Nov 2;23(1):713
• dc.rights © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword COVID-19
• dc.subject.keyword Healthcare providers
• dc.subject.keyword Long-term care
• dc.subject.keyword Moral distress
• dc.subject.keyword Nurse practitioner
• dc.title Nurse practitioner led implementation of huddles for staff in long term care homes during the COVID-19 pandemic
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion