Nurse practitioners navigating the consequences of directives, policies, and recommendations related to the COVID-19 pandemic in long-term care homes

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• dc.contributor.author McGilton, Katherine S.
• dc.contributor.author Krassikova, Alexandra
• dc.contributor.author Wills, Aria
• dc.contributor.author Durante, Vanessa
• dc.contributor.author Yeung, Lydia
• dc.contributor.author Vellani, Shirin
• dc.contributor.author Sidani, Souraya
• dc.contributor.author Escrig-Piñol, Astrid
• dc.date.accessioned 2024-05-23T07:13:46Z
• dc.date.available 2024-05-23T07:13:46Z
• dc.date.issued 2022
• dc.description.abstract Objectives: New models for the workforce are required in long-term care (LTC) homes, as was made evident during the Coronavirus Disease 2019 (COVID-19) pandemic. Nurse Practitioner (NP)-led models of care represent an effective solution. This study explored NPs' roles in supporting LTC homes as changes in directives, policies, and recommendations related to COVID-19 were introduced. Design: Qualitative exploratory study. Context: Thirteen NPs working in LTC homes in Ontario, Canada. Methods: Semi-structured interviews were conducted in March/April 2021. A five-step inductive thematic analysis was applied. Findings: Analysis generated four themes: leading the COVID-19 vaccine rollout; promoting staff wellbeing related to COVID-19 fatigue; addressing complexities of new admissions; and negotiating evolving collaborative relationships. Conclusions: Nurse practitioners were instrumental in supporting LTC homes through COVID-19 regulatory changes producing unintended consequences. The NPs' leadership in transforming care is equally essential in LTC homes as in other established healthcare settings, such as primary and acute care.
• dc.format.mimetype application/pdf
• dc.identifier.citation McGilton KS, Krassikova A, Wills A, Durante V, Yeung L, Vellani S, et al. Nurse practitioners navigating the consequences of directives, policies, and recommendations related to the COVID-19 pandemic in long-term care homes. J Appl Gerontol. 2022 Nov;41(11):2296-306. DOI: 10.1177/07334648221110210
• dc.identifier.doi http://dx.doi.org/10.1177/07334648221110210
• dc.identifier.issn 0733-4648
• dc.identifier.uri http://hdl.handle.net/10230/60221
• dc.language.iso eng
• dc.publisher SAGE Publications
• dc.relation.ispartof J Appl Gerontol. 2022 Nov;41(11):2296-306
• dc.rights © The Author(s) 2022. This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
• 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 Long-term care
• dc.subject.keyword Models of care
• dc.subject.keyword Nurse practitioner
• dc.subject.keyword Nursing home
• dc.title Nurse practitioners navigating the consequences of directives, policies, and recommendations related to the COVID-19 pandemic in long-term care homes
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion