McGilton, Katherine S.Krassikova, AlexandraWills, AriaDurante, VanessaYeung, LydiaVellani, ShirinSidani, SourayaEscrig-Piñol, Astrid2024-05-232024-05-232022McGilton 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: 10.1177/073346482211102100733-4648http://hdl.handle.net/10230/60221Objectives: 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.application/pdfeng© 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).info:eu-repo/semantics/articlehttp://dx.doi.org/10.1177/07334648221110210COVID-19Long-term careModels of careNurse practitionerNursing homeinfo:eu-repo/semantics/openAccess