Challenges and improvements associated with transitions between hospitals and care homes during the COVID-19 pandemic: a qualitative study with care home and healthcare staff in England
Abstract Background Care home residents transitioning from hospital are at risk of receiving poor-quality care with their safety being challenged by the SARS-CoV-2 virus (COVID-19) pandemic. Little is known about how care home staff worked with hospital staff and other healthcare professionals to ad...
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| Veröffentlicht in: | Age and ageing 2023-09, Vol.52 (9) |
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| container_title | Age and ageing |
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| creator | Newman, Craig Mulrine, Stephanie Brittain, Katie Dawson, Pamela Mason, Celia Spencer, Michele Sykes, Kate Underwood, Frazer Young-Murphy, Lesley Waring, Justin Scott, Jason |
| description | Abstract
Background
Care home residents transitioning from hospital are at risk of receiving poor-quality care with their safety being challenged by the SARS-CoV-2 virus (COVID-19) pandemic. Little is known about how care home staff worked with hospital staff and other healthcare professionals to address these challenges and make improvements to increase patient safety.
Objective
To gain insight into how the COVID-19 pandemic influenced the safety of transitions between hospital and care home.
Method
Semi-structured interviews were conducted with care home staff and healthcare professionals involved in hospital to care home transitions including doctors, nurses, paramedics, pharmacists, social workers, and occupational therapists. Commonalities and patterns in the data were identified using thematic analysis.
Results
Seventy participants were interviewed. Three themes were developed, first, ‘new challenges’, described care homes were pressurised to receive hospital patients amidst issues with COVID-19 testing, changes to working practices and contentious media attention, which all impacted staff negatively. Second, ‘dehumanisation’ described how care home residents were treated, being isolated from others amounted to feelings of being imprisoned, caused fear and engendered negative reactions from families. Third, ‘better ways of working’ described how health and social care workers developed relationships that improved integration and confidence and benefited care provision.
Conclusion
The COVID-19 pandemic contributed to and compounded high-risk hospital-to-care home discharges. Government policy failed to support care homes. Rapid discharge objectives exposed a myriad of infection control issues causing inhumane conditions for care home residents. However, staff involved in transitions continued to provide and improve upon care provision. |
| doi_str_mv | 10.1093/ageing/afad146 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10517646</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/ageing/afad146</oup_id><sourcerecordid>2955233681</sourcerecordid><originalsourceid>FETCH-LOGICAL-c430t-84ad1ec09228f21afdd74f1b0aff367f075f9f1936aca6b735855457776801613</originalsourceid><addsrcrecordid>eNqFkk1v1DAQhi0EokvhytkSFzik9VfshAuqlgKVKvUCXC1vMt64SuzUdrbqT-PfYZpVJbhwseWZ931mxhqE3lJyRknLz80enN-fG2t6KuQztClnU7GGi-doQwhhFVGsPUGvUrotT1pT9hKdcKUEaVq5Qb-2gxlH8HtI2Pgeu2mO4QAT-FwCKYXOmQw9vnd5wDkan1x2wSe8g3wP4PEQ0uyyGVd7ZyKU0FRo_RJLZzgPgLc3P68-V7TFc9HA5LqP2OC7xYzFmN0BcMpL_7DWeCI88gYwYx4eYykba7Hz-NLvx5J7jV7YUhbeHO9T9OPL5fftt-r65uvV9uK66gQnuWpE-RnoSMtYYxk1tu-VsHRHCo1LZYmqbWtpy6XpjNwpXjd1LWqllGwIlZSfok8rd152E_Rd-ZloRj1HN5n4oINx-u-Md4Peh4OmpKZKClkI74-EGO4WSFlPLnUwlikgLEmzRjaUCdWKIn33j_Q2LNGX-TRr65pxXqRFdbaquhhSimCfuqFE_1kLva6FPq5FMXxYDWGZ_6f9DcVFvZQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2955233681</pqid></control><display><type>article</type><title>Challenges and improvements associated with transitions between hospitals and care homes during the COVID-19 pandemic: a qualitative study with care home and healthcare staff in England</title><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Sociological Abstracts</source><source>Applied Social Sciences Index & Abstracts (ASSIA)</source><source>Oxford University Press Journals All Titles (1996-Current)</source><source>Alma/SFX Local Collection</source><creator>Newman, Craig ; Mulrine, Stephanie ; Brittain, Katie ; Dawson, Pamela ; Mason, Celia ; Spencer, Michele ; Sykes, Kate ; Underwood, Frazer ; Young-Murphy, Lesley ; Waring, Justin ; Scott, Jason</creator><creatorcontrib>Newman, Craig ; Mulrine, Stephanie ; Brittain, Katie ; Dawson, Pamela ; Mason, Celia ; Spencer, Michele ; Sykes, Kate ; Underwood, Frazer ; Young-Murphy, Lesley ; Waring, Justin ; Scott, Jason</creatorcontrib><description>Abstract
Background
Care home residents transitioning from hospital are at risk of receiving poor-quality care with their safety being challenged by the SARS-CoV-2 virus (COVID-19) pandemic. Little is known about how care home staff worked with hospital staff and other healthcare professionals to address these challenges and make improvements to increase patient safety.
Objective
To gain insight into how the COVID-19 pandemic influenced the safety of transitions between hospital and care home.
Method
Semi-structured interviews were conducted with care home staff and healthcare professionals involved in hospital to care home transitions including doctors, nurses, paramedics, pharmacists, social workers, and occupational therapists. Commonalities and patterns in the data were identified using thematic analysis.
Results
Seventy participants were interviewed. Three themes were developed, first, ‘new challenges’, described care homes were pressurised to receive hospital patients amidst issues with COVID-19 testing, changes to working practices and contentious media attention, which all impacted staff negatively. Second, ‘dehumanisation’ described how care home residents were treated, being isolated from others amounted to feelings of being imprisoned, caused fear and engendered negative reactions from families. Third, ‘better ways of working’ described how health and social care workers developed relationships that improved integration and confidence and benefited care provision.
Conclusion
The COVID-19 pandemic contributed to and compounded high-risk hospital-to-care home discharges. Government policy failed to support care homes. Rapid discharge objectives exposed a myriad of infection control issues causing inhumane conditions for care home residents. However, staff involved in transitions continued to provide and improve upon care provision.</description><identifier>ISSN: 0002-0729</identifier><identifier>EISSN: 1468-2834</identifier><identifier>DOI: 10.1093/ageing/afad146</identifier><identifier>PMID: 37740896</identifier><language>eng</language><publisher>Oxford: Oxford University Press</publisher><subject>COVID-19 ; COVID-19 diagnostic tests ; Dehumanization ; Disease control ; Government policy ; Health care ; Health services ; High risk ; Hospitals ; Integrated care ; Medical personnel ; Nurses ; Occupational therapists ; Occupational therapy ; Pandemics ; Paramedics ; Patient safety ; Patients ; Personal safety ; Pharmacists ; Physicians ; Public policy ; Qualitative Paper ; Quality of care ; Residential care ; Residents ; Safety ; Severe acute respiratory syndrome coronavirus 2 ; Social services ; Social workers ; Therapists</subject><ispartof>Age and ageing, 2023-09, Vol.52 (9)</ispartof><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society. 2023</rights><rights>The Author(s) 2023. Published by Oxford University Press on behalf of the British Geriatrics Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c430t-84ad1ec09228f21afdd74f1b0aff367f075f9f1936aca6b735855457776801613</citedby><cites>FETCH-LOGICAL-c430t-84ad1ec09228f21afdd74f1b0aff367f075f9f1936aca6b735855457776801613</cites><orcidid>0000-0001-7031-2171 ; 0000-0002-1173-9367</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,776,780,881,1578,27903,27904,30978,33753</link.rule.ids></links><search><creatorcontrib>Newman, Craig</creatorcontrib><creatorcontrib>Mulrine, Stephanie</creatorcontrib><creatorcontrib>Brittain, Katie</creatorcontrib><creatorcontrib>Dawson, Pamela</creatorcontrib><creatorcontrib>Mason, Celia</creatorcontrib><creatorcontrib>Spencer, Michele</creatorcontrib><creatorcontrib>Sykes, Kate</creatorcontrib><creatorcontrib>Underwood, Frazer</creatorcontrib><creatorcontrib>Young-Murphy, Lesley</creatorcontrib><creatorcontrib>Waring, Justin</creatorcontrib><creatorcontrib>Scott, Jason</creatorcontrib><title>Challenges and improvements associated with transitions between hospitals and care homes during the COVID-19 pandemic: a qualitative study with care home and healthcare staff in England</title><title>Age and ageing</title><description>Abstract
Background
Care home residents transitioning from hospital are at risk of receiving poor-quality care with their safety being challenged by the SARS-CoV-2 virus (COVID-19) pandemic. Little is known about how care home staff worked with hospital staff and other healthcare professionals to address these challenges and make improvements to increase patient safety.
Objective
To gain insight into how the COVID-19 pandemic influenced the safety of transitions between hospital and care home.
Method
Semi-structured interviews were conducted with care home staff and healthcare professionals involved in hospital to care home transitions including doctors, nurses, paramedics, pharmacists, social workers, and occupational therapists. Commonalities and patterns in the data were identified using thematic analysis.
Results
Seventy participants were interviewed. Three themes were developed, first, ‘new challenges’, described care homes were pressurised to receive hospital patients amidst issues with COVID-19 testing, changes to working practices and contentious media attention, which all impacted staff negatively. Second, ‘dehumanisation’ described how care home residents were treated, being isolated from others amounted to feelings of being imprisoned, caused fear and engendered negative reactions from families. Third, ‘better ways of working’ described how health and social care workers developed relationships that improved integration and confidence and benefited care provision.
Conclusion
The COVID-19 pandemic contributed to and compounded high-risk hospital-to-care home discharges. Government policy failed to support care homes. Rapid discharge objectives exposed a myriad of infection control issues causing inhumane conditions for care home residents. However, staff involved in transitions continued to provide and improve upon care provision.</description><subject>COVID-19</subject><subject>COVID-19 diagnostic tests</subject><subject>Dehumanization</subject><subject>Disease control</subject><subject>Government policy</subject><subject>Health care</subject><subject>Health services</subject><subject>High risk</subject><subject>Hospitals</subject><subject>Integrated care</subject><subject>Medical personnel</subject><subject>Nurses</subject><subject>Occupational therapists</subject><subject>Occupational therapy</subject><subject>Pandemics</subject><subject>Paramedics</subject><subject>Patient safety</subject><subject>Patients</subject><subject>Personal safety</subject><subject>Pharmacists</subject><subject>Physicians</subject><subject>Public policy</subject><subject>Qualitative Paper</subject><subject>Quality of care</subject><subject>Residential care</subject><subject>Residents</subject><subject>Safety</subject><subject>Severe acute respiratory syndrome coronavirus 2</subject><subject>Social services</subject><subject>Social workers</subject><subject>Therapists</subject><issn>0002-0729</issn><issn>1468-2834</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>TOX</sourceid><sourceid>7QJ</sourceid><sourceid>BHHNA</sourceid><recordid>eNqFkk1v1DAQhi0EokvhytkSFzik9VfshAuqlgKVKvUCXC1vMt64SuzUdrbqT-PfYZpVJbhwseWZ931mxhqE3lJyRknLz80enN-fG2t6KuQztClnU7GGi-doQwhhFVGsPUGvUrotT1pT9hKdcKUEaVq5Qb-2gxlH8HtI2Pgeu2mO4QAT-FwCKYXOmQw9vnd5wDkan1x2wSe8g3wP4PEQ0uyyGVd7ZyKU0FRo_RJLZzgPgLc3P68-V7TFc9HA5LqP2OC7xYzFmN0BcMpL_7DWeCI88gYwYx4eYykba7Hz-NLvx5J7jV7YUhbeHO9T9OPL5fftt-r65uvV9uK66gQnuWpE-RnoSMtYYxk1tu-VsHRHCo1LZYmqbWtpy6XpjNwpXjd1LWqllGwIlZSfok8rd152E_Rd-ZloRj1HN5n4oINx-u-Md4Peh4OmpKZKClkI74-EGO4WSFlPLnUwlikgLEmzRjaUCdWKIn33j_Q2LNGX-TRr65pxXqRFdbaquhhSimCfuqFE_1kLva6FPq5FMXxYDWGZ_6f9DcVFvZQ</recordid><startdate>20230901</startdate><enddate>20230901</enddate><creator>Newman, Craig</creator><creator>Mulrine, Stephanie</creator><creator>Brittain, Katie</creator><creator>Dawson, Pamela</creator><creator>Mason, Celia</creator><creator>Spencer, Michele</creator><creator>Sykes, Kate</creator><creator>Underwood, Frazer</creator><creator>Young-Murphy, Lesley</creator><creator>Waring, Justin</creator><creator>Scott, Jason</creator><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>TOX</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7T5</scope><scope>7TK</scope><scope>7U3</scope><scope>7U9</scope><scope>BHHNA</scope><scope>H94</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-7031-2171</orcidid><orcidid>https://orcid.org/0000-0002-1173-9367</orcidid></search><sort><creationdate>20230901</creationdate><title>Challenges and improvements associated with transitions between hospitals and care homes during the COVID-19 pandemic: a qualitative study with care home and healthcare staff in England</title><author>Newman, Craig ; Mulrine, Stephanie ; Brittain, Katie ; Dawson, Pamela ; Mason, Celia ; Spencer, Michele ; Sykes, Kate ; Underwood, Frazer ; Young-Murphy, Lesley ; Waring, Justin ; Scott, Jason</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c430t-84ad1ec09228f21afdd74f1b0aff367f075f9f1936aca6b735855457776801613</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>COVID-19</topic><topic>COVID-19 diagnostic tests</topic><topic>Dehumanization</topic><topic>Disease control</topic><topic>Government policy</topic><topic>Health care</topic><topic>Health services</topic><topic>High risk</topic><topic>Hospitals</topic><topic>Integrated care</topic><topic>Medical personnel</topic><topic>Nurses</topic><topic>Occupational therapists</topic><topic>Occupational therapy</topic><topic>Pandemics</topic><topic>Paramedics</topic><topic>Patient safety</topic><topic>Patients</topic><topic>Personal safety</topic><topic>Pharmacists</topic><topic>Physicians</topic><topic>Public policy</topic><topic>Qualitative Paper</topic><topic>Quality of care</topic><topic>Residential care</topic><topic>Residents</topic><topic>Safety</topic><topic>Severe acute respiratory syndrome coronavirus 2</topic><topic>Social services</topic><topic>Social workers</topic><topic>Therapists</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Newman, Craig</creatorcontrib><creatorcontrib>Mulrine, Stephanie</creatorcontrib><creatorcontrib>Brittain, Katie</creatorcontrib><creatorcontrib>Dawson, Pamela</creatorcontrib><creatorcontrib>Mason, Celia</creatorcontrib><creatorcontrib>Spencer, Michele</creatorcontrib><creatorcontrib>Sykes, Kate</creatorcontrib><creatorcontrib>Underwood, Frazer</creatorcontrib><creatorcontrib>Young-Murphy, Lesley</creatorcontrib><creatorcontrib>Waring, Justin</creatorcontrib><creatorcontrib>Scott, Jason</creatorcontrib><collection>Oxford Journals Open Access Collection</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Social Services Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Sociological Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Age and ageing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Newman, Craig</au><au>Mulrine, Stephanie</au><au>Brittain, Katie</au><au>Dawson, Pamela</au><au>Mason, Celia</au><au>Spencer, Michele</au><au>Sykes, Kate</au><au>Underwood, Frazer</au><au>Young-Murphy, Lesley</au><au>Waring, Justin</au><au>Scott, Jason</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Challenges and improvements associated with transitions between hospitals and care homes during the COVID-19 pandemic: a qualitative study with care home and healthcare staff in England</atitle><jtitle>Age and ageing</jtitle><date>2023-09-01</date><risdate>2023</risdate><volume>52</volume><issue>9</issue><issn>0002-0729</issn><eissn>1468-2834</eissn><abstract>Abstract
Background
Care home residents transitioning from hospital are at risk of receiving poor-quality care with their safety being challenged by the SARS-CoV-2 virus (COVID-19) pandemic. Little is known about how care home staff worked with hospital staff and other healthcare professionals to address these challenges and make improvements to increase patient safety.
Objective
To gain insight into how the COVID-19 pandemic influenced the safety of transitions between hospital and care home.
Method
Semi-structured interviews were conducted with care home staff and healthcare professionals involved in hospital to care home transitions including doctors, nurses, paramedics, pharmacists, social workers, and occupational therapists. Commonalities and patterns in the data were identified using thematic analysis.
Results
Seventy participants were interviewed. Three themes were developed, first, ‘new challenges’, described care homes were pressurised to receive hospital patients amidst issues with COVID-19 testing, changes to working practices and contentious media attention, which all impacted staff negatively. Second, ‘dehumanisation’ described how care home residents were treated, being isolated from others amounted to feelings of being imprisoned, caused fear and engendered negative reactions from families. Third, ‘better ways of working’ described how health and social care workers developed relationships that improved integration and confidence and benefited care provision.
Conclusion
The COVID-19 pandemic contributed to and compounded high-risk hospital-to-care home discharges. Government policy failed to support care homes. Rapid discharge objectives exposed a myriad of infection control issues causing inhumane conditions for care home residents. However, staff involved in transitions continued to provide and improve upon care provision.</abstract><cop>Oxford</cop><pub>Oxford University Press</pub><pmid>37740896</pmid><doi>10.1093/ageing/afad146</doi><orcidid>https://orcid.org/0000-0001-7031-2171</orcidid><orcidid>https://orcid.org/0000-0002-1173-9367</orcidid><oa>free_for_read</oa></addata></record> |
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| source | Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Sociological Abstracts; Applied Social Sciences Index & Abstracts (ASSIA); Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | COVID-19 COVID-19 diagnostic tests Dehumanization Disease control Government policy Health care Health services High risk Hospitals Integrated care Medical personnel Nurses Occupational therapists Occupational therapy Pandemics Paramedics Patient safety Patients Personal safety Pharmacists Physicians Public policy Qualitative Paper Quality of care Residential care Residents Safety Severe acute respiratory syndrome coronavirus 2 Social services Social workers Therapists |
| title | Challenges and improvements associated with transitions between hospitals and care homes during the COVID-19 pandemic: a qualitative study with care home and healthcare staff in England |
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