scholarly journals The Italian national survey on Coronavirus disease 2019 epidemic spread in nursing homes

Author(s):  
Flavia L. Lombardo ◽  
Ilaria Bacigalupo ◽  
Emanuela Salvi ◽  
Eleonora Lacorte ◽  
Paola Piscopo ◽  
...  
2019 ◽  
Vol 67 (8) ◽  
pp. 1713-1717 ◽  
Author(s):  
Jessica Orth ◽  
Yue Li ◽  
Adam Simning ◽  
Helena Temkin‐Greener

2020 ◽  
Vol 11 ◽  
Author(s):  
Flavia L. Lombardo ◽  
Emanuela Salvi ◽  
Eleonora Lacorte ◽  
Paola Piscopo ◽  
Flavia Mayer ◽  
...  

Older people living in nursing homes (NHs) are particularly vulnerable in the ongoing COVID-19 pandemic, due to the high prevalence of chronic diseases and disabilities (e.g., dementia). The phenomenon of adverse events (AEs), intended as any harm or injury resulting from medical care or to the failure to provide care, has not yet been investigated in NHs during the pandemic. We performed a national survey on 3,292 NHs, either public or providing services both privately and within the national health system, out of the 3,417 NHs covering the whole Italian territory. An online questionnaire was addressed to the directors of each facility between March 24 and April 27, 2020. The list of NHs was provided by the Dementia Observatory, an online map of Italian services for people with dementia, which was one of the objectives of the implementation of the Italian National Dementia Plan. About 26% of residents in the Italian NHs for older people listed within the Dementia Observatory site had dementia. The objective of our study was to report the frequency of AEs that occurred during the months when SARS-CoV-2 spreading rate was at its highest in the Italian NHs and to identify which conditions and attributes were most associated with the occurrence of AEs by means of multivariate regression logistic analysis. Data are referred to 1,356 NHs that participated in the survey. The overall response rate was 41.2% over a time-period of six weeks (from March 24 to May 5). About one third of the facilities (444 out of 1,334) (33.3%) reported at least 1 adverse event, with a total of 2,000 events. Among the included NHs, having a bed capacity higher than the median of 60 beds (OR=1.57, CI95% 1.17–2.09; p=0.002), an observed increased in the use of psychiatric drugs (OR=1.80, CI95% 1.05–3.07; p=0.032), adopting physical restraint measures (OR=1.97, CI95% 1.47–2.64; p<0.001), residents hospitalized due to flu-like symptoms (OR =1.73, CI95% 1.28–2.32; p<0.001), and being located in specific geographic areas (OR=3.59, CI95% 1.81–7.08; OR = 2.90, CI95% 1.45–5.81 and OR = 4.02, CI05% 2.01–8.04 for, respectively, North-West, North-East and Centre vs South, p<0.001) were all factors positively associated to the occurrence of adverse events in the facility. Future recommendations for the management and care of residents in NHs during the COVID-19 pandemic should include specific statements for the most vulnerable populations, such as people with dementia.


2016 ◽  
Vol 17 (1) ◽  
pp. 85-88 ◽  
Author(s):  
Carolyn T.A. Herzig ◽  
Patricia W. Stone ◽  
Nicholas Castle ◽  
Monika Pogorzelska-Maziarz ◽  
Elaine L. Larson ◽  
...  

2015 ◽  
Vol 43 (6) ◽  
pp. S29 ◽  
Author(s):  
Carolyn Herzig ◽  
Nicholas Castle ◽  
Monika Pogorzelska-Maziarz ◽  
John Engberg ◽  
Elaine L. Larson ◽  
...  

2021 ◽  
Author(s):  
R. Martin-Misener ◽  
F. Donald ◽  
Abigail Wickson-Griffiths ◽  
Noori Akhtar-Danesh ◽  
J. Ploeg ◽  
...  

The aim of this study was to explore the integration of the nurse practitioner role in Canadian nursing homes to enable its full potential to be realised for resident and family care. The objective was to determine nurse practitioners' patterns of work activities. Nurse practitioners were introduced in Canadian nursing homes a decade ago on a pilot basis. In recent years, government and nursing home sector interest in the role has grown along with the need for data to inform planning efforts. The study used a sequential mixed methods design using a national survey followed by case studies. A national survey of nurse practitioners included demographic items and the EverCare Nurse Practitioner Role and Activity Scale. Following the survey, case studies were conducted in four nursing homes. Data were collected using individual and focus group interviews, document reviews and field notes. Twenty-three of a target population of 26 nurse practitioners responded to the survey, two-thirds of whom provided services in nursing homes with one site and the remainder in nursing homes with as many as four sites. On average, nurse practitioners performed activities in communicator, clinician, care manager/coordinator and coach/educator subscales at least three to four times per week and activities in the collaborator subscale once a week. Of the 43 activities, nurse practitioners performed daily, most were in the clinician and communicator subscales. Case study interviews involved 150 participants. Findings complemented those of the survey and identified additional leadership activities. Nurse practitioners undertake a range of primary health care and advanced practice activities which they adapt to meet the unique needs of nursing homes. Knowledge of work patterns enables nursing homes to implement the full range of nurse practitioner roles and activities to enhance resident and family care.


2010 ◽  
Vol 10 (1) ◽  
Author(s):  
Seamus Cowman ◽  
Maeve Royston ◽  
Anne Hickey ◽  
Frances Horgan ◽  
Hannah McGee ◽  
...  

2020 ◽  
Vol 48 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Caroline J. Fu ◽  
Elise Mantell ◽  
Patricia W. Stone ◽  
Mansi Agarwal

2020 ◽  
Vol 48 (2) ◽  
pp. 212-215 ◽  
Author(s):  
Caroline J. Fu ◽  
Mansi Agarwal ◽  
Andrew W. Dick ◽  
Jeneita M. Bell ◽  
Nimalie D. Stone ◽  
...  

2021 ◽  
Vol 429 ◽  
pp. 119885
Author(s):  
Flavia Lombardo ◽  
Ilaria Bacigalupo ◽  
Emanuela Salvi ◽  
Eleonora Lacorte ◽  
Paola Piscopo ◽  
...  

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