A framework for delivering nursing care to older adults with COVID-19 in nursing homes

Gray-Miceli Deanna; Rogowski Jeannette; de Cordova Pamela B.; Boltz Marie

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A framework for delivering nursing care to older adults with COVID-19 in nursing homes

机译：在护理家庭中将养老院提供护理护理的框架

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Public health emergencies threaten the lives of U.S. citizens, often in disproportionate ways. Hardest hit are vulnerable populations of older adults (OAs) residing in nursing homes (NHs), who comprised nearly 43% of all deaths from COVID-19 in NHs in 2020. New Jersey (NJ) ranks #2 nationally behind New York with the highest numbers of resident deaths; more than 50% of all COVID-19-related deaths in NJ have occurred in NHs. This public health emergency has prompted investigators to evaluate existing structural, resident, process of care, regulatory, and policy characteristics that have impacted the delivery of nursing care within NJ NHs. In this manuscript, we discuss data from NJ NHs during COVID-19, drawing from publicly available data, state reports, and the geriatric literature to offer recommendations. Based on evidence-based practices (EBPs), we present a series of recommendations to modify existing contextual factors in NHs to best prepare for the next health disaster.

机译：突发公共卫生事件往往以不成比例的方式威胁着美国公民的生命。2019冠状病毒疾病的老年人（OHS）居住在护理院（NHS）中，其危害最严重，占2020的死亡人数中有近43%来自COVID-19。新泽西州的居民死亡人数在全国排名第二，仅次于纽约；新泽西州所有与新冠肺炎相关的死亡中，超过50%发生在NHs。这一公共卫生突发事件促使调查人员评估影响新泽西州国民保健服务体系内护理服务提供的现有结构、居民、护理过程、监管和政策特征。在这份手稿中，我们讨论了来自NJ-NHS在COVID-19期间的数据，从公开的数据、国家报告和老年医学文献中提供建议。基于循证实践（EBPs），我们提出了一系列建议，以修改NHs中现有的背景因素，为下一次健康灾难做好最佳准备。

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《Public health nursing》 |2021年第4期|共17页
作者
Gray-Miceli Deanna; Rogowski Jeannette; de Cordova Pamela B.; Boltz Marie;
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作者单位

Thomas Jefferson Univ Jefferson Coll Nursing Philadelphia PA 19107 USA;

Penn State Univ Dept Hlth Policy &

Adm University Pk PA 16802 USA;

Rutgers State Univ Sch Nursing Newark NJ USA;

Penn State Coll Nursing University Pk PA USA;

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原文格式 PDF
正文语种 eng
中图分类护理学;
关键词
aged; evidenceamp; 8208; based practice; geriatric nursing; nursing homes; public health nursing practice; safety;

机译：岁;证据＆amp;8208;基于实践;老年护理;护理家庭;公共卫生护理实践;安全;

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1. Homely Care——Nursing homes without fences offer a solution to aging problems [J] . Liang Xiao 北京周报：英文版 . 2020,第004期
2. Health personnel's experience with resident-centered care in nursing homes in Korea: A qualitative study [J] . HeeKyung Chang 国际护理科学（英文） . 2019,第002期
3. Health personnel''''s experience with resident-centered care in nursing homes in Korea: A qualitative study [J] . HeeKyung Chang 国际护理科学（英文） . 2019,第002期
4. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
5. Providing more home-delivered meals is one way to keep older adults with low care needs out of nursing homes [J] . ThomasK.S., MorV. Health affairs . 2013,第10期

机译：提供更多的家庭送餐是将护理需求低的老年人拒之门外的一种方法
6. SWARM A regional health system’s intervention approach to COVID-19 outbreaks in nursing and adult care homes in rural eastern North Carolina [J] . Gregory D. Kearney, Pamela Cowin, Todd Hickey, Journal of Hospital Administration . 2020,第4期

机译：在北卡罗来纳州农村东部北卡罗来纳州的护理和成人护理住宅中的Covid-19爆发的区域卫生系统的干预方法
7. 3D Printed Face Shield as a Help for Nursing Homes During COVID-19 Pandemic [C] . Mikuláš Klimo, Nika Kvaššayová, Miroslav Kvaššay, International Conference on Information and Digital Technologies . 2021

机译：3D印刷的脸部盾作为Covid-19流行期间护理家园的帮助
8. Preparing for the Next Pandemic: A Framework for Delivering Care to Older Adults with COVID-19 in Nursing Homes [D] . Grewal, Jyotsna. 2021

机译：为下一个大流行做准备：一个框架，用于在护理家庭中使用Covid-19带来老年人的护理
9. Providing More Home-Delivered Meals Is One Way To Keep Older Adults With Low Care Needs Out Of Nursing Homes [O] . Kali S. Thomas, Vincent Mor -1

机译：提供更多的家庭送餐是一种将护理需求低的老年人拒之门外的方法
10. A framework for delivering nursing care to older adults with COVID‐19 in nursing homes [O] . Deanna Gray‐Miceli, Jeannette Rogowski, Pamela B. Cordova, 2021

机译：在护理家庭中与Covid-19提供养育护理的框架
11. End-of-Life Care in Nursing Homes: 2004 National Nursing Home Survey. National Health Statistics Reports, Number 9 [R] . Bercovitz, A., Decker, F. H., Jones, A., 2008

机译：护理院的临终关怀：2004年全国护理院调查。国家卫生统计报告，第9号

A framework for delivering nursing care to older adults with COVID-19 in nursing homes

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