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A Systematic Review of Lessons Learned from the COVID-19 Pandemic in Nursing Homes

Abstract

Irean Carioe

When it comes to COVID-19 death rates, nursing homes are one of the worst-affected places. It is vital to consider and provide an answer to the question of which excellent practises (interventions) were applied in care homes (people) to enhance management and care quality given the reactive management of the pandemic (outcomes). During the COVID-19 pandemic or other recent epidemics, care facilities may have adopted a number of beneficial practises, which were identified and described in this systematic study. Over the period of January 1 through November 30, 2021, we searched Embase, PubMed, ScienceDirect, ProQuest Central, and Scopus using the keywords "learnings," "lessons," "positive learnings," and "positive lessons," as well as the descriptors "nursing homes," "long-term care," and "long-term care facilities," as well as the keywords "SARS," "MERS," "COVID-19," and "pandemic." We found 15 publications outlining 26 specific measures done for COVID-19 management in long-term care settings, including 14 best practises. Following the IDEF methodology, the practises were divided into operational processes (cohorts, diagnostic testing, case monitoring, personal protective equipment, staff reinforcement, visitation restrictions, social distancing, and alternative means of communication with families) and support processes. The strategic processes were staff training, communication with the national health system, person-centered care, and protocols.

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