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. 2022 Jun;37(6):10.1002/gps.5725.
doi: 10.1002/gps.5725.

Staff perceptions of the consequences of COVID-19 on quality of dementia care for residents in Ontario long-term care homes

Julia Kirkham  1 , Carrie L Shorey  2 , Andrea Iaboni  3   4 , Hannah Quirt  3 , Alisa Grigorovich  5 , Arlene Astell  3   4 , Esther Lin  1 , Colleen J Maxwell  2   6
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Staff perceptions of the consequences of COVID-19 on quality of dementia care for residents in Ontario long-term care homes

Julia Kirkham et al. Int J Geriatr Psychiatry. 2022 Jun.

Abstract

Objectives: The first wave of the COVID-19 pandemic necessitated extensive infection control measures in long-term care (LTC) and had a significant impact on staffing and services. Anecdotal reports indicate that this negatively affected LTC residents' quality of care and wellbeing, but there is scarce evidence on the effects of COVID-19 on quality of dementia care in LTC.

Methods: From December 2020 to March 2021, we conducted a cross-sectional online survey among staff who worked in LTC homes in Ontario, Canada. Survey questions examined staffs' perceptions of the impact of COVID-19 on dementia quality of care during the initial wave of the COVID-19 pandemic (beginning 1 March 2020).

Results: There were a total of 227 survey respondents; more than half reported both worsened overall quality of care (51.3%) and worsening of a majority of specific quality of care measures (55.5%). Measures of cognitive functioning, mobility and behavioural symptoms were most frequently described as worsened. Medical and allied/support staff had the highest odds of reporting overall worsened quality of care, while specialized behavioural care staff and those with more experience in LTC were less likely to. LTC home factors including rural location and smaller size, staffing challenges, higher number of outbreaks and less COVID-19 preparedness were associated with increased odds of perceived worsening of quality of dementia care outcomes.

Conclusions: These findings suggest that COVID-19 pandemic restrictions and related effects such as inadequate staffing may have contributed to poor quality of care and outcomes for those with dementia in LTC.

Keywords: COVID-19; dementia; long-term care; nursing home; quality of care.

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Conflict of interest statement

The authors have no relevant conflicts of interest to disclose.

Figures

FIGURE 1
FIGURE 1
Long‐term care (LTC) staff perceived Impact of the COVID‐19 pandemic on overall and specific quality of care measures
FIGURE 2
FIGURE 2
Distribution of the number of specific quality of care measures perceived by long‐term care (LTC) staff to have worsened since the onset of the COVID‐19 pandemic
See this image and copyright information in PMC

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References

    1. Hsu AT, Lane N. Impact of COVID‐19 on Residents of Canada’s Long‐Term Care Homes — Ongoing Challenges and Policy response. 2020. Accessed September 12, 2021. https://ltccovid.org/2020/04/15/impact‐of‐covid‐19‐on‐residents‐of‐canad...
    1. Long‐Term Care in Ontario: Sector Overview. Health Analytics Branch, Ministry of Health and Long‐Term Care. 2015. Accessed March 28, 2022. http://longtermcareinquiry.ca/wp‐content/uploads/Exhibit‐169‐Long‐Term‐C...
    1. Canadian Institute for Health Information . The Impact of COVID‐19 on Long‐Term Care in Canada: Focus on the First 6 Months; 2021. Accessed April 5, 2022. https://www.cihi.ca/sites/default/files/document/impact‐covid‐19‐long‐te...
    1. Bakerjian D, Boltz M, Bowers B, et al. Expert nurse response to workforce recommendations made by the coronavirus commission for safety and quality in nursing homes. Nurs Outlook. 2021;69(5):735‐743. 10.1016/j.outlook.2021.03.017 - DOI - PMC - PubMed
    1. Ontario’s LTC Covid‐19 Commission: Final Report. 2021. Accessed September 10, 2021. http://www.ltccommission‐commissionsld.ca/report/pdf/20210623_LTCC_AODA_...

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