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Listen to the voices of nurses: the role of community chief nurses and registered nurses in the provision of care for older people in Sweden during the COVID-19 pandemic - a cross-sectional study
Dalarna University, School of Health and Welfare, Caring Science/Nursing.ORCID iD: 0000-0001-8069-9402
Dalarna University, School of Health and Welfare, Caring Science/Nursing. Mälardalen University.ORCID iD: 0000-0003-2511-9502
Karolinska Institutet, Stockholm, Huddinge; Karolinska University Hospital, Stockholm; Stockholms Sjukhem, Stockholm.
2024 (English)In: BMC Geriatrics, E-ISSN 1471-2318, Vol. 24, no 1, article id 127Article in journal (Refereed) Published
Abstract [en]

BACKGROUND: During the pandemic in Sweden, the aim was to protect older people, especially those among them who were sick, frail and vulnerable in residential care facilities. A ban was put on visits at all residential care facilities in March 2020 to prevent the spread of infection among the older people. This study aims to describe the experiences of Community Chief Nurses and Registered Nurses who provided medical and nursing care for older people in residential care facilities and home care during the first wave of the COVID-19 pandemic, and to examine factors associated with the quality of care.

METHODS: The study has a mixed method cross-sectional design (STROBE). Data were collected using a web-based survey that comprised two questionnaires, for Community Chief Nurses and Registered Nurses developed for the study. Data were analysed using descriptive statistics and logistic regression models, as well as qualitative content analyses.

RESULTS: The majority of Community Chief Nurses reported adequate opportunities to work with management to handle the COVID-19 pandemic. The Registered Nurses reported that the quality of care, as well as the person's safety, was negatively affected during the pandemic. Factors associated with good care were as follows: information-sharing; ability to comply with hygiene practices; competence in how to care for older persons with COVID-19; a physician at bedside assessing their health; and support from frontline managers.

CONCLUSION: The study highlights crucial facets that care organizations must address to enhance their readiness for future pandemics or disasters, ensuring the security and well-being of the older people.

Place, publisher, year, edition, pages
2024. Vol. 24, no 1, article id 127
Keywords [en]
COVID-19, Community chief nurse, Medical care, Nursing care, Older people, Pandemic, Registered nurse
National Category
Nursing Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:du-47990DOI: 10.1186/s12877-023-04652-0ISI: 001155348800002PubMedID: 38308241OAI: oai:DiVA.org:du-47990DiVA, id: diva2:1836050
Available from: 2024-02-08 Created: 2024-02-08 Last updated: 2024-02-23Bibliographically approved

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Swall, AnnaMarmstål Hammar, Lena

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CiteExportLink to record
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Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
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  • Other style
More styles
Language
  • de-DE
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  • nn-NB
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More languages
Output format
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