This important book examines how nursing homes experienced the COVID-19 pandemic, how it affected the residents and staff, and how the industry can be reformed to better meet the demands of a similar health crisis in the future. Data-led and richly illustrated with insightful charts throughout, the book begins with a thorough overview of what occurred in nursing homes during the pandemic, situated within a broader perspective of the regulatory system in which long-term care operates in different regions of the world. It then moves on to detail those issues that made managing nursing homes during the pandemic so challenging, before providing an insightful analysis into how nursing homes can reform their policies and practices ahead of a possible future pandemic. Written by a gerontological nurse and Director of Nursing with over 30 years of experience in the long-term care industry, this book will interest researchers and practitioners across public health and nursing.
This report presents the most up-to-date and comprehensive cross-country assessment of long-term care (LTC) workers, the tasks they perform and the policies to address shortages in OECD countries. It highlights the importance of improving working conditions in the sector and making care work more attractive and shows that there is space to increase productivity by enhancing the use of technology, providing a better use of skills and investing in prevention.
Mixed Methods in Health Sciences Research: A Practical Primer, by Leslie Curry and Marcella Nunez-Smith, presents key theories, concepts, and approaches in an accessible way. Packed with illustrations from the health sciences literature, this ready-to-use guidebook shows readers how to design, conduct, review, and use mixed methods research findings. Helpful checklists, figures, tables, templates, and much more give readers examples that will elevate the quality of their research, facilitate communication about their methods, and improve efficiency over the course of their projects. Real-world examples and insights from mixed methods researchers provide unique perspectives on every aspect of mixed methods research. This book successfully pulls together foundational mixed methods principles, synthesizes the knowledge base in the field, and translates it for a health science researcher audience. “The content is highly applicable to real life research teams in the areas of clinical research, health services research, and implementation science, providing sound content and practical advice. The authors have synthesized and pull key concepts from a variety of sources to provide a concise resource.” —Linda M. Herrick, South Dakota State University “Everything from the references, to the topics, checklists, conceptual graphic representations, and organizers, interviews, and resources, all contribute to the content and aid with understanding and/or application. … It addresses specific MM research as it pertains to health sciences in a way that other texts just do not even attempt.” —Denise L. Winsor, University of Memphis “[This text is] a very pragmatic approach to mixed methods research; excellent resources, tables, and figures [are] provided, along with cases and examples of value to researchers and grant reviewers. Its relevance to practice, education, and research, as well as to potential policy implications, is a strong focus that would make this a valued textbook for any researcher!” ? —Karen Devereaux Melillo, University of Massachusetts Lowell “The text is cutting edge. It leads the way with its focus on team dynamics. [The authors] succeed in making the book relevant and practical. They also articulate a number of key insights in the area of mixed methods that rarely get addressed, such as teams and conflict. Great read with a lot of good, practical information for mixed methods researchers at all levels. The practical approach of this text makes it an innovative and valuable resource.” —John G. Schumacher, University of Maryland
The COVID-19 pandemic has disrupted life globally through virus-related mortality and morbidity and the social and economic impacts of actions taken to stop the virus’ spread. It became evident early on during the pandemic that older adults are especially vulnerable to morbidity and mortality from COVID-19, and the adverse consequences of strategies taken to mitigate its effects. While no more likely to become infected than younger populations, the risk for hospitalization and death rises considerably with age. Residents of long-term care facilities have been among the hardest hit. The pandemic has brought many facets of ageism to the fore. Community stay-at-home messages, lockdowns, social distancing requirements, and visitation restrictions contributed to a concomitant epidemic in social isolation and loneliness. Economic and social impacts have been dramatic; so too has been the disproportionate hardship experienced by members of racial and ethnic minority communities. This book reports original empirical research and perspectives on the ramifications of the COVID-19 pandemic for the older adult population, and draws lessons for policy, research, and practice. Key issues pertaining to the impact of COVID-19 on older adults and their families, caregivers, and communities are highlighted. Four main areas are examined: personal experiences with COVID-19; long-term care system impacts; end-of-life care; and technology and innovation. The chapters in this book were originally published as a special issue of the Journal of Aging & Social Policy.
Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care.
The COVID-19 pandemic has disrupted life globally through virus-related mortality and morbidity and the social and economic impacts of actions taken to stop the virus’ spread. It became evident early on during the pandemic that older adults are especially vulnerable to morbidity and mortality from COVID-19, and the adverse consequences of strategies taken to mitigate its effects. While no more likely to become infected than younger populations, the risk for hospitalization and death rises considerably with age. Residents of long-term care facilities have been among the hardest hit. The pandemic has brought many facets of ageism to the fore. Community stay-at-home messages, lockdowns, social distancing requirements, and visitation restrictions contributed to a concomitant epidemic in social isolation and loneliness. Economic and social impacts have been dramatic; so too has been the disproportionate hardship experienced by members of racial and ethnic minority communities. This book reports original empirical research and perspectives on the ramifications of the COVID-19 pandemic for the older adult population, and draws lessons for policy, research, and practice. Key issues pertaining to the impact of COVID-19 on older adults and their families, caregivers, and communities are highlighted. Four main areas are examined: personal experiences with COVID-19; long-term care system impacts; end-of-life care; and technology and innovation. The chapters in this book were originally published as a special issue of the Journal of Aging & Social Policy.
There were many challenges, successes, and concerns in providing long-term care to older adults during the COVID-19 pandemic. Looking at central North Carolina, the authors highlight the implications of providing long-term care to older Americans, with an emphasis on the importance of communication, resilience of staff, and value of human infrastructure. Based on extensive interviews, this collection of essays reflects on the participants’ individual experiences and represents the voices of staff and caregivers working in long-term residential care communities, in-home and community-based programs, as well as regional aging service providers and advocates.
The COVID-19 pandemic has impacted the lives of people throughout the world, either directly, due to exposure to the virus, or indirectly, due to measures taken to mitigate the virus’ effects. Older adults have been particularly hard hit, dying in disproportionately higher numbers, especially in long-term care facilities. Local, regional, and national government actions taken to mitigate the spread of COVID-19 have thus served, in part, to shield older adults from the virus, though not without adverse side effects, including increased social isolation, enhanced economic risk, revealed ageism, delayed medical treatment, and challenges getting basic needs met. This book explores the myriad ways in which the COVID-19 pandemic has affected older adults and their families, caregivers, and communities. It proposes policies and strategies for protecting and improving the lives of older people during the pandemic. It draws lessons for aging policy and practice more generally, given underlying challenges brought to the fore by government, provider, community, and individual responses to the pandemic. This book was originally published as a special issue of the Journal of Aging & Social Policy.
Nursing homes have been caught in the crosshairs of the coronavirus pandemic. As of early May 2020, Covid-19 had claimed the lives of more than 28,000 nursing home residents and staff in the United States. But U.S. nursing homes were unstable even before Covid-19 hit. The tragedy unfolding in nursing homes is the result of decades of neglect of long-term care policy. Beyond the pandemic, we will have to transform the way we pay for and provide long-term care. First, Medicaid programs need to invest considerably more in care in all settings, including home-based settings as Medicaid shifts a larger share of care into them. Second, because caregiving at home is not feasible for many care recipients and families, we also need safe, affordable residential options. Better residential options can help ensure that the tragedy currently unfolding in nursing homes never happens again. Finally, we believe that the United States needs to reconsider our piecemeal approach to paying for long-term care. Existing programs, such as Medicare and Medicaid, would have to fundamentally change the way they pay for long-term care to meet the needs of our aging population. We can look to other countries for more coherent financing systems. More funding alone is not the answer. Nor is more regulation a sufficient response. Rather, we need a combination of funding, regulation, and a new strategy that fully supports a range of institutional and noninstitutional care.
