在 COVID-19 大流行期间在养老院工作：大流行如何改变了工作实践？一项定性研究。
Working in a care home during the COVID-19 pandemic: How has the pandemic changed working practices? A qualitative study.
机构信息
Department of Primary Care, University of Liverpool, Liverpool, UK.
NIHR ARC NWC, Liverpool, UK.
出版信息
BMC Geriatr. 2022 Feb 15;22(1):129. doi: 10.1186/s12877-022-02822-0.
BACKGROUND
The pandemic has significantly affected care homes' residents and families through the national visiting restrictions. However, less is known on the impact these changes have had on the care home workforce. The aim of this research was to explore the impact of COVID-19 on the working practices of care home staff, caring for people living with dementia.
METHODS
Remote qualitative, semi-structured interviews were conducted with care home staff caring for people living with dementia (PLWD) in the UK.
RESULTS
Participants were recruited to the larger programme of research via convenience sampling. Interviews were conducted via telephone or online platforms. This research employed inductive thematic analysis. Sixteen care home staff were included in this study. Three overarching themes were developed from the analysis that conveyed changes to the everyday working practices of the care home workforce and the impact such changes posed to staff wellbeing: (1) Practical implications of working in a care home during the COVID-19 pandemic; (2); Staff values and changes to the staff roles (3): Impact to the care home staff and concerns for the care sector.
CONCLUSIONS
The COVID-19 pandemic has significantly disrupted the daily working practices of care home staff, with staff forced to adopt additional roles on top of increased workloads to compensate for the loss of external agencies and support. Support and guidance must be offered urgently to inform care home staff on how to best adapt to their new working practices, ensuring that they are adequately trained.
背景
大流行通过全国性的探视限制，对养老院居民和家属产生了重大影响。然而，对于这些变化对养老院工作人员的影响，人们知之甚少。本研究的目的是探讨 COVID-19 对护理院工作人员（照顾痴呆症患者）工作实践的影响。
方法
通过远程、半结构化访谈，对英国护理院中照顾痴呆症患者的工作人员进行了研究。
结果
通过便利抽样，参与者被招募到更大的研究计划中。访谈通过电话或在线平台进行。本研究采用了归纳主题分析方法。共有 16 名护理院工作人员参与了这项研究。分析得出了三个总体主题，这些主题传达了护理院工作人员日常工作实践的变化以及这些变化对员工福利的影响：（1）在 COVID-19 大流行期间在护理院工作的实际影响；（2）员工价值观和员工角色的变化；（3）对护理院员工的影响和对护理行业的担忧。
结论
COVID-19 大流行严重扰乱了护理院工作人员的日常工作实践，工作人员被迫在增加工作量的基础上承担额外的角色，以弥补外部机构和支持的损失。必须紧急提供支持和指导，告知护理院工作人员如何最好地适应新的工作实践，确保他们得到充分的培训。
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