Restoring trust: COVID-19 and the future of long-term care in Canada

被引:93
作者
Estabrooks, Carole A. [1 ]
Straus, Sharon E. [2 ]
Flood, Colleen M. [3 ]
Keefe, Janice [4 ]
Armstrong, Pat [5 ]
Donner, Gail J. [6 ]
Boscart, Veronique [7 ]
Ducharme, Francine [8 ]
Silvius, James L. [9 ]
Wolfson, Michael C. [3 ,10 ]
机构
[1] Univ Alberta, Fac Nursing, Edmonton, AB, Canada
[2] Univ Toronto, Dept Med, Toronto, ON, Canada
[3] Univ Ottawa, Fac Law, Ottawa, ON, Canada
[4] Mt St Vincent Univ, Dept Family Studies & Gerontol, Halifax, NS, Canada
[5] York Univ, Dept Sociol, Toronto, ON, Canada
[6] Univ Toronto, Fac Nursing, Toronto, ON, Canada
[7] Conestoga Coll, CIHR Schlegel Ind Res Chair Coll Seniors Care, Kitchener, ON, Canada
[8] Univ Montreal, Fac Nursing, Montreal, PQ, Canada
[9] Univ Calgary, Cumming Sch Med, Calgary, AB, Canada
[10] Univ Ottawa, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada
来源
FACETS | 2020年 / 5卷
关键词
long-term care; nursing homes; COVID-19; pandemic; quality of care; quality of life; end of life; LTC transformation; data quality; accountability; NURSING-HOME RESIDENTS; QUALITY-OF-CARE; HEALTH-CARE; STAFFING LEVELS; ADVANCED DEMENTIA; PHYSICAL RESTRAINTS; NONMALIGNANT PAIN; OLDER-PEOPLE; LIFE CARE; END;
D O I
10.1139/facets-2020-0056
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
The Royal Society of Canada Task Force on COVID-19 was formed in April 2020 to provide evidence-informed perspectives on major societal challenges in response to and recovery from COVID-19. The Task Force established a series of working groups to rapidly develop policy briefings, with the objective of supporting policy makers with evidence to inform their decisions. This paper reports the findings of the CVOID-19 Long-Term Care (LTC) working group addressing a preferred future for LTC in Canada, with a specific focus on COVID-19 and the LTC workforce. First, the report addresses the research context and policy environment in Canada's LTC sector before COVID-19 and then summarizes the existing knowledge base for integrated solutions to challenges that exist in the LTC sector. Second, the report outlines vulnerabilities exposed because of COVID-19, including deficiencies in the LTC sector that contributed to the magnitude of the COVID-19 crisis. This section focuses especially on the characteristics of older adults living in nursing homes, their caregivers, and the physical environment of nursing homes as important contributors to the COVID-19 crisis. Finally, the report articulates principles for action and nine recommendations for action to help solve the workforce crisis in nursing homes.
引用
收藏
页码:651 / 691
页数:41
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