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dc.contributor.authorGiri, Shamik
dc.contributor.authorChenn, Lee Minn
dc.contributor.authorRomero-Ortuno, Roman
dc.date.accessioned2025-01-31T12:13:10Z
dc.date.available2025-01-31T12:13:10Z
dc.date.issued2021-06-16
dc.identifier.issn1878-7649
dc.identifier.pmid34136990
dc.identifier.doi10.1007/s41999-021-00531-2
dc.identifier.urihttp://hdl.handle.net/10147/644128
dc.descriptionIntroduction: COVID-19 has caused unprecedented challenges in nursing homes. In this scoping review, we aimed to describe factors that contributed to the spread and mortality of COVID-19 in nursing homes and provide an overview of responses that were implemented to try to overcome such challenges. Methods: The MeSH terms "Nursing homes" and "COVID-19" were searched in MEDLINE Ovid, and English language articles were retrieved that were published between 1 March 2020 and 31 January 2021. Article titles and abstracts were screened by two reviewers, and the results of included articles were grouped by themes. Results: The search retrieved 348 articles, of which 76 were included in the thematic review. 8 articles related to COVID-19 disease characteristics (e.g. asymptomatic transmission), 24 to resident-related factors (e.g. comorbidities, nutrition, cognition), 13 to facility characteristics (e.g. physical space, occupancy, for-profit status), 21 to staffing (e.g. staffing levels, staff-to-resident ratio, staff multi-employment), and 10 to external factors (e.g. availability of personal protective equipment, prevailing health and social care policies). In terms of responses, identified themes included widespread testing, isolation and cohorting of residents, staff protection and support, promotion of residents' well-being, and technological innovations. Conclusion: COVID-19 exerted severe challenges on the nursing home population and its staff. Both internal and external factors predisposed nursing homes to an increased propensity of spread. Numerous strategies were employed to attempt to mitigate the negative impacts. Substantial learning occurred that may not only aid future pandemic preparedness but improve quality of care for nursing home residents at all times.en_US
dc.language.isoenen_US
dc.rights© 2021. The Author(s).
dc.rightsAttribution 4.0 International*
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/*
dc.subjectCOVID-19en_US
dc.subjectMORTALITYen_US
dc.subjectNursing homesen_US
dc.subjectolder adultsen_US
dc.subjectPANDEMICen_US
dc.titleNursing homes during the COVID-19 pandemic: a scoping review of challenges and responses.en_US
dc.typeArticleen_US
dc.identifier.journalEuropean geriatric medicineen_US
dc.source.journaltitleEuropean geriatric medicine
dc.source.volume12
dc.source.issue6
dc.source.beginpage1127
dc.source.endpage1136
refterms.dateFOA2025-01-31T12:13:11Z
dc.source.countrySwitzerland


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