Exploring the Impact of COVID-19 Restrictions on Nursing Home Residents’, Families’, and Staff’s Perceptions of Bioethical Principles: A Qualitative Study

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GE Yimin XU Shengjia CAPRON Alexander M. KELLER Michelle S. HLÁVKA Jakub

Rok publikování 2024
Druh Článek v odborném periodiku
Časopis / Zdroj JOURNAL OF APPLIED GERONTOLOGY
Fakulta / Pracoviště MU

Ekonomicko-správní fakulta

Citace
www https://journals.sagepub.com/doi/epub/10.1177/07334648241249626
Doi http://dx.doi.org/10.1177/07334648241249626
Klíčová slova COVID-19; nursing homes; long-term services and supports; policy; qualitative methods; bioethics
Přiložené soubory
Popis In this study, we employed a pre-interview survey and conducted interviews with nursing home staff members and residents/family members to understand their perceptions of whether the COVID-19 restrictions fulfilled obligations to nursing home residents under various principles, including autonomy, beneficence, nonmaleficence, justice, and privacy. We conducted 20 semi-structured interviews with staff members from 14 facilities, and 20 with residents and/or family members from 13 facilities. We used a qualitative descriptive study design and thematic analysis methodology to analyze the interviews. Findings from the pre-interview survey indicated that, compared to nursing home staff, residents and their families perceived lower adherence to bioethics principles during the pandemic. Qualitative analysis themes included specific restrictions, challenges, facility notifications, consequences, communication, and relationships between staff and residents/family members. Our study exposes the struggle to balance infection control with respecting bioethical principles in nursing homes, suggesting avenues for improving processes and policies during public health emergencies.
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