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oai:repisalud.isciii.es:20.500.12105/163582024-09-28T02:30:18Zcom_20.500.12105_2052com_20.500.12105_2051col_20.500.12105_19618

00925njm 22002777a 4500 dc Grinspun, Doris author Matthews, Jennifer H author Bonner, Robert author Moreno-Casbas, Teresa author Mo, Josephine author 2023-04 This paper identifies key factors rooted in the systemic failings of the long-term care sector amongst four high income countries during the COVID-19 pandemic. The goal is to offer practice and policy solutions to prevent future tragedies. Based on data from Australia, Canada, Spain and the United States, the findings support evidence-based recommendations at macro, meso and micro levels of practice and policy intervention. Key macro recommendations include improving funding, transparency, accountability and health system integration; and promoting not-for-profit and government-run long-term care facilities. The meso recommendation involves moving from warehouses to "green houses." The micro recommendations emphasize mandating recommended staffing levels and skill mix; providing infection prevention and control training; establishing well-being and mental health supports for residents and staff; building evidence-based practice cultures; ensuring ongoing education for staff and nursing students; and fully integrating care partners, such as families or friends, into the healthcare team. Enacting these recommendations will improve residents' safety and quality of life, families' peace of mind, and staff retention and work satisfaction. Int J Nurs Sci. 2023 Apr;10(2):158-166. 10.1016/j.ijnss.2023.03.017 2352-0132 International journal of nursing sciences 37095850 http://hdl.handle.net/20.500.12105/16358 Aged COVID-19 Health care reform Health services for the aged Homes for the aged Long-term care Nursing homes Pandemics COVID-19 pandemic in long-term care: An international perspective for policy considerations