Psychosocial Distress Among Certified Nursing Assistants in Long-Term Care During the COVID-19 Pandemic: A Social Ecological Model Informed Scoping Review.
| Autor: | Plys E; Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA., Ahmad N; Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA., Wei A; MGH Institute of Health Professions, School of Nursing, Boston, Massachusetts, USA., Thompson RA; School of Nursing, University of Missouri Sinclair School of Nursing, Columbia, Missouri, USA., Chang ES; Division of Geriatrics and Palliative Medicine, Weill Cornell Medical College, New York, New York, USA., Locke J; MGH Institute of Health Professions, School of Nursing, Boston, Massachusetts, USA., Bell JG; MGH Institute of Health Professions, Bellack Library, Boston, Massachusetts, USA., Vranceanu AM; Center for Health Outcomes and Interdisciplinary Research, Massachusetts General Hospital, Boston, Massachusetts, USA.; Department of Psychiatry, Harvard Medical School, Boston, Massachusetts, USA., Palan Lopez R; MGH Institute of Health Professions, School of Nursing, Boston, Massachusetts, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Clinical gerontologist [Clin Gerontol] 2024 Oct-Dec; Vol. 47 (5), pp. 760-777. Date of Electronic Publication: 2024 Apr 15. |
| DOI: | 10.1080/07317115.2024.2337137 |
| Abstrakt: | Objectives: This scoping review maps the literature on psychosocial distress and coping among nursing assistants (CNAs) in long-term care facilities (LTC) during the COVID-19 pandemic onto the Social Ecological Model (SEM) of Occupational Stress. Methods: Searches yielded 862 unique studies. Inclusion criteria were sample CNAs or equivalent in LTC; includes psychosocial variable; and collect data from February 2020-. A multi-phasic, meta-synthesis was used to synthesize qualitative data. Results: We identified 20 studies (13 quantitative, 7 qualitative) conducted between March 2020 and December 2021 from 14 countries. Prevalence rates were reported for perceived stress (31-33%; n = 1 study), post-traumatic stress (42%; n = 1), anxiety (53%; n = 1), depression (15-59%; n = 2), suicidal thoughts (11-15%; n = 1), and everyday emotional burnout (28%; n = 1). Qualitative studies identified factors contributing to psychosocial distress and coping at each SEM level (i.e. individual, microsystem, organization, and peri-/extra-organizational). Quantitative studies primarily measured factors relating to psychosocial distress and coping at the individual and organizational levels. Conclusions & Clinical Implications: This review identifies specific targets for intervention for psychosocial distress among CNAs in LTC at multiple levels, including job clarity; workload; facility culture; community relations; and policy. These intervention targets remain relevant to the LTC industry beyond the context of the COVID-19 pandemic. |
| Databáze: | MEDLINE |
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