| Autor: |
Wasilewski, Marina, Hitzig, Sander, Sheppard, Christine, Minezes, Jacqueline, Lung, Maria, Robinson, Larry, Mayo, Amanda L., Simpson, Robert |
| Zdroj: |
Archives of Physical Medicine & Rehabilitation; Apr2024, Vol. 105 Issue 4, pe144-e144, 1p |
| Abstrakt: |
During the COVID pandemic, acute bed shortages meant that patients were discharged sooner and moved across the care continuum more rapidly. Restrictive infection and prevention rules also limited family presence. These circumstances challenged patients, families and healthcare providers (HCPs). Thus, we explored the COVID care pathway from the perspective of patients, caregivers, and HCPs to understand their experiences with care and recovery within and across care settings. A qualitative descriptive study was conducted. Data were collected until saturation of ideas was reached. Interviews ranged from 30 to 80 minutes, were audio-recorded, and transcribed verbatim. NVivo software was used to organize data and facilitate analysis. Data was thematically analyzed by multiple analysts to reduce bias and enhance data reliability. Patients and their family caregivers were recruited from an inpatient COVID rehabilitation (rehab) unit and HCPs from either an acute or inpatient rehab COVID unit. All participants were interviewed between August 2020 and February 2021. We interviewed 27 participants for this study (n=10 patients, n=5 caregivers n=12 HCPs). N/A. N/A. The pandemic heightened patient need for information and support but also rendered the healthcare system unable to adequately meet those needs. Three themes captured pandemic-related challenges and their impact on care and recovery across the continuum: 1) The inpatient rehab setting, compared to acute care, was slower-paced and resulted in care that was perceived as higher quality and relational by patients; 2) Care transitions were stressful because patients and caregivers felt unprepared to move from one setting to another; and 3) Recovery from COVID stagnated in the community due to depleted resources and COVID restrictions that limited community-based rehab. Inpatient rehab is an important part of the COVID care continuum as it gives patients a period of slower paced care and recovery. Better integration of acute care and inpatient rehab can improve transitions, while telerehab can support discharge to home and equip patients and caregivers with needed therapy and supports. No conflicts to disclose. [ABSTRACT FROM AUTHOR] |
| Databáze: |
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