Reopening the doors of Dutch nursing homes during the COVID-19 crisis: results of an in-depth monitoring

Raymond T C M Koopmans; Hilde Verbeek; Annemiek Bielderman; Meriam M Janssen; Anke Persoon; Ivonne Lesman-Leegte; Eefje M Sizoo; Jan P H Hamers; Debby L Gerritsen

doi:10.1017/s1041610221000296

Reopening the doors of Dutch nursing homes during the COVID-19 crisis: results of an in-depth monitoring

Raymond T C M Koopmans^*, Hilde Verbeek, Annemiek Bielderman, Meriam M Janssen, Anke Persoon, Ivonne Lesman-Leegte, Eefje M Sizoo, Jan P H Hamers, Debby L Gerritsen

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

OBJECTIVES: On May 11, the Dutch Government allowed 26 nursing homes to welcome 1 visitor per resident, after 2 months of lockdown. The study aimed to monitor in-depth the feasibility of the regulations and their impact on the well-being of residents, their visitors, and healthcare staff.

DESIGN: Mixed-methods study in 5 of the 26 facilities; the facilities were affiliated to an academic network of nursing homes.

PARTICIPANTS: Visitors and healthcare professionals.

INTERVENTION: Allowing visitors using local regulations based on national guidelines.

MEASUREMENTS: Digital questionnaire, analyzing documentation such as infection prevention control protocols, attending meetings of COVID-19 crisis teams, in-depth telephone or in-person interviews with visitors and healthcare professionals, and on-site observations.

RESULTS: National guidelines were translated with great variety into local care practice. Healthcare professionals agreed that reopening would increase the well-being of the residents and their loved ones. However, there were also great worries for increasing workload, increasing the risk of emotional exhaustion, and the risk of COVID-19 infections. Compliance with local regulations was generally satisfactory, but maintaining social distance and correctly wearing face masks appeared to be difficult. Care staff remained ambivalent for fear of infections. In general, allowing visitors was experienced as having a positive impact on the well-being of all stakeholders. Nevertheless, some residents with dementia showed negative effects.

CONCLUSION: The complete lockdown of Dutch nursing homes had a substantial impact on the well-being of the residents. The reopening was welcomed by all stakeholders, but provided a high organizational workload as well as feelings of ambivalence among care staff. In the second wave, a more tailored approach is being implemented. However, facilities are sometimes still struggling to find the right balance between infection control and well-being.

Original language	English
Article number	1041610221000296
Pages (from-to)	391-398
Number of pages	8
Journal	International Psychogeriatrics
Volume	34
Issue number	4
Early online date	5 Apr 2021
DOIs	https://doi.org/10.1017/s1041610221000296
Publication status	Published - Apr 2022

Keywords

BACK
IMPACT
LONG-TERM-CARE
RESIDENTS
VISITORS
neuropsychiatric symptoms
nursing homes
qualitative research
quality of life (QoL)

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10.1017/s1041610221000296Licence: CC BY

Cite this

Koopmans, R. T. C. M., Verbeek, H., Bielderman, A., Janssen, M. M., Persoon, A., Lesman-Leegte, I., Sizoo, E. M., Hamers, J. P. H., & Gerritsen, D. L. (2022). Reopening the doors of Dutch nursing homes during the COVID-19 crisis: results of an in-depth monitoring. International Psychogeriatrics, 34(4), 391-398. Article 1041610221000296. https://doi.org/10.1017/s1041610221000296

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title = "Reopening the doors of Dutch nursing homes during the COVID-19 crisis: results of an in-depth monitoring",

abstract = "OBJECTIVES: On May 11, the Dutch Government allowed 26 nursing homes to welcome 1 visitor per resident, after 2 months of lockdown. The study aimed to monitor in-depth the feasibility of the regulations and their impact on the well-being of residents, their visitors, and healthcare staff.DESIGN: Mixed-methods study in 5 of the 26 facilities; the facilities were affiliated to an academic network of nursing homes.PARTICIPANTS: Visitors and healthcare professionals.INTERVENTION: Allowing visitors using local regulations based on national guidelines.MEASUREMENTS: Digital questionnaire, analyzing documentation such as infection prevention control protocols, attending meetings of COVID-19 crisis teams, in-depth telephone or in-person interviews with visitors and healthcare professionals, and on-site observations.RESULTS: National guidelines were translated with great variety into local care practice. Healthcare professionals agreed that reopening would increase the well-being of the residents and their loved ones. However, there were also great worries for increasing workload, increasing the risk of emotional exhaustion, and the risk of COVID-19 infections. Compliance with local regulations was generally satisfactory, but maintaining social distance and correctly wearing face masks appeared to be difficult. Care staff remained ambivalent for fear of infections. In general, allowing visitors was experienced as having a positive impact on the well-being of all stakeholders. Nevertheless, some residents with dementia showed negative effects.CONCLUSION: The complete lockdown of Dutch nursing homes had a substantial impact on the well-being of the residents. The reopening was welcomed by all stakeholders, but provided a high organizational workload as well as feelings of ambivalence among care staff. In the second wave, a more tailored approach is being implemented. However, facilities are sometimes still struggling to find the right balance between infection control and well-being.",

keywords = "BACK, IMPACT, LONG-TERM-CARE, RESIDENTS, VISITORS, neuropsychiatric symptoms, nursing homes, qualitative research, quality of life (QoL)",

author = "Koopmans, {Raymond T C M} and Hilde Verbeek and Annemiek Bielderman and Janssen, {Meriam M} and Anke Persoon and Ivonne Lesman-Leegte and Sizoo, {Eefje M} and Hamers, {Jan P H} and Gerritsen, {Debby L}",

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year = "2022",

month = apr,

doi = "10.1017/s1041610221000296",

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T1 - Reopening the doors of Dutch nursing homes during the COVID-19 crisis

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AU - Koopmans, Raymond T C M

AU - Verbeek, Hilde

AU - Bielderman, Annemiek

AU - Janssen, Meriam M

AU - Persoon, Anke

AU - Lesman-Leegte, Ivonne

AU - Sizoo, Eefje M

AU - Hamers, Jan P H

AU - Gerritsen, Debby L

N1 - Publisher Copyright: ©

PY - 2022/4

Y1 - 2022/4

N2 - OBJECTIVES: On May 11, the Dutch Government allowed 26 nursing homes to welcome 1 visitor per resident, after 2 months of lockdown. The study aimed to monitor in-depth the feasibility of the regulations and their impact on the well-being of residents, their visitors, and healthcare staff.DESIGN: Mixed-methods study in 5 of the 26 facilities; the facilities were affiliated to an academic network of nursing homes.PARTICIPANTS: Visitors and healthcare professionals.INTERVENTION: Allowing visitors using local regulations based on national guidelines.MEASUREMENTS: Digital questionnaire, analyzing documentation such as infection prevention control protocols, attending meetings of COVID-19 crisis teams, in-depth telephone or in-person interviews with visitors and healthcare professionals, and on-site observations.RESULTS: National guidelines were translated with great variety into local care practice. Healthcare professionals agreed that reopening would increase the well-being of the residents and their loved ones. However, there were also great worries for increasing workload, increasing the risk of emotional exhaustion, and the risk of COVID-19 infections. Compliance with local regulations was generally satisfactory, but maintaining social distance and correctly wearing face masks appeared to be difficult. Care staff remained ambivalent for fear of infections. In general, allowing visitors was experienced as having a positive impact on the well-being of all stakeholders. Nevertheless, some residents with dementia showed negative effects.CONCLUSION: The complete lockdown of Dutch nursing homes had a substantial impact on the well-being of the residents. The reopening was welcomed by all stakeholders, but provided a high organizational workload as well as feelings of ambivalence among care staff. In the second wave, a more tailored approach is being implemented. However, facilities are sometimes still struggling to find the right balance between infection control and well-being.

AB - OBJECTIVES: On May 11, the Dutch Government allowed 26 nursing homes to welcome 1 visitor per resident, after 2 months of lockdown. The study aimed to monitor in-depth the feasibility of the regulations and their impact on the well-being of residents, their visitors, and healthcare staff.DESIGN: Mixed-methods study in 5 of the 26 facilities; the facilities were affiliated to an academic network of nursing homes.PARTICIPANTS: Visitors and healthcare professionals.INTERVENTION: Allowing visitors using local regulations based on national guidelines.MEASUREMENTS: Digital questionnaire, analyzing documentation such as infection prevention control protocols, attending meetings of COVID-19 crisis teams, in-depth telephone or in-person interviews with visitors and healthcare professionals, and on-site observations.RESULTS: National guidelines were translated with great variety into local care practice. Healthcare professionals agreed that reopening would increase the well-being of the residents and their loved ones. However, there were also great worries for increasing workload, increasing the risk of emotional exhaustion, and the risk of COVID-19 infections. Compliance with local regulations was generally satisfactory, but maintaining social distance and correctly wearing face masks appeared to be difficult. Care staff remained ambivalent for fear of infections. In general, allowing visitors was experienced as having a positive impact on the well-being of all stakeholders. Nevertheless, some residents with dementia showed negative effects.CONCLUSION: The complete lockdown of Dutch nursing homes had a substantial impact on the well-being of the residents. The reopening was welcomed by all stakeholders, but provided a high organizational workload as well as feelings of ambivalence among care staff. In the second wave, a more tailored approach is being implemented. However, facilities are sometimes still struggling to find the right balance between infection control and well-being.

KW - BACK

KW - IMPACT

KW - LONG-TERM-CARE

KW - RESIDENTS

KW - VISITORS

KW - neuropsychiatric symptoms

KW - nursing homes

KW - qualitative research

KW - quality of life (QoL)

U2 - 10.1017/s1041610221000296

DO - 10.1017/s1041610221000296

M3 - Article

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SN - 1041-6102

VL - 34

SP - 391

EP - 398

JO - International Psychogeriatrics

JF - International Psychogeriatrics

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M1 - 1041610221000296

ER -