COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces

Abstract Background Over the successive waves of the COVID-19 pandemic, front-line care workers (FLCWs) —in this case, at long-term care facilities (LTCFs)— have been the backbone of the fight. The COVID-19 pandemic has disproportionately affected LTCFs in terms of the number of cases, deaths, and o...

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Main Authors: Idrissa Beogo, Nebila Jean-Claude Bationo, Drissa Sia, Stephanie Collin, Babou Kinkumba Ramazani, Aurée-Anne Létourneau, Jean Ramdé, Marie-Pierre Gagnon, Eric Nguemeleu Tchouaket
Format: Article
Language:English
Published: BMC 2022-09-01
Series:BMC Geriatrics
Subjects:
Online Access:https://doi.org/10.1186/s12877-022-03419-3
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author Idrissa Beogo
Nebila Jean-Claude Bationo
Drissa Sia
Stephanie Collin
Babou Kinkumba Ramazani
Aurée-Anne Létourneau
Jean Ramdé
Marie-Pierre Gagnon
Eric Nguemeleu Tchouaket
author_facet Idrissa Beogo
Nebila Jean-Claude Bationo
Drissa Sia
Stephanie Collin
Babou Kinkumba Ramazani
Aurée-Anne Létourneau
Jean Ramdé
Marie-Pierre Gagnon
Eric Nguemeleu Tchouaket
author_sort Idrissa Beogo
collection DOAJ
description Abstract Background Over the successive waves of the COVID-19 pandemic, front-line care workers (FLCWs) —in this case, at long-term care facilities (LTCFs)— have been the backbone of the fight. The COVID-19 pandemic has disproportionately affected LTCFs in terms of the number of cases, deaths, and other morbidities, requiring managers to make rapid and profound shifts. The purpose of this study is to describe the effects of the pandemic on LTCF services offered and LTCFs staff dedicated to linguistic minorities in three Canadian provinces. Methods This qualitative descriptive study involved eleven managers and fourteen FLCWs, from six LTCFs of three Canadian provinces (New-Brunswick, Manitoba and Quebec). A qualitative content analysis was performed to identify key themes describing the effects of the COVID-19 pandemic on the services offered and the management of LTCFs staff. Results Based on participants’ experiences, we identified three main categories of themes. These macro-themes are as follows: (i) organization and management of staff, (ii) communication and decision-making method, and (iii) staff support. Conclusion The study highlighted the tremendous impact of COVID-19 on direct care staff in terms of the high risks associated with caring for LTCFs residents, which are exacerbated by absences and resignations (sometimes up to 50% of staff), resulting in higher resident to FLCWs ratios. Team members had to support each other, they also received accolades and appreciation from the residents.. Finally, the pandemic led to the rethinking of management procedures centred on a coordinated, inclusive and more hands-on management approach.
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spelling doaj.art-f84734eb0a1d4f6984f5e2c81dd6c7eb2022-12-22T04:05:05ZengBMCBMC Geriatrics1471-23182022-09-012211810.1186/s12877-022-03419-3COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian ProvincesIdrissa Beogo0Nebila Jean-Claude Bationo1Drissa Sia2Stephanie Collin3Babou Kinkumba Ramazani4Aurée-Anne Létourneau5Jean Ramdé6Marie-Pierre Gagnon7Eric Nguemeleu Tchouaket8École des sciences infirmières, School of Nursing, Faculty of Health Sciences, University of OttawaFaculté des sciences de l’éducation, Université LavalDépartement des sciences infirmières, Université du Québec en OutaouaisÉcole des hautes études publiques (HEP), Université de MonctonCanadian Institute for Public Health InspectorsEnglish Language and Cultural Communities Planning, Programming and Research Officer, Jeffery Hale - Saint Brigid’s, CIUSSSCNFaculté des sciences de l’éducation, Université LavalFaculté des sciences infirmières, Université LavalDépartement des sciences infirmières, Université du Québec en OutaouaisAbstract Background Over the successive waves of the COVID-19 pandemic, front-line care workers (FLCWs) —in this case, at long-term care facilities (LTCFs)— have been the backbone of the fight. The COVID-19 pandemic has disproportionately affected LTCFs in terms of the number of cases, deaths, and other morbidities, requiring managers to make rapid and profound shifts. The purpose of this study is to describe the effects of the pandemic on LTCF services offered and LTCFs staff dedicated to linguistic minorities in three Canadian provinces. Methods This qualitative descriptive study involved eleven managers and fourteen FLCWs, from six LTCFs of three Canadian provinces (New-Brunswick, Manitoba and Quebec). A qualitative content analysis was performed to identify key themes describing the effects of the COVID-19 pandemic on the services offered and the management of LTCFs staff. Results Based on participants’ experiences, we identified three main categories of themes. These macro-themes are as follows: (i) organization and management of staff, (ii) communication and decision-making method, and (iii) staff support. Conclusion The study highlighted the tremendous impact of COVID-19 on direct care staff in terms of the high risks associated with caring for LTCFs residents, which are exacerbated by absences and resignations (sometimes up to 50% of staff), resulting in higher resident to FLCWs ratios. Team members had to support each other, they also received accolades and appreciation from the residents.. Finally, the pandemic led to the rethinking of management procedures centred on a coordinated, inclusive and more hands-on management approach.https://doi.org/10.1186/s12877-022-03419-3Older adultsManagersFrontline workersCOVID-19CanadaLong-term
spellingShingle Idrissa Beogo
Nebila Jean-Claude Bationo
Drissa Sia
Stephanie Collin
Babou Kinkumba Ramazani
Aurée-Anne Létourneau
Jean Ramdé
Marie-Pierre Gagnon
Eric Nguemeleu Tchouaket
COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces
BMC Geriatrics
Older adults
Managers
Frontline workers
COVID-19
Canada
Long-term
title COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces
title_full COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces
title_fullStr COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces
title_full_unstemmed COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces
title_short COVID-19 pandemic or chaos time management: first-line worker shortage – a qualitative study in three Canadian Provinces
title_sort covid 19 pandemic or chaos time management first line worker shortage a qualitative study in three canadian provinces
topic Older adults
Managers
Frontline workers
COVID-19
Canada
Long-term
url https://doi.org/10.1186/s12877-022-03419-3
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