Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile
Background: As elsewhere, in Chile the COVID-19 affected disproportionately older people, and particularly people living in long-term care facilities. Considering this problem, the Government issued a series of guidelines and protocols to prevent and manage COVID-19 outbreaks in these facilities....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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LSE Press
2021-04-01
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| Series: | Journal of Long-Term Care |
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| Online Access: | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/72 |
| _version_ | 1797630569883893760 |
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| author | Jorge Browne Josefa Palacios Ignacio Madero-Cabib Pablo Villalobos Dintrans Rocío Quilodrán Alejandro Ceriani Danilo Meza |
| author_facet | Jorge Browne Josefa Palacios Ignacio Madero-Cabib Pablo Villalobos Dintrans Rocío Quilodrán Alejandro Ceriani Danilo Meza |
| author_sort | Jorge Browne |
| collection | DOAJ |
| description |
Background: As elsewhere, in Chile the COVID-19 affected disproportionately older people, and particularly people living in long-term care facilities. Considering this problem, the Government issued a series of guidelines and protocols to prevent and manage COVID-19 outbreaks in these facilities.
Methods: This study aims to identify barriers and enablers that affect the implementation of these prevention and management measures. For the analysis, we used an implementation science approach and a mixed methods strategy — a survey among facilities’ managers and interviews among staff — classifying enablers and barriers into four categories: agreement with the intervention’s goals, financial resources to implement the measures, technical needs of the intervention, and cultural factors in the facilities.
Results: Results highlight the importance of the four factors above in the implementation of COVID-19 guidelines and protocols. Managers and staff differ in their view of the main enablers and barriers for implementation. However, they both identify the knowledge about the measures and availability of personal protective equipment as enablers and human resources as a potential barrier.
Conclusions: The identification of several factors related to goals and culture highlights the need to adopt a broad implementation approach when designing interventions for long-term care facilities, avoiding restricting the discussion to the availability of resources.
Highlight:
• Understanding implementation factors is key to design and assess successful interventions.
• The prevention and management measures implemented in the Chilean facilities found barriers (e.g., infrastructure, human capital and resistance to chance), and enablers (e.g., PPE availability and trust in technical staff) that could have impacted the effectiveness of the measures proposed.
• Tackling the identified implementation barriers using feasible and evidence based strategies could improve the effectiveness of the measures.
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| first_indexed | 2024-03-11T11:10:01Z |
| format | Article |
| id | doaj.art-feee1343f56a4d798f529148c31572f0 |
| institution | Directory Open Access Journal |
| issn | 2516-9122 |
| language | English |
| last_indexed | 2024-03-11T11:10:01Z |
| publishDate | 2021-04-01 |
| publisher | LSE Press |
| record_format | Article |
| series | Journal of Long-Term Care |
| spelling | doaj.art-feee1343f56a4d798f529148c31572f02023-11-12T06:24:56ZengLSE PressJournal of Long-Term Care2516-91222021-04-012021Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in ChileJorge Browne0Josefa Palacios1Ignacio Madero-Cabib2Pablo Villalobos Dintrans3Rocío Quilodrán4Alejandro Ceriani5Danilo Meza6Sección de Geriatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, SantiagoMillennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), SantiagoMillennium Nucleus for the Study of the Life Course and Vulnerability (MLIV), Santiago; Instituto de Sociología & Departamento de Salud Pública, Pontificia Universidad Católica de Chile, SantiagoPrograma Centro Salud Pública, Facultad de Ciencias Médicas, Universidad de Santiago, SantiagoSección de Geriatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, SantiagoSección de Geriatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, SantiagoSección de Geriatría, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago Background: As elsewhere, in Chile the COVID-19 affected disproportionately older people, and particularly people living in long-term care facilities. Considering this problem, the Government issued a series of guidelines and protocols to prevent and manage COVID-19 outbreaks in these facilities. Methods: This study aims to identify barriers and enablers that affect the implementation of these prevention and management measures. For the analysis, we used an implementation science approach and a mixed methods strategy — a survey among facilities’ managers and interviews among staff — classifying enablers and barriers into four categories: agreement with the intervention’s goals, financial resources to implement the measures, technical needs of the intervention, and cultural factors in the facilities. Results: Results highlight the importance of the four factors above in the implementation of COVID-19 guidelines and protocols. Managers and staff differ in their view of the main enablers and barriers for implementation. However, they both identify the knowledge about the measures and availability of personal protective equipment as enablers and human resources as a potential barrier. Conclusions: The identification of several factors related to goals and culture highlights the need to adopt a broad implementation approach when designing interventions for long-term care facilities, avoiding restricting the discussion to the availability of resources. Highlight: • Understanding implementation factors is key to design and assess successful interventions. • The prevention and management measures implemented in the Chilean facilities found barriers (e.g., infrastructure, human capital and resistance to chance), and enablers (e.g., PPE availability and trust in technical staff) that could have impacted the effectiveness of the measures proposed. • Tackling the identified implementation barriers using feasible and evidence based strategies could improve the effectiveness of the measures. https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/72COVID-19nursing homeslong-term careimplementation science |
| spellingShingle | Jorge Browne Josefa Palacios Ignacio Madero-Cabib Pablo Villalobos Dintrans Rocío Quilodrán Alejandro Ceriani Danilo Meza Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile Journal of Long-Term Care COVID-19 nursing homes long-term care implementation science |
| title | Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile |
| title_full | Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile |
| title_fullStr | Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile |
| title_full_unstemmed | Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile |
| title_short | Enablers and Barriers to Implement COVID-19 Measures in Long-Term Care Facilities: A Mixed Methods Implementation Science Assessment in Chile |
| title_sort | enablers and barriers to implement covid 19 measures in long term care facilities a mixed methods implementation science assessment in chile |
| topic | COVID-19 nursing homes long-term care implementation science |
| url | https://account.journal.ilpnetwork.org/index.php/lse-j-jltc/article/view/72 |
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