Opinion: Given the serious workforce shortages and other issues already facing nursing homes, we cannot afford to ignore recent findings.
involved interviews with 21 nursing home leaders from eight nursing homes in Alberta and British Columbia between January and April 2021. The managers we interviewed felt a tremendous sense of responsibility for protecting residents, staff, and their own families from COVID-19 and were devastated when the virus made it into their nursing homes.
Managers also reported experiencing grief and guilt for residents isolated from their families and for sick and dying residents and staff who contracted COVID-19 at their nursing homes. Nursing home leaders had to deal with overwhelming workloads resulting from frequent changes in public health orders, often with short notice, that left them scrambling to put new measures in place. Staff shortages sometimes required them to do front-line care as well as their administrative duties. Many worked weeks without any time off.shows how managers’ scores on important quality of work life and health measures deteriorated over time.
Comparing the results from both sets of surveys, we found that as time went on, nursing home leaders experienced significant decreases in job satisfaction, mental health and confidence in being able to do their work. Their levels of exhaustion and cynicism rose, putting them at risk of burnout. Prior to the pandemic, these measures had been stable for more than a decade.
Given the serious workforce shortages and other issues already facing nursing homes, we cannot afford to ignore these findings. Governments and policymakers need to act now to address the concerns raised and find ways to support these leaders.and professor and Canada Research Chair, faculty of nursing, University of Alberta.
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