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Good Care during Covid-19

A Narrative Approach to Care Home Staff’s Experiences of the Pandemic

Bibliographic Data

ID15514747
AuthorsMarleen Dohmen (0000-0002-4503-5464, Leiden University Medical Center, corresponding author), Charlotte van den Eijnde (0000-0003-3170-1822, Leiden University Medical Center), Lucia Thielman (0000-0001-6149-222X, Leyden Academy on Vitality and Ageing), Christina L E Thielman (Leyden Academy on Vitality and Ageing, 2333 AA Leiden, The Netherlands), Jolanda Lindenberg (0000-0003-2547-9903, Leiden University Medical Center), Johanna M Huijg (Leiden University Medical Center), Tineke Abma (0000-0002-8902-322X, Leiden University Medical Center), Tineke A Abma (Leyden Academy on Vitality and Ageing, 2333 AA Leiden, The Netherlands)
Year2022
Volume19
Issue4
Pages2106-2106
Publication date2022-02-13
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph19042106
OpenAlexW4213142510
LanguageEN
Citations received2
References cited29

Due to its major impact on Dutch care homes for older people, the COVID-19 pandemic has presented care staff with unprecedented challenges. Studies investigating the experiences of care staff during the COVID-19 pandemic have shown its negative impact on their wellbeing. We aimed to supplement this knowledge by taking a narrative approach. We drew upon 424 personal narratives written by care staff during their work in a Dutch care home during the COVID-19 pandemic. Firstly, our results show that care staff have a relational-moral approach to good care. Residents’ wellbeing is their main focus, which they try to achieve through personal relationships within the triad of care staff–resident–significant others (SOs). Secondly, our results indicate that caregivers experience the COVID-19 mitigation measures as obstructions to relational-moral good care, as they limit residents’ wellbeing, damage the triadic care staff–residents–SOs relationship and leave no room for dialogue about good care. Thirdly, the results show that care staff experiences internal conflict when enforcing the mitigation measures, as the measures contrast with their relational-moral approach to care. We conclude that decisions about mitigation measures should be the result of a dialogic process on multiple levels so that a desired balance between practical good care and relational-moral good care can be determined

Care work · Coronavirus disease 2019 (COVID-19 · Narrative · Pandemic · Work (physics · Geriatric Care and Nursing Homes · Grief, Bereavement, and Mental Health · Medicine · Nursing · Palliative Care and End-of-Life Issues · Psychology

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Citations per year2
Citation span2025 - 2026 (2)
Highly citedNo

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