A framework for delivering nursing care to older adults with COVID-19 in nursing homes

Deanna Gray-Miceli, Jeannette Rogowski, Pamela B. de Cordova, Marie Boltz

Research output: Contribution to journalArticlepeer-review

Abstract

Public health emergencies threaten the lives of U.S. citizens, often in disproportionate ways. Hardest hit are vulnerable populations of older adults (OAs) residing in nursing homes (NHs), who comprised nearly 43% of all deaths from COVID-19 in NHs in 2020. New Jersey (NJ) ranks #2 nationally behind New York with the highest numbers of resident deaths; more than 50% of all COVID-19-related deaths in NJ have occurred in NHs. This public health emergency has prompted investigators to evaluate existing structural, resident, process of care, regulatory, and policy characteristics that have impacted the delivery of nursing care within NJ NHs. In this manuscript, we discuss data from NJ NHs during COVID-19, drawing from publicly available data, state reports, and the geriatric literature to offer recommendations. Based on evidence-based practices (EBPs), we present a series of recommendations to modify existing contextual factors in NHs to best prepare for the next health disaster.

Original languageEnglish (US)
Pages (from-to)610-626
Number of pages17
JournalPublic Health Nursing
Volume38
Issue number4
DOIs
StatePublished - Jul 1 2021

All Science Journal Classification (ASJC) codes

  • Nursing(all)
  • Public Health, Environmental and Occupational Health

Keywords

  • aged
  • evidence-based practice
  • geriatric nursing
  • nursing homes
  • public health nursing practice
  • safety

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