Source avec lien : Archives of Gerontology and Geriatrics, 102. 10.1016/j.archger.2022.104745
Le personnel des maisons de soins infirmiers a subi un impact négatif tout au long de la pandémie de COVID-19, faisant face à des difficultés pour fournir des soins aux patients. L’objectif de cette étude était d’explorer la perception des travailleurs de la santé concernant leur propre expérience de la qualité des soins dans les maisons de repos pendant la pandémie de COVID-19. Au milieu de la deuxième vague de la pandémie, nous avons étudié les relations entre la peur du COVID-19 et les expériences de qualité des soins dans les maisons de retraite, avec l’épuisement émotionnel comme rôle médiateur. Nous avons émis l’hypothèse que l’épuisement émotionnel est associé à la peur du COVID-19 et à la qualité des soins vécus par le personnel des maisons de retraite. De plus, nous avons prédit que l’épuisement émotionnel serait le médiateur des relations entre la peur du COVID-19 et l’expérience de la qualité des soins.
Background Nursing home staff have been adversely impacted throughout the COVID-19 pandemic, facing difficulties in providing patient care. The aim of this study was to explore health workers’ perception regarding their own care quality experience in nursing homes during the COVID-19 pandemic. Amidst the second wave of the pandemic, we investigated the relationships between fear of COVID-19 and care quality experiences in nursing homes with emotional exhaustion (EE) as a mediating role. We hypothesized that EE is associated with fear of COVID-19 and care quality experience among nursing home staff. Furthermore, we predicted that EE would mediate the relationships between fear of COVID-19 and care quality experience. Methods During the second wave of COVID-19 (October to December 2020), we administered surveys to a large sample of 129 French nursing home staff with a mean age of 38.47 ± 10.31 who were directly and repeatedly exposed to COVID-19. We assessed their emotional exhaustion (EE) and care quality experience in the workplace via subjective indicators using self-reported scales. Results In the context of COVID-19, low to severe emotional exhaustion levels were found among nursing home staff, and these levels were associated with care quality experience as well as fear of COVID-19. The groups with low and severe levels of EE reported the highest levels of fear of COVID-19. The groups with moderate and severe levels of EE reported the lowest levels of care quality experience. Lastly, the relationships between fear of COVID-19 and care quality experience were mediated by EE. Conclusions The findings made by the present study focused on the role of emotional coping responses to COVID-19. EE was associated positively with fear of COVID-19 and negatively with care quality experience. Furthermore, EE was found to mediate the relationship between fear of COVID-19 and care quality experience. We discuss these findings as they relate to palliative care issues in nursing homes and the manner in which emotional exhaustion ought to be addressed among nursing home staff.