COVID-19 resources

Results 11 - 20 of 2787

Order by    Date Title

From care packages to Zoom cookery classes: youth work during the COVID-19 “lockdown”

Journal of Children's Services

Purpose: This paper aims to explore the experience of one large Irish youth work organisation, Foroige, to measures introduced during the initial phase of COVID-19 in 2020. In the face of the unprecedented crisis including the closure of schools and curtailment of many youth services, this paper examines how the organisation responded and adapted its service offering. Design/methodology/approach: Qualitative semi-structured interviews were conducted with 12 senior managers and youth officers in Foroige to explore their perspectives on the organisation’s response. Participants were purposively sampled from across the operational management functions and also from regional levels and youth workers engaging in work “on the ground”. Findings: Shifting from a face-to -face, relationship-based to a distanced mode of engagement with young people, colleagues and volunteers required significant adaptation of Foroige’s service model. Innovation took place both in the delivery platform and fundamentally, in its service orientation. The accelerated move to online youth work brought about by the pandemic enabled the organisation to embrace and learn from the challenges and opportunities posed by digital technology. Responding to the immediate and tangible needs of young people in receipt of services, staff found themselves working with families at the more basic levels of intervention. Originality/value: This paper provides new insights into the nature of non-profit service innovation during a time of unprecedented crisis management. It highlights characteristics of organisational agility that can assist organisations in managing crises, while also pointing the way towards a more flexible operating model for youth work service delivery.

Last updated on hub: 08 May 2022

Employment inequalities among British minority ethnic workers in health and social care at the time of Covid-19: a rapid review of the literature

Social Policy and Society

There are long-standing concerns of inequalities in the workplace among minority ethnic (ME) workers in the UK health and social care (H&SC) sectors. ME workers contribute significantly to H&SC delivery. However, there is considerable evidence of substantial negative experiences among this group across various workplace indicators and outcomes, including (mis)treatment. The COVID-19 pandemic has exacerbated these inequalities with higher infection rates and related deaths among ME health and care workers. A rapid review methodology was employed to examine the work experiences and outcomes of ME workers in H&SC in the UK, focusing on low paid workers. The review identified fifty-one relevant outputs, detailing the nature and extent of inequalities across recruitment, career progression and treatment at work, including bullying and harassment. The findings highlight the impact of the intersectionality of gender, race and migration status concerning the ways inequalities are manifested and operated through individual perceptions and institutional and structural racism.

Last updated on hub: 05 May 2022

Technostress in a hostile world: older internet users before and during the COVID-19 pandemic

Aging and Mental Health

Objective: Older adults are largely ignored in studies of technostress (stress induced by Information and Communication Technology (ICT) use). This study aimed at exploring individual and contextual antecedents to technostress among older ICT users. Methods: Online surveys with ICT users aged 60 years and above were conducted in 2016 (N = 537) and during the COVID-19 pandemic of 2020 (N = 407), examining technostress level, internet use patterns and sociodemographic background. The 2020 survey also assessed a COVID-19-related Hostile World Scenario (HWS). Results: The two samples had very similar background characteristics, but participants in 2020 were more experienced and their internet use was significantly more diverse and intense than that of their predecessors. The factors predicting technostress in both samples were poorer health, fewer years of use, fewer hours of use per typical week and smaller use repertoire. The technostress level in 2020 was significantly higher than that of 2016—a finding explained by the COVID-19-related HWS. Conclusions: Individual antecedents hardly vary in the presence of significant contextual antecedents, but HWS may leave users with fewer resources to cope with the negative effects of technology use. Future research should explore additional contextual factors and interventions that may alleviate technostress among seniors.

Last updated on hub: 05 May 2022

Exploring vaccine hesitancy in care home employees in North West England: a qualitative study

BMJ Open

Objectives: Care homes have experienced a high number of COVID-19 outbreaks, and it is therefore important for care home employees to receive the COVID-19 vaccine. However, there is high vaccine hesitancy among this group. We aimed to understand barriers and facilitators to getting the COVID-19 vaccine, as well as views on potential mandatory vaccination policies. Design: Semi-structured interviews. Setting: Care home employees in North West England. Interviews conducted in April 2021. Participants:10 care home employees (aged 25–61 years) in the North West, who had been invited to have, but not received the COVID-19 vaccine. Results: We analysed the interviews using a framework analysis. Our analysis identified eight themes: perceived risk of COVID-19, effectiveness of the vaccine, concerns about the vaccine, mistrust in authorities, facilitators to getting the vaccine, views on mandatory vaccinations, negative experiences of care work during the COVID-19 pandemic, and communication challenges. Conclusions: Making COVID-19 vaccination a condition of deployment may not result in increased willingness to get the COVID-19 vaccination, with most care home employees in this study favouring leaving their job rather than getting vaccinated. At a time when many care workers already had negative experiences during the pandemic due to perceived negative judgement from others and a perceived lack of support facing care home employees, policies that require vaccination as a condition of deployment were not positively received.

Last updated on hub: 03 May 2022

Impact of COVID-19 on the burden of care of families of people with intellectual and developmental disabilities

Journal of Applied Research in Intellectual Disabilities

Aim: This study analysed the impact that COVID-19 and the response measures implemented by the Spanish Government have had on families of individuals with intellectual and developmental disabilities. Method: Data on 323 family members (M = 52.3 years old; SD = 10.5) were collected through an online survey, which was focused on analysing difficulties experienced and service provision during lockdown. Results: Many families (66.3%) have seen their level of stress increased during lockdown because of, among other reasons, a greater burden of care. Difficulties were associated with the closure and changes in disability-related services. Families of people with extensive support needs have generally experienced greater difficulties. Conclusion: Support services should have been considered essential services during lockdown. The failure to receive support has resulted in excessive burden on families, who had to assume a multitude of roles to support their family member with intellectual and developmental disability.

Last updated on hub: 02 May 2022

A thematic analysis of system wide learning from first wave Covid-19 in the East of England

BMC Health Services Research

Background: The Covid-19 pandemic has created an unprecedented challenge for health and social care systems globally. There is an urgent need for research on experiences of COVID-19 at different levels of health systems, including lessons from professional, organisational and local system responses, that can be used to inform managerial and policy responses. Methods: This paper presents the findings from a thematic analysis of front-line staff experiences working across the Norfolk and Waveney integrated care system (ICS) in the East of England during April and October 2020 to address the question “What are the experiences and perceptions of partner organisations and practitioners at multiple levels of the health system in responding to COVID-19 during the first wave of the pandemic?” This question was posed to learn from how practitioners, interdependent partner organisations and the system experienced the pandemic and responded. 176 interview transcripts derived from one to one and focus group interviews, meeting notes and feedback from a “We Care Together” Instagram campaign were submitted for qualitative thematic analysis to an external research team at a regional University commissioned to undertake an independent evaluation. Three phases of qualitative analysis were systematically undertaken to derive the findings. Findings: Thirty-one themes were distilled highlighting lessons learned from things that went well compared with those that did not; challenges compared with the celebrations and outcomes; learning and insights gained; impact on role; and system headlines. The analysis supported the ICS to inform and capitalise on system wide learning for integration, improvement and innovations in patient and care home resident safety, and staff wellbeing to deal with successive waves of the pandemic as well as prioritising workforce development priorities as part of its People Plan. Conclusions: The findings contribute to a growing body of knowledge about what impact the pandemic has had on health and social care systems and front-line practitioners globally. It is important to understand the impact at all three levels of the system (micro, meso and macro) as it is the meso and macro system levels that ultimately impact front line staff experiences and the ability to deliver person centered safe and effective care in any context. The paper presents implications for future workforce and health services policy, practice innovation and research.

Last updated on hub: 27 April 2022

Communities are doing it for themselves: lessons from the mutual aid experience

The University of Sheffield

This report discusses the lessons learnt from the Mobilising Volunteers Effectively (MoVE) project that worked with mutual aid groups in England and Wales during the COVID-19 pandemic. The report is based on findings from engagement with 59 mutual aid participants across the UK between January and September 2021, covering 12 local authorities (7 within one large regional authority) in England (10) and Wales (2). The analysis was carried out by researchers at the Universities of Sheffield, Leeds and Hull and considers: the gap that mutual aid filled (what it is, who was involved and what they did); the organising structures and cultures of the groups; the relationships that they developed; and their legacy. The analysis includes important lessons for systems and for post-pandemic recovery, and challenges some of the common misconceptions about mutual aid groups. Key enablers included: common organising structures and principles (whilst recognising the diversity of approaches): hyperlocal footprint; a relationally driven approach; informal and flexible support; horizontal decision-making; and mutuality. The key enablers of collaboration included: ability of organisations to collaborate with mutual aid, depended upon a capacity to work flexibly, to understand and respect the informality of the groups, and the freedom of staff (i.e. permission from senior leadership) to work with and not control. The researchers recommend that local authorities develop a better understanding of the support networks that exist in communities and collaborate with them in tackling complex social problems.

Last updated on hub: 22 April 2022

Hidden waits: the lasting impact of the pandemic on children’s services in the community

NHS Confederation

This briefing brings together new evidence about backlogs and increasing demand for children and young people's services. It also demonstrates what community providers are currently doing to meet demand, including how they are innovating, and makes a series of recommendations on the national support needed, both now and in the longer term. The briefing covers the impact of the COVID-19 pandemic on children and young people, particularly on social development, education and mental health. Access to community health services for children and young people has been significantly affected by the pandemic. Backlogs of care and reduced offers in community children and young people’s services have negative and far-reaching impacts for individuals and families and in socio-economic terms.

Last updated on hub: 22 April 2022

Experiences of adult social work addressing self-neglect during the Covid-19 pandemic

Journal of Social Work

Summary: Internationally there has been much interest in the impact of the COVID-19 pandemic on the care and support of older people including those with needs arising from self-neglect and/or hoarding. During the pandemic English local authorities’ legal duties remained to respond to concerns about harm about people with care and support needs living in the community. This paper reports interviews with 44 participants working for adult safeguarding/adult protective services (APS) in 31 local authorities recruited from all English regions. Interviews took place online in November-December 2020 as the pandemic's second UK wave was emerging. Analytic induction methods were used to develop themes. Findings: Participants reported some of the variations in referrals to their services with more contact being received from community sources concerned about their neighbours’ welfare. Participants provided accounts of the local organisation of adult safeguarding services during the pandemic, including in some areas the potential for offering early help to older people at risk of harm from self-neglect or hoarding behaviour. Online inter-agency meetings were positively received but were acknowledged to potentially exclude some older people. Applications: This article reports observations from adult safeguarding practitioners about their services which may be of interest internationally and in renewing services that can sustain public interest in the welfare of their older citizens and in developing early help. The findings reflect those from children's services where online meetings are also predicted to enhance professional communications post-pandemic but similarly need to ensure effective engagement with service users and their families.

Last updated on hub: 22 April 2022

Barriers and facilitators to providing home-based care in a pandemic: policy and practice implications

BMC Geriatrics

Objective: The purpose of this study is to describe the experiences of home-based care providers (HBCP) in providing care to older adults during the pandemic in order to inform future disaster planning, including during pandemics. Design: Qualitative inquiry using an abductive analytic approach. Setting and participants: Home-based care providers in COVID-19 hotspots. Methods: Telephone interviews were conducted with 27 participants (administrators, registered nurses and other members of the allied healthcare team), who provided in-home care during the pandemic in Medicare-certified home health agencies. Interviews focused on eliciting experiences from HBCP on challenges and successes in providing home-based care to older adults, including barriers to care and strategies employed to keep patients, and providers, safe in their homes during the pandemic. Results: Data was distilled into four major themes that have potential policy and practice impact. These included disrupted aging-in-place resources, preparedness actions contributing to readiness for the pandemic, limited adaptability in administrative needs during the pandemic and challenges with unclear messaging from public health officials. Conclusions: Home-based care plays an essential role in maintaining the health of older adults in disaster contexts, including pandemics. Innovative solutions, informed by policy that generate evidence-based best practices to support HBCP are needed to reduce barriers and increase protective factors, in order to maintain continuity of care for this vulnerable population during disruptive events.

Last updated on hub: 21 April 2022

Order by    Date Title