Implementing recommended COVID‐19 public health measures in the era of living with COVID‐19: Experiences of residential aged care facility managers in New South Wales, Australia

Author:

Bolsewicz Katarzyna T.12ORCID,Thompson Kirrilly2,Murray Peter1,Vidler Megan1,Taylor Joanne12,Durrheim David N.12

Affiliation:

1. Health Protection, Hunter New England Local Health District Wallsend New South Wales Australia

2. School of Medicine and Public Health University of Newcastle Callaghan New South Wales Australia

Abstract

AbstractObjectivesTo understand residential aged care facility (the facility) managers' perspectives on implementing public health measures (the measures) in their facilities in terms of barriers, facilitators and suggestions for improvement, after three years of the COVID‐19 pandemic.MethodsNine managers of the facilities without an active COVID‐19 outbreak across New South Wales, Australia, representing metropolitan and rural locations, diverse facility size and star quality rating were interviewed (April–June 2023) and data qualitatively analysed.ResultsBroader policy context, the need to balance the measures with resident well‐being, facility‐built infrastructure and mask fatigue were reported as barriers to implementation. Workplace policies, cultural embedding and local innovations were reported as facilitators. Suggested strategies included recommending the measures consistent with temporal COVID‐19 risk; government agencies improving communication about the measures; mandatory staff vaccination; and simplified reporting requirements.ConclusionsWe recommend that relevant government agencies develop a single source of formalised, endorsed, up‐to‐date advice for the sector‐specific COVID‐19 information and communications; streamline outbreak notification and reporting requirements; and improve consultation with the sector.

Funder

Hunter New England Local Health District

Publisher

Wiley

Reference29 articles.

1. Australian Government Department of Health and Aged Care.COVID‐19 Australia: epidemiology report 75. 2023. Accessed July 11 2023.https://www1.health.gov.au/internet/main/publishing.nsf/Content/99424DA2A5F3A488CA2589BA0019141B/$File/covid_19_australia_epidemiology_report_75_reporting_period_ending_4_june_2023.pdf

2. Australian Government Department of Health and Aged Care.COVID‐19 outbreaks in Australian residential aged care facilities‐18 August 2023. 2023. Accessed August 23 2023.https://www.health.gov.au/sites/default/files/2023‐08/covid‐19‐outbreaks‐in‐australian‐residential‐aged‐care‐facilities‐18‐august‐2023.pdf

3. Factors associated with hospitalisations and deaths of residential aged care residents with COVID ‐19 during the Omicron ( BA .1) wave in Queensland

4. Epidemiology and clinical features of COVID-19 outbreaks in aged care facilities: A systematic review and meta-analysis

5. COVID‐19 and residential aged care: priorities for optimising preparation and management of outbreaks

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