Global perspectives on challenges, coping strategies, and future preparedness of nursing home staff during COVID-19: a systematic review and meta-synthesis

作者：Xiufen Yang, Jiayi Guo, Weisi Peng, Bing-Dong Wang, Chao-Ran Qv, Sijia Zhou, Rui Sun, Lulu Liao, Weiwei Zhang, Lingyan Liu, Lian-chi Ren, Lin Zou, Shi‐Hai Xu · 发表于：BMC Health Services Research · 年份：2025 · DOI：10.1186/s12913-025-12926-z · 被引用次数：4 · 研究领域：Geriatric Care and Nursing Homes、COVID-19 and Mental Health、Nursing Education, Practice, and Leadership

BACKGROUND: The global public health crisis caused by COVID-19 in late 2019 was unprecedented. Due to their vulnerable population, nursing homes are a key epidemic response area. This study described the challenges and coping strategies of nursing home staff during COVID-19 and proposed recommendations for future public health crises in nursing homes. METHOD: A meta-synthesis was performed to address the research question: What are the experiences of nursing home staff from the perspectives of COVID-19? From the beginning until August 31, 2024, searches were conducted in five international databases (CINAHL, PubMed, Web of Science, PsycINFO, and the Cochrane Library) and three Chinese databases (CNKI, VIP, and Wanfang). Two reviewers used the Joanna Briggs Institute's (JBI) qualitative research checklist to evaluate each manuscript. The findings were synthesized using pragmatic meta-aggregators. RESULTS: The meta-synthesis included 22 qualitative studies and four mixed studies, which including 906 participants was analyzed to identify 268 findings that were organized into 15 categories and combined into three syntheses. Three synthesized findings were identified: Challenges (sub-findings: challenges implementing epidemic prevention and control, resource shortage, negative emotions, inadequate departmental communication and coordination, lack of support, physical strain); coping strategies (sub-findings: role adaptation and redefinition, innovative solutions and technology, wo...