8 out of 10 nurses are afraid of infecting the elderly in the nursing home



[ad_1]

– I’m afraid I’ll be a potential hangman if they infect me.

According to one of 3,800 nurses who responded to a nationwide survey, the Norwegian Nursing Association (NSF) has conducted on behalf of Aftenposten.

Several nursing homes are severely affected by the coronavirus. In several places, employees have brought the infection to the nursing home.

In the recent survey, 78 percent of nurses say they have been afraid to pass the coronary infection on to residents. One in five says they have been afraid of this every day.

The Norwegian Nursing Association (NSF) sent a national survey in April to 20,800 of its members working in the municipal health and care service. The overall response rate is just over 30 percent.

Throughout the investigation, Aftenposten has asked several NSF members about infection control and coronavirus.

  • About 3,700 nursing home nurses have answered these questions.
  • The same has around 2,700 employees in home nursing.

– No one wants to be in that situation

Nurse Tarjej Hansen Marker works at Lillohjemmet in Oslo and is the state’s primary representative for nursing homes. He understands that many colleagues are afraid of infecting residents.

– There is a visitor ban. If the infection enters the workplace, it is the staff who brought it. No one wants to be in that situation.

At Lillo’s house, one of the employees tested positive for covid-19 early. Residents were isolated in a separate department, and employees were quarantined. The result was that no more people were infected. For the sake of patients, Tarjej Hansen Marker also takes precautions in private.

– I think a lot about what I do in my free time. I try to avoid taking the bus, shop fewer times, and haven’t met any friends since March 12, he says.

Advertises poor infection control.

Aftenposten has asked nurses to characterize contingency preparedness for the nursing home in which they work.

One thousand nurses, both in the home service and in nursing homes, wrote their own comments in the survey. They describe it as highly variable how well nursing homes were prepared for the pandemic.

While some think that preparation is good, others are very critical. Several point to the uncertainty and lack of routines when the coronavirus broke out:

– At the beginning of this period there was a lot of chaos and little information. The routines were not in place. There was a lot of fear and conflict.

– Poorly prepared! Initially, he had a packet of mouthwash and two packets of toilet coats to share in the municipality. Those who were anxious and wanted protection for both themselves and the patient were almost derided. Then it quickly became the option to register.

– Disastrous little broth. We must save on infection equipment in other cases of infection, such as suspected norovirus and vomiting. We expose ourselves to infection.

– All management is quarantined. Staff feel insecure as they have not been taught about infection control.

Overall, just over 16 percent respond that they think contingency preparedness in the nursing home is poor or very poor. Almost 30 percent believe that is enough.

However, most are satisfied and report detailed contingency plans, good routines, and training in infection prevention routines. 55 percent respond that they believe that contingency preparation in the nursing home is good or very good.

Nursing homes in five municipalities stand out. More than 40 percent of all coronary deaths have occurred here.

Must use disposable equipment multiple times

Many of the nurses talk about the lack of protective equipment against infections and that they must prioritize among patients. They express concern and frustration at what they experience on duty.

One describes that they have been instructed that disposable infection protection coats should be worn multiple times through the protector, even when a coronary infection has been detected.

– We have instructions that everyone get a bite for. protector to be reused and stored in a separate pocket between each use, she writes.

In the free comments, it’s a common theme that the guidelines have been difficult to understand. And that nurses have been exposed to infections and are therefore at risk of infecting residents.

The Director of Health admits that too little testing capacity may have led to unnecessary deaths in nursing homes.

– Fear of being a potential hangman

Many are concerned about cross infection, that various departments share kitchens and bathrooms, and that this poses a risk of infection even when it comes to keeping infected and uninfected residents separate.

Several also describe work in various departments. Who generally works in a department in the short term says:

– I am asked to work in three wards on a long-term basis in the same nursing home several times a year. week. That is, I can transmit the infection. I’m afraid I’ll be a potential hangman if I get infected.

The health minister defends distribution

Lack of mouthwash and other contamination equipment is cited by several nurses as one reason they fear infecting residents.

Nearly 15 percent of nurses say they rarely or never use mouthwash, even though they care for patients who have diagnosed or suspect coronary heart disease. 6 percent use mouthwash only occasionally in the care of patients with coronary heart disease.

Health Minister Bent Høie (H) says he understands that nurses may be afraid of transmitting infections, but that it is not necessarily correct to use contamination kits just for anxiety.

– There is a demand for infection control equipment both internationally and nationally, and we must use the equipment according to the FHI’s advice, he says.

70 percent of the pollution equipment that the Norwegian health service has available today goes to hospitals. Municipalities receive 20 percent, while 10 percent is stored.

Is this the correct priority when 60 percent of deaths have occurred in nursing homes?

– We have no religious relationship with this percentage distribution, but concrete evaluations must be made. Hospitals also use this equipment for other patient treatments and for normal operation.

High points indicate that municipalities can request more equipment if there is an acute shortage.

Concerns Report Describes Nursing Homes In Bergen As “Infectious Bomb”

– Just as seriously every day

Federation leader Lill Sverresdatter Larsen of the Norwegian Nursing Association is not surprised that up to 8 out of 10 nurses are afraid of infecting the elderly in nursing homes.

– During the crown period, we have received comments from nurses who say they are not safe on the job because they lack infection control equipment, Larsen says.

She says that NSF has notified both the Directorate of Health and the Minister of Health of this.

– It may seem that the lack of such equipment is gradually normalizing. But for those who are on it, it’s just as serious every day they go on duty.

[ad_2]