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In the midst of the COVID-19 pandemic, state Governors took significant steps to protect residents, including the most vulnerable populations, nursing home residents. In Oklahoma, Governor Kevin Stitt issued a policy that required any “staffer” entering a nursing home to produce a negative COVID-19 test result.
Place yourself in the role of a nursing home administrator in this situation, and respond to the following:
What are the gaps in this policy? (Policy is italicized above) utilizing a scholarly resource with resource name and date.
Does scientific evidence support this approach? Why or why not?
Because this is mandated by the state, your facility must comply. Briefly explain how you will ensure compliance while maintaining the integrity of evidence-based practice.
According to West et al., 2020), development and communication of clear risk-stratified protocols for management of negative COVID-19 test results is needed. These protocols must evolve as diagnostic test, transmission, and outcome statistics become more available. For truly low-risk individuals, negative test results may be sufficiently reassuring on their own. The adverse impact of such measures on a stressed health care system, especially in the hardest hit areas, further emphasizes the importance of prevention of transmission to health care workers to mitigate workforce limitations as COVID-19 diagnoses accumulate.
West, C. P., Montori, V. M., & Sampathkumar, P. (2020). COVID-19 Testing: The Threat of False-Negative Results. Mayo Clinic proceedings, 95(6), 1127-1129. https://doi.org/10.1016/j.mayocp.2020.04.004
According to a cross-sectional online survey by Wammes et al. (2020), providing multiple opportunities to stay in touch with nursing home residents can increase satisfaction of communication between residents and relatives. Increased context-specific information, communication options, and safety protocols should be addressed in national health policy.
Wammes, J. D., Kolk MSc, D., van den Besselaar Md, J. H., MacNeil-Vroomen PhD, J. L., Buurman-van Es Rn, B. M., & van Rijn PhD, M. (2020). Evaluating Perspectives of Relatives of Nursing Home Residents on the Nursing Home Visiting Restrictions During the COVID-19 Crisis: A Dutch Cross-Sectional Survey Study. Journal of the American Medical Directors Association, 21(12), 1746-1750.e3. https://doi.org/10.1016/j.jamda.2020.09.031

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