ABSTRACT

In Canada, adults aged 70 and over account for more than 20% of COVID-19 cases [Public Health Agency of Canada (PHAC). (2020 Public Health Agency of Canada (PHAC). (2020). Coronavirus disease 2019 (COVID-19): Epidemiology update. Retrieved September 7, 2020, from https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html?stat=num&measure=deaths#a2 [Google Scholar]). Coronavirus disease 2019 (COVID-19): Epidemiology update. Retrieved September 7, 2020, from https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html?stat=num&measure=deaths#a2]. Those residing in long-term care (LTC) homes are particularly vulnerable, with hundreds of outbreaks occurring in LTC across the country. By the end of May 2020, more than 80% of COVID-19 deaths were residents of LTC [Canadian Institute for Health Information (CIHI). (2020 Canadian Institute for Health Information (CIHI). (2020). Pandemic experience in the long-term care sector: How does Canada compare with other countries? [Google Scholar]). Pandemic experience in the long-term care sector: How does Canada compare with other countries?]. In order to protect residents, restrictions on activities and visitors were implemented, and therapeutic recreation (TR) professionals adapted programming in keeping with COVID-19 restrictions. The purpose of this article is to describe professionals’ perspectives and experiences during the COVID-19 pandemic. More specifically, we explored how TR professionals adapted their practice in accordance with public health measures and restrictions; and we explored their perspectives regarding the implications of the restrictions on resident well-being. Thematic analysis generated three themes: shifting TR practice; perceived impact on resident quality of life; and drawing on strengths and resources. Findings suggest that as a direct result of COVID-19 restrictions, professionals were challenged to meet residents’ needs as they had pre-pandemic, but instead, through creativity and an emphasis on person-centered care ideals, managed to contribute to resident quality of life.

摘要

在加拿大，70 岁及以上的成年人占 COVID-19 病例的 20% 以上 [加拿大公共卫生局 (PHAC)。( 2020加拿大公共卫生局 (PHAC)。（2020 年）。2019 年冠状病毒病 (COVID-19)：流行病学更新。2020 年 9 月 7 日检索自 https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html?stat=num&measure=deaths#a2 [谷歌学术]）。2019 年冠状病毒病 (COVID-19)：流行病学更新。2020 年 9 月 7 日检索自 https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html?stat=num&measure=deaths#a2]。居住在长期护理 (LTC) 之家的人尤其脆弱，全国各地的 LTC 爆发了数百起疫情。到 2020 年 5 月底，超过 80% 的 COVID-19 死亡是 LTC [加拿大健康信息研究所 (CIHI) 的居民。(2020加拿大健康信息研究所 (CIHI)。（2020 年）。长期护理领域的大流行经验：加拿大与其他国家相比如何？ [谷歌学术]）。长期护理领域的大流行经验：加拿大与其他国家相比如何？]。为了保护居民，实施了对活动和访客的限制，治疗性娱乐 (TR) 专业人员根据 COVID-19 的限制调整了节目。本文的目的是描述专业人士在 COVID-19 大流行期间的观点和经验。更具体地说，我们探讨了 TR 专业人员如何根据公共卫生措施和限制调整他们的做法；我们探讨了他们对限制对居民福祉的影响的看法。主题分析产生了三个主题：转移 TR 实践；对居民生活质量的感知影响；并利用优势和资源。调查结果表明，作为 COVID-19 限制的直接结果，专业人士面临着满足居民需求的挑战，因为他们在大流行前，