Now showing 1 - 2 of 2
  • Publication
    Addressing Health and Wellbeing Challenges for Homeless Children and Families Living in Temporary and Emergency Accommodation
    (UCD School of Nursing, Midwifery and Health Systems, 2020-03-20) ; ; ;
    Data from homeless charities and service organisations suggest that the number of homeless families with young children has been increasing in Ireland, and particularly in Dublin, in recent years. In October 2019 in Ireland, 1700 families including almost 1000 single parents and 3826 children were in this situation. In Dublin this accounted for 1270 families, 700 single parents and 2795 children.
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  • Publication
    A rapid systematic review of measures to protect older people in long-term care facilities from COVID-19
    Objectives The global COVID-19 pandemic produced large-scale health and economic complications. Older people and those with comorbidities are particularly vulnerable to this virus, with nursing homes and long term care facilities (LTCF) experiencing significant morbidity and mortality associated with COVID-19 outbreaks. The aim of this rapid systematic review was to investigate measures implemented in LTCF to reduce transmission of COVID-19 and their effect on morbidity and mortality of residents, staff and visitors. Setting Long-term care facilities. Participants Residents, staff and visitors of facilities. Primary and secondary outcome measures Databases (PubMed, EMBASE, CINAHL, Cochrane Databases and repositories and MedRXiv prepublished database) were systematically searched from inception to 27 July 2020 to identify studies reporting assessment of interventions to reduce transmission of COVID-19 in nursing homes among residents, staff or visitors. Outcome measures include facility characteristics, morbidity data, case fatalities and transmission rates. Due to study quality and heterogeneity, no meta-analysis was conducted. Results The search yielded 1414 articles, with 38 studies included. Reported interventions include mass testing, use of personal protective equipment, symptom screening, visitor restrictions, hand hygiene and droplet/contact precautions, and resident cohorting. Prevalence rates ranged from 1.2% to 85.4% in residents and 0.6% to 62.6% in staff. Mortality rates ranged from 5.3% to 55.3% in residents. Conclusions Novel evidence in this review details the impact of facility size, availability of staff and practices of operating between multiple facilities, and for-profit status of facilities as factors contributing to the size and number of COVID-19 outbreaks. No causative relationships can be determined; however, this review provides evidence of interventions that reduce transmission of COVID-19 in LTCF.
      83ScopusĀ© Citations 11