Supporting rehabilitation practice for COVID-19 recovery: a descriptive qualitative analysis of allied health perspectives
Tanis Van Laake A and Danielle Hitch
B C *
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Abstract
The study aimed to explore the perspective of healthcare workers on the resources they need to provide quality rehabilitation for people recovering from coronavirus disease 2019 (COVID-19) infection.
A descriptive qualitative approach using reflexive thematic analysis was employed. Focus groups and interviews were performed with nine healthcare workers (one intensive care unit physiotherapist, one respiratory therapist and seven occupational therapists) with experience treating patients recovering from COVID-19 infection within hospital and in the community. Verbatim transcripts were coded and analysed for themes.
Healthcare workers perceive an urgent need for resources about recovery from COVID-19 infection to support quality care. They particularly want detailed guidance about potential trajectories of recovery, and what should be expected over time for people with long COVID. Many observed that this group of patients had higher oxygen requirement and experienced slower recovery than others with serious respiratory conditions. Supports for quality care do exist but were not perceived as sufficient by participants. They want any new resources developed to be accessible, quick to access and targeted to specific healthcare worker roles and services settings. Participants identified several barriers to accessing practice supports, including the time poor nature of health care and financial costs to both patients and healthcare workers.
Healthcare workers perceive an urgent need for the development of resources to support quality rehabilitation for people recovering from COVID-19 infection, to support best outcomes for this group of patients. Any resources developed must consider identified barriers to their access and use to maximise their impact.
Keywords: COVID-19, healthcare workers, long COVID, management, post-acute COVID-19 condition, practice resources, recovery, rehabilitation, workforce development.
References
2 Arjun MC, Singh AK, Pal D, Das K, Venkateshan M, Mishra B, et al. Characteristics and predictors of Long COVID among diagnosed cases of COVID-19. PLoS One 2022; 17(12): e0278825.
| Crossref | Google Scholar | PubMed |
4 Liu B, Jayasundara D, Pye V, Dobbins T, Dore GJ, Matthews G, et al. Whole of population-based cohort study of recovery time from COVID-19 in New South Wales Australia. Lancet Reg Health West Pac 2021; 12: 100193.
| Crossref | Google Scholar | PubMed |
5 National COVID-19 Clinical Evidence Taskforce. Australian guidelines for the clinical care of people with COVID-19. 2023. Available at https://clinicalevidence.net.au/covid-19/
6 Koumpias AM, Schwartzman D, Fleming O. Long-haul COVID: healthcare utilization and medical expenditures 6 months post-diagnosis. BMC Health Serv Res 2022; 22(1): 1010.
| Crossref | Google Scholar | PubMed |
7 Tripathy A, Swain N, Gupta B. The COVID-19 pandemic: an increased risk of rheumatoid arthritis. Future Virol 2021; 16(6): 431-42.
| Crossref | Google Scholar | PubMed |
8 Sakibuzzaman M, Hassan A, Hayee S, Haque FA, Bushra SS, Maliha M, et al. Exacerbation of Pre-existing Neurological Symptoms With COVID-19 in Patients With Chronic Neurological Diseases: An Updated Systematic Review. Cureus 2022; 14(9): e29297.
| Crossref | Google Scholar | PubMed |
9 D’Silva KM, Seropian IM, Khalid N, Dizon JM, Shlofmitz R, Kirtane AJ. Role of invasive and noninvasive testing for cardiovascular disease after COVID-19. Interv Cardiol Clin 2021; 10(3): 437-47.
| Google Scholar |
10 Douaud G, Lee S, Alfaro-Almagro F, Arthofer C, Wang C, McCarthy P, et al. SARS-CoV-2 is associated with changes in brain structure in UK Biobank. Nature 2022; 604(7907): 697-707.
| Crossref | Google Scholar | PubMed |
11 Taquet M, Sillett R, Zhu L, Mendel J, Camplisson I, Dercon Q, et al. Neurological and psychiatric risk trajectories after SARS-CoV-2 infection: an analysis of 2-year retrospective cohort studies including 1 284 437 patients. Lancet Psychiatry 2022; 9(10): 815-27.
| Crossref | Google Scholar | PubMed |
12 Maben J, Conolly A, Abrams R, Rowland E, Harris R, Kelly D, et al. You can’t walk through water without getting wet’ UK nurses’ distress and psychological health needs during the Covid-19 pandemic: A longitudinal interview study. Int J Nurs Stud 2022; 131: 104242.
| Crossref | Google Scholar | PubMed |
13 Baz SA, Fang C, Carpentieri JD, Sheard L. I don’t know what to do or where to go’. Experiences of accessing healthcare support from the perspectives of people living with Long Covid and healthcare professionals: A qualitative study in Bradford, UK. Health Expect 2023; 26(1): 542-54.
| Crossref | Google Scholar | PubMed |
14 Fernández-Alonso V, Rodríguez-Fernández S, Secadas-Rincón L, Pérez-Gómez M, Moro-Tejedor MN, Salcedo M. Resilience After COVID-19: A Descriptive, Cross-Sectional Study. Clin Nurs Res 2023; 32(3): 618-28.
| Crossref | Google Scholar | PubMed |
15 Ladds E, Rushforth A, Wieringa S, Taylor S, Rayner C, Husain L, et al. Developing services for long COVID: lessons from a study of wounded healers. Clin Med 2021; 21(1): 59-65.
| Crossref | Google Scholar | PubMed |
16 Jeleff M, Traugott M, Jirovsky-Platter E, Jordakieva G, Kutalek R. Occupational challenges of healthcare workers during the COVID-19 pandemic: a qualitative study. BMJ Open 2022; 12(3): e054516.
| Crossref | Google Scholar | PubMed |
17 Hitch D, Deféin E, Lloyd M, Rasmussen B, Haines K, Garnys E, the Western Health COVID-19 Recovery Collaboration (WHCOVRE). Beyond the case numbers: Social determinants and contextual factors in patient narratives of recovery from COVID-19. Aust N Z J Public Health 2023; 47(1): 100002.
| Crossref | Google Scholar | PubMed |
19 Hennink M, Kaiser BN. Sample sizes for saturation in qualitative research: A systematic review of empirical tests. Soc Sci Med 2022; 292: 114523.
| Crossref | Google Scholar | PubMed |
20 Burton A, Aughterson H, Fancourt D, Philip KEJ. Factors shaping the mental health and well-being of people experiencing persistent COVID-19 symptoms or ‘long COVID’: qualitative study. BJPsych Open 2022; 8(2): e72.
| Crossref | Google Scholar | PubMed |
21 Schiavi M, Fugazzaro S, Bertolini A, Denti M, Mainini C, Accogli MA, et al. “Like before, but not exactly”: the Qualy-REACT qualitative inquiry into the lived experience of long COVID. BMC Public Health 2022; 22(1): 599.
| Crossref | Google Scholar | PubMed |
22 Caspari S, Aasgaard T, Lohne V, Slettebø Å, Nåden D. Perspectives of health personnel on how to preserve and promote the patients’ dignity in a rehabilitation context. J Clin Nurs 2013; 22(15–16): 2318-26.
| Crossref | Google Scholar | PubMed |
23 Levac D, Glegg SMN, Camden C, Rivard LM, Missiuna C. Best Practice Recommendations for the Development, Implementation, and Evaluation of Online Knowledge Translation Resources in Rehabilitation. Phys Ther 2015; 95(4): 648-62.
| Crossref | Google Scholar | PubMed |
24 Rowe M, Frantz J, Bozalek V. The role of blended learning in the clinical education of healthcare students: a systematic review. Med Teach 2012; 34(4): e216-21.
| Crossref | Google Scholar | PubMed |
25 Rohwer A, Motaze NV, Rehfuess E, Young T. E-learning of evidence-based health care (EBHC) to increase EBHC competencies in healthcare professionals: a systematic review. Campbell Syst Rev 2017; 13(1): 1-147.
| Crossref | Google Scholar |
26 Nurek M, Rayner C, Freyer A, Taylor S, Järte L, MacDermott N, et al. Recommendations for the recognition, diagnosis, and management of long COVID: a Delphi study. Br J Gen Pract 2021; 71(712): e815-25.
| Crossref | Google Scholar | PubMed |
27 Gustavson AM, Purnell A, Adly M, Awan O, Bräu N, Braus NA, et al. A Learning Health System Approach to Long COVID Care. Fed Pract 2022; 39(7): 310-4.
| Crossref | Google Scholar | PubMed |
28 Parliament of Australia. Sick and tired: Casting a long shadow. Canberra: Parliament of Australia; 2023. Available at https://www.aph.gov.au/Parliamentary_Business/Committees/House/Health_Aged_Care_and_Sport/LongandrepeatedCOVID/Report
29 Hensher M, Angeles M. Estimating the likely scale of Long COVID as Australia re-opens. Burwood: Institute of Health Transformation, Deakin University; 2022. Available at https://iht.deakin.edu.au/wp-content/uploads/sites/153/2021/12/Briefing-Paper_Long-Covid_Final.pdf
