Table 2 Evaluation implementation of prevention and control measures for COVID-19 in nursing homes
Items | Maximum | Mean | Average implementation rate (%) |
|---|---|---|---|
1 Basic management | 35 | 31.64 | 90.4 |
1.1 Implement home quarantine or in-nursing home quarantine for elderly residents who have left the nursing home | 5 | 4.70 | 94.0 |
1.2 Monitor body temperature of residents and staff | 5 | 4.07 | 81.4 |
1.3 Conduct bedroom patrol and daily active monitoring of symptoms. | 5 | 4.52 | 90.4 |
1.4 Provide residents with emotional support and psychological counselling during the pandemic | 5 | 4.07 | 81.4 |
1.5 Train staff to address COVID-19 and provide guidance for employees regarding the COVID-19 outbreak | 5 | 4.69 | 93.8 |
1.6. Keep an eye on the epidemic | 5 | 4.80 | 96.0 |
1.7 Report to the local public health authorities and follow the guidance | 5 | 4.81 | 96.2 |
2 Access management | 50 | 39.35 | 78.7 |
2.1 Notify elderly residents and family members of the suspension of all visitors to the nursing home | 5 | 4.88 | 97.6 |
2.2 Prohibit any visitors unless it is for “an end-of-life situation”. Register the visitor and monitor the temperature of visitors, and require them to wear face masks and disinfect their hands | 5 | 3.66 | 73.2 |
2.3 Arrange special reception rooms in the nursing home. Permit visitors in the reception room only under special circumstances, prohibit them from entering the living area | 5 | 2.94 | 58.8 |
2.4 Offer staff accommodation in nursing homes | 5 | 3.94 | 78.8 |
2.5 Perform centralized management of the accommodation site for staff | 5 | 2.33 | 46.6 |
2.6 Require staff who enter the nursing home to wear face masks and disinfect their hands | 5 | 3.24 | 64.8 |
2.7 Suspend all activities (consulting and reception services and unnecessary volunteer activities and social practices) | 5 | 4.61 | 92.2 |
2.8 Suspend the acceptance of new elderly residents | 5 | 4.66 | 93.2 |
2.9 Do not permit the residents to go out | 5 | 4.75 | 95.0 |
2.10 Arrange for one staff member to receive daily necessities, ordered materials and other packages from family members and disinfect them with 75% alcohol or chlorine disinfectant before giving them to the elderly residents | 5 | 4.32 | 86.4 |
3 Environmental disinfection management | 35 | 27.65 | 79.0 |
3.1 Open windows for ventilation and improve air flow at least twice per day | 5 | 4.35 | 87.0 |
3.2 Wipe the residents’ bedrooms with clean water at least twice per week | 5 | 3.63 | 72.6 |
3.3 Disinfect the residents’ bedrooms with chlorine disinfectant at least twice per week | 5 | 3.84 | 76.8 |
3.4 Wipe offices and service areas, including switches, elevator buttons, doorknobs, handrails, faucets, tables, and chairs, with clean water at least twice per week | 5 | 3.52 | 70.4 |
3.5 Disinfect offices and service areas, including switches, elevator buttons, doorknobs, handrails, faucets, tables, and chairs, with chlorine disinfectant at least twice per week | 5 | 3.77 | 75.4 |
3.6 Disinfect the kitchen, toilet, laundry, and garbage disposal areas with chlorine disinfectant at least once per day | 5 | 3.94 | 78.8 |
3.7 Disinfect dining and drinking utensils at least three times per day | 5 | 4.58 | 91.6 |
4 Hygiene behaviour management | 60 | 45.22 | 75.3 |
4.1 Ask the residents to wash and disinfect their hands and maintain personal hygiene and help them do so | 5 | 4.03 | 80.6 |
4.2 Ask elderly residents to close the toilet lid before flushing | 5 | 3.40 | 68.0 |
4.3 Avoid eating together or communal meals, maintain physical distance, and suspend group activities | 5 | 3.85 | 77.0 |
4.4 Provide knowledge education to the residents about COVID-19 prevention and control | 5 | 3.11 | 62.2 |
4.5 Have staff wear face masks during working time | 5 | 4.50 | 90.0 |
4.6 Have residents wear face masks in public areas of the nursing home | 5 | 3.02 | 60.4 |
4.7 Have staff and residents wear face masks as appropriate and change into new face masks | 5 | 2.96 | 59.2 |
4.8 Have staff wash their hands with soap and water or disinfect their hands using alcohol-based hand sanitizers before touching the residents | 5 | 3.70 | 74.0 |
4.9 Have staff wash their hands with soap and water or disinfect their hands using alcohol-based hand sanitizers after touching the residents | 5 | 3.78 | 75.6 |
4.10 Ensure that staff appropriately dispose of garbage, sewage and filth | 5 | 4.13 | 82.6 |
4.11 Ensure that staff dispose or disinfect them face masks safely, without causing contamination. | 5 | 4.13 | 82.6 |
4.12 Have staff implement administrative provisions related to food safety | 5 | 4.52 | 90.4 |
Total Implementation Score | 180 | 143.97 | 80.0 |