scholarly journals Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care

BMC Nursing ◽  
2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Holly V. R. Sugg ◽  
Anne-Marie Russell ◽  
Leila M. Morgan ◽  
Heather Iles-Smith ◽  
David A. Richards ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Nursing Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Service Use ◽  
Barriers To Care ◽  
Care Quality ◽  
Protective Equipment ◽  
Convenience Sample ◽  
Missed Care

Abstract Background Patient experience of nursing care is associated with safety, care quality, treatment outcomes, costs and service use. Effective nursing care includes meeting patients’ fundamental physical, relational and psychosocial needs, which may be compromised by the challenges of SARS-CoV-2. No evidence-based nursing guidelines exist for patients with SARS-CoV-2. We report work to develop such a guideline. Our aim was to identify views and experiences of nursing staff on necessary nursing care for inpatients with SARS-CoV-2 (not invasively ventilated) that is omitted or delayed (missed care) and any barriers to this care. Methods We conducted an online mixed methods survey structured according to the Fundamentals of Care Framework. We recruited a convenience sample of UK-based nursing staff who had nursed inpatients with SARS-CoV-2 not invasively ventilated. We asked respondents to rate how well they were able to meet the needs of SARS-CoV-2 patients, compared to non-SARS-CoV-2 patients, in 15 care categories; select from a list of barriers to care; and describe examples of missed care and barriers to care. We analysed quantitative data descriptively and qualitative data using Framework Analysis, integrating data in side-by-side comparison tables. Results Of 1062 respondents, the majority rated mobility, talking and listening, non-verbal communication, communicating with significant others, and emotional wellbeing as worse for patients with SARS-CoV-2. Eight barriers were ranked within the top five in at least one of the three care areas. These were (in rank order): wearing Personal Protective Equipment, the severity of patients’ conditions, inability to take items in and out of isolation rooms without donning and doffing Personal Protective Equipment, lack of time to spend with patients, lack of presence from specialised services e.g. physiotherapists, lack of knowledge about SARS-CoV-2, insufficient stock, and reluctance to spend time with patients for fear of catching SARS-CoV-2. Conclusions Our respondents identified nursing care areas likely to be missed for patients with SARS-CoV-2, and barriers to delivering care. We are currently evaluating a guideline of nursing strategies to address these barriers, which are unlikely to be exclusive to this pandemic or the environments represented by our respondents. Our results should, therefore, be incorporated into global pandemic planning.

Infectious safety of nursing staff in departments (offices) functional diagnostics in the context of the COVID-19 pandemic

2020 ◽  
pp. 30-33
Author(s):  
E. V. Panina ◽  
M. V. Pugachev ◽  
A. G. Shchesiu
Keyword(s):  
Medical Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Medical Personnel ◽  
Medical Waste ◽  
Daily Activities ◽  
Protective Equipment ◽  
Functional Diagnostics ◽  
Prevention Of Infections ◽  
Epidemiological Situation

The article shows that in the daily activities of nursing staff of functional diagnostics departments (offices), it is necessary to strictly observe the requirements and rules for the prevention of infections associated with medical care, especially during the COVID-19 pandemic. The types of personal protective equipment (PPE) of medical personnel (MP), as well as current effective methods of disinfection, rules for collecting medical waste in a complex epidemiological situation are presented.

scholarly journals Nurses on the Frontline against the COVID-19 Pandemic: An Integrative Review

2020 ◽  
Vol 3 (3) ◽  
pp. 87-92
Author(s):  
Abdullelah Al Thobaity ◽  
Farhan Alshammari
Keyword(s):  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Critical Line ◽  
Healthcare Providers ◽  
Healthcare Systems ◽  
Integrative Review ◽  
Protective Equipment ◽  
Crisis Plans ◽  
Medical Supplies ◽  
The World

COVID-19 has affected the life and health of more than 1 million people across the world. This overwhelms many countries’ healthcare systems, and, of course, affects healthcare providers such as nurses fighting on the frontlines to safeguard the lives of everyone affected. Exploring the issues that nurses face during their battle will help support them and develop protocols and plans to improve their preparedness. Thus, this integrative review will explore the issues facing nurses during their response to the COVID-19 crisis. The major issues facing nurses in this situation are the critical shortage of nurses, beds, and medical supplies, including personal protective equipment and, as reviews indicate, psychological changes and fears of infection among nursing staff. The implications of these findings might help to provide support and identify the needs of nurses in all affected countries to ensure that they can work and respond to this crisis with more confidence. Moreover, this will help enhance preparedness for pandemics and consider issues when drawing up crisis plans. The recommendation is to support the nurses, since they are a critical line of defense. Indeed, more research must be conducted in the field of pandemics regarding nursing.

scholarly journals Rapid Review of SARS-CoV-1 and SARS-CoV-2 Viability, Susceptibility to Treatment, and the Disinfection and Reuse of PPE, Particularly Filtering Facepiece Respirators

2020 ◽  
Vol 17 (17) ◽  
pp. 6117 ◽  
Author(s):  
José G. B. Derraik ◽  
William A. Anderson ◽  
Elizabeth A. Connelly ◽  
Yvonne C. Anderson
Keyword(s):  
Health Care ◽  
Ultraviolet Light ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Rapid Review ◽  
Protective Equipment ◽  
Health Care Settings ◽  
The Impact

In the COVID-19 pandemic caused by SARS-CoV-2, hospitals are often stretched beyond capacity. There are widespread reports of dwindling supplies of personal protective equipment (PPE), particularly N95-type filtering facepiece respirators (FFRs), which are paramount to protect frontline medical/nursing staff, and to minimize further spread of the virus. We carried out a rapid review to summarize the existing literature on the viability of SARS-CoV-2, the efficacy of key potential disinfection procedures against the virus (specifically ultraviolet light and heat), and the impact of these procedures on FFR performance, material integrity, and/or fit. In light of the recent discovery of SARS-CoV-2 and limited associated research, our review also focused on the closely related SARS-CoV-1. We propose a possible whole-of-PPE disinfection solution for potential reuse that could be rapidly instituted in many health care settings, without significant investments in equipment.

scholarly journals Testing the efficacy and acceptability of video-reflexive methods in personal protective equipment training for medical interns: a mixed methods study

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e052985
Author(s):  
Mary Wyer ◽  
Su-Yin Hor ◽  
Ruth Barratt ◽  
G L Gilbert
Keyword(s):  
Mixed Methods ◽  
Personal Protective Equipment ◽  
Self Efficacy ◽  
Mixed Methods Study ◽  
Infection Prevention And Control ◽  
Protective Equipment ◽  
Time Points ◽  
Medical Interns ◽  
Video Group ◽  
Over Time

ObjectivesTo test the efficacy and acceptability of video-reflexive methods for training medical interns in the use of personal protective equipment (PPE).DesignMixed methods study.SettingA tertiary-care teaching hospital, Sydney, January 2018–February 2019.Participants72 of 90 medical interns consented to participate. Of these, 39 completed all three time points.InterventionsParticipants received a standard infection prevention and control (IPC) education module during their hospital orientation. They were then allocated alternately to a control or video group. At three time points (TPs) over the year, participants were asked to don/doff PPE items based on hospital protocol. At the first two TPs, all participants also participated in a reflexive discussion. At the second and third TPs, all participants were audited on their performance. The only difference between groups was that the video group was videoed while donning/doffing PPE, and they watched this footage as a stimulus for reflexive discussion.Primary and secondary outcome measuresThe efficacy and acceptability of the intervention were assessed using: (1) comparisons of audit performance between and within groups over time, (2) comparisons between groups on survey responses for evaluation of training and self-efficacy and (3) thematic analysis of reflexive discussions.ResultsBoth groups improved in their PPE competence over time, although there was no consistent pattern of significant differences within and between groups. No significant differences were found between groups on reported acceptability of training, or self-efficacy for PPE use. However, analysis of reflexive discussions shows that the effects of the video-reflexive intervention were tangible and different in important respects from standard training.ConclusionsVideo reflexivity in group-based training can assist new clinicians in engagement with, and better understanding of, IPC in their clinical practice. Our study also highlights the need for ongoing and targeted IPC training during medical undergraduate studies as well as regular workplace refresher training.

scholarly journals Associations between personal protective equipment and nursing staff stress during the COVID-19 pandemic

2020 ◽  
Author(s):  
Manuela Hoedl ◽  
Doris Eglseer ◽  
Silvia Bauer
Keyword(s):  
Health Care ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Protective Equipment ◽  
Snowball Sampling ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Work Related ◽  
Stress Levels ◽  
High Level

Background: The results of several projects on the effects of personal protective equipment (PPE) have been published since the outbreak of COVID-19. It is known that wearing PPE, and specifically face masks, has physcial consequences like headache and pain, which can increase stress among nursing staff. However, none of these studies placed a focus on PPE and nursing staff, although nurses are the only members of the health care profession who are at the patients bedsides 24/7, and PPE is the only way to protect them from a COVID-19 infection. Therefore, this study was carried out to investigate the association between the use of PPE and stress among nursing staff during the COVID-19 pandemic. Methods An online, cross-sectional survey was conducted, which we distributed using snowball sampling techniques. The questionnaire was developed on the basis of (inter-)national recommendations as well as the international literature. We used the perceived level of stress scale to measure the nursing staff members stress levels. Results We included data collected from 2600 nurses in this analysis. Nearly all nursing staff wore face masks. We showed that more than two-thirds of the nurses had moderate to high levels of stress. No statistically significant association between the use of PPE and stress was detected. However, we show a statistically significant association between the duration of mask usage and stress. Discussion and conclusions Nearly all participating nurses wore face masks or FFP masks to protect themselves from COVID-19 infection. This observation might indicate that Austrian nurses display a high level of compliance with national and international regulations and play a key role in such pandemics. Our results also show that increased mask-wearing time led to increased stress levels. These results suggest that (inter-)national regulations on how and when to use PPE should include a maximum duration of time for wearing each type of mask. Such regulations could help to prevent work-related stress, particularly in the case of future epidemics, and avoid burnout among nursing staff or even nurses leaving their jobs. The consequences of both of these negative outcomes should be considered in light of the predicted expected future shortage of health care workers.

scholarly journals ARE INDONESIAN NURSES READY FOR HEALTHCARE ROBOTS DURING THE COVID-19 PANDEMIC?

2020 ◽  
Vol 6 (3) ◽  
pp. 63-66
Author(s):  
Feni Betriana ◽  
Tetsuya Tanioka ◽  
Rozzano Locsin ◽  
Hema Malini ◽  
Devia Putri Lenggogeni
Keyword(s):  
Nursing Care ◽  
Personal Protective Equipment ◽  
Well Being ◽  
Robot Programming ◽  
Protective Equipment ◽  
Social Distancing ◽  
The Future

Healthcare robots are used in Indonesia and other countries to combat COVID-19 pandemic. This article was aimed to describe a perspective about healthcare robots, and to recommend ways for Indonesian nurses to engage with healthcare robots during the COVID-19 pandemic. One view hindering healthcare robot appreciation as partners of nurses is its threat to their practice. However, with the current environment of COVID-19 ‘frontline’ situations, increasing infections of patients with SARS COV2, limited personal protective equipment, and the fastidious nature of maintaining social distancing and mask-wearing, it may be best to view healthcare robots as significant partners to facilitate safety, and ease the demands of nursing care activities in order to safeguard human lives while enhancing human well-being. Educating healthcare practitioners about healthcare robot programming and assurance of its safe and secure use can advance robot appreciation as partners in healthcare. These goals, challenges, and recommendations can provide Indonesian nurses some pathways-to-readiness towards a partnership involving healthcare robots, particularly during this COVID-19 pandemic, and in the future.

scholarly journals The Association between Using Personal Protective Equipment and Headache among Healthcare Workers in Saudi Arabia Hospitals during the COVID-19 Pandemic

2021 ◽  
Vol 11 (3) ◽  
pp. 568-583
Author(s):  
Nahar M. Alreshidi ◽  
Salmah Alghamdi ◽  
Faygah Shibily ◽  
Alaa Mahsoon ◽  
Nofaa Alasmee ◽  
...  
Keyword(s):  
Personal Protective Equipment ◽  
Significant Relationship ◽  
Healthcare Workers ◽  
Chronic Headache ◽  
Cross Sectional Study ◽  
Protective Equipment ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Policies And Procedures ◽  
Group B

It is mandatory that healthcare workers wear personal protective equipment (PPE) while caring for COVID-19 patients. Studies have shown that wearing PPE for a prolonged time may lead to symptoms of physical discomfort including headache. The aim of this study is to assess the prevalence and association between prolonged use of PPE and headaches. This was a cross-sectional study. A convenience sample of healthcare workers who worked with COVID-19 patients in clinical settings was recruited. The data were collected through an electronic survey shared as a link through social media. This study included 1060 participants, 753 (71%) female and 307 (29%) male. Participants were divided into two groups. Group A had 628 (60%) participants who did not have chronic headache before the COVID-19 pandemic, while Group B contained 432 (40%) participants who had a previous chronic headache. Headaches differed significantly between Groups A and B in frequency, type, location, and quality during the COVID-19 period. The analysis found a significant relationship between duration of PPE use and headache occurrence. The significant relationship between the duration of PPE usage and headache occurrence among healthcare workers should be considered when refining policies and procedures regarding prolonged PPE use.

scholarly journals Health promotion of nursing staff in hospital environments

Rev Rene ◽  
2015 ◽  
Vol 16 (5) ◽  
pp. 762 ◽  
Author(s):  
Laura Andrian Leal ◽  
Silvia Helena Henriques Camelo ◽  
Fernanda Ludmilla Rossi Rocha ◽  
Thamiris Cavazzani Vegro ◽  
Fabiana Cristina Santos
Keyword(s):  
Health Promotion ◽  
Nursing Staff ◽  
Personal Protective Equipment ◽  
Scientific Evidence ◽  
Working Life ◽  
Protective Equipment ◽  
Organizational Strategies ◽  
Quality Of Working Life ◽  
Hospital Environments

Objective: To analyze the scientific evidence of the strategies adopted by hospitals aimed at promoting the health of nursing workers. Methods: integrative review with data collected in electronic databases: Medline, Lilacs, Scielo, BDENF, Scopus and CINAHL, with the descriptors: Strategies; hospitals; Nursing and Health Promotion Team. Results: there were 18 articles selected and the analysis allowed to find organizational strategies to promote the health of nursing workers as phttp://www.revistarene.ufc.br/revista/index.php/revista/article/view/2074/pdfrevention of biological risks, the use of personal protective equipment, among others. Conclusion: strategies for health promotion are possible as necessary and they should be reconsidered by managers and professionals working in hospitals in order to promote the quality of working life.

Military Nursing in “Operation Return to Brazil”: aeromedical evacuation in the coronavirus pandemic

2020 ◽  
Vol 73 (suppl 2) ◽  
Author(s):  
Letícia Lima Borges ◽  
Clarissa Coelho Vieira Guimarães ◽  
Beatriz Gerbassi Costa Aguiar ◽  
Luiz Alberto de Freitas Felipe
Keyword(s):  
Nursing Care ◽  
Nursing Staff ◽  
Health Assessment ◽  
Protective Equipment ◽  
Aeromedical Evacuation ◽  
Prolonged Contact ◽  
Military Nursing ◽  
History Of ◽  
Three Stages ◽  
Aeromedical Transport

ABSTRACT Objective: to describe the experience of military nursing in “Operation Return to Brazil” in an aeromedical evacuation. Method: this is an experience report of the nursing staff in the Aeromedical Evacuation of potentially-contaminated Brazilians who were in Wuhan, China, after the outbreak of the new coronavirus. Results: the report was constructed from nursing care performed in three stages: pre-flight, screening, and flight. Pre-flight care would include aircraft configuration and material prediction. In screening, the staff was concerned with being properly attired. In the health assessment of returnees, in-flight, attention was focused on Personal Protective Equipment handling to minimize the risk of contamination by prolonged contact with potentially-contaminated passengers. Final considerations: nursing was committed to planning all the actions of this mission, which was one of the longest, strenuous and unprecedented in the history of aeromedical transport in Brazil.

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