Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review.
Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review.
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DOI：
10.1111/jan.15047
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发表时间：
2022-01
影响因子：
3.8
通讯作者：
Thompson Coon J
中科院分区：
文献类型：
--
作者：
Whear R;Abbott RA;Bethel A;Richards DA;Garside R;Cockcroft E;Iles-Smith H;Logan PA;Rafferty AM;Shepherd M;Sugg HVR;Russell AM;Cruickshank S;Tooze S;Melendez-Torres GJ;Thompson Coon J
本系统综述确定、评价和综合了向感染高传染性病毒的住院患者提供基本护理的证据，以及克服护理障碍的适应性措施的有效性。系统的回顾。2020年7月，我们检索了Medline、PsycINFO （OvidSP）、CINAHL （EBSCOhost）、BNI （ProQuest）、WHO COVID - 19数据库（https://search.bvsalud.org/）、MedRxiv （https://www.medrxiv.org/）、bioRxiv （https://www.biorxiv.org/）以及谷歌Scholar、TRIP数据库和NICE Evidence，转发了2016年以来纳入论文的引文检索和参考检查。我们纳入了定量和定性研究报告(i)在医院接受基本护理的COVID - 19、MERS、SARS、H1N1或EVD患者的观点、看法和经验，或（ii）提供这些护理的专业护士和非专业注册护理人员的观点、看法和经验。我们收录了评论文章、评论、协议和指导文件。一名审稿人进行数据提取和质量评估，并由另一名审稿人进行检查。在3086篇参考文献中，我们纳入了64篇；19项实证研究和45篇综述文章、评论、规程和指导文件，涵盖5大流行病。确定了四个主要主题（和11个次级主题）。提供基本护理的障碍是穿戴个人防护装备、人员配备充足、感染控制程序和护理时的情绪挑战。通过对沟通、护理组织、工作人员支持和领导的多种调整来解决这些障碍。为了为COVID - 19大流行和未来大流行的持续做好准备，必须优先考虑对基本医疗保健服务的适应性进行评估研究，以便将来能够提供基于证据的医疗服务。我们的综述确定了大流行期间护士在提供基本护理方面遇到的障碍，强调了解决障碍和确保积极的医疗保健体验的潜在适应措施，并提请注意对大流行期间基本护理实践进行评估研究的必要性。
This systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care. Systematic review. In July 2020, we searched Medline, PsycINFO (OvidSP), CINAHL (EBSCOhost), BNI (ProQuest), WHO COVID‐19 Database (https://search.bvsalud.org/) MedRxiv (https://www.medrxiv.org/), bioRxiv (https://www.biorxiv.org/) and also Google Scholar, TRIP database and NICE Evidence, forwards citation searching and reference checking of included papers, from 2016 onwards. We included quantitative and qualitative research reporting (i) the views, perceptions and experiences of patients who have received fundamental nursing care whilst in hospital with COVID‐19, MERS, SARS, H1N1 or EVD or (ii) the views, perceptions and experiences of professional nurses and non‐professionally registered care workers who have provided that care. We included review articles, commentaries, protocols and guidance documents. One reviewer performed data extraction and quality appraisal and was checked by another person. Of 3086 references, we included 64 articles; 19 empirical research and 45 review articles, commentaries, protocols and guidance documents spanning five pandemics. Four main themes (and 11 sub‐themes) were identified. Barriers to delivering fundamental care were wearing personal protective equipment, adequate staffing, infection control procedures and emotional challenges of care. These barriers were addressed by multiple adaptations to communication, organization of care, staff support and leadership. To prepare for continuation of the COVID‐19 pandemic and future pandemics, evaluative studies of adaptations to fundamental healthcare delivery must be prioritized to enable evidence‐based care to be provided in future. Our review identifies the barriers nurses experience in providing fundamental care during a pandemic, highlights potential adaptations that address barriers and ensure positive healthcare experiences and draws attention to the need for evaluative research on fundamental care practices during pandemics.
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影响因子：
4.2
作者：
Chan, EA;Chung, JWY;Yang, JCS
通讯作者：
Yang, JCS
DOI：
10.12968/bjon.2020.29.8.458
发表时间：
2020-04-23
期刊：
British journal of nursing (Mark Allen Publishing)
影响因子：
--
作者：
Anderson, Liz
通讯作者：
Anderson, Liz
影响因子：
4.2
作者：
Chan, Engle Angela;Chung, Joanne Wy;Wong, Thomas Ks
通讯作者：
Wong, Thomas Ks
制定和评估复杂的干预措施：新的医学研究委员会指南。
DOI：
10.1136/bmj.a1655
发表时间：
2008-09-29
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Craig P;Dieppe P;Macintyre S;Michie S;Nazareth I;Petticrew M;Medical Research Council Guidance
通讯作者：
Medical Research Council Guidance
影响因子：
4.7
作者：
Adams, Catherine
通讯作者：
Adams, Catherine