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.
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.
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DOI：
10.1186/s12912-021-00746-5
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发表时间：
2021-11-01
期刊：
影响因子：
3.2
通讯作者：
Whear R
中科院分区：
文献类型：
--
作者：
Sugg HVR;Russell AM;Morgan LM;Iles-Smith H;Richards DA;Morley N;Burnett S;Cockcroft EJ;Thompson Coon J;Cruickshank S;Doris FE;Hunt HA;Kent M;Logan PA;Rafferty AM;Shepherd MH;Singh SJ;Tooze SJ;Whear R
患者的护理体验与安全性、护理质量、治疗结果、成本和服务使用有关。有效的护理包括满足患者基本的身体、关系和心理社会需求，这些需求可能会受到SARS-CoV-2挑战的影响。目前还没有针对SARS-CoV-2患者的循证护理指南。我们报告了为制定这样的指导方针所做的工作。我们的目的是找出护理人员对SARS-CoV-2(非侵入性通风)住院患者遗漏或延误(错过护理)的必要护理的看法和经验，以及这种护理的任何障碍。我们根据护理框架的基本原理进行了一项在线混合方法调查。我们招募了一个方便的英国护理人员样本，他们曾护理过非侵入性呼吸的SARS-CoV-2住院患者。我们要求受访者对他们在15个护理类别中能够满足SARS-CoV-2患者与非SARS-CoV-2患者的需求的程度进行评级；从护理障碍列表中进行选择；并描述错过护理和护理障碍的例子。我们使用框架分析对定量数据和定性数据进行描述性分析，并将数据整合到并排的对比表格中。在1062名受访者中，大多数人认为行动不便、说话和倾听、非语言交流、与重要他人交流以及情感健康对SARS-CoV-2患者来说更糟糕。在三个护理领域中的至少一个领域，有八个障碍排在前五名之列。(按职级排列)：佩戴个人防护用品、病人病情严重程度、如不穿上和脱去个人防护用品便无法携带物品进出隔离室、缺乏与病人共处的时间、缺乏物理治疗师等专科服务人员在场、对SARS-CoV-2缺乏认识、存货不足，以及因害怕感染SARS-CoV-2而不愿与病人共度时光。我们的受访者确定了SARS-CoV-2患者可能错过的护理领域，以及提供护理的障碍。我们目前正在评估应对这些障碍的护理战略指南，这些障碍不太可能是本次大流行或我们的受访者所代表的环境所独有的。因此，我们的成果应纳入全球大流行规划。网上版载有补充材料，可在10.1186/s12912-021-00746-5查阅。
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. 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. 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. 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. The online version contains supplementary material available at 10.1186/s12912-021-00746-5.
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影响因子：
3.8
作者：
Kalisch, Beatrice J.;Landstrom, Gay L.;Hinshaw, Ada Sue
通讯作者：
Hinshaw, Ada Sue
影响因子：
2.9
作者：
Doyle C;Lennox L;Bell D
通讯作者：
Bell D
DOI：
10.12968/bjon.2018.27.3.137
发表时间：
2018-02-08
期刊：
British journal of nursing (Mark Allen Publishing)
影响因子：
--
作者：
Gammon, John;Hunt, Julian
通讯作者：
Hunt, Julian
影响因子：
3.8
作者：
Ball, Jane E.;Griffiths, Peter;Tishelman, Carol
通讯作者：
Tishelman, Carol
影响因子：
5.4
作者：
Ball, Jane E.;Murrells, Trevor;Griffiths, Peter
通讯作者：
Griffiths, Peter