COVID-NURSE. The development, testing and evaluation of a COVID-19 fundamental nursing care protocol: a randomised controlled trial

护理对在医院的人来说非常重要。护士帮助人们在饮食、如厕、皮肤护理、活动、保持清洁、呼吸、交流和精神健康方面提供帮助。护理对人们在医院的体验和康复有很大的影响。对于新冠肺炎患者，他们的症状和病毒的传染性对护士提供这种护理提出了独特的挑战。在这项研究中，我们将审查以往病毒爆发的文献，并对英国国民健康保险制度临床团队的创新进行调查。我们将与患者、护士、其他医护人员和医生合作，为这些患者设计具体的护理程序。然后，我们将进行一种被称为快速周期试验的随机对照试验，这将使我们能够在NHS最初的18个地点快速测试这些程序，以确定它们对患者体验、护理质量、患者管理日常活动的能力、治疗结果和成本的影响。我们将确保我们的护理程序是可接受的，并且对于NHS的快速实施是现实的，并提供指导和教育材料。我们将确保它们能够适应疗养院、需要隔离的其他疾病患者以及全球卫生系统。

Nursing care is hugely important to people in hospital. Nurses help people with eating, drinking, going to the toilet, skin care, moving, keeping clean, breathing, communication and mental wellbeing. Nursing care makes a significant difference to the way people experience being in hospital and to their recovery. For people with COVID-19, their symptoms and the infectiousness of the virus poses unique challenges for nurses in delivering this care.In this study we will examine the literature from previous viral outbreaks and undertake a survey of innovations from NHS clinical teams. We will work with patients, nurses, other health care workers and doctors to design specific nursing procedures for these patients. We will then undertake a type of randomised controlled trial called a 'rapid-cycle' trial, which will allow us to quickly test these procedures across an initial 18 NHS sites to determine their impact on patient experience, care quality, patients' ability to manage day to day activities, treatment outcomes and costs.We will ensure our nursing procedures are acceptable and realistic for rapid NHS implementation, with guidance and education materials. We will ensure they could be adapted for care homes, patients with other conditions requiring isolation and to global health systems.