Nurses' Perspectives and Needs in Delivering COVID-19 Care within Critical Care Units and Hospital Emergency Services
Main Article Content
Keywords
COVID-19, Emergency service, Hospital, Health planning guidelines, Health services research, Intensive care units, Needs assessment, Nursing services
Abstract
The ongoing COVID-19 pandemic continues to present significant challenges to public health systems worldwide, particularly impacting critical care units (CCUs) and hospital emergency services (HESs). Nurses working within these settings have been providing care to COVID-19 patients amidst heightened pressure and uncertainty.
Objective: This study aims to identify the perceived needs of critical care and emergency nurses , concerning safety, organization, decision-making, communication, and psycho-social-emotional support during the acute phase of the pandemic crisis.
Methods: Conducted as a cross-sectional study, this research represents the first phase of a mixed-methods approach involving critical care and emergency nurses . Data collection was carried out through an online questionnaire.
Results: The study received 557 responses, revealing significant concerns among respondents. These included fears of infection (37.5%), elevated workloads and patient-nurse ratios (28.2%), challenges in disconnecting or resting due to demanding shifts (28.2%), increased responsibilities in managing COVID-19 patients (23.9%), communication deficiencies with middle management (21.2%), limitations in providing psycho-social care to patients and families (53.5%), and emotional exhaustion with difficulties in emotional release (44.9%).
Conclusions: The findings underscore the vulnerability of critical care and emergency nurses during the COVID-19 pandemic. Further research is needed to explore additional aspects of their experiences during this challenging time.
References
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2. Bergman M.M., editor. Advances in Mixed Methods Research. Sage Publications; Los Angeles: 2008. [Google Scholar]
3. Cacchione P.Z. Moral distress in the midst of the COVID-19 pandemic. Clin. Nurs. Res. 2020;29(4):215–216. doi: 10.1177/1054773820920385. [PubMed] [CrossRef] [Google Scholar]
4. Catton H. Global challenges in health and health care for nurses and midwives everywhere. Int. Nurs. Rev. 2020;67(1):4–6. doi: 10.1111/inr.12578. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
5. Centers for Medicare & Medicaid Services, 2020. Trump Administration Makes Sweeping Regulatory Changes to Help U.S. Healthcare System Address COVID-19 Patient Surge. https://www.cms.gov/newsroom/press-releases/trump-administration-makes-sweeping-regulatory-changes-help-us-healthcare-system-address-covid-19. (accessed 02.06.20).
6. Chang C.S., Du P.L., Huang I.C. Nurses' perceptions of severe acute respiratory syndrome: relationship between commitment and intention to leave nursing. J. Adv. Nurs. 2006;54(2):171–179. doi: 10.1111/j.1365-2648.2006.03796.x. [PubMed] [CrossRef] [Google Scholar]
7. Chen R., Chou K.R., Huang Y.J., Wang T.S., Liu S.Y., Ho L.Y. Effects of a SARS prevention programme in Taiwan on nursing staff's anxiety, depression and sleep quality: a longitudinal survey. Int. J. Nurs. Stud. 2006;43(2):215–225. doi: 10.1016/j.ijnurstu.2005.03.006. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
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12. Cruz-Lendínez A.J., Grande-Gascón M.L., García-Fernández F.P., Hueso-Montoro C., García-Ramiro P.A., Ruiz-López M. Distribución de enfermeras por Unidades de pacientes agudos y Unidades de Cuidados Intensivos en España. Index de Enfermía. 2019;28(3):147–152. [Google Scholar]
13. de la Fuente, E. I., García, J., Cañadas, G. A., San Luis, C., Cañadas, G. R., Aguayo, R., de la Fuente, L., Vargas, C., 2015. Psychometric properties and scales of the Granada Burnout Questionnaire applied to nurses. Int. J. Clin. Health Psychol., 2015, 15, 2, 130–138. doi:10.1016/j.ijchp.2015.01.001. [PMC free article] [PubMed]
14. de Pedro-Gómez J., Morales-Asencio J.M., Sese-Abad A., Bennasar-Veny M., Artigues-Vives G., Pericas-Beltrán J. Validación y adaptación al español de la escala del entorno de práctica enfermera del Nursing Work Index. Metas de Enferm. 2009;12(7):65–73. [Google Scholar]
15. Estalella G.M., Zabalegui A., Guerra S.S., en nombre del Comité Técnico de la Dirección Enfermera (CTDE) Management and leadership of nursing services in the emergency plan for the pandemic COVID-19: the experience of the Clinic Hospital of Barcelona “in press” Enferm Clin. 2020 doi: 10.1016/j.enfcli.2020.05.002. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
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17. Ferrer R. COVID-19 Pandemic: the greatest challenge in the history of critical care. Med. Intensiva. 2020;44(6):323–324. doi: 10.1016/j.medin.2020.04.002. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
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19. Huang L., Lin G., Tang L., Yu L., Zhou Z. Special attention to nurses' protection during the COVID-19 epidemic. Crit. Care. 2020;24(1):120. doi: 10.1186/s13054-020-2841-7. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
20. Iserson K.V. Healthcare ethics during a pandemic. West J. Emerg. Med. 2020;21(3):477–483. doi: 10.5811/westjem.2020.4.47549. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
21. Jackson D., Bradbury-Jones C., Baptiste D., Gelling L., Morin K., Neville S., Smith G.D. Life in the pandemic: Some reflections on nursing in the context of COVID-19. J. Clin. Nurs. 2020;00:1–3. doi: 10.1111/jocn.15257. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
22. Jun J., Tucker S., Melnyk B.M. Clinician mental health and well-being during global healthcare crises: evidence learned from prior epidemics for COVID-19 pandemic. Worldviews Evid. Based Nurs. 2020 doi: 10.1111/wvn.12439. [PubMed] [CrossRef] [Google Scholar]
23. Kim Y. Nurses' experiences of care for patients with Middle East respiratory syndrome-coronavirus in South Korea. Am. J. Infect. Control. 2018;46(7):781–787. doi: 10.1016/j.ajic.2018.01.012. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
24. Lai J., Ma S., Wang Y., Cai Z., Hu J., Wei N., Wu J., Du H., Chen T., Li R., Tan H., Kang L., Yao L., Huang M., Wang H., Wang G., Liu Z., Hu S. Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMANetw Open. 2019;3(3) doi: 10.1001/jamanetworkopen.2020.3976. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
25. Lake E.T. How effective response to COVID-19 relies on nursing research. Res. Nurs. Health. 2020;43(3):213–214. doi: 10.1002/nur.22025. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
26. Lam S.K., Kwong E.W., Hung M.S., Pang S.M., Chien W.T. Emergency nurses' perceptions of their roles and practices during epidemics: a qualitative study. Br. J. Nurs. 2019;28(8):523–527. doi: 10.12968/bjon.2019.28.8.523. [PubMed] [CrossRef] [Google Scholar]
27. Lee J., Kang S.J. Factors influencing nurses' intention to care for patients with emerging infectious diseases: application of the theory of planned behavior. Nurs. Health Sci. 2020;22(1):82–90. doi: 10.1111/nhs.12652. [PubMed] [CrossRef] [Google Scholar]
28. Lee S.H., Juang Y.Y., Su Y.J., Lee H.L., Lin Y.H., Chao C.C. Facing SARS: psychological impacts on SARS team nurses and psychiatric services in a Taiwan general hospital. G. E. N.Hosp. Psychiatry. 2005;27(5):352–358. doi: 10.1016/j.genhosppsych.2005.04.007. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
29. Liu H., Liehr P. Instructive messages from Chinese nurses' stories of caring for SARS patients. J. Clin. Nurs. 2009;18(20):2880–2887. doi: 10.1111/j.1365-2702.2009.02857.x. [PubMed] [CrossRef] [Google Scholar]
30. Lucchini A., Giani M., Elli S., Villa S., Rona R., Foti G. Nursing Activities Score is increased in COVID-19 patients. Intensive Crit. Care Nurs. 2020;59 doi: 10.1016/j.iccn.2020.102876. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
31. Oh N., Hong N., Ryu D.H., Bae S.G., Kam S., Kim K.Y. Exploring nursing intention, stress, and professionalism in response to infectious disease emergencies: the experience of local public hospital nurses during the 2015 MERS Outbreak in South Korea. Asian Nurs. Res. (Korean Soc. Nurs. Sci.). 2017;11(3):230–236. doi: 10.1016/j.anr.2017.08.005. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
32. McAlonan G.M., Lee A.M., Cheung V., Cheung C., Tsang K.W.T., Sham P.C., Chua S.E., Wong J.G.W.S. Immediate and sustained psychological impact of an emerging infectious disease outbreak on health care workers. Can. J. Psychiatry. 2007;52(4):241–247. doi: 10.1177/070674370705200406. [PubMed] [CrossRef] [Google Scholar]
33. Ministerio de Sanidad, Consumo y Bienestar Social, 2020a. Valoración de la declaración del brote de nuevo coronavirus 2019 (n-CoV) una Emergencia de Salud Pública de Importancia Internacional (ESPII) 31.01.2020. https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Valoracion_declaracion_emergencia_OMS_2019_nCoV.pdf (accessed 02.06.20).
34. Ministerio de Sanidad, Consumo y Bienestar Social, 2020b. Actualización n° 117. Enfermedad por el coronavirus (COVID-19). 26.05.2020. https://www.mscbs.gob.es/profesionales/saludPublica/ccayes/alertasActual/nCov-China/documentos/Actualizacion_117_COVID-19.pdf (accessed 26.05.20).
35. Morse J.M., Miehaus L. Left Coast Press; Walnut Creek: 2009. Mixed Method Design. Principles and Procedures. [Google Scholar]
36. Raurell-Torredà M. Management of ICU nursing teams during the COVID-19 pandemic. Enferm. Intensiva. 2020;31(2):49–51. doi: 10.1016/j.enfie.2020.04.001. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
37. Raurell-Torredà M., Martínez-Estalella G., Frade-Mera M.J., Carrasco Rodríguez-Rey L.F., Romero-de San Pío E. Reflections arising from the COVID-19 pandemic. Enferm. Intensiva. 2020;31(2):90–93. doi: 10.1016/j.enfi.2020.03.002. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
38. Teti M., Schatz E., Liebenberg L. Methods in the time of COVID-19: the vital role of qualitative inquiries. Int. J. Qual. Methods. 2020;19 doi: 10.1177/1609406920920962. [CrossRef] [Google Scholar]
39. Torijano-Casalengua M.L., Olivera-Cañadas G., Astier-Peña M.P., Maderuelo-Fernández J.A., Sivlestre-Busto C. Validación de un cuestionario para evaluar la cultura de seguridad del paciente de los profesionales de atención primaria en España. Atención Primaria. 2013;45(1):21–37. doi: 10.1016/j.aprim.2012.07.003. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
40. Wenham C., Smith J., Morgan R., Gender and COVID-19 Working Group COVID-19: the gendered impacts of the outbreak. Lancet (London, England) 2020;395(10227):846–848. doi: 10.1016/S0140-6736(20)30526-2. [PMC free article] [PubMed] [CrossRef] [Google Scholar]
41. World Health Organization, 2020. WHO Director-General's opening remarks at the media briefing on COVID-19 – 11 March 2020. https://www.who.int/es/dg/speeches/detail/who-director-general-s-opening-remarks-at-the-media-briefing-on-covid-19---11-march-2020 (accessed 02.06.20).
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Feb 15, 2023
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Sager saleh almansour, Ibrahim Mubarak Mahdi Al Abbas , Saad saleh almansour , Abdulaziz saeed altamami alenazy, Abdailrhman saad aldhafeeri , Ali Mana Mohsen Alsharif. (2023). Nurses’ Perspectives and Needs in Delivering COVID-19 Care within Critical Care Units and Hospital Emergency Services. Journal of Population Therapeutics and Clinical Pharmacology, 30(2), 621-630. https://doi.org/10.53555/jptcp.v30i2.5006
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How to Cite
Sager saleh almansour, Ibrahim Mubarak Mahdi Al Abbas , Saad saleh almansour , Abdulaziz saeed altamami alenazy, Abdailrhman saad aldhafeeri , Ali Mana Mohsen Alsharif. (2023). Nurses’ Perspectives and Needs in Delivering COVID-19 Care within Critical Care Units and Hospital Emergency Services. Journal of Population Therapeutics and Clinical Pharmacology, 30(2), 621-630. https://doi.org/10.53555/jptcp.v30i2.5006