Ferrari Giada, Dobrina Raffaella, Buchini Sara, Rudan Iva, Schreiber Silvana, Bicego Livia
Institute for Maternal and Child Health, IRCCS "Burlo Garofolo", Trieste, Italy.
J Clin Nurs. 2021 May 25. doi: 10.1111/jocn.15857.
The main objective was to explore the impact of personal protective equipment and social distancing on nurses, caregivers and children's communication and relationship in a maternal and child health hospital.
The spread of COVID-19 pandemic made it necessary to apply infection prevention and control measures, including interpersonal distancing and the use of personal protective equipment. These measures may impact communication and relationship between nurses, patients and caregivers especially in a complex environment, such as a paediatric setting.
A qualitative descriptive study design was adopted. Reporting followed the COREQ guidelines.
Semi-structured interviews were conducted in two wards of a maternal and child health hospital in north-east Italy. Data were collected between September and November 2020. Transcripts were analysed using inductive content analysis.
Seventeen caregivers and 17 nurses were recruited using convenience sampling. Three themes were identified, namely: "Impact on a trustworthy relationship"; "Impact on common communication resources"; and "Strategies to overcome barriers". Participants agreed Covid-19 infection prevention and control measures impacted key elements of family-centred and compassionate care. Communication strategies and play were critical to overcoming the barriers encountered.
COVID-19 containment measures impact communication and family-centred care in paediatric hospital settings. There is a need for stakeholders to consider family needs in interventions aimed at controlling pandemics' impact.
While COVID-19 pandemic urgency intensified the use of PPE and social distancing, strategies to overcome issues related to family-centred care should be considered in those wards such as oncology or infectious disease paediatric departments where these measures are continuously adopted. Beyond a greater communication awareness, strategies may comprise the implementation of virtual care to guarantee support, continuity of care and information between the child, the healthcare team and the family members that are not admitted to the hospital for safety reasons.
主要目标是探讨个人防护装备和社交距离对一家妇幼保健院护士、护理人员以及儿童沟通与关系的影响。
新冠疫情的蔓延使得采取感染预防与控制措施成为必要，包括人际距离保持和个人防护装备的使用。这些措施可能会影响护士、患者和护理人员之间的沟通与关系，尤其是在儿科等复杂环境中。
采用定性描述性研究设计。报告遵循COREQ指南。
在意大利东北部一家妇幼保健院的两个病房进行了半结构化访谈。数据收集于2020年9月至11月之间。使用归纳性内容分析法对访谈记录进行分析。
采用便利抽样法招募了17名护理人员和17名护士。确定了三个主题，即：“对信任关系的影响”；“对共同沟通资源的影响”；以及“克服障碍的策略”。参与者一致认为，新冠感染预防与控制措施影响了以家庭为中心的关爱护理的关键要素。沟通策略和游戏对于克服遇到的障碍至关重要。
新冠疫情防控措施影响儿科医院环境中的沟通和以家庭为中心的护理。利益相关者有必要在旨在控制疫情影响的干预措施中考虑家庭需求。
虽然新冠疫情的紧迫性加剧了个人防护装备的使用和社交距离的保持，但在肿瘤或传染病儿科等持续采用这些措施的病房中，应考虑采取策略来克服与以家庭为中心的护理相关的问题。除了提高沟通意识外，策略可能包括实施虚拟护理，以确保因安全原因未住院的儿童、医疗团队和家庭成员之间的支持、护理连续性和信息传递。
