Landspitali, The National University Hospital of Iceland, Reykjavik, Iceland.
Faculty of Nursing, School of Health Sciences, University of Iceland, Reykjavik, Iceland.
J Adv Nurs. 2022 Nov;78(11):3782-3794. doi: 10.1111/jan.15355. Epub 2022 Aug 16.
To describe nursing surveillance of coronavirus disease 2019 (COVID-19)-infected patients through remote telephone calls and in an on-site urgent clinic during the first wave of the pandemic as experienced by nurses providing the care.
Qualitative descriptive study.
Data were collected through seven semi-structured, audio-recorded, focus group interviews with 24 nurses. Interviews were conducted in May and June 2020, transcribed and analysed using deductive and inductive content analysis into an overarching category, main categories and subcategories. Reporting followed the COREQ guidelines.
Nurses relied on intensive listening when assessing and caring for COVID-19-infected patients. They realized that the patients had complex needs for nursing and healthcare which was beyond the scope of a tentatively prescribed assessment scheme. They designed their care to ensure holistic care, reflected in the overarching category, 'Confronting an unfamiliar health condition in unprecedented circumstances' and the categories: 'Digging into the unknown' and 'Ensuring holistic nursing care'. The category 'Contributing to averting catastrophe' reflects the wealth of knowledge, support and experience that the nurses used to independently deliver care, albeit in interdisciplinary collaboration, working to their greatest potential. They were proud of the significance of their work.
Novel nursing surveillance through remote telephone calls and in an on-site urgent care clinic delivered to COVID-19 patients self-managing at home resulted in holistic nursing care during the first wave of the pandemic. This has relevance for professionalism in nursing.
Findings give a unique insight into nursing surveillance of COVID-19-infected patients provided through telephone calls and in on-site urgent care clinics. The potential of intensive listening as conducted in the study suggests that it may be feasible to assess and holistically take care of COVID-19-infected patients, and other patient groups as well, with this form of healthcare. This has relevance for healthcare beyond crisis management during pandemics.
There was no patient or public contribution as the study only concerned the providers of the service, i.e. the nurses themselves.
描述在大流行第一波期间，通过远程电话和现场急诊诊所对感染新型冠状病毒病（COVID-19）的患者进行护理监测，这是护理人员提供护理的经验。
定性描述性研究。
通过对 24 名护士进行的 7 次半结构化、录音、焦点小组访谈收集数据。访谈于 2020 年 5 月和 6 月进行，采用演绎和归纳内容分析方法进行转录和分析，形成一个总体类别、主要类别和子类别。报告遵循 COREQ 指南。
护士在评估和护理 COVID-19 感染患者时依赖于深入倾听。他们意识到患者对护理和医疗保健有复杂的需求，超出了初步规定的评估方案的范围。他们设计护理以确保全面护理，这反映在总体类别“在前所未有的情况下应对不熟悉的健康状况”和类别“深入了解未知”和“确保全面护理”中。类别“为避免灾难做出贡献”反映了护士在独立提供护理时所使用的丰富知识、支持和经验，尽管是在跨学科合作中，尽最大努力工作。他们为自己的工作感到自豪。
通过远程电话和现场急诊诊所向在家中自我管理的 COVID-19 患者提供新型护理监测，导致大流行第一波期间提供全面护理。这与护理专业精神有关。
研究结果深入了解了通过电话和现场急诊诊所为 COVID-19 感染患者提供的护理监测。研究中进行的深入倾听的潜力表明，通过这种医疗保健形式，对 COVID-19 感染患者和其他患者群体进行评估和全面护理是可行的。这对大流行期间的危机管理以外的医疗保健具有重要意义。
由于研究仅涉及服务提供者，即护士本身，因此没有患者或公众的贡献。
