Hackensack Meridian Health, Ann May Center for Nursing, Neptune, New Jersey (Dr Weaver); Infusion Nurses Society, Norwood, Massachusetts (Dr Steinheiser); Hackensack Meridian Health, Neptune, New Jersey (Dr McNicholas); Hackensack Meridian Health, Old Bridge Medical Center, Old Bridge, New Jersey (Ms Prinzo); Hackensack Meridian Health, Hackensack University Medical Center, Hackensack, New Jersey (Dr Wertz).
Susan H. Weaver, PhD, RN, CRNI®, NEA-BC , is a nurse scientist at the Ann May Center for Nursing at Hackensack Meridian Health. She has experience as an intensive care unit nurse, nurse educator, operations manager, and evening administrative supervisor. Dr Weaver received a BS in nursing from Penn State University, a Master's degree in nursing administration from Seton Hall University, and a PhD in nursing from Rutgers, the State University of New Jersey. Her research focus is on the nursing workforce, particularly administrative supervisors and clinical nurses who work the night shift, and improving outcomes. As 2021-2022 Infusion Nurses Society (INS) President, her presidential theme was "ReSEARCH Your Passion," and she particularly enjoys conducting qualitative research because she believes it is important to hear the perspective of participants.
J Infus Nurs. 2023;46(2):87-96. doi: 10.1097/NAN.0000000000000497.
During the COVID-19 pandemic, nurses were faced with challenges when caring for patients, safely administering intravenous (IV) medications and solutions, and protecting themselves from the virus. To address these challenges, nurses moved infusion pumps outside of intensive care unit (ICU) rooms of patients with COVID-19 to minimize their exposure to the virus, conserve personal protective equipment, and efficiently administer IV medications and solutions. The purpose of this qualitative descriptive study was to explore and describe nurses' perception of managing infusion pumps outside the ICU rooms of patients with COVID-19 at 6 acute care hospitals. Eight interviews were conducted with ICU nurse managers, assistant nurse managers, clinical nurses, and vascular access team staff. From the interviews, the overarching theme was "figure out a way," with the subtheme "no clear-cut policy." Additional themes were: (1) limiting nurses' exposure, (2) increased risk for infection and error, (3) teamwork, and (4) roller coaster of emotions. The findings from this study revealed that, during this unprecedented pandemic, nurses were innovative and figured out a way to care for patients who were critically ill with COVID-19. Understanding this experience provides insight into creating policies and procedures to guide patient care in future pandemics or emergency care.
在 COVID-19 大流行期间,护士在照顾患者、安全给予静脉(IV)药物和溶液以及保护自己免受病毒侵害方面面临挑战。为了应对这些挑战,护士将输液泵移到 COVID-19 患者的重症监护病房(ICU)室外,以尽量减少他们接触病毒的机会,节省个人防护设备,并有效地给予 IV 药物和溶液。这项定性描述性研究的目的是探索和描述 6 家急性护理医院的护士对在 COVID-19 患者 ICU 室外管理输液泵的看法。对 ICU 护士长、助理护士长、临床护士和血管通路团队工作人员进行了 8 次访谈。从访谈中得出的总主题是“找到一种方法”,其副标题是“没有明确的政策”。其他主题包括:(1)限制护士的暴露,(2)增加感染和错误的风险,(3)团队合作,以及(4)情绪过山车。这项研究的结果表明,在这场前所未有的大流行期间,护士具有创新性,找到了一种方法来照顾患有 COVID-19 的重病患者。了解这种经历为制定政策和程序以指导未来大流行或紧急护理中的患者护理提供了思路。