Loft Mia Ingerslev, Berthelsen Connie
Department of Neurology, Rigshospitalet, Copenhagen, Denmark.
Institute for People and Technology, Roskilde University, Roskilde, Denmark.
Scand J Caring Sci. 2024 Mar;38(1):16-23. doi: 10.1111/scs.13203. Epub 2023 Aug 23.
The knowledge of the landscape of COVID-19 research performed by nurses in hospitals and health services is scarce. It is important to identify, map and share knowledge and thus provide a better understanding of the important research performed by nurses.
To provide a comprehensive overview of Nordic nurses' focus areas of research during and related to the COVID-19 pandemic and to extract knowledge on recommendations for future evidence-based practice.
The electronic databases of MEDLINE (via PubMed), CINAHL (via EBSCO) and Scopus (via Elsevier) were searched for studies describing all areas of nursing during and related to the COVID-19 pandemic conducted in the Nordic countries. Studies conducted by a nurse as the first or last author and published from March 2020 to March 2022 were included in the scoping review. The protocol for the review is registered at Open Science Framework (https://osf.io/f8kuq).
Of 8412 studies found in the comprehensive search, 119 studies met the inclusion criteria. The studies were written by nurses from Denmark (42%), Sweden (31%), Norway (20%), Finland (6%) and Iceland (1%). The majority of studies (39%) covered patients' and relatives' experiences of visiting restrictions and social distancing and relatives' communications with healthcare professionals. Twenty-six per cent of included studies covered healthcare professionals' experiences of caring for patients infected with COVID-19, working during the pandemic and suffering from the consequences of both.
The recommendations of evidence-based practice for future pandemics show that social distancing for disease prevention must be provided while considering the human consequences of social distancing. Special training is also recommended for healthcare professionals caring for COVID-19 patients accompanied by psychosocial support for their mental well-being. Additionally, virtual contact is an important supplement to personal treatment and face-to-face contact during social restrictions.
关于医院和卫生服务机构中护士开展的新冠病毒病(COVID-19)研究情况的了解十分匮乏。识别、梳理并分享知识,从而更好地理解护士所开展的重要研究,这一点很重要。
全面概述北欧护士在COVID-19大流行期间及与之相关的研究重点领域,并提炼出关于未来循证实践建议的知识。
检索MEDLINE(通过PubMed)、护理学与健康领域数据库(CINAHL,通过EBSCO)和Scopus(通过爱思唯尔)的电子数据库,查找描述北欧国家在COVID-19大流行期间及与之相关的所有护理领域的研究。由护士作为第一作者或最后作者且于2020年3月至2022年3月发表的研究纳入范围综述。该综述方案已在开放科学框架(https://osf.io/f8kuq)注册。
在全面检索中找到的8412项研究中,119项研究符合纳入标准。这些研究由丹麦(42%)、瑞典(31%)、挪威(20%)、芬兰(6%)和冰岛(1%)的护士撰写。大多数研究(39%)涵盖了患者及亲属对探访限制和社交距离的体验以及亲属与医护人员的沟通。纳入研究的26%涵盖了医护人员对护理COVID-19感染患者、在大流行期间工作以及承受这两方面后果的体验。
未来大流行的循证实践建议表明,在考虑社交距离对人的影响的同时,必须实施用于疾病预防的社交距离措施。还建议为护理COVID-19患者的医护人员提供专门培训,并为他们的心理健康提供社会心理支持。此外,在社交限制期间,虚拟接触是个人治疗和面对面接触的重要补充。