Aims The aims of this review were to: (a) determine the clinical presentation; and (b) outcomes of adult hospitalized patients with COVID‐19 to provide practicing nurses with a cogent and concise clinical impression of COVID‐19 patients. Design We conducted a systematic review of early published, peer‐reviewed, original research where researchers presented data from adult hospitalized COVID‐19 patients regarding their presenting signs, symptoms, and definitive survival outcomes. Data Sources We searched the databases PubMed, CINAHL, and Scopus for relevant articles published between 1 January 2020 ‐18 May 2020. Review Methods We extracted data from each study and synthesized them across primary sources using a literature matrix table to provide a global impression of this rapidly growing body of literature. Results We retrieved 97 mainly descriptive observational studies. SARS‐CoV‐2 is efficiently transmitted between humans, particularly those in close contact. Symptomatic COVID‐19 patients can present with a broad array of nonspecific symptoms. Fever and cough are the most commonly reported symptoms; some patients have atypical presentations. In patients with respiratory decompensation, disease progression can be rapid. Some patients experience mild symptoms that are self‐limited; others experience organ failure and death. Risk factors for poor outcomes include older age, chronic medical conditions, male gender, obesity, and presenting with signs of declining respiratory status. Conclusion Nurses can mitigate the spread of SARS‐CoV‐2 and sequelae of COVID‐19 with prompt and capable responses. Impact This study addresses the problem of the continued spread of SARS‐CoV‐2 while little is known about this virus. This review provides nurses with a summary of the most current evidence regarding the signs, symptoms, and outcomes of adult hospitalized COVID‐19 patients that they might identify COVID‐19 patients rapidly on presentation to medical care and be attuned to indicators of patient decompensation.
Introduction Although tobacco use is widely recognized as a major cause of preventable morbidity and mortality, tobacco treatment remains challenging. Purpose The purpose of this integrative review is to synthesize the research findings regarding multicomponent tobacco treatment interventions combining nurse counseling and nicotine replacement therapy (NRT). Methods Published literature from 1990 through April 2019 was searched using the databases PubMed, CINAHL, PsycINFO, and Scopus. We extracted data into a literature matrix to facilitate comparison across primary sources and make conclusions about this body of literature as a whole. Findings This integrative review includes 21 publications that investigated the effects of tobacco treatment interventions incorporating both nurse counseling and NRT. Articles were reviewed for quality indicators. Results The evidence from this set of studies indicates that nurse counseling is an effective intervention when combined with NRT. The most successful interventions included long-term face-to-face counseling with a nurse. In addition, interventions in which longer courses of NRT were offered for free or at subsidized rates were most successful at engendering smoking cessation. Moreover, interventions that maximized social support for participants attempting to quit smoking resulted in favorable outcomes. Discussion The findings can provide useful guidance regarding the designing and implementation of effective tobacco treatment interventions that incorporate various components. Conclusion Nurse counseling augmented by additional effective tobacco treatment therapies including NRT leads to beneficial outcomes in smoking cessation. Future researchers should capitalize on this apparent synergistic relationship between multiple tobacco treatment components.
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