How effective response to COVID‐19 relies on nursing research

Lake, Eileen

doi:10.1002/nur.22025

Cited by 35 publications

(36 citation statements)

References 9 publications

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“…The results suggest that nurses made more autonomous clinical and pharmacological management decisions than in their regular care practice, which was more pronounced in CCUs. This was also pointed out by other authors ( Lake, 2020 ) and led to healthcare systems, such as the American healthcare system, adopting changes in the regulation of professional competencies during the crisis, such as the waiving of medical prescriptions for diagnostic tests or certain drugs, or allowing advanced nurse practitioners to make decisions without medical supervision (Centers for Medicare & Medicaid Services, 2020).…”

Section: Discussionmentioning

confidence: 77%

Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

González-Gil

González-Blázquez

Moreno

et al. 2021

Intensive and Critical Care Nursing

205

226

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Highlights Critical care nurses have had to perform tasks for which they have not received proper training. Nurses have had to manage the fear of becoming infected and spreading it to their families. Moral suffering and emotional exhaustion are major consequences of front-line care. Heavy workloads, high patient-nurse ratios, and lack of rest are causing exhaustion among nurses.

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Section: Discussionmentioning

confidence: 77%

Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

González-Gil

González-Blázquez

Moreno

et al. 2021

Intensive and Critical Care Nursing

205

226

View full text Add to dashboard Cite

show abstract

“…Maintaining an adequate workforce in this crisis situation requires a balanced dimensioning of professionals. Care for critically ill patients can last from weeks to months, a work context that requires teams to cope with social changes and emotional stressors, with a greater risk of exposure to the virus, extreme workloads, moral dilemmas and rapid progression in the clinical environment (44,46) .…”

Section: Nursing Diagnoses Outcomes and Interventions For Health Promentioning

confidence: 99%

“…The problem is aggravated when there are professionals from risk groups kept on the front line of assistance, shortage of PPE, deficient training, undersized teams and lack of proof of infection. Professionals are overloaded with work and away from family and friends, which subjects them to physical and emotional suffering (43)(44)(46)(47) .…”

Section: Nursing Diagnoses Outcomes and Interventions For Health Promentioning

confidence: 99%

Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic

et al. 2020

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Objective: to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios. Methods: an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institution researchers in Brazil. Results: five instruments were organized collectively, involving the elements of nursing practice (nursing diagnoses, outcomes and interventions) in assistance for community; for patients (with suspected or mild, moderate, and critical COVID-19 and residents in Nursing Homes); for nursing workers’ health support, also subsidizing registration and documentation during the COVID-19 pandemic. Final considerations: valuing the phenomena manifested by families/communities, patients and health professionals is essential for early detection, intervention, and prevention of diseases.

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“…13 This ethical tension is exacerbated the more patients with COVID-19 symptoms are admitted into hospitals and the more nurses are aware of the lack of professional resources, thereby feeling a strong responsibility not only toward the patients but to society at large. 14 In Israel, as in many other Western countries, a shortage of nurses-becoming even more severe when some become sick or are in quarantine-serves as another considerable factor that weighs in to nurses' unwillingness to come to work.…”

Section: Introductionmentioning

confidence: 99%

Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic

2020

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Background: Positioned at the frontlines of the battle against COVID-19 disease, nurses are at increased risk of contraction, yet as they feel obligated to provide care, they also experience ethical pressure. Research question and objectives: The study examined how Israeli nurses respond to ethical dilemmas and tension during the COVID-19 outbreak, and to what extent this is associated with their perceived risk and motivation to provide care? Research design: The study implemented a descriptive correlative study using a 53-section online questionnaire, including 4 open-ended questions. Participants and research context: The questionnaire was complete by 231 registered and intern nurses after being posted on nurses’ Facebook and WhatsApp groups, and through snowball sampling. Ethical considerations: The research was pre-approved by the ethics committee of the Faculty of Social Welfare and Health Sciences at the University of Haifa, Israel. Findings: In all, 68.8% of the respondents had received some form of training about COVID-19. Respondents positioned themselves at perceived high risk levels for contracting the virus. About one-third feared going to work because of potential contraction and due to feeling inadequately protected. While 40.9% were scared to care for COVID-19 patients, 74.7% did not believe they have the right to refuse to treat certain patients. When asked about defining an age limit for providing patients with scarce resources (such as ventilation machines) in cases of insufficient supplies, respondents stated that the maximum age in such scenarios should be 84 (standard deviation (SD = 19) – yet most respondents (81.4%) believed that every patient has the right to receive optimal treatment, regardless of their age and medical background. Discussion: Correlating with their strong commitment to care, nurses did not convey intention to leave the profession despite their stress, perceived risk, and feelings of insufficient support and protection at work. The nurses did not hold a utilitarian approach to resource allocation, thereby acknowledging the value of all people and their entitlement to care, regardless of optimal outcomes. Conclusion: While experiencing significant personal risk and emotional burden, nurses conveyed strong dedication to providing care, and did not regret working in the nursing profession, yet they did seek a supportive climate for their needs and ethical concerns.

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How effective response to COVID‐19 relies on nursing research

Cited by 35 publications

References 9 publications

Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services

Brazilian Nursing Process Research Network contributions for assistance in the COVID-19 pandemic

Ethical dilemmas, perceived risk, and motivation among nurses during the COVID-19 pandemic

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