Nurse‐sensitive indicators during COVID‐19

Abstract

Purpose: Nurses are on the forefront of delivering care to patients hospitalized with COVID-19. Nurses' impact on patient care can be discerned through assessment and documentation strategies, including structured and unstructured narratives, clinical pathways, flowsheets, and problem-based approaches. To date, there are no published reports regarding nursing assessment and documentation during the COVID-19 pandemic using an assessment framework to capture clinical decision making, nursing diagnoses, and key social determinant of health (SDoH) data. Hence, the purpose of this investigation was to conduct an exploratory nursing documentation audit of patients hospitalized with COVID-19 during the first surge to identify types and frequency of nurse-sensitive indicators, including SDoH.Method: This pilot study utilized a retrospective chart review design at a single academic medical center, utilizing Gordon's Eleven Functional Health Patterns (FHP) framework to extract clinical, social, and nursing assessment data for patients hospitalized with COVID-19. Descriptive statistics were computed for continuous variables and counts/percentages for categorical variables.Findings: Data from 94 patient records were analyzed. Most patients were male (59.6%), with a mean age of 58 years. Nearly 15% of patients were Black and 12.8% were Hispanic, most residing in four geographic areas. Nine of the 11 FHPs were reflected in nursesensitive indicators documented in the electronic health record. SDoH data were inconsistently documented, including race, education, history of neglect/abuse, and occupation. Conclusion:The FHP framework captured many nurse-sensitive indicators during the first COVID-19 surge, although screening for and documenting SDoH data were limited.

The mediating role of coping styles in the relationship between fear of COVID-19 and mental health problems: a cross-sectional study among nurses

“…PTSD is an anxiety disorder that makes sufferers remember traumatic occurrences. Nurses are probably more vulnerable to PTSD due to closer and more frequent contact with COVID-19 [ 30 ]. These results are in line with a previous study that found more than 4 in every 10 nurses screened positive for higher levels of PTSD during the COVID-19 pandemic [ 31 ].…”

Exploring the influence of nursing diagnosis education on Romanian nurses’ intention, attitudes, and behavior: a cross-sectional study

“…However, regardless of the varying degrees of adoption of the nursing process in Europe, there is an increasing demand for nursing to gain new insights from data to provide evidence-based care [ 13 ]. The need for global data sharing, accurate data collection, and documentation reuse was also underscored during the COVID-19 pandemic [ 14 ].…”