Utilization of Pediatric Nurse Practitioners as Adult Critical Care Providers During the COVID-19 Pandemic: A Novel Approach

Renke, Christine; Callow, Louise; Egnor, Tara; Honstain, Chelsea; Kellogg, Kimberly; Pollack, Blythe; Reske, Janella; Robell, Stephanie; Sinicropi, Natalie

doi:10.1016/j.pedhc.2020.06.005

Cited by 28 publications

(35 citation statements)

References 2 publications

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“…Participants mentioned that the pressure to combat a novel emerging disease resulted in the need to focus towards shared results collectively. This finding was also identified in previous research on nursing during healthcare crises, in which measures of appreciation, support and feelings of unity led to a high working moral (Renke et al, 2020; Corley et al, 2010; Biai, 2007). Moreover, Shih et al, (2002) showed that sharing the experience of providing care after the earthquake of 1999 in Taiwan and the urgent need to help each other, led to a caring relationship amongst team members.…”

Section: Discussionsupporting

confidence: 80%

Returning to nursing during the COVID-19 pandemic: experiences and needs of re-entering nurses

Hoekstra

Kok

2021

Preprint

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Aim: Assessing the needs and experiences of re-entering nurses during the COVID-19 pandemic. Background: During the COVID-19 outbreak in the Netherlands, thousands of former nurses have returned to nursing to support healthcare staff. After a period of absence and with little time to prepare, these former nurses re-entered during a challenging, uncertain and rapidly evolving pandemic. Little is known about the experiences and needs of these re-entering nurses. Design: Qualitative study Methods: We conducted semi-structured interviews with 20 purposively selected nurses who had re-entered nursing during the first wave of the COVID-19 pandemic in the Netherlands. Interviews were transcribed verbatim and analysed via thematic content analysis. This study followed the COREQ guidelines. Results: Participants mentioned that a lack of a clear job description led to unclarity about the kind of tasks that re-entering nurses were expected and allowed to perform. This unclarity was especially notable in the newly established COVID-19 departments. Re-entering nurses mentioned to wish for an easily accessible mentorship structure and an individualised and practical training program. Re-entering nurses felt supported by a positive team dynamic, which was shaped by the sense of urgency and relevance of their work and helped them deal with stressful experiences. Conclusion: The results indicate that a rapid and safe return to nursing during a pandemic could be facilitated by: a clear description of roles and responsibilities; an individualised assessment determining the competences and knowledge disparities of re-entering nurses; practical training focussing on competencies needed during a pandemic; and a collaborative mentorship structure to guide re-entering nurses. Relevance to clinical practice: The rapid recruitment of former nurses to mitigate an acute shortage of qualified nurses could play a vital role during a pandemic. To deploy these nurses effectively, safely and sustainably, it is important to address the needs of these re-entering nurses.

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Section: Discussionsupporting

confidence: 80%

Returning to nursing during the COVID-19 pandemic: experiences and needs of re-entering nurses

Hoekstra

Kok

2021

Preprint

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“… 25 , 26 Nurses have been providing frontline patient care, advocating for policy changes, and developing innovative processes to keep the healthcare system afloat. 27 , 28 , 29 , 30 , 31 As a result of the pandemic, the PCCC team has expanded to include additional pre-operative nurse practitioners and one member of our team is designated daily as the Pre-OP COVID Manager. The Pre-op COVID manager serves as a resource regarding pre-operative COVID-19 testing.…”

Section: Discussionmentioning

confidence: 99%

Developing an Outpatient Pediatric Pre-Procedure COVID-19 Testing Model

O’Connor

McGee

Gibson

et al. 2021

Journal of PeriAnesthesia Nursing

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Purpose The purpose of this project was to design, develop, implement, and manage a sustainable process for pediatric pre-operative COVD-19 testing and use the test results to determine the level of personal protective equipment and infection control required for each patient for optimal surgical scheduling and preservation of resources. Design This quality improvement project used the Plan-Do-Study-Act methodology Multiple cycles of re-evaluation refined this process which was standardized across the enterprise. Methods A process for pre-operative testing for all patients undergoing procedures requiring anesthesia was developed and implemented. Findings A safe, feasible, timely process was developed and piloted to obtain COVID-19 test results to guide individualized interventions. During the pilot, 1707 patients were screened, and five tested positive for COVID-19, eliminating the need to manage 1702 patients as COVID-19 positive. Conclusion To continue to safely re-open, knowledge of the patient's COVID-19 status is imperative to ensure a safe journey through the perioperative area.

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“…Nesse mesmo sentido, Renke et al 15 destacam que a pandemia da COVID-19 evidenciou o colapso da saúde pública no mundo, principalmente pela escassez de recursos tanto materiais quanto humanos. A profissão de enfermagem demonstrou-se fundamental nesse ambiente, inclusive com remanejamento de enfermeiros pediátricos para o cuidado de adultos.…”

Section: Protagonismo Dos Profissionais De Enfermagemunclassified

Profissionais de Enfermagem na UTI e seu protagonismo na pandemia: Legados da Covid-19

Ribeiro¹,

Andrade²,

Melo³

et al. 2021

Rev Enf Contemp

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OBJETIVO: Analisar a atuação dos profissionais de enfermagem na Unidade de Terapia Intensiva, considerando seu protagonismo no atendimento aos pacientes com COVID-19 e os legados dessa pandemia até o momento. MÉTODO: Revisão sistemática com base no protocolo Preferred Reporting Itens for Systematic Reviews and Meta-Analysis. Foram consideradas publicações em português, inglês e espanhol dos últimos dois anos (2019-2020) indexados na Biblioteca Virtual do Ministério da Saúde do Brasil, na PubMed, Cochrane Central e Web Of Science. RESULTADOS: Foram selecionados 14 artigos para a análise dos dados. A atuação do profissional de enfermagem no combate ao COVID-19 é consenso em diferentes países, sendo destacada sua atuação como linha de frente e as necessidades de adaptação a um contexto inédito, lidando com o desconhecido e com pesquisas frequentes que apontavam novas descobertas. Como implicações futuras frente à atual pandemia verificou-se fatores como maior valorização dos profissionais de enfermagem, inclusive com uso de profissionais intensivistas e anestesistas, diversificação das formas de comunicação, melhor autogerenciamento e gerenciamento das equipes e o teleatendimento em cuidados de enfermagem. CONCLUSÃO: A pandemia trazida pela COVID-19 evidenciou o protagonismo dos enfermeiros. Com as mudanças e adaptações exigindo novos protocolos e formas de atendimento, podendo ser considerados como legados.

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Utilization of Pediatric Nurse Practitioners as Adult Critical Care Providers During the COVID-19 Pandemic: A Novel Approach

Cited by 28 publications

References 2 publications

Returning to nursing during the COVID-19 pandemic: experiences and needs of re-entering nurses

Returning to nursing during the COVID-19 pandemic: experiences and needs of re-entering nurses

Developing an Outpatient Pediatric Pre-Procedure COVID-19 Testing Model

Profissionais de Enfermagem na UTI e seu protagonismo na pandemia: Legados da Covid-19

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