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

Autor: M.T. González-Gil, María Elena Carrillo-Camacho, Mercedes Martínez-Marcos, Cristina Oter-Quintana, C. Canalejas-Pérez, Eva García-Perea, María del Pilar Palazuelos-Puerta, Ana María Palmar-Santos, Carmen Sellán-Soto, Laura Otero-García, María Teresa Argüello-López, María Lourdes Casillas-Santana, María Luisa Martínez-Martín, Azucena Pedraz-Marcos, María Teresa Alcolea-Cosín, Cristina González-Blázquez, Asunción García-González, María Luisa Díaz-Martínez, María Victoria Navarta-Sánchez, Ana Isabel Parro-Moreno
Rok vydání: 2021
Předmět:
Male
Nurses
Computer-assisted web interviewing
Emergency Nursing
Hospital Administrators
Nurse Administrator
Critical Care Nursing
0302 clinical medicine
COVID-19 [Supplementary Concept]
Emergency Service
Hospital
Nursing Services
Burnout
Professional
Response rate (survey)
030504 nursing
Communication
Health services research
Middle Aged
Intensive Care Units
Needs assessment
Female
Health Services Research
Medical emergency
Emergency Service
Hospital
0305 other medical science
Needs Assessment
Emergency nursing
Adult
medicine.medical_specialty
Health Planning Guidelines
Critical Care
Attitude of Health Personnel
Rest
Workload
Article
Personnel Management
Young Adult
03 medical and health sciences
Critical care nursing
medicine
Humans
Family
Nurse Administrators
Hospitals
Public
SARS-CoV-2
business.industry
Public health
COVID-19
030208 emergency & critical care medicine
medicine.disease
Cross-Sectional Studies
Spain
business
Delivery of Health Care
Zdroj: Intensive and Critical Care Nursing
Intensive & Critical Care Nursing
ISSN: 0964-3397
DOI: 10.1016/j.iccn.2020.102966
Popis: 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.
Background The COVID-19 pandemic is a public health challenge that puts health systems in a highly vulnerable situation. Nurses in critical care units (CCUs) and hospital emergency services (HESs) have provided care to patients with COVID-19 under pressure and uncertainty. Objective To identify needs related to safety, organization, decision-making, communication, and psycho-socio-emotional needs perceived by CCU and HES nurses in the region of Madrid, Spain, during the acute phase of the epidemic crisis. Methods This is a cross-sectional study (the first phase of a mixed methods study) with CCU and HES nurses from 26 public hospitals in Madrid using an online questionnaire. Results 557 nurses participated. 37.5% reported working with the fear of becoming infected and its consequences. 28.2% reported elevated workloads, high patient-nurse ratios, and shifts that did not allow them to disconnect or rest, while taking on more responsibilities when managing patients with COVID-19 (23.9%). They also reported deficiencies in communication with middle management (21.2%), inability to provide psycho-social care to patients and families, and being emotionally exhausted (53.5%), with difficulty in venting emotions (44.9%). Conclusions CCU and HES nurses may be categorized as a vulnerable population. It is thus necessary to delve deeper into further aspects of their experiences of the pandemic.
Databáze: OpenAIRE
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