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Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care
BACKGROUND: Patient experience of nursing care is associated with safety, care quality, treatment outcomes, costs and service use. Effective nursing care includes meeting patients’ fundamental physical, relational and psychosocial needs, which may be compromised by the challenges of SARS-CoV-2. No e...
Autores principales: | , , , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558545/ https://www.ncbi.nlm.nih.gov/pubmed/34724949 http://dx.doi.org/10.1186/s12912-021-00746-5 |
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author | Sugg, Holly V. R. Russell, Anne-Marie Morgan, Leila M. Iles-Smith, Heather Richards, David A. Morley, Naomi Burnett, Sarah Cockcroft, Emma J. Thompson Coon, Jo Cruickshank, Susanne Doris, Faye E. Hunt, Harriet A. Kent, Merryn Logan, Philippa A. Rafferty, Anne Marie Shepherd, Maggie H. Singh, Sally J. Tooze, Susannah J. Whear, Rebecca |
author_facet | Sugg, Holly V. R. Russell, Anne-Marie Morgan, Leila M. Iles-Smith, Heather Richards, David A. Morley, Naomi Burnett, Sarah Cockcroft, Emma J. Thompson Coon, Jo Cruickshank, Susanne Doris, Faye E. Hunt, Harriet A. Kent, Merryn Logan, Philippa A. Rafferty, Anne Marie Shepherd, Maggie H. Singh, Sally J. Tooze, Susannah J. Whear, Rebecca |
author_sort | Sugg, Holly V. R. |
collection | PubMed |
description | BACKGROUND: Patient experience of nursing care is associated with safety, care quality, treatment outcomes, costs and service use. Effective nursing care includes meeting patients’ fundamental physical, relational and psychosocial needs, which may be compromised by the challenges of SARS-CoV-2. No evidence-based nursing guidelines exist for patients with SARS-CoV-2. We report work to develop such a guideline. Our aim was to identify views and experiences of nursing staff on necessary nursing care for inpatients with SARS-CoV-2 (not invasively ventilated) that is omitted or delayed (missed care) and any barriers to this care. METHODS: We conducted an online mixed methods survey structured according to the Fundamentals of Care Framework. We recruited a convenience sample of UK-based nursing staff who had nursed inpatients with SARS-CoV-2 not invasively ventilated. We asked respondents to rate how well they were able to meet the needs of SARS-CoV-2 patients, compared to non-SARS-CoV-2 patients, in 15 care categories; select from a list of barriers to care; and describe examples of missed care and barriers to care. We analysed quantitative data descriptively and qualitative data using Framework Analysis, integrating data in side-by-side comparison tables. RESULTS: Of 1062 respondents, the majority rated mobility, talking and listening, non-verbal communication, communicating with significant others, and emotional wellbeing as worse for patients with SARS-CoV-2. Eight barriers were ranked within the top five in at least one of the three care areas. These were (in rank order): wearing Personal Protective Equipment, the severity of patients’ conditions, inability to take items in and out of isolation rooms without donning and doffing Personal Protective Equipment, lack of time to spend with patients, lack of presence from specialised services e.g. physiotherapists, lack of knowledge about SARS-CoV-2, insufficient stock, and reluctance to spend time with patients for fear of catching SARS-CoV-2. CONCLUSIONS: Our respondents identified nursing care areas likely to be missed for patients with SARS-CoV-2, and barriers to delivering care. We are currently evaluating a guideline of nursing strategies to address these barriers, which are unlikely to be exclusive to this pandemic or the environments represented by our respondents. Our results should, therefore, be incorporated into global pandemic planning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-021-00746-5. |
format | Online Article Text |
id | pubmed-8558545 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-85585452021-11-01 Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care Sugg, Holly V. R. Russell, Anne-Marie Morgan, Leila M. Iles-Smith, Heather Richards, David A. Morley, Naomi Burnett, Sarah Cockcroft, Emma J. Thompson Coon, Jo Cruickshank, Susanne Doris, Faye E. Hunt, Harriet A. Kent, Merryn Logan, Philippa A. Rafferty, Anne Marie Shepherd, Maggie H. Singh, Sally J. Tooze, Susannah J. Whear, Rebecca BMC Nurs Research BACKGROUND: Patient experience of nursing care is associated with safety, care quality, treatment outcomes, costs and service use. Effective nursing care includes meeting patients’ fundamental physical, relational and psychosocial needs, which may be compromised by the challenges of SARS-CoV-2. No evidence-based nursing guidelines exist for patients with SARS-CoV-2. We report work to develop such a guideline. Our aim was to identify views and experiences of nursing staff on necessary nursing care for inpatients with SARS-CoV-2 (not invasively ventilated) that is omitted or delayed (missed care) and any barriers to this care. METHODS: We conducted an online mixed methods survey structured according to the Fundamentals of Care Framework. We recruited a convenience sample of UK-based nursing staff who had nursed inpatients with SARS-CoV-2 not invasively ventilated. We asked respondents to rate how well they were able to meet the needs of SARS-CoV-2 patients, compared to non-SARS-CoV-2 patients, in 15 care categories; select from a list of barriers to care; and describe examples of missed care and barriers to care. We analysed quantitative data descriptively and qualitative data using Framework Analysis, integrating data in side-by-side comparison tables. RESULTS: Of 1062 respondents, the majority rated mobility, talking and listening, non-verbal communication, communicating with significant others, and emotional wellbeing as worse for patients with SARS-CoV-2. Eight barriers were ranked within the top five in at least one of the three care areas. These were (in rank order): wearing Personal Protective Equipment, the severity of patients’ conditions, inability to take items in and out of isolation rooms without donning and doffing Personal Protective Equipment, lack of time to spend with patients, lack of presence from specialised services e.g. physiotherapists, lack of knowledge about SARS-CoV-2, insufficient stock, and reluctance to spend time with patients for fear of catching SARS-CoV-2. CONCLUSIONS: Our respondents identified nursing care areas likely to be missed for patients with SARS-CoV-2, and barriers to delivering care. We are currently evaluating a guideline of nursing strategies to address these barriers, which are unlikely to be exclusive to this pandemic or the environments represented by our respondents. Our results should, therefore, be incorporated into global pandemic planning. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12912-021-00746-5. BioMed Central 2021-11-01 /pmc/articles/PMC8558545/ /pubmed/34724949 http://dx.doi.org/10.1186/s12912-021-00746-5 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Sugg, Holly V. R. Russell, Anne-Marie Morgan, Leila M. Iles-Smith, Heather Richards, David A. Morley, Naomi Burnett, Sarah Cockcroft, Emma J. Thompson Coon, Jo Cruickshank, Susanne Doris, Faye E. Hunt, Harriet A. Kent, Merryn Logan, Philippa A. Rafferty, Anne Marie Shepherd, Maggie H. Singh, Sally J. Tooze, Susannah J. Whear, Rebecca Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
title | Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
title_full | Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
title_fullStr | Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
title_full_unstemmed | Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
title_short | Fundamental nursing care in patients with the SARS-CoV-2 virus: results from the ‘COVID-NURSE’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
title_sort | fundamental nursing care in patients with the sars-cov-2 virus: results from the ‘covid-nurse’ mixed methods survey into nurses’ experiences of missed care and barriers to care |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8558545/ https://www.ncbi.nlm.nih.gov/pubmed/34724949 http://dx.doi.org/10.1186/s12912-021-00746-5 |
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