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1.
J Christ Nurs ; 38(3): E28-E31, 2021.
Article in English | MEDLINE | ID: covidwho-1532593

ABSTRACT

ABSTRACT: Nurses who provided care to patients with coronavirus (COVID-19) and supported patients in their transition from life to death in the absence of patients' families have been especially needful of spiritual self-care. A spiritual first aid kit can help nurses cope with these difficult times. Spiritual self-care is vital for all nurses to renew and preserve the psychological, spiritual, and physical self.


Subject(s)
COVID-19/psychology , Nurse-Patient Relations , Nursing Staff, Hospital/psychology , Self Care/psychology , Self Efficacy , Adaptation, Psychological , COVID-19/nursing , Critical Care/psychology , First Aid , Humans , Spirituality
4.
CMAJ ; 193(6): E223-E224, 2021 02 08.
Article in English | MEDLINE | ID: covidwho-1374163
5.
Br J Nurs ; 30(15): 928-933, 2021 Aug 12.
Article in English | MEDLINE | ID: covidwho-1352977

ABSTRACT

The C0VID-19 pandemic has challenged everyone in society, from children who are no longer able to attend school and nursery to adults trying to juggle working at home and vulnerable members of society who have needed to self-isolate. NHS staff and key workers also need to juggle their family situations and many will have to adapt their practice and ways of working to address the demands placed on the NHS during this time. The current pandemic has altered the nature of services being provided to patients, and staff are now wearing personal protective equipment, with many being redeployed to ward areas. This article considers the 6Cs of nursing and the challenges faced by staff during the COVID-19 pandemic, with a primary focus on care and compassion. The vital role that touch has in the care of the patient and family is also considered.


Subject(s)
COVID-19 , Empathy , Nurse-Patient Relations , Pandemics , Touch , COVID-19/epidemiology , COVID-19/nursing , Humans
8.
Rev. baiana enferm ; 34: e36929, 2020.
Article in Portuguese | LILACS (Americas) | ID: covidwho-1328335

ABSTRACT

Objetivo: refletir sobre o emprego da educação a distância na graduação em enfermagem no Brasil no cenário da pandemia da COVID-19. Método: ensaio crítico por meio de reflexões ancoradas na literatura acerca da utilização da educação a distância na formação de enfermeiros(as) e dos circunscritores decorrentes da pandemia. Resultados: as discussões sobre o emprego da educação a distância na formação em enfermagem no Brasil respondem a diferentes interesses educacionais, profissionais, políticos e econômicos. No contexto da pandemia de COVID-19, a partir de 2020, tais debates têm sido potencializados em função do emprego de metodologias da educação a distância na continuidade de muitos cursos de formação, outrora exclusivamente presenciais. Conclusão: não obstante as metodologias próprias da educação a distância permitirem, em um primeiro momento, a continuidade dos processos formativos em enfermagem, reafirma-se que o ensino-aprendizagem para o cuidado em saúde demanda proximidade e contato.


Objetivo: reflexionar sobre el uso de la educación a distancia en programas de graduación en enfermería en Brasil en el escenario de la pandemia COVID-19. Método: ensayo crítico a través de reflexiones ancladas en la literatura sobre el uso de la educación a distancia en la formación de enfermeras y circunscriptores resultantes de la pandemia. Resultados: los debates sobre el uso de la educación a distancia en la educación en enfermería en Brasil responden a diferentes intereses educativos, profesionales, políticos y económicos. En el contexto de la pandemia COVID-19, desde 2020, estos debates se han intensificado debido al uso de metodologías de educación a distancia en la continuidad de muchos cursos de formación, una vez exclusivamente presenciales. Conclusión: aunque las metodologías de la educación a distancia permiten, al principio, la continuidad de los procesos formativos en enfermería, se reafirma que la enseñanza-aprendizaje para la atención de la salud exige proximidad y contacto.


Objective: to reflect on the use of distance learning in nursing graduate programs in Brazil in the scenario of the COVID-19 pandemic. Method: critical essay through reflections anchored in the literature about the use of distance learning in the training of nurses and circumscriptors resulting from the pandemic. Results: discussions on the use of distance learning in nursing education in Brazil respond to different educational, professional, political and economic interests. In the context of the COVID-19 pandemic, since 2020, such debates have been intensified due to the use of distance learning methodologies in the continuity of many training courses, once exclusively in person. Conclusion: although the methodologies of distance learning allow, at first, the continuity of the training processes in nursing, it is reaffirmed that teaching-learning for health care demands proximity and contact.


Subject(s)
Humans , Pneumonia, Viral , Coronavirus Infections , Education, Distance , Education, Nursing/methods , Pandemics , Betacoronavirus , Teaching/trends , Brazil , Health Human Resource Training , Nurse-Patient Relations
9.
Am J Crit Care ; 30(4): 256-265, 2021 07 01.
Article in English | MEDLINE | ID: covidwho-1325840

ABSTRACT

Communication is the essence of the nurse-patient relationship. The critical care nurse's role in facilitating patient communication and enabling communication between patients and their families has never been more important or poignant than during the COVID-19 pandemic. We have witnessed tremendous examples of resourceful, caring nurses serving as the primary communication partner and support for isolated seriously ill patients during this pandemic. However, evidence-based tools and techniques for assisting awake, communication-impaired, seriously ill patients to communicate are not yet systematically applied across all settings. Missed communication or misinterpretation of patients' messages induces panic and fear in patients receiving mechanical ventilation and can have serious deleterious consequences. This lecture presents a 23-year program of research in developing and testing combination interventions (eg, training, tailored assessment, and tools) for best practice in facilitating patient communication during critical illness. Evidence from related nursing and inter pro fessional research is also included. Guidance for unit-based assessment, tailoring, and implementation of evidence-based patient communication protocols also is provided.


Subject(s)
Communication , Critical Care Nursing , Intensive Care Units , Nurse-Patient Relations , COVID-19/epidemiology , Humans , Nurse's Role , Pandemics , Professional-Family Relations , SARS-CoV-2
10.
PLoS One ; 16(7): e0254077, 2021.
Article in English | MEDLINE | ID: covidwho-1295523

ABSTRACT

BACKGROUND: Nurse identification of patient deterioration is critical, particularly during the COVID-19 pandemic, as patients can deteriorate quickly. While the literature has shown that nurses rely on intuition to make decisions, there is limited information on what sources of data experienced nurses utilize to inform their intuition. The objectives of this study were to identify sources of data that inform nurse decision-making related to recognition of deteriorating patients, and explore how COVID-19 has impacted nurse decision-making. METHODS: In this qualitative study, experienced nurses voluntarily participated in focused interviews. During focused interviews, expert nurses were asked to share descriptions of memorable patient encounters, and questions were posed to facilitate reflections on thoughts and actions that hindered or helped their decision-making. They were also asked to consider the impact of COVID-19 on nursing and decision-making. Interviews were transcribed verbatim, study team members reviewed transcripts and coded responses, and organized key findings into themes. RESULTS: Several themes related to decision-making were identified by the research team, including: identifying patient care needs, workload management, and reflecting on missed care opportunities to inform learning. Participants (n = 10) also indicated that COVID-19 presented a number of unique barriers to nurse decision-making. CONCLUSIONS: Findings from this study indicate that experienced nurses utilize several sources of information to inform their intuition. It is apparent that the demands on nurses in response to pandemics are heightened. Decision-making themes drawn from participants' experiences can to assist nurse educators for training nursing students on decision-making for deteriorating patients and how to manage the potential barriers (e.g., resource constraints, lack of family) associated with caring for patients during these challenging times prior to encountering these issues in the clinical environment. Nurse practice can utilize these findings to increase awareness among experienced nurses on recognizing how pandemic situations can impact to their decision-making capability.


Subject(s)
COVID-19/nursing , Clinical Decision-Making , Nurses/psychology , Nursing Care/psychology , Pandemics , SARS-CoV-2 , Adult , Aged , Female , Humans , Interviews as Topic , Male , Middle Aged , Nurse-Patient Relations , Nursing Assessment , Professional-Family Relations , Qualitative Research , Symptom Assessment , Workload
11.
Res Gerontol Nurs ; 14(3): 150-159, 2021.
Article in English | MEDLINE | ID: covidwho-1278555

ABSTRACT

Patients with dementia (PwD) are characterized as a vulnerable group as they are unable to communicate their needs, putting them at risk for care omissions. The current study aimed to explore care toward PwD and detect if any aspects of care are omitted. An observation study was conducted in three medical-surgical adult wards of an acute general hospital. Data were collected by an observer, through field notes, and were analyzed with content analysis. A face scale was used to assess PwD's mood. Thirteen PwD were observed for 90 hours. Four thematic areas were identified: (a) Unmet Fundamental Patient Needs, (b) Human Right to Dignity and Respect, (c) Communication Deficiencies, and (d) Implementation of Nursing Interventions. Nurse-patient contact lasted from 5 to 7 minutes and numerous care omissions were noted. The face scale assessment revealed that most PwD looked very sad after nursing care. This study enriches insight for the care of PwD during hospitalization and emphasizes the need for health care workers' education and support. [Research in Gerontological Nursing, 14(3), 150-159.].


Subject(s)
Dementia , Nursing Care , Communication , Hospitalization , Humans , Nurse-Patient Relations
12.
J Christ Nurs ; 38(3): E25-E27, 2021.
Article in English | MEDLINE | ID: covidwho-1262255

ABSTRACT

ABSTRACT: Compassion fatigue has become a more significant concern as nurses have cared for patients during the COVID-19 pandemic. The results of compassion fatigue are detrimental for both nurses and their patients. Both administrative and individual actions can be taken to assess, prevent, and deal with compassion fatigue. Spiritual facets of recognizing the potential for and managing the problem are presented.


Subject(s)
Burnout, Professional/psychology , COVID-19/psychology , Compassion Fatigue/psychology , Nurse-Patient Relations , Nursing Staff/psychology , Adaptation, Psychological , Adult , COVID-19/nursing , Empathy , Humans , Job Satisfaction , Quality of Life
13.
14.
Nursing ; 51(6): 41-46, 2021 Jun 01.
Article in English | MEDLINE | ID: covidwho-1236252

ABSTRACT

ABSTRACT: In 2017, the World Health Organization reported that chronic obstructive pulmonary disease (COPD) impacted 251 million individuals and was responsible for 3.17 million deaths globally. To educate hospitalized patients with COPD about self-management at home, nurses require an action plan to use as part of discharge instructions. This article discusses the benefits of COPD action plans revealed in the literature and describes the creation and use of such an action plan by the author.


Subject(s)
Nurse-Patient Relations , Patient Discharge , Patient Education as Topic , Pulmonary Disease, Chronic Obstructive/nursing , Self-Management/education , Humans , Treatment Outcome
15.
Nurse Pract ; 46(5): 34-43, 2021 05 01.
Article in English | MEDLINE | ID: covidwho-1197021

ABSTRACT

ABSTRACT: In this second article of a three-part series, we explore how stakeholders can be educated on the use of telehealth technology and telemedicine. We address the need for staff and patient support for the transition to telehealth and offer suggestions to NPs for appropriate presentation and interaction with interdisciplinary teams and patients regarding telehealth.


Subject(s)
COVID-19 , Nurse Practitioners/psychology , Telemedicine/organization & administration , Health Personnel/education , Humans , Interprofessional Relations , Nurse-Patient Relations , Patient Education as Topic , Stakeholder Participation
17.
Br J Community Nurs ; 26(4): 190-194, 2021 Apr 02.
Article in English | MEDLINE | ID: covidwho-1175772

ABSTRACT

Social distancing has reduced the amount of touch in everyday life. This article summarises the current state of knowledge regarding the biological underpinnings of touch, varied preferences for touch, including cultural norms, and its potential psychological and physical benefits for recipients. The lack of nursing research and related evidence are noted, and suggestions are made regarding the use of consensual touch as part of non-verbal communication within community nursing practice to express compassion and help build authentic relationships between nurses and their clients.


Subject(s)
Nurse-Patient Relations , Nurses , Empathy , Humans , Knowledge , Nurses/psychology , Nurses/trends , Nursing Research , Physical Distancing , Touch
18.
Nurs Leadersh (Tor Ont) ; 34(1): 30-37, 2021 Mar.
Article in English | MEDLINE | ID: covidwho-1175768

ABSTRACT

In the field of digital health research, nurse leaders have an opportunity to be integral to the design, implementation and evaluation of virtual care interventions. This case study details the experiences of two emerging nurse leaders during the COVID-19 pandemic in providing research and clinical leadership for a national virtual health trial. These nurse leaders trained and led a national team of 70 nurses across eight participating centres delivering the virtual care and remote monitoring intervention, using the normalization process theory. This case study presents a theoretically informed approach to training and leadership and discusses the experiences and lessons learned.


Subject(s)
Aftercare/trends , Leadership , Monitoring, Ambulatory/methods , Nurse-Patient Relations , Patient Discharge/standards , Remote Consultation/instrumentation , COVID-19/epidemiology , Canada/epidemiology , Computers, Handheld/supply & distribution , Humans , Pandemics , Randomized Controlled Trials as Topic , SARS-CoV-2 , Surgical Procedures, Operative
19.
J Neurosci Nurs ; 53(3): 123-128, 2021 Jun 01.
Article in English | MEDLINE | ID: covidwho-1158037

ABSTRACT

ABSTRACT: BACKGROUND: Alteration in olfaction, the sense of smell, can lead to a surprisingly high level of functional disability. Effects can range from mild changes in nutrient intake to a significant decrease in quality of life. Olfactory dysfunction can follow clinical problems such as trauma to the brain and nose. During recent months, in the setting of the current worldwide pandemic of coronavirus disease 2019 (COVID-19), the infection caused by severe acute respiratory syndrome coronavirus 2, it has become clear that olfaction can also be damaged by viruses that enter the body through the nose. METHODS: To learn more about this important clinical problem, we reviewed the current literature about smell sensation and the contextual application of altered olfaction in the setting of COVID-19. Knowledge about this topic, along with other clinical aspects of COVID-19, is expanding quickly. CONCLUSION: Nurses perform assessments, assist with implementing treatment interventions, and provide vital education to patients and their families. These interventions help patients with olfactory dysfunction achieve the best possible functional outcome.


Subject(s)
COVID-19/complications , Nursing Care/methods , Smell/physiology , COVID-19/physiopathology , Humans , Nurse-Patient Relations , Nursing Care/trends , Pandemics/statistics & numerical data , Quality of Life/psychology
20.
J Nurs Adm ; 51(3): 123-125, 2021 Mar 01.
Article in English | MEDLINE | ID: covidwho-1120679

ABSTRACT

The recent pandemic has caused many changes in the professional and personal lives of patients, their families, and the nurses who care for them. Something the pandemic could not change is the profound gratitude that patients, families, and others have for the extraordinary compassionate care that nurses have provided.


Subject(s)
Empathy , Nurse's Role/psychology , Nursing Staff, Hospital/psychology , Pandemics , Adult , Female , Humans , Male , Middle Aged , Nurse-Patient Relations , United States
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