Nursing interventions for patients with COVID-19: A medical record review and nursing interventions classification study.

ABSTRACT

PURPOSE: To describe the nursing interventions provided to patients with COVID-19 using the Nursing Interventions Classification. METHOD: This is a retrospective study involving the review of 1,344 patient records of adults admitted to a specialty hospital for COVID-19 in Tabriz, Iran. The nursing intervention was used to classify documented nursing care and interventions provided to COVID-19-positive patients from February 20 to August 20, 2020. Data were analyzed descriptively using SPSS16. FINDINGS: The 10 most frequently documented nursing interventions across in-patient (ward) and intensive care unit (ICU) contexts included Admission Care (7310), Environmental Management (6486), Health Education (5510), Infection Protection (6550), Medication Administration (2300), Positioning (0840), Respiratory Monitoring (3350), Vital Signs Monitoring (6680), Nausea Management (1450), and Diarrhea Management (0460). No records of distraction, relaxation techniques, or massage for anxiety reduction were documented. CONCLUSION: This study used a common language to describe nursing interventions for patients with COVID-19 admitted to a tertiary hospital. IMPLICATIONS FOR NURSING PRACTICE The most commonly identified nursing interventions for COVID-19 identified in this study provide evidence-based insight into nurses' scope of practice in the COVID-19 in-patient context.