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1.
Br J Community Nurs ; 25(11): 526-530, 2020 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-33161746

RESUMO

The pandemic caused by Covid-19 has long term ramifications for many, especially those patients who have experienced an intensive care unit (ICU) admission including ventilation and sedation. This paper will explore aspects of care delivery in the ICU regarding the current pandemic and the impact of such on the mental health of some of these patients. Post discharge, patients will be returning to a very different community incorporating social distancing, and in some cases, social isolation and/or shielding. Many may experience a multitude of physical and mental health complications which can ultimately impact upon each other, therefore a bio-psycho-pharmaco-social approach to discharge, case management, risk assessment and positive behavioural support planning is recommended.


Assuntos
Assistência ao Convalescente/psicologia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/psicologia , Cuidados Críticos/psicologia , Sedação Profunda/psicologia , Saúde Mental/estatística & dados numéricos , Pneumonia Viral/enfermagem , Pneumonia Viral/psicologia , Respiração Artificial/psicologia , Isolamento Social/psicologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Betacoronavirus , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Admissão do Paciente/estatística & dados numéricos
3.
J Contin Educ Nurs ; 51(11): 496-497, 2020 Nov 01.
Artigo em Inglês | MEDLINE | ID: mdl-33104807

RESUMO

The impact of long shifts, the puzzling illnesses and manifestations of COVID-19, its personal and family impacts, and the sustained grief of many losses in the past 6 months requires consideration of interventions to lift caregivers' spirits. Burnout has long been a challenge for nurses working in intense acute environments. Today, the risk and effects are even greater. Animal-assisted support is one intervention that shows some promise in supporting employee well-being. [J Contin Educ Nurs. 2020;51(11):496-497].


Assuntos
Terapia Assistida com Animais/métodos , Esgotamento Profissional/psicologia , Esgotamento Profissional/terapia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/psicologia , Cuidados de Enfermagem/psicologia , Recursos Humanos de Enfermagem no Hospital/psicologia , Pneumonia Viral/enfermagem , Pneumonia Viral/psicologia , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias
4.
Int J Palliat Nurs ; 26(7): 336-340, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-33108921

RESUMO

This narrative describes the experiences of an inner city respiratory unit that was transformed to treat COVID-19 patients with continuous positive airway pressure (CPAP) ventilation who were not scheduled for any further escalation in treatment. The high mortality rate and unconventional way of dying led to the creation of local guidance for removing assisted ventilation when the treatment ceased to be effective. We reflect on the specific challenges that caring for these patients holistically has presented and how we have learnt to deliver good palliative care in a unique set of circumstances. We also consider the impact of the pandemic on our team and how the development of a multidisciplinary support system has improved team dynamics and ultimately patient care.


Assuntos
Betacoronavirus/isolamento & purificação , Pressão Positiva Contínua nas Vias Aéreas , Infecções por Coronavirus/terapia , Máscaras , Cuidados Paliativos , Pneumonia Viral/terapia , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Infecções por Coronavirus/fisiopatologia , Feminino , Humanos , Masculino , Pandemias , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Pneumonia Viral/fisiopatologia
5.
J Cross Cult Gerontol ; 35(4): 493-500, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33015728
7.
Rev Bras Enferm ; 73(suppl 2): e20200259, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33111777

RESUMO

OBJECTIVE: To promote a theoretical reflective analysis of what nursing has to learn and teach to global society in times of OVID-19 pandemic. METHODS: Reflective theoretical essay aimed at contributing new knowledge and raising new questions, based on the assumptions of Edgar Morin's complexity thinking, subsidized by readings of texts extracted from electronic databases, as well as speeches by health professionals available in open communication tools. RESULTS: COVID-19 reiterates that the biological warfare of the current pandemic is not fought with nuclear or fire weapons, but with care in its multiple dimensions: physical, emotional, spiritual, family, social, political and economic. FINAL CONSIDERATIONS: Nursing has to learn and teach global society that its main object of work, care, is related to the expansion of systemic interactions and associations and the capacity to strengthen the interlocution with complex reality.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Papel do Profissional de Enfermagem , Filosofia em Enfermagem , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Brasil/epidemiologia , Infecções por Coronavirus/psicologia , Medo , Humanos , Papel do Profissional de Enfermagem/psicologia , Teoria de Enfermagem , Pandemias , Pneumonia Viral/psicologia , Pesquisa Qualitativa
8.
Rev Bras Enferm ; 73(suppl 2): e20200798, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33111783

RESUMO

OBJECTIVE: to describe the theoretical construction process of nursing process support documents in COVID-19 care scenarios. METHODS: an experience report of the joint activity of the Brazilian Nursing Process Research Network (Rede de Pesquisa em Processo de Enfermagem) composed of Higher Education and Health Institution researchers in Brazil. RESULTS: five instruments were organized collectively, involving the elements of nursing practice (nursing diagnoses, outcomes and interventions) in assistance for community; for patients (with suspected or mild, moderate, and critical COVID-19 and residents in Nursing Homes); for nursing workers' health support, also subsidizing registration and documentation during the COVID-19 pandemic. FINAL CONSIDERATIONS: valuing the phenomena manifested by families/communities, patients and health professionals is essential for early detection, intervention, and prevention of diseases.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/enfermagem , Processo de Enfermagem , Pesquisa em Enfermagem , Pneumonia Viral/epidemiologia , Pneumonia Viral/enfermagem , Fatores Etários , Brasil/epidemiologia , Infecções por Coronavirus/prevenção & controle , Estado Terminal/enfermagem , Instituição de Longa Permanência para Idosos , Humanos , Diagnóstico de Enfermagem , Casas de Saúde , Recursos Humanos de Enfermagem , Doenças Profissionais/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Terminologia como Assunto
10.
G Ital Nefrol ; 37(5)2020 Oct 05.
Artigo em Italiano | MEDLINE | ID: mdl-33026201

RESUMO

Coronavirus disease 2019 is an infectious respiratory syndrome caused by the virus called SARS-CoV-2, belonging to the family of coronaviruses. The first ever cases were detected during the 2019-2020 pandemic. Coronaviruses can cause a common cold or more serious diseases such as Middle Eastern Respiratory Syndromes (MERS) and Severe Acute Respiratory Syndrome (SARS). They can cause respiratory, lung and gastrointestinal infections with a mild to severe course, sometimes causing the death of the infected person. This new strain has no previous identifiers and its epidemic potential is strongly associated with the absence of immune response/reactivity and immunological memory in the world population, which has never been in contact with this strain before. Most at risk are the elderly, people with pre-existing diseases and/or immunodepressed, dialyzed and transplanted patients, pregnant women, people with debilitating chronic diseases. They are advised to avoid contacts with other people, unless strictly necessary, and to stay away from crowded places, also observing scrupulously the recommendations of the Istituto Superiore di Sanità. In this article we detail the recommendations that must be followed by the nursing care staff when dealing with chronic kidney disease patients in dialysis or with kidney transplant patients. We delve into the procedures that are absolutely essential in this context: social distancing of at least one meter, use of PPI, proper dressing and undressing procedures, frequent hand washing and use of gloves, and finally the increase of dedicated and appropriately trained health personnel on ward.


Assuntos
Betacoronavirus , Infecções por Coronavirus/enfermagem , Infecção Hospitalar/prevenção & controle , Controle de Infecções/métodos , Transplante de Rim/enfermagem , Pandemias , Pneumonia Viral/enfermagem , Guias de Prática Clínica como Assunto , Diálise Renal/enfermagem , Insuficiência Renal Crônica/enfermagem , Infecções por Coronavirus/complicações , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Desinfecção , Desinfecção das Mãos , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Resíduos de Serviços de Saúde , Processo de Enfermagem/normas , Registros de Enfermagem , Pandemias/prevenção & controle , Isolamento de Pacientes , Equipamento de Proteção Individual , Pneumonia Viral/complicações , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Insuficiência Renal Crônica/cirurgia , Insuficiência Renal Crônica/terapia , Precauções Universais
11.
Nurs Womens Health ; 24(5): 309-310, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33038989
12.
J Nurs Adm ; 50(11): 598-604, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33074955

RESUMO

Congregate settings such as psychiatric units have an increased risk of disease transmission because of the milieu setting and the inability to isolate patients. Interventions to prevent infection and cross-contamination are discussed including monitoring of patient temperatures, personal protective equipment, remote care, monitoring of human resources, and reinforcement of infection prevention strategies. We discuss the effectiveness of those interventions and the lessons learned, including implications for psychiatric clinical care, during future pandemics or a next wave of COVID-19.


Assuntos
Infecções por Coronavirus/enfermagem , Infecção Hospitalar/enfermagem , Hospitais Psiquiátricos/organização & administração , Controle de Infecções/métodos , Transtornos Mentais/enfermagem , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Cidade de Nova Iorque/epidemiologia , Pesquisa em Avaliação de Enfermagem , Pandemias , Pneumonia Viral/epidemiologia
13.
Rev Gaucha Enferm ; 42(spe): e20200120, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33084790

RESUMO

OBJECTIVE: To discuss the Nursing Now Campaign and the role of Nursing in times of pandemic by COVID-19. METHOD: This is a theoretical reflection based on the scientific literature. RESULTS: The pandemic highlights the importance of Nursing care for the maintenance of life and the right to health, and the Nursing Now Campaign is in line with the call for appreciation of nursing professionals currently working at the forefront of the fight against COVID-19. Despite the limitations of structural resources that lead to exposure to illness, nursing professionals maintain their role of caring. CONCLUSION: It is necessary for Nursing to recognize its own value, add to its continuous learning capacity, and be aware of the social changes that occur. The study contributes to rethinking strategies for valuing Nursing.


Assuntos
Betacoronavirus , Infecções por Coronavirus/enfermagem , Promoção da Saúde , Papel do Profissional de Enfermagem , Pneumonia Viral/enfermagem , Aniversários e Eventos Especiais , Brasil , Infecções por Coronavirus/epidemiologia , Humanos , Pandemias , Pneumonia Viral/epidemiologia
14.
Nurs Leadersh (Tor Ont) ; 33(3): 1-3, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33097098

RESUMO

In the 1958 musical South Pacific, the character Nelly Forbush trills a song of optimism and hope amid the darkness of World War II (South Pacific Enterprises and Logan 1958). The chipper message of this fictional navy nurse might well be welcome amid the negative timbre of the pervasive political, cultural and societal upheaval that we are experiencing today - not to mention the burden of a global pandemic. The tune delivers the message of a so-called "cockeyed optimist," staying positive while many are not and being buoyed by the anticipation of brighter, sunny days ahead (South Pacific Enterprises and Logan 1958). COVID-19 has unloaded countless blows to virtually every aspect of the life we once knew; surely, this is enough to leave any cockeyed optimist reeling. Where do we find the strength of character to prevail during times like this? Somehow, good leaders do; finding creativity, courage and conviction to make the most of a bad situation, they rise above it. They show optimism in the face of fear, the unknown and circumstances beyond their control. Instilling abiding trust in their followers, they lead out of the abyss, shining light on new possibilities and opportunities.


Assuntos
Infecções por Coronavirus/enfermagem , Enfermeiras Administradoras/psicologia , Otimismo , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Pneumonia Viral/epidemiologia
15.
Nurs Leadersh (Tor Ont) ; 33(3): 9-14, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33097100

RESUMO

During my career, I have had many mantras, including "I love to wonder what will happen tomorrow" and "It's all about relationships." Well, I have been rewarded in spades because nothing has been predictable or stable about our professional practice environments since COVID-19 infiltrated our organizations. I have been challenged to develop and implement changes at The Hospital for Sick Children - a 300-bed tertiary pediatric academic health sciences centre in Toronto, ON - that we had never contemplated before. I believe that staying true to my leadership values and core principles has been essential when taking on such challenges and staying afloat during these tumultuous times.


Assuntos
Infecções por Coronavirus/enfermagem , Hospitais Pediátricos/organização & administração , Relações Interprofissionais , Enfermeiras Administradoras/psicologia , Pandemias , Pneumonia Viral/enfermagem , Centros Médicos Acadêmicos/organização & administração , Criança , Infecções por Coronavirus/epidemiologia , Humanos , Liderança , Ontário/epidemiologia , Pneumonia Viral/epidemiologia , Centros de Atenção Terciária/organização & administração
16.
Nurs Leadersh (Tor Ont) ; 33(3): 20-28, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33097102

RESUMO

Community Care City of Kawartha Lakes provides primary care through its Community Health Centre, a range of hospice services and numerous community support services. Along with other essential service providers, our organization has continued to operate throughout the pandemic. As a community-based health services provider, we recognized the imperative and the privilege for our organization and the larger home and community care sector to support individuals, especially those most vulnerable due to health status, socio-economic circumstances or isolation, to safely remain at home during the pandemic, in compliance with public health directives. This article describes the strategies and approaches we implemented along with reflections on the leadership practices and principles that emerged. It does not purport to be an exemplar for crisis management of the COVID-19 pandemic. Rather, it seeks to draw attention to the contributions made by community-based organizations and potentially serve as a case study for debate.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Infecções por Coronavirus/enfermagem , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Ontário/epidemiologia , Estudos de Casos Organizacionais , Pneumonia Viral/epidemiologia
17.
Br J Nurs ; 29(19): 1096-1103, 2020 Oct 22.
Artigo em Inglês | MEDLINE | ID: mdl-33104430

RESUMO

The following article was written after the initial wave of the COVID-19 pandemic in the UK. On reflection of clinical practice during this time, it was noted by the ICU team that the majority of ventilated patients appeared to have lost weight during their stay. Unfortunately, there was no ability to weigh patients during the pandemic, so this weight loss was a subjective observation. Regardless, this observation lead the ICU dietitian to retrospectively audit prescribed versus delivered feed. It was found that only 10% of admissions received the prescribed daily volume of feed within the first 7 days of admission. A further 6% of admissions were within 10% of achieving daily prescribed target volumes. The main reasons for this were proning patients, high gastric residual volumes and the overwhelming nature of the pandemic. Three areas of practice have been highlighted that will improve feed delivery should a second wave occur. 1. A nasojejunal team comprising 20 members of the ICU multidiciplinary team will be established to insert bedside nasojejunal tubes in all ICU patients on admission. 2. All proned patients will be enterally fed and practice adjusted as per British Dietetic Association recommendations. 3. The international enteral feeding guidelines regarding hypocaloric feeding for the first 7 days will not be followed due to minimal clinical evidence for the ICU COVID-19 demographic.


Assuntos
Infecções por Coronavirus/enfermagem , Apoio Nutricional/enfermagem , Pandemias , Pneumonia Viral/enfermagem , Infecções por Coronavirus/epidemiologia , Humanos , Unidades de Terapia Intensiva , Pneumonia Viral/epidemiologia , Estudos Retrospectivos , Reino Unido/epidemiologia
18.
Nursing ; 50(11): 50-52, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33105428

RESUMO

The fog of war is a major obstacle for a fighting force trying to accomplish a goal, and it has been a significant barrier in the fight against COVID-19. This article discusses the factors that compounded a sense of confusion and created chaos in an already stressed healthcare system during the early stages of the COVID-19 pandemic.


Assuntos
Confusão , Infecções por Coronavirus/enfermagem , Assistência à Saúde/organização & administração , Pandemias , Pneumonia Viral/enfermagem , Centers for Disease Control and Prevention, U.S. , Comunicação , Infecções por Coronavirus/epidemiologia , Humanos , Equipamento de Proteção Individual/provisão & distribução , Pneumonia Viral/epidemiologia , Estados Unidos/epidemiologia
20.
Wound Manag Prev ; 66(10): 12-16, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-33048827

RESUMO

The importance of personal protective equipment (PPE) for nurses in the global fight against the coronavirus disease-19 (COVID-19) pandemic cannot be overstated. PPE must be available, safe, and effective. There is increasing evidence that the use of PPE can cause physical health problems. PURPOSE: The purpose of this study was to further examine PPE-related physical problems experienced by nurses as well as the role of wear time on these problems. METHODS: Using a descriptive cross-sectional design, a survey was conducted among nurses working for state or university hospitals across Turkey who actively cared for patients with COVID-19. Survey questions included demographic variables, type of PPE used, physical problems experienced, and length of time PPE was worn (4 hours or less, or more than 4 hours). Descriptive statistics and logistic regression analysis were used to analyze the data. RESULTS: Three hundred and seven (307) nurses completed the survey. The most commonly reported problems were sweating when wearing a surgical (50.9%) or N95 (64.2%) mask, dry hands from wearing gloves (73.9%), perspiration when wearing overalls/gowns (84.1%), and vision problems when wearing goggles/face shields (47.9%). Logistic regression analysis indicated a signifcant relationship between > 4 hours length of use and the occurrence of the following: redness of the cheeks, dry mouth, redness of the nose bridge, and redness of the ears for N95 masks; dryness of the mouth when wearing surgical masks; skin dryness, sweating, and redness from wearing gloves; headaches from wearing goggles/face shields; and sweating when wearing overalls or a gown (P < .05 for all variables). CONCLUSION: The results of this study show that physical problems related to the use of PPE are common and increase when PPE is worn for more than 4 hours. The availability, safety, and effectiveness of PPE are crucial to help protect nurses. Studies to examine PPE quality, characteristics, efficacy, and optimal use are necessary to maintain the healthy workforce needed to care for patients during this pandemic.


Assuntos
Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/enfermagem , Recursos Humanos de Enfermagem , Pandemias , Equipamento de Proteção Individual , Pneumonia Viral/enfermagem , Adulto , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/virologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Pneumonia Viral/virologia , Inquéritos e Questionários , Turquia
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