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Nurses’ perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services
Ist Teil von
Intensive & critical care nursing, 2021-02, Vol.62, p.102966-102966, Article 102966
Ort / Verlag
Netherlands: Elsevier Ltd
Erscheinungsjahr
2021
Quelle
Applied Social Sciences Index & Abstracts (ASSIA)
Beschreibungen/Notizen
•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.
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.
To identify needs related to safety, organisation, decision-making, communication and psycho-socio-emotional needs perceived by critical care and emergency nurses in the region of Madrid, Spain, during the acute phase of the epidemic crisis.
This is a cross-sectional study (the first phase of a mixed methods study) with critical care and emergency nurses from 26 public hospitals in Madrid using an online questionnaire.
The response rate was 557, with 37.5% reporting 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%).
Critical care and emegency nurses may be categorised as a vulnerable population. It is thus necessary to delve deeper into further aspects of their experiences of the pandemic.