Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the ‘COVID-NURSE’ survey

Sugg, Holly V. R., Richards, David A. ORCID:, Russell, Anne‐Marie ORCID:, Burnett, Sarah, Cockcroft, Emma J., Thompson Coon, Jo, Cruickshank, Susanne, Doris, Faye E., Hunt, Harriet A., Iles-Smith, Heather ORCID:, Kent, Merryn, Logan, Philippa A., Morgan, Leila M., Morley, Naomi, Rafferty, Anne Marie, Shepherd, Maggie H., Singh, Sally J., Tooze, Susannah J. and Whear, Rebecca ORCID: 2022, 'Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID-19 caused by infection with the SARS-COV-2 virus: Results from the ‘COVID-NURSE’ survey' , Journal of Advanced Nursing .

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Aims: To identify strategies used by registered nurses and non- registered nursing care staff in overcoming barriers when providing fundamental nursing care for non- invasively ventilated inpatients with COVID-19.Design: Online survey with open-ended questions to collect qualitative data.Methods: In August 2020, we asked UK- based nursing staff to describe any strategies they employed to overcome barriers to delivering care in 15 fundamental nursing care categories when providing care to non-invasively ventilated patients with COVID-19. We analysed data using Framework Analysis.Results: A total of 1062 nurses consented to participate in our survey. We derived four themes. 1) Communication behaviours included adapting verbal and non-verbal com-munication with patients, using information technology to enable patients’ significant others to communicate with staff and patients, and establishing clear information- sharing methods with other staff. 2) Organizing care required clustering interventions, carefully managing supplies, encouraging patient self-care and using ‘runners’ and in-terdisciplinary input. 3) Addressing patients’ well-being and values required spend-ing time with patients, acting in loco familiae, providing access to psychological and spiritual support, obtaining information about patients’ wishes early on and providing privacy and comforting/meaningful items. 4) Management and leadership behaviours included training, timely provision of pandemic information, psychological support, team huddles and facilitating regular breaks.Conclusions: Our respondents identified multiple strategies in four main areas of clinical practice. Management and leadership are crucial to both fundamental care de-livery and the well- being of nurses during pandemics. Grouping strategies into these areas of action may assist nurses and leaders to prepare for pandemic nursing.Impact: As these strategies are unlikely to be exclusive to the COVID-19 pandemic, their global dissemination may improve patient experience and help nurses deliver fundamental care when planning pandemic nursing. However, their effectiveness is unknown. Therefore, we are currently evaluating these strategies in a cluster rand-omized controlled trial.

Item Type: Article
Schools: Schools > School of Health and Society
Journal or Publication Title: Journal of Advanced Nursing
Publisher: Wiley
ISSN: 1365-2648
Funders: Health Technology Assessment Programme, UK Research and Innovation
SWORD Depositor: Publications Router
Depositing User: Publications Router
Date Deposited: 21 Jun 2022 12:59
Last Modified: 17 Aug 2022 09:30

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