Come sono cambiati gli ospedali, le Terapie Intensive, l’assistenza al malato critico in tempi di Covid-19? Risultati di una indagine esplorativa in alcuni contesti europei
Articolo
Data di Pubblicazione:
2020
Citazione:
Come sono cambiati gli ospedali, le Terapie Intensive, l’assistenza al malato critico in tempi di Covid-19? Risultati di una indagine esplorativa in alcuni contesti europei / M. Danielis, A. Palese, S. Terzoni, A. Destrebecq. - In: ASSISTENZA INFERMIERISTICA E RICERCA. - ISSN 1592-5986. - 39(2020 Oct 17), pp. 130-138. [10.1702/3454.34430]
Abstract:
How hospitals, Intensive Care Units and nursing
care of critically ill patients have changed during the COVID19 outbreak? Results from an exploratory research in some
European countries. Introduction. During the Covid-19 outbreak, the health care institutions and the Intensive Care Units
(ICUs) have been reorganized with significant consequences
at both organizational and clinical levels. Aims. To investigate (1) the organizational changes of hospitals and ICUs in
dealing with the Covid-19 outbreak; (2) the characteristics of
the nursing care; (3) the most important challenges perceived by nurses in caring for Covid-19 patients. Methods. Crosssectional online survey, available from May 11th and July
10th, 2020. Participants were nurses caring for Covid-19 patients in European ICUs. Results. A total of 62 nurses responded
to the survey; average age 37.5 years, 31 (60.8%) were female, mostly from Italy, France and United Kingdom. All hospitals underwent many changes, such as the opening of new
dedicated wards and the restriction of family visits. The number of ICU beds doubled during the pandemic (p<0.01), as
well as the number of nurses per shift from 10.2 (SD 7.3)
before to 17.9 (SD 13.6) during the pandemic (p<0.01). However, changes in the nurse-to-patient ratio were not significant: from 1:1.5 to 1:2 (p=0.05). Among nursing care activities, clinical risk management (n=14, 22.6%), psychological
support for patients (n=22, 35.5%) and family's involvement
(n=31, 50%) resulted as more challenging; 64.5% of nurses
suffered from protective equipment shortages, and 66.1% experienced psychological burden. Conclusion. These findings
can help to reflect on how to better prepare both nurses and
health care institutions for other events that may threaten
clinical practice and require major and innovative efforts.
Tipologia IRIS:
01 - Articolo su periodico
Keywords:
Covid-19, nursing care, intensive care unit.
Elenco autori:
M. Danielis, A. Palese, S. Terzoni, A. Destrebecq
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