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Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.
González-Gil, María Teresa; González-Blázquez, Cristina; Parro-Moreno, Ana Isabel; Pedraz-Marcos, Azucena; Palmar-Santos, Ana; Otero-García, Laura; Navarta-Sánchez, María Victoria; Alcolea-Cosín, María Teresa; Argüello-López, María Teresa; Canalejas-Pérez, Coro; Carrillo-Camacho, María Elena; Casillas-Santana, María Lourdes; Díaz-Martínez, María Luisa; García-González, Asunción; García-Perea, Eva; Martínez-Marcos, Mercedes; Martínez-Martín, María Luisa; Palazuelos-Puerta, María Del Pilar; Sellán-Soto, Carmen; Oter-Quintana, Cristina.
Afiliación
  • González-Gil MT; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain. Electronic address: mariat.gonzalez@uam.es.
  • González-Blázquez C; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Parro-Moreno AI; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Pedraz-Marcos A; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Palmar-Santos A; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Otero-García L; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Navarta-Sánchez MV; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Alcolea-Cosín MT; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Argüello-López MT; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Canalejas-Pérez C; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Carrillo-Camacho ME; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Casillas-Santana ML; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Díaz-Martínez ML; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • García-González A; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • García-Perea E; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Martínez-Marcos M; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Martínez-Martín ML; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Palazuelos-Puerta MDP; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Sellán-Soto C; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
  • Oter-Quintana C; Nursing Department, Faculty of Medicine, Autonomous University of Madrid, Spain.
Intensive Crit Care Nurs ; 62: 102966, 2021 Feb.
Article en En | MEDLINE | ID: mdl-33172732
BACKGROUND: 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. OBJECTIVE: 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. METHODS: 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. RESULTS: 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%). CONCLUSIONS: 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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Agotamiento Profesional / Actitud del Personal de Salud / Carga de Trabajo / Enfermería de Urgencia / Enfermería de Cuidados Críticos / COVID-19 / Enfermeras y Enfermeros Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Intensive Crit Care Nurs Asunto de la revista: ENFERMAGEM / TERAPIA INTENSIVA Año: 2021 Tipo del documento: Article Pais de publicación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Agotamiento Profesional / Actitud del Personal de Salud / Carga de Trabajo / Enfermería de Urgencia / Enfermería de Cuidados Críticos / COVID-19 / Enfermeras y Enfermeros Tipo de estudio: Observational_studies / Prevalence_studies / Prognostic_studies / Qualitative_research / Risk_factors_studies Límite: Adult / Female / Humans / Male / Middle aged País/Región como asunto: Europa Idioma: En Revista: Intensive Crit Care Nurs Asunto de la revista: ENFERMAGEM / TERAPIA INTENSIVA Año: 2021 Tipo del documento: Article Pais de publicación: Países Bajos