Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review

Rebecca Whear; Rebecca A. Abbott; Alison Bethel; David A. Richards; Ruth Garside; Emma Cockcroft; Heather Iles-Smith; Pip A. Logan; Ann Marie Rafferty; Maggie Shepherd; Holly V.R. Sugg; Anne Marie Russell; Susanne Cruickshank; Susannah Tooze; G. J. Melendez-Torres; Jo Thompson Coon

doi:10.1111/jan.15047

Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review

Rebecca Whear^*, Rebecca A. Abbott, Alison Bethel, David A. Richards, Ruth Garside, Emma Cockcroft, Heather Iles-Smith, Pip A. Logan, Ann Marie Rafferty, Maggie Shepherd, Holly V.R. Sugg, Anne Marie Russell, Susanne Cruickshank, Susannah Tooze, G. J. Melendez-Torres, Jo Thompson Coon

^*Corresponding author for this work

Nursing and Midwifery

Research output: Contribution to journal › Review article › peer-review

6 Downloads (Pure)

Abstract

Aim: This systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care.

Design: Systematic review.

Data Sources: In July 2020, we searched Medline, PsycINFO (OvidSP), CINAHL (EBSCOhost), BNI (ProQuest), WHO COVID-19 Database (https://search.bvsalud.org/) MedRxiv (https://www.medrxiv.org/), bioRxiv (https://www.biorxiv.org/) and also Google Scholar, TRIP database and NICE Evidence, forwards citation searching and reference checking of included papers, from 2016 onwards.

Review Methods: We included quantitative and qualitative research reporting (i) the views, perceptions and experiences of patients who have received fundamental nursing care whilst in hospital with COVID-19, MERS, SARS, H1N1 or EVD or (ii) the views, perceptions and experiences of professional nurses and non-professionally registered care workers who have provided that care. We included review articles, commentaries, protocols and guidance documents. One reviewer performed data extraction and quality appraisal and was checked by another person.

Results: Of 3086 references, we included 64 articles; 19 empirical research and 45 review articles, commentaries, protocols and guidance documents spanning five pandemics. Four main themes (and 11 sub-themes) were identified. Barriers to delivering fundamental care were wearing personal protective equipment, adequate staffing, infection control procedures and emotional challenges of care. These barriers were addressed by multiple adaptations to communication, organization of care, staff support and leadership.

Conclusion: To prepare for continuation of the COVID-19 pandemic and future pandemics, evaluative studies of adaptations to fundamental healthcare delivery must be prioritized to enable evidence-based care to be provided in future.

Impact: Our review identifies the barriers nurses experience in providing fundamental care during a pandemic, highlights potential adaptations that address barriers and ensure positive healthcare experiences and draws attention to the need for evaluative research on fundamental care practices during pandemics.

Original language	English
Pages (from-to)	78-108
Number of pages	31
Journal	Journal of Advanced Nursing
Volume	78
Issue number	1
Early online date	23 Sept 2021
DOIs	https://doi.org/10.1111/jan.15047
Publication status	Published - Jan 2022

Bibliographical note

Funding Information:
This work is funded by the National Institute for Health Research and UK Research and Innovation, administered by the MRC: grant number MR/V02776X/1 and is also independent research supported by the National Institute for Health Research Applied Research Collaboration South West Peninsula. The funder has had no role in design, conduct, interpretation or writing of the review. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care.

Publisher Copyright:
© 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

Keywords

adaptation
barrier
experience
fundamental care
nurses
nursing
support
systematic review

ASJC Scopus subject areas

General Nursing

Access to Document

10.1111/jan.15047Licence: Creative Commons: Attribution (CC BY)

WhearR2021ImpactFinal published version, 840 KBLicence: Creative Commons: Attribution (CC BY)

Fingerprint

Dive into the research topics of 'Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review'. Together they form a unique fingerprint.

Cite this

Whear, R., Abbott, R. A., Bethel, A., Richards, D. A., Garside, R., Cockcroft, E., Iles-Smith, H., Logan, P. A., Rafferty, A. M., Shepherd, M., Sugg, H. V. R., Russell, A. M., Cruickshank, S., Tooze, S., Melendez-Torres, G. J., & Thompson Coon, J. (2022). Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review. Journal of Advanced Nursing, 78(1), 78-108. https://doi.org/10.1111/jan.15047

Whear, Rebecca ; Abbott, Rebecca A. ; Bethel, Alison et al. / Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes : systematic review. In: Journal of Advanced Nursing. 2022 ; Vol. 78, No. 1. pp. 78-108.

@article{bbd812c7c7b84dd48f1d80e44de491c4,

title = "Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review",

abstract = "Aim: This systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care. Design: Systematic review. Data Sources: In July 2020, we searched Medline, PsycINFO (OvidSP), CINAHL (EBSCOhost), BNI (ProQuest), WHO COVID-19 Database (https://search.bvsalud.org/) MedRxiv (https://www.medrxiv.org/), bioRxiv (https://www.biorxiv.org/) and also Google Scholar, TRIP database and NICE Evidence, forwards citation searching and reference checking of included papers, from 2016 onwards. Review Methods: We included quantitative and qualitative research reporting (i) the views, perceptions and experiences of patients who have received fundamental nursing care whilst in hospital with COVID-19, MERS, SARS, H1N1 or EVD or (ii) the views, perceptions and experiences of professional nurses and non-professionally registered care workers who have provided that care. We included review articles, commentaries, protocols and guidance documents. One reviewer performed data extraction and quality appraisal and was checked by another person. Results: Of 3086 references, we included 64 articles; 19 empirical research and 45 review articles, commentaries, protocols and guidance documents spanning five pandemics. Four main themes (and 11 sub-themes) were identified. Barriers to delivering fundamental care were wearing personal protective equipment, adequate staffing, infection control procedures and emotional challenges of care. These barriers were addressed by multiple adaptations to communication, organization of care, staff support and leadership. Conclusion: To prepare for continuation of the COVID-19 pandemic and future pandemics, evaluative studies of adaptations to fundamental healthcare delivery must be prioritized to enable evidence-based care to be provided in future. Impact: Our review identifies the barriers nurses experience in providing fundamental care during a pandemic, highlights potential adaptations that address barriers and ensure positive healthcare experiences and draws attention to the need for evaluative research on fundamental care practices during pandemics.",

keywords = "adaptation, barrier, experience, fundamental care, nurses, nursing, support, systematic review",

author = "Rebecca Whear and Abbott, {Rebecca A.} and Alison Bethel and Richards, {David A.} and Ruth Garside and Emma Cockcroft and Heather Iles-Smith and Logan, {Pip A.} and Rafferty, {Ann Marie} and Maggie Shepherd and Sugg, {Holly V.R.} and Russell, {Anne Marie} and Susanne Cruickshank and Susannah Tooze and Melendez-Torres, {G. J.} and {Thompson Coon}, Jo",

note = "Funding Information: This work is funded by the National Institute for Health Research and UK Research and Innovation, administered by the MRC: grant number MR/V02776X/1 and is also independent research supported by the National Institute for Health Research Applied Research Collaboration South West Peninsula. The funder has had no role in design, conduct, interpretation or writing of the review. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Publisher Copyright: {\textcopyright} 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.",

year = "2022",

month = jan,

doi = "10.1111/jan.15047",

language = "English",

volume = "78",

pages = "78--108",

journal = "Journal of Advanced Nursing",

issn = "0309-2402",

publisher = "Wiley",

number = "1",

}

Whear, R, Abbott, RA, Bethel, A, Richards, DA, Garside, R, Cockcroft, E, Iles-Smith, H, Logan, PA, Rafferty, AM, Shepherd, M, Sugg, HVR, Russell, AM, Cruickshank, S, Tooze, S, Melendez-Torres, GJ & Thompson Coon, J 2022, 'Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review', Journal of Advanced Nursing, vol. 78, no. 1, pp. 78-108. https://doi.org/10.1111/jan.15047

Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review. / Whear, Rebecca; Abbott, Rebecca A.; Bethel, Alison et al.
In: Journal of Advanced Nursing, Vol. 78, No. 1, 01.2022, p. 78-108.

Research output: Contribution to journal › Review article › peer-review

TY - JOUR

T1 - Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes

T2 - systematic review

AU - Whear, Rebecca

AU - Abbott, Rebecca A.

AU - Bethel, Alison

AU - Richards, David A.

AU - Garside, Ruth

AU - Cockcroft, Emma

AU - Iles-Smith, Heather

AU - Logan, Pip A.

AU - Rafferty, Ann Marie

AU - Shepherd, Maggie

AU - Sugg, Holly V.R.

AU - Russell, Anne Marie

AU - Cruickshank, Susanne

AU - Tooze, Susannah

AU - Melendez-Torres, G. J.

AU - Thompson Coon, Jo

N1 - Funding Information: This work is funded by the National Institute for Health Research and UK Research and Innovation, administered by the MRC: grant number MR/V02776X/1 and is also independent research supported by the National Institute for Health Research Applied Research Collaboration South West Peninsula. The funder has had no role in design, conduct, interpretation or writing of the review. The views expressed in this publication are those of the author(s) and not necessarily those of the National Institute for Health Research or the Department of Health and Social Care. Publisher Copyright: © 2021 The Authors. Journal of Advanced Nursing published by John Wiley & Sons Ltd.

PY - 2022/1

Y1 - 2022/1

N2 - Aim: This systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care. Design: Systematic review. Data Sources: In July 2020, we searched Medline, PsycINFO (OvidSP), CINAHL (EBSCOhost), BNI (ProQuest), WHO COVID-19 Database (https://search.bvsalud.org/) MedRxiv (https://www.medrxiv.org/), bioRxiv (https://www.biorxiv.org/) and also Google Scholar, TRIP database and NICE Evidence, forwards citation searching and reference checking of included papers, from 2016 onwards. Review Methods: We included quantitative and qualitative research reporting (i) the views, perceptions and experiences of patients who have received fundamental nursing care whilst in hospital with COVID-19, MERS, SARS, H1N1 or EVD or (ii) the views, perceptions and experiences of professional nurses and non-professionally registered care workers who have provided that care. We included review articles, commentaries, protocols and guidance documents. One reviewer performed data extraction and quality appraisal and was checked by another person. Results: Of 3086 references, we included 64 articles; 19 empirical research and 45 review articles, commentaries, protocols and guidance documents spanning five pandemics. Four main themes (and 11 sub-themes) were identified. Barriers to delivering fundamental care were wearing personal protective equipment, adequate staffing, infection control procedures and emotional challenges of care. These barriers were addressed by multiple adaptations to communication, organization of care, staff support and leadership. Conclusion: To prepare for continuation of the COVID-19 pandemic and future pandemics, evaluative studies of adaptations to fundamental healthcare delivery must be prioritized to enable evidence-based care to be provided in future. Impact: Our review identifies the barriers nurses experience in providing fundamental care during a pandemic, highlights potential adaptations that address barriers and ensure positive healthcare experiences and draws attention to the need for evaluative research on fundamental care practices during pandemics.

AB - Aim: This systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care. Design: Systematic review. Data Sources: In July 2020, we searched Medline, PsycINFO (OvidSP), CINAHL (EBSCOhost), BNI (ProQuest), WHO COVID-19 Database (https://search.bvsalud.org/) MedRxiv (https://www.medrxiv.org/), bioRxiv (https://www.biorxiv.org/) and also Google Scholar, TRIP database and NICE Evidence, forwards citation searching and reference checking of included papers, from 2016 onwards. Review Methods: We included quantitative and qualitative research reporting (i) the views, perceptions and experiences of patients who have received fundamental nursing care whilst in hospital with COVID-19, MERS, SARS, H1N1 or EVD or (ii) the views, perceptions and experiences of professional nurses and non-professionally registered care workers who have provided that care. We included review articles, commentaries, protocols and guidance documents. One reviewer performed data extraction and quality appraisal and was checked by another person. Results: Of 3086 references, we included 64 articles; 19 empirical research and 45 review articles, commentaries, protocols and guidance documents spanning five pandemics. Four main themes (and 11 sub-themes) were identified. Barriers to delivering fundamental care were wearing personal protective equipment, adequate staffing, infection control procedures and emotional challenges of care. These barriers were addressed by multiple adaptations to communication, organization of care, staff support and leadership. Conclusion: To prepare for continuation of the COVID-19 pandemic and future pandemics, evaluative studies of adaptations to fundamental healthcare delivery must be prioritized to enable evidence-based care to be provided in future. Impact: Our review identifies the barriers nurses experience in providing fundamental care during a pandemic, highlights potential adaptations that address barriers and ensure positive healthcare experiences and draws attention to the need for evaluative research on fundamental care practices during pandemics.

KW - adaptation

KW - barrier

KW - experience

KW - fundamental care

KW - nurses

KW - nursing

KW - support

KW - systematic review

UR - http://www.scopus.com/inward/record.url?scp=85115292165&partnerID=8YFLogxK

U2 - 10.1111/jan.15047

DO - 10.1111/jan.15047

M3 - Review article

C2 - 34554585

AN - SCOPUS:85115292165

SN - 0309-2402

VL - 78

SP - 78

EP - 108

JO - Journal of Advanced Nursing

JF - Journal of Advanced Nursing

IS - 1

ER -

Whear R, Abbott RA, Bethel A, Richards DA, Garside R, Cockcroft E et al. Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review. Journal of Advanced Nursing. 2022 Jan;78(1):78-108. Epub 2021 Sept 23. doi: 10.1111/jan.15047