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 |
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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 | |
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