Author: Teresa González-Gil, MarÃa; González-Blázquez, Cristina; Isabel Parro-Moreno, Ana; Pedraz-Marcos, Azucena; Palmar-Santos, Ana; Otero-GarcÃa, Laura; Victoria Navarta-Sánchez, MarÃa; Teresa Alcolea-CosÃn, MarÃa; Teresa Argüello-López, MarÃa; Canalejas-Pérez, Coro; Elena Carrillo-Camacho, MarÃa; Lourdes Casillas-Santana, MarÃa; Luisa DÃaz-MartÃnez, MarÃa; GarcÃa-González, Asunción; GarcÃa-Perea, Eva; MartÃnez-Marcos, Mercedes; Luisa MartÃnez-MartÃn, MarÃa; del Pilar Palazuelos-Puerta, MarÃa; Sellán Soto, Carmen; Oter-Quintana, Cristina
Title: Nurses’ Perceptions and Demands Regarding Covid-19 Care Delivery in Critical Care Units and Hospital Emergency Services Cord-id: zz8mnrum Document date: 2020_10_28
ID: zz8mnrum
Snippet: 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, organization, decision-making, communication, and psycho-socio-emotional needs perceived by CCU and HES nurses in the region of Madrid, Spain, during the acute phase of the epid
Document: 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, organization, decision-making, communication, and psycho-socio-emotional needs perceived by CCU and HES 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 CCU and HES nurses from 26 public hospitals in Madrid using an online questionnaire. RESULTS: 557 nurses participated. 37.5% reported 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: CCU and HES nurses may be categorized as a vulnerable population. It is thus necessary to delve deeper into further aspects of their experiences of the pandemic.
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