Background
Cardiovascular nurses’ skills and experiences of cardiac critical care, management of cardiovascular emergencies, and mechanical circulatory support have been considered vital in providing nursing care for COVID-19 patients in intensive care units during the COVID-19 pandemic. To our knowledge, there are no studies have focused on the contribution and experiences of cardiovascular nurses in the critical care of COVID-19 patients.
Objectives
To explore the experiences of cardiovascular nurses working in a COVID-19 intensive care unit during the pandemic.
Methods
The study was conducted as a qualitative study with phenomenological approach in June-December 2020. Study data were gathered from ten cardiovascular nurses through semi-structured interviews.
Results
Six themes emerged from the interview data: the duties and responsibilities in a COVID-19 intensive care unit; the differences of COVID-19 intensive care unit practices from cardiovascular practices; the transferrable skills of cardiovascular nurses in a COVID-19 intensive care unit; the difficulties encountered working in a COVID-19 intensive care unit; the difficulty of working with personal protective equipment; and the psychosocial effects of working in a COVID-19 intensive care unit.
Conclusion
Cardiovascular nurses made an important contribution to the management of nursing services with their experiences and skills in the COVID-19 pandemic.
The novel coronavirus disease, which started in China and affected the whole world, has been declared a pandemic by the World Health Organization due to its high rapid spread and mortality rates. The rapid spread of the disease and need for intensive care caused the establishment of pandemic hospitals in Turkey and all over the world. Special healthcare teams have been formed to take part in the management of coronavirus cases in pandemic hospitals. One of the most important team members who take the most responsibility is nurses. Nurses working in different fields took part in the pandemic clinics and intensive care units in this process. Cardiac surgery nurses, who are experienced in critical patient care, mechanical ventilation support, cardiopulmonary resuscitation, mechanical circulation support, and emergency situation management, also served on the pandemic teams. In this article, the duties and responsibilities of cardiac surgery nurses, their problems and needs during the pandemic process, and their contribution to the process were evaluated.
Dünyada ve Türkiye'de ekstrakorporeal membran oksijenizasyonu (ECMO) uygulama sıklığının ve uygulama sonrası taburculuk oranlarının giderek artması, ECMO uygulanan hastaların özellikli bakımına dikkat çekmektedir. ECMO uygulanan hastalar multidisipliner bir ekip tarafından verilen özel bir bakım gerektirmektedir. Hemşireler bu ekip içerisinde, hem yoğun bakım üniteleri ve kliniklerdeki bakımın hem de taburculuk sonrası sürecin yönetiminde önemli sorumluluklar üstlenmektedir. Bu makalede ECMO uygulamasının temel özellikleri ve ECMO uygulanan hastanın hemşirelik bakımı güncel literatür doğrultusunda tartışılmıştır.
Background
During the COVID‐19 pandemic, there were difficulties in planning the nursing workforce and personal protective equipment.
Aim
The purpose of this study was to identify the experiences and views of nurses on personal protective equipment use and nursing workforce planning in Turkey.
Methods
This descriptive and cross‐sectional study was conducted between 23 December 2020 and 3 May 2021, among 362 nurses who agreed to participate in this study voluntarily.
Results
The findings showed that the satisfaction scores were significantly higher for those nurses who worked in 8‐h shifts, were not assigned to different clinics, were notified by an official letter and 1 week or month in advance before assignment compared with nurses in other categories.
Conclusions
The problems that have arisen in the COVID‐19 pandemic process have made it clear that there is a need for a nursing services management model in the event of an epidemic.
Implications for Nursing Management
This study reveals the need for the ‘Nursing Services Management Model in the Event of an Epidemic’ by discussing the problems of nurse workforce planning and protective personal equipment management from the perspective of nurses who experienced these problems at first hand.
Aneurysms are one of the most complex conditions in open heart surgery. In this case, the nursing care of a 39-year-old female patient who was operated due to pulmonary artery aneurysm and left main coronary artery stenosis and who underwent extracorporeal membrane oxygenation was discussed. It is thought that qualified and comprehensive nursing care is important in increasing the success of the treatment and reducing the mortality and morbidity rates in the patient who underwent extracorporeal membrane oxygenation after pulmonary artery aneurysm and coronary artery bypass surgery with high mortality.
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