Deployment of information technology to facilitate patient care in the isolation ward during COVID-19 pandemic

Tsai, Ming‐Ju; Tsai, Wen-Tsung; Pan, Hui-Sheng; Hu, Chia-Kuei; Chou, An-Ni; Juang, Shian‐Fei; Huang, Ming-Kuo; Hou, Ming‐Feng

doi:10.1093/jamia/ocaa126

Cited by 10 publications

(11 citation statements)

References 5 publications

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“…Others reported using technology to allow contact with families and psychological care services (Neville, 2020 ; Pettis, 2020 ; Tsai et al, 2020 ). Similar suggestions relating to the use of technology also included establishing a communication plan with patients and family members that sets out who will be involved and when and to identify and mitigate any barriers (Hart et al, 2020 ); allowing patients to see their health care plan to monitor results of tests and enable patients to make requests and ask questions to the nursing team (via a tablet or similar) (Fan et al, 2020 ); using video‐conferencing with interpretation services (Diamond et al, 2020 ; Hart et al, 2020 ; Humphreys et al, 2020 ); ensuring a bedside telephone to enable patients to contact their families where more advanced technology is not available or appropriate (Fan et al, 2020 ) and highlighting the importance of preparing families before seeing their critically ill loved ones by spending time describing the patient's visual condition before establishing a video connection with the patient (Kuntz et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

“…Other commentaries reflected on how the use of technology (for example tablet computers) may ease some of the pressure on health care staff by reducing the number of individuals entering a patient's room to undertake physiological monitoring and enabling an electronic signature system on a tablet (Hart et al, 2020 ; Humphreys et al, 2020 ; Newby et al, 2020 ; Pahuja & Wojcikewych, 2020 ; Tsai et al, 2020 ; Umoren et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

“…The qualities of a good leader in this context incorporated listening, professionalism, calmness, experience, effectiveness, encouragement, empathy, social competence, support, information and objectivity (Holmgren et al, 2019 ). Other leadership skills designed to empower nurses to work as experts and positively influence the quality of care pertain to the organization of care, being confident in making changes to optimize workflow (Tsai et al, 2020 ), and acknowledging nurses’ work as valuable (Kang et al, 2018 ). Commentaries on the COVID‐19 pandemic highlighted the need for nurse leaders to promote a healthy work environment and reinforce staff resilience.…”

Section: Resultsmentioning

confidence: 99%

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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

Abbott

Bethel

et al. 2021

Journal of Advanced Nursing

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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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

Abbott

Bethel

et al. 2021

Journal of Advanced Nursing

View full text Add to dashboard Cite

show abstract

“…Nonetheless, our respondents’ adaptive strategies encompass those identified previously, including in non‐research‐based commentaries, for example using photos on personal protective equipment and exaggerating non‐verbal communication (Brown‐Johnson et al, 2020; Pettis, 2020); writing information down and using whiteboards (Bagnasco et al, 2020; Fedele, 2020); using technology for daily contact with patients’ significant others, including providing phones to patients (Chan et al, 2006; Fan et al, 2020; Neville, 2020; Pettis, 2020; Tsai et al, 2020) and providing clear explanations to patients (Hart et al, 2020). Similarly, our respondents and this literature identify reorganizing care by working in pairs (Liu & Liehr, 2009), using ‘runners’ (Newby et al, 2020) and clustering interventions (Kuntz et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID‐19 caused by infection with the SARS‐COV‐2 virus: Results from the ‘COVID‐NURSE’ survey

Sugg

Richards

Russell

et al. 2022

Journal of Advanced Nursing

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Aims To identify strategies used by registered nurses and non‐registered nursing care staff in overcoming barriers when providing fundamental nursing care for non‐invasively ventilated inpatients with COVID‐19. Design Online survey with open‐ended questions to collect qualitative data. Methods In August 2020, we asked UK‐based nursing staff to describe any strategies they employed to overcome barriers to delivering care in 15 fundamental nursing care categories when providing care to non‐invasively ventilated patients with COVID‐19. We analysed data using Framework Analysis. Results A total of 1062 nurses consented to participate in our survey. We derived four themes. 1) Communication behaviours included adapting verbal and non‐verbal communication with patients, using information technology to enable patients’ significant others to communicate with staff and patients, and establishing clear information‐sharing methods with other staff. 2) Organizing care required clustering interventions, carefully managing supplies, encouraging patient self‐care and using ‘runners’ and interdisciplinary input. 3) Addressing patients’ well‐being and values required spending time with patients, acting in loco familiae , providing access to psychological and spiritual support, obtaining information about patients’ wishes early on and providing privacy and comforting/meaningful items. 4) Management and leadership behaviours included training, timely provision of pandemic information, psychological support, team huddles and facilitating regular breaks. Conclusions Our respondents identified multiple strategies in four main areas of clinical practice. Management and leadership are crucial to both fundamental care delivery and the well‐being of nurses during pandemics. Grouping strategies into these areas of action may assist nurses and leaders to prepare for pandemic nursing. Impact As these strategies are unlikely to be exclusive to the COVID‐19 pandemic, their global dissemination may improve patient experience and help nurses deliver fundamental care when planning pandemic nursing. However, their effectiveness is unknown. Therefore, we are currently evaluating these strategies in a cluster randomized controlled trial.

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“…In a literature review on IT use by nurses in coping with COVID-19, benefits were observed regarding classification of patients and sizing of the Nursing professional staff (11) , optimization of the assistance provided to patients in isolation (12) , care organization (13) and Telenursing as a support tool for promoting maternal health (14) , all included in the hospital perspective.…”

Section: Introductionmentioning

confidence: 99%

Information technologies as organizational support for the COVID-19 coping actions: Nurses’ discourse

Guedes

Júnior

Januário

et al. 2023

Rev. Latino-Am. Enfermagem

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Objective: to analyze nurses’ discourse about the potentialities in using information technologies as organizational support for the COVID-19 coping actions in Primary Health Care. Method: a qualitative and exploratory study conducted in the Family Health Strategy units from the city of João Pessoa, Paraíba, Brazil. Data collection was carried out from September to November 2021 with 26 nurses selected through the snowball technique, resorting to a semi-structured interview script. The empirical material was organized in the Atlas.ti 9 software and grounded on the theoretical-methodological contribution of Discourse Analysis, French Line. Results: three discursive blocks were evidenced: innovation based on social media; health education actions; resoluteness in organizational actions, presenting the relevance of the WhatsApp®, Instagram® and Facebook® apps as strategic resources, in order to collaborate in the Primary Health Care are with the organization of health actions against COVID-19 by nurses. Conclusion: health units have the potential to strengthen the assistance provided through digital organizational devices; however, they need political support that invests in the structure and strategies to enhance organization of the health actions.

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Deployment of information technology to facilitate patient care in the isolation ward during COVID-19 pandemic

Cited by 10 publications

References 5 publications

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

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

Nurses’ strategies for overcoming barriers to fundamental nursing care in patients with COVID‐19 caused by infection with the SARS‐COV‐2 virus: Results from the ‘COVID‐NURSE’ survey

Information technologies as organizational support for the COVID-19 coping actions: Nurses’ discourse

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