Nursing interventions that humanise care for patients affected by COVID-19 in isolation units: An integrative review

Fernandes, Júlio Belo; Vareta, Diana Alves; Fernandes, Sónia; Castro, Cidália; Simões, Aida; Peças, Dina; Almeida, Ana Silva

doi:10.1016/j.idh.2022.03.001

Cited by 5 publications

(4 citation statements)

References 33 publications

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“…This is in line with the findings of other studies, which highlight that nurses' caring behaviors contribute to patients' well-being [45,46]. Analyzing seven articles, Fernandes et al [47] reported that nurses adopted a wide range of interventions to provide humanized care for COVID-19 patients. These interventions were communication tactics, psychological comfort, collaborative decision-making, patient education, physical comfort, and symptoms control, which seemed crucial for the nurse to create a therapeutic bond with the patient.…”

Section: Discussionsupporting

confidence: 81%

COVID-19 Patients' Experiences during the Pandemic: A Phenomenology Study

Thirarattanasunthon,

Kongnarong,

Chanachon

et al. 2024

J. Hum. Earth Future

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Introduction: The COVID-19 pandemic caught the world community off guard, with irreversible effects, causing numerous hospitalizations and deaths across the globe. Understanding COVID-19 patients' lived experience is crucial to care assessment. Therefore, this study aims to investigate the experiences of COVID-19 patients before, during, and after hospitalization. Methods: The present study employed a phenomenological method, and purposive sampling was used to select participants. The individuals discharged from COVID-19 treatment in the upper southern region of Thailand were recruited to participate. Data were collected through in-depth interviews conducted by telephone, LINE, and face-to-face from July 1 to September 14, 2020. Results: The study included a total of eight participants selected from seven provinces located in the southern region of Thailand. The mean age of the participants was 42 years, and the mean duration of hospitalization was 22 days, with 62.5% of them having underlying illnesses. The patients' experiences were categorized into 14 distinct sub-themes, corresponding to the various stages of pre-hospitalization, throughout hospitalization, and post-hospitalization. The pre-infection lifestyles of the participants indicated a lack of understanding and misunderstanding regarding COVID-19. This study found that the participants had more fear, depression, and suicidal thoughts during hospitalization. Nevertheless, the participants unequivocally affirmed that the nurse-patient interaction, in terms of providing assistance and addressing mental health concerns, brought them a sense of solace. However, they encountered rejection from their community after being discharged from the hospital. Conclusion:COVID-19 survivors must remain confident in their ability to continue life and believe that they made the right choice by accepting hospital care to save their own lives and prevent the spread of the disease. Healthcare practitioners and stakeholders within the healthcare service system can utilize this knowledge of patients' experiences to assist patients in the prevention, treatment, and management of COVID-19. Doi: 10.28991/HEF-2024-05-01-04 Full Text: PDF

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Section: Discussionsupporting

confidence: 81%

COVID-19 Patients' Experiences during the Pandemic: A Phenomenology Study

Thirarattanasunthon,

Kongnarong,

Chanachon

et al. 2024

J. Hum. Earth Future

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“…Furthermore, this research highlights that in the context of isolation and without being able to relate to their loved ones, the patient’s need for connection emerges with more force. A recent review by Fernandes et al (2022) [ 52 ] cites several interventions to humanize care for patients affected by COVID-19 in isolation units, including adopting communication strategies to establish an interpersonal relationship between nurses and patients, providing physical and psychological comfort, sharing in decision-making, providing patient education, and managing patients’ symptoms. As the interaction between nurses and patients takes longer than with other professionals, nurses are in a pivotal position to satisfy this human need.…”

Section: Discussionmentioning

confidence: 99%

Nurse–Patient Communication and Relationship When Wearing Personal Protective Equipment: Nurses’ Experience in a COVID-19 Ward

et al. 2023

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Little is known about which communication strategies nurses carried out and whether the nurse–patient relationship has been altered due to the mandated use of personal protective equipment during the COVID-19 pandemic. This study describes how nurse–patient communication and relationships took place from the point of view of nurses engaged in caring for patients with COVID-19. A qualitative descriptive study design following COREQ guidelines was conducted. Semi-structured telephone interviews with nurses working in the COVID ward of an Italian university hospital were performed between September 2020 and June 2021. Ten nurses were recruited using convenience sampling. One overarching theme, three main themes, and nine sub-themes were identified. The overarching theme ‘The in-out relationship: ‘in here and out there’ and ‘inside me and out of me’ included the main themes ‘A closed system different from normal’, ‘Uncovering meaningful human gestures’, and ‘A deep experience to live’’. The relational nature of nursing—where ‘me and you’ and the context are the main elements—leads nurses to find new ways of interacting and communicating with patients, even in a new situation that has never been experienced. Enhancing human gestures, thinking about new contexts of care, and educating new generations to maintain human-to-human interaction, regardless of the context of care, are the directives to be explored for creating the future of nursing care.

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“…However, the humanized care provided by the nurse on a daily basis requires professional competencies, soft skills and ethical skills to translate them into professional practice (Aghamohammadi et al, 2021;Bagherzadeh et al, 2021;Jamaludin et al, 2021;Maznieda et al, 2022;Morrell et al, 2020;Dos Santos et al, 2017). Thus, the incorporation of improvement plans, management strategies and continuous training are essential elements to generate human sensitivity in nursing personnel (Fernandes et al, 2022;White et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

“…Death is the final outcome of a historical and earthly life of the human being, which sometimes is not in the hands of a health professional to be able to avoid it, since it definitively concludes the biological processes and social relationships of every person (Romero Massa et al, 2016). Therefore, end-of-life care practices of care nurses must meet the indispensable attributes of humanized care (Fernandes et al, 2022;Henao-Castaño & Quiñonez-Mora, 2019). The main characteristics of a nurse with humanized care are: attention for the human being, providing a professional-user relationship, subject of care, communication and holistic approach (Ospina Vanegas et al, 2020).…”

Section: Introductionmentioning

confidence: 99%

Differences in Humanized Care Perceived by Hospitalized Patients from Urban and Rural Areas during the COVID-19 Pandemic: Evidence Collected in Peru

Meneses-La-Riva,

Fernández-Bedoya,

Suyo-Vega

et al. 2023

JESR

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In recent years, the health crisis has encouraged modifications and revolutions in the training of nursing practitioners in humanized care. The study's objective was to assess the satisfaction indicator of humanized care in the health care environment in order to make improvements to the health care process. The segmentation of the demographic data allowed us to present more precise analyses, in which we were able to isolate the reports of patients from urban and rural areas, in order to later determine if there are differences between the perceptions of the groups. The study used across-sectional non-experimental descriptive design, with two groups of 200 patients from urban and rural areas hospitalized with COVID-19 symptoms. The dimensions of humanized nursing care were measured using a questionnaire. The findings demonstrate significant differences in the perception of humanized care received (p. < 0.01). On the one hand, patients from urban regions rated the humanized treatment they received as favorable in 37.7% of cases, moderately acceptable in 36.7% of cases, and unfavorable in 25.6% of cases. Patients from rural areas, on the other hand, rated humanized treatment as favorable in 20.4%, moderately acceptable in 41.4%, and unfavorable in 38.2%. We conclude that humanized care is essential for maintaining care activity independent of the patient's sociodemographic variables. Received: 02 March 2023 / Accepted: 23 August 2023 / Published: 5 September 2023

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Nursing interventions that humanise care for patients affected by COVID-19 in isolation units: An integrative review

Cited by 5 publications

References 33 publications

COVID-19 Patients' Experiences during the Pandemic: A Phenomenology Study

COVID-19 Patients' Experiences during the Pandemic: A Phenomenology Study

Nurse–Patient Communication and Relationship When Wearing Personal Protective Equipment: Nurses’ Experience in a COVID-19 Ward

Differences in Humanized Care Perceived by Hospitalized Patients from Urban and Rural Areas during the COVID-19 Pandemic: Evidence Collected in Peru

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