Pre COVID-19 emergency department nurses’ perspectives of the preparedness to safely manage influenza pandemics: A descriptive exploratory qualitative study

Nurses’ challenges during the COVID-19 pandemic: A literature review

“…Tantangan terbesar yang dihadapi perawat adalah risiko pajanan infeksi virus (Lockett et al, 2021) (Gordon et al, 2021). Perawat di rumah sakit dihadapkan pada paparan lingkungan kerja infeksius/ terkontaminasi dan kontak langsung dengan pasien (Jia et al, 2020) (Galehdar et al, 2020) (Lockett et al, 2021). Perawat juga berada pada lingkungan terkontaminasi secara terus menerus dan dalam jangka waktu yang cukup panjang (Jia et al, 2020).…”

“…Pasien kritis tidak dapat berkomunikasi dengan keluarganya, tidak dapat memilih pengobatan dan rencana perawatannya (Jia et al, 2020). Masalah etik lain yang dihadapi perawat adalah konflik untuk melanjutkan pekerjaan professional mereka, atau khawatir terhadap keselamatan dirinya dan keluarga (Lockett et al, 2021). Dilema dengan professional kesehatan lain juga dirasakan perawat.…”

Emergency Department pandemic preparedness: Putting research into action

“…This reflection focuses on one of the most significant practice changes for nurses; the introduction of COVID-19 screening protocols for all patients and visitors accessing the ED. The early identification and isolation of potentially infectious patients was an important component of the new screening policy and a key strategy that nurses wanted included in future pandemic plans (Lockett et al, 2021).…”

“…The separation of infectious and non-infectious patients was a key strategy nurses in my research considered necessary to minimise the risk of disease transmission within the ED. This was based on past instances where vulnerable patients were placed in close proximity to others with infectious diseases, such as influenza, due to environmental constraints of the department or the lack of adequate isolation rooms (Lockett et al, 2021). Although the purpose of this pre-triage screening is to identify and isolate potentially infectious patients, it served a dual purpose that helped to address another fear nurses expressed in my research.…”

“…This meant the process was objective, rather than a mix of objective and subjective assessment as in routine triage decision-making (Australasian College of Emergency Medicine, 2016). Separating the screening process from the already-challenging triage process also meant that the responsibility for identifying potentially infectious patients was not put solely upon a single individual triage nurse (Lockett et al, 2021).…”