COVID-19 hospitalized patients healthcare strategies: A systematic review

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C. González-Nahuelquin
https://orcid.org/0000-0002-7136-3971
M. Palma-Morales
https://orcid.org/0000-0001-9184-9023
S. Plaza-Acosta
https://orcid.org/0000-0002-5202-9433
A. Ruminot-Gana
S. Vial-Vilugrón
https://orcid.org/0000-0002-9152-5448
H. Gálvez-Villalobos
N. González-Sanzana
https://orcid.org/0000-0001-6893-1897

Abstract

Introduction: The SARS-CoV-2 virus pandemic led to the restructuring of nursing healthcare and other sanitary services. Therefore, it is necessary to design healthcare strategies which can strengthen the nursing tasks during a sanitary crisis.


Objective: To prevent and address possible complications, to identify healthcare strategies which can be implemented on persons with COVID-19.


Methodology: This is a systematic review. The WOS, Scopus, CINAHL and BVS databases were consulted. The searching terms were: COVID-19, Coronavirus, Nursing care, Tertiary Care Center, Primary Health Care, Nurse, and Nursing. The Boolean operators AND and NOT were used. The titles and abstracts of the articles were reviewed, and a critical reading was performed using the CASPe guides.


Results: 20 articles were selected; 40 % were original research, 20 % were articles of review, and about 30 % were others types of documents. The analysis allowed the identification of the following categories related to the healthcare strategies: visible care (basic and special); invisible care (feelings, communications, and attitudes), and structural changes (infrastructure and hospital management).


Conclusions: Diverse strategies have demonstrated being effective in the prevention of COVID-19 associated complications during the acute face of the illness. Moreover, the three categories found in this study have also been described during the pandemic. Nevertheless, invisible care attracts attention, where feelings, communication and attitudes are intangible aspects that are difficult to evaluate.

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References

(1) Coronavirus Resource Center. Baltimore, EE.UU.: Johns Hopkins University & Medicine; c2020. COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE) at Johns Hopkins University (JHU). 2020. https://bit.ly/3Q124Hd

(2) Organización Panamericana de la Salud, Organización Mundial de la Salud. Actualización epidemiológica: Enfermedad por Coronavirus (COVID-19), 21 de agosto de 2021. Washington, D.C.: OPS / OMS; 2021. https://bit.ly/40r8hki

(3) Wymer JA, Stucky CH, De Jong MJ. Nursing leadership and COVID-19: Defining the shadows and leading ahead of the data. Nurse Lead. 2021; 19(5): 483-8. https://doi.org/10.1016/j.mnl.2021.06.004

(4) Organización Mundial de la Salud. Actualización de la estrategia frente a la COVID-19, 14 de abril de 2020. Ginebra, Suiza: OMS; 2020. https://bit.ly/3rTO61L

(5) Ren HF, Chen FJ, He LX, Liu CQ, Liu YY, Huang YJ, et al. Nursing allocation in isolation wards of COVID-19 designated hospitals: A nationwide study in China. BMC Nurs. 2022; 21(23). https://doi.org/10.1186/s12912-021-00795-w

(6) Lasater KB, Aiken LH, Sloane DM, French R, Martin B, Reneau K, et al. Chronic hospital nurse understaffing meets COVID-19: An observational study. BMJ Qual Saf. 2021; 30(8): 639-47. http://dx.doi.org/10.1136/bmjqs-2020-011512

(7) Raurell-Torredà M, Martínez-Estalella G, Frade-Mera MJ, Carrasco Rodríguez-Rey LF, Romero-de San Pío E. Reflexiones derivadas de la pandemia COVID-19. Enferm Intensiva. 2020; 31(2): 90-3. https://doi.org/10.1016/j.enfi.2020.03.002

(8) Huston C. Preparing nurse leaders for 2020. J Nurs Manag. 2008; 16(8): 905-11. https://doi.org/10.1111/j.1365-2834.2008.00942.x

(9) Almanza-Rodríguez G. Cuidados de enfermería frente al manejo del paciente diagnosticado con Covid-19 en el área de hospitalización. Rev. Fac. Med. Hum. 2020; 20(4): 696-9. https://doi.org/10.25176/RFMH.v20i4.2963

(10) Organización Mundial de la Salud. Uso de mascarillas en el contexto de la COVID-19. Orientaciones provisionales 1 de diciembre de 2020. Ginebra, Suiza: OMS; 2020. https://bit.ly/3QozoJi

(11) Ramírez-Pereira M. El cuidado de Enfermería, relevancia en el contexto de la pandemia COVID-19. Enfermería (Montev.). 2020; 9(1): 1-2. https://doi.org/10.22235/ech.v9i1.2184

(12) Gold S, Clarfield L, Johnstone J, Diambomba Y, Shah PS, Whittlee W, et al. Adapting obstetric and neonatal services during the COVID-19 pandemic: A scoping review. BMC Pregnancy Childbirth. 2022; 22: 119. https://doi.org/10.1186/s12884-022-04409-4

(13) Comisión Económica para América Latina y el Caribe, Organización Panamericana de la Salud. La prolongación de la crisis sanitaria y su impacto en la salud, la economía y el desarrollo social. Santiago de Chile, Chile: OPS; 2021. https://bit.ly/473UGBY

(14) Organización Mundial de la Salud, Organización Panamericana de la Salud. Impacto de la COVID-19 en los recursos humanos para la salud y respuesta de política: el caso del Estado Plurinacional de Bolivia, Chile, Colombia, Ecuador y el Perú. Síntesis de hallazgos en cinco países de América Latina. Ginebra, Suiza: OMS; 2021. https://bit.ly/3QP99MH

(15) Codina L. Cómo hacer revisiones bibliográficas tradicionales o sistemáticas utilizando bases de datos académicas. Rev. ORL. 2020; 11(2): 139-53. https://dx.doi.org/10.14201/orl.22977

(16) Grant MJ, Booth A. A typology of reviews: An analysis of 14 review types and associated methodologies. Health Info Libr J. 2009; 26(2): 91-108. https://doi.org/10.1111/j.1471-1842.2009.00848.x

(17) Richadson WS, Wilson MC, Nishikawa J, Hayward RS. The well-built clinical question: A key to evidence–based decisions. ACP journal club. 1995; 123(3): A12. https://doi.org/10.7326/ACPJC-1995-123-3-A12

(18) redcaspe.org. Alicante, España: Programa de Habilidades en Lectura Crítica Español; c2022. https://bit.ly/402iR0V

(19) Manterola C, Asenjo-Lobos Cl, Otzen T. Jerarquización de la evidencia: Niveles de evidencia y grados de recomendación de uso actual. Rev. chil. infectol. 2014; 31(6): 705-18. http://dx.doi.org/10.4067/S0716-10182014000600011

(20) De Souza ML, Volnei-de Bona Sartor V, Coelho-de Souza Padilha MI, Lenise-do Prado M. O cuidado em enfermagem–uma aproximação teórica. Texto context enferm. 2005; 14(2): 266-70. https://doi.org/10.1590/S0104-07072005000200015

(21) Ramalho-Neto JM, Pietro-Pereira Viana RA, Serpa-Franco A, Rezende-do Prado P, Alves-Ferreira Gonçalves F, Lima-da Nóbrega MM. Nursing diagnosis/outcomes and interventions for critically ill patients affected by COVID-19 and sepsis. Texto contexto enferm. 2020; 29: 1-17. https://doi.org/10.1590/1980-265X-TCE-2020-0160

(22) Ozga D, Krupa S, Witt P, Mędrzycka-Dąbrowska W. Nursing interventions to prevent delirium in critically ill patients in the Intensive Care Unit during the COVID19 pandemic-Narrative overview. Healthcare (Basel). 2020; 8(4): 578. https://doi.org/10.3390/healthcare8040578

(23) Atuesta-Fajardo JY, Argoty-Chamorro GA. Consideraciones en la atención médica de pacientes con enfermedad mental e infección por COVID-19 en un hospital general. Univ. Med. 2020; 61(4). https://doi.org/10.11144/Javeriana.umed61-4.caem

(24) León F, Caneo C, Toro P, Calderón J, González M. Delirium, catatonía y síndrome de abstinencia manifestados como agitación psicomotora en COVID-19: una propuesta de manejo farmacológico en el hospital general. Rev. méd. Chile. 2022; 150(3): 361-7. http://dx.doi.org/10.4067/S0034-98872022000300361

(25) Rodríguez-Huerta MD, Díez-Fernández A, Rodríguez-Alonso MJ, Robles-González M, Martín-Rodríguez M, González-García A. Nursing care and prevalence of adverse events in prone position: Characteristics of mechanically ventilated patients with severe SARS-CoV-2 pulmonary infection. Nurs Crit Care. 2022; 27(4): 493-500. https://doi.org/10.1111/nicc.12606

(26) Binda F, Marelli F, Galazzi A, Pascuzzo R, Adamini I, Laquintana D. Nursing management of prone positioning in patients with COVID-19. Crit Care Nurse. 2020; 41(2): 27-35. https://doi.org/10.4037/ccn2020222

(27) Talic S, Shah S, Wild H, Gasevic D, Maharaj A, Ademi Z. Effectiveness of public health measures in reducing the incidence of covid-19, SARS-CoV-2 transmission, and covid-19 mortality: Systematic review and meta-analysis. BMJ. 2021; 375: 1-15. https://doi.org/10.1136/bmj-2021-068302

(28) Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: A systematic review and meta-analysis. Lancet. 2020; 395(10242): 1973-87. https://doi.org/10.1016/S0140-6736(20)31142-9

(29) Deitrick K, Adams J, Davis J. Emergency nursing care of patients with novel coronavirus disease 2019. J Emerg Nurs. 2020; 46(6): 748-59. https://doi.org/10.1016/j.jen.2020.07.010

(30) De Andrés-Gimeno B, Solís-Muñoz M, Revuelta-Zamorano M, Sánchez-Herrero H, Santano-Magariño A, Grupo de Cuidados COVID-19 HUPHM. Cuidados enfermeros en el paciente adulto ingresado en unidades de hospitalización por COVID-19. Enferm Clin. 2021; 31(Suppl. 1): S49-54. https://doi.org/10.1016/j.enfcli.2020.05.016

(31) Perkins R, Ingebretson E, Holifield L, Bergeron A. A Nurse's Guide to COVID-19. Am J Nurs. 2021; 121(3): 28-38. https://doi.org/10.1097/01.NAJ.0000737172.16000.3e

(32) Chen Q, Lan X, Zhao Z, Hu S, Tan F, Gui P, et al. Role of anesthesia nurses in the treatment and management of patients with COVID-19. J Perianesth Nurs. 2020; 35(5): 453-6. https://doi.org/10.1016/j.jopan.2020.05.007

(33) Yomayusa N, Accini J, Cubillos V, Ortiz G, Pizarro C, Rojas J, et al. Recomendaciones para el uso de oxígeno y sus dispositivos básicos y avanzados: racionalidad y seguridad en tiempos de pandemia por SARS-CoV-2 en Colombia. Acta colomb. cuid. intensiv. 2022; 22: S148-56. https://doi.org/10.1016/j.acci.2021.11.001

(34) Huércanos-Esparza I. Cuidado Invisible: donde los medicamentos no llegan. Index enferm. 2013; 22(1-2): 5-6. https://dx.doi.org/10.4321/S1132-12962013000100001

(35) He Q, Li T, Su Y, Luan Y. Instructive messages and lessons from Chinese countermarching nurses of caring for COVID-19 patients: A qualitative study. J Transcult Nurs. 2021. 32(2): 96-102. https://doi.org/10.1177/1043659620950447

(36) Imanipour M, Kiwanuka F. Family nursing practice and family importance in care-Attitudes of nurses working in intensive care units. Int J Afr Nurs Sci. 2020. 13: 1-7. https://doi.org/10.1016/j.ijans.2020.100265

(37) Galehdar N, Toulabi T, Kamran A, Heydari H. Exploring nurses' perception about the care needs of patients with COVID-19: A qualitative study. BMC Nurs. 2020; 19(119): 1-8. https://doi.org/10.1186/s12912-020-00516-9

(38) Forneron-Velazco R. Gestión del cambio organizacional por covid-19 en las cooperativas de la ciudad de Pilar. Cienc. lat. 2021; 5(4): 4914-36. https://doi.org/10.37811/cl_rcm.v5i4.667

(39) Martinez-Estalella G, Zabalegui A, Sevilla-Guerra S. Gestión y liderazgo de los servicios de enfermería en el plan de emergencia de la pandemia COVID-19: la experiencia del Hospital Clínic de Barcelona. Enferm. clín. 2021; 31(supl. 1): S12-7. https://doi.org/10.1016/j.enfcli.2020.05.002

(40) Hannon B, Mak E, Al Awamer A, Banerjee S, Blake C, Kaya E, et al. Palliative care provision at a tertiary cancer center during a global pandemic. Support Care Cancer. 2021; 29: 2501-7. https://doi.org/10.1007/s00520-020-05767-5

(41) Lester PE, Holahan T, Siskind D, Healy E. Policy recommendations regarding skilled nursing facility management of coronavirus 19 (COVID-19): Lessons from New York State. J Am Med Dir Assoc. 2020. 21: 888-92. https://doi.org/10.1016/j.jamda.2020.05.058

(42) Al Mutair A, Amr A, Ambani Z, Al Salman K, Schwebius D. Nursing surge capacity strategies for management of critically ill adults with COVID-19. Nurs. Rep. 2020; 10(1): 23-32. https://doi.org/10.3390/nursrep10010004

(43) Bruyneel A, Gallani MC, Tack J, d'Hondt A, Canipel S, Franck S, et al. Impact of COVID-19 on nursing time in intensive care units in Belgium. Intensive Crit Care Nurs. 2021; 62: 1-6. https://doi.org/10.1016/j.iccn.2020.102967

(44) González-Aguña A, Jiménez-Rodríguez ML, Fernández-Batalla M, Herrero-Jaén S, Monsalvo-San Macario E, Real-Martínez V, et al. Nursing diagnoses for coronavirus disease, COVID-19: Identification by taxonomic triangulation. Int J Nurs Knowl. 2021; 32(2): 108-16. https://doi.org/10.1111/2047-3095.12301

(45) Ardic A, Turan E. Nursing care management based on the Omaha system for inpatients diagnosed with COVID-19: An electronic health record study. J Adv Nurs. 2021; 77(6): 2709-17. https://doi.org/10.1111/jan.14793

(46) World Health Organization. Rational use of personal protective equipment for coronavirus disease COVID-19 and considerations during severe shortages. Geneva, Switzerland: WHO; 2020. https://bit.ly/3Qw4AFG

(47) Brito-Brito PR, Martínez-Alberto CE, Cuéllar-Pompa L. Cuidados enfermeros orientados a mitigar la transmisión del coronavirus en casos positivos: una revisión narrativa. Enferm Clin. 2020; 46(6): 748-756. https://doi.org/10.1016/j.enfcli.2020.05.008

(48) Organización Mundial de la Salud. Prevención y control de infecciones durante la atención sanitaria de casos en los que se sospecha una infección por el nuevo coronavirus (nCoV): Orientaciones provisionales, 25 de enero de 2020. Ginebra, Suiza: OMS; 2020. https://bit.ly/476obTz

(49) Asociación Profesional de Enfermeras de Ontario. Guía de buenas prácticas en enfermería. Como enfocar el futuro de la enfermería. Establecimiento de la Relación Terapéutica. Ontario, Canadá: RNAO; 2022. https://bit.ly/3SAbZq5

(50) Watson J. Nursing: Human science and human care. A theory of nursing. EE.UU.: Jones & Bartlett Learning; 1999. https://bit.ly/40EYWWq

(51) Avellaneda-Martínez S, Jiménez-Mayoral A, Humada-Calderón P, Redondo-Pérez N, Del Río-García I, Martín-Santos AB, et al. Gestión de la comunicación de los pacientes hospitalizados, aislados con sus familias por la COVID-19. J Healthc Qual Res. 2021; 36(1): 12-8. https://doi.org/10.1016/j.jhqr.2020.10.006

(52) Organización Mundial de la Salud. Manejo clínico de la COVID-19: Orientaciones evolutivas, 25 de enero de 2021. Ginebra, Suiza: OMS; 2021. https://bit.ly/499HblF

(53) World Health Organization. Hospital emergency response checklist. Copenhagen: WHO; 2011. https://bit.ly/476RJQV

(54) Romero-Sacoto LA, Mesa-Cano IC, Estrella-Gonzalez MA, Ramírez-Coronel AA. El equipo de protección personal para la atención al paciente con COVID-19: revisión sistemática. AVFT. 2021; 40(7): 666-74. https://doi.org/10.5281/zenodo.5750008

(55) Henderson V. La naturaleza de la Enfermería: reflexiones 25 años después. Madrid: Interamericana McGraw-Hill; 1995.

(56) França-de Menezes H, Leite-Funchal Camacho AC, Lima-da Nóbrega MM, Dos Santos-Claro Fuly P, Fontes-Fernandes S, Rosendo-da Silva RA. Caminos recorridos por la enfermería brasileña para el desarrollo de subconjuntos terminológicos. Rev. lat.-am. enferm. 2020; 28: 1-12. https://doi.org/10.1590/1518-8345.3132.3270