目标:描述在COVID-19大流行期间,用于减轻住院的急性和重症监护患者及其家人之间强制分离的影响的护理策略。
方法:根据JBI方法进行范围审查。
方法:那些急性和重症监护领域,往往出乎意料,紧急发作的疾病或损伤得到了治疗。
方法:2020年3月至2023年9月在Medline上用英语和法语撰写的文章,CINAHL完成,APAPsycInfo,包括符合我们纳入标准的Embase和CochraneCOVID-19研究注册数据库。灰色文献包括论文,论文和基本比勒费尔德学术搜索引擎。
结果:在筛选的1357篇文章中,46符合纳入标准。大多数文章在北美发表。成人重症监护病房是最常报告的设置,其次是新生儿重症监护病房。最常报道的策略是虚拟电话或视频通信。大多数创新战略都涉及单位一级的跨专业合作。核心组成部分包括提供相关护理实践,虚拟访问,量身定制的信息,促进家庭成员之间的关系,关于生命终结的姑息治疗支持,以及住院和COVID-19的一般信息。儿科护理设置比成人护理设置更有可能适应身体探视。
结论:护士使用同步,情节,和结构化的虚拟交互,无论是单独还是作为跨专业团队的一部分,在急性和重症监护环境中,减轻COVID-19大流行期间患者和家属之间的分离。
结论:需要在急性和重症监护环境中进行永久性政策变更,以便为护士提供支持,以减轻患者和家庭的分离。我们建议将家庭成员视为照顾者和照顾者,在急性和重症监护环境中,不是以患者和家庭为中心的护理的访客。
OBJECTIVE: To describe the nursing strategies used to mitigate the impact of forced
separation between hospitalized acute and critical care patients and their families during the COVID-19 pandemic.
METHODS: A scoping
review was performed in accordance with JBI methodology.
METHODS: Those acute and critical care areas in which sudden, often unexpected, emergent episodes of illness or injury were treated.
METHODS: Articles written in English and French between March 2020 and September 2023 in Medline, CINAHL Complete, APA PsycInfo, Embase and the Cochrane COVID-19 study register databases that met our inclusion criteria were included. Gray literature included dissertations, theses and Base Bielefeld Academic Search Engines.
RESULTS: Among the 1,357 articles screened, 46 met the criteria for inclusion. Most of the articles were published in North America. Adult critical care units were the most frequently reported settings, followed by neonatal intensive care units. The most frequently reported strategies were virtual telephone or video communications. A majority of the innovative strategies involved interprofessional collaboration at the unit level. Core components included the provision of relational nursing practices, virtual visits, tailored information, fostering relationships between family members, palliative care support regarding end of life, and general information about hospitalization and COVID-19. Pediatric care settings were more likely than adult care settings to accommodate physical visitation.
CONCLUSIONS: Nurses used synchronous, episodic, and structured virtual interactions, either alone or as part of an interprofessional team, to mitigate
separation between patients and families during the COVID-19 pandemic in acute and critical care settings.
CONCLUSIONS: Permanent policy changes are needed across acute and critical care settings to provide support for nurses in mitigating patient and family
separation. We recommend that family members be considered as caregivers and care receivers, not visitors in patient and family-centered care in acute and critical care settings.