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2020 ; 111
(ä): 103637
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Implications for COVID-19: A systematic review of nurses experiences of working
in acute care hospital settings during a respiratory pandemic
#MMPMID32919358
Fernandez R
; Lord H
; Halcomb E
; Moxham L
; Middleton R
; Alananzeh I
; Ellwood L
Int J Nurs Stud
2020[Nov]; 111
(ä): 103637
PMID32919358
show ga
BACKGROUND: Pandemics and epidemics are public health emergencies that can result
in substantial deaths and socio-economic disruption. Nurses play a key role in
the public health response to such crises, delivering direct patient care and
reducing the risk of exposure to the infectious disease. The experience of
providing nursing care in this context has the potential to have significant
short and long term consequences for individual nurses, society and the nursing
profession. OBJECTIVES: To synthesize and present the best available evidence on
the experiences of nurses working in acute hospital settings during a pandemic.
DESIGN: This review was conducted using the Joanna Briggs Institute methodology
for systematic reviews. DATA SOURCES: A structured search using CINAHL, MEDLINE,
EMBASE, PubMed, Google Scholar, Cochrane Library, MedNar, ProQuest and Index to
Theses was conducted. REVIEW METHODS: All studies describing nurses' experiences
were included regardless of methodology. Themes and narrative statements were
extracted from included papers using the SUMARI data extraction tool from Joanna
Briggs Institute. RESULTS: Thirteen qualitative studies were included in the
review. The experiences of 348 nurses generated a total of 116 findings, which
formed seven categories based on similarity of meaning. Three synthesized
findings were generated from the categories: (i) Supportive nursing teams
providing quality care; (ii) Acknowledging the physical and emotional impact; and
(iii) Responsiveness of systematised organizational reaction. CONCLUSIONS: Nurses
are pivotal to the health care response to infectious disease pandemics and
epidemics. This systematic review emphasises that nurses' require Governments,
policy makers and nursing groups to actively engage in supporting nurses, both
during and following a pandemic or epidemic. Without this, nurses are likely to
experience substantial psychological issues that can lead to burnout and loss
from the nursing workforce.