Nursing Quality for COVID-19 Patients in Negative Pressure Rooms in a Medical Ward
Keywords:
Nursing quality, Covid-19, Negative pressure room, Medical wardAbstract
Nursing quality affects life safety, severity of illness, and patient expectations. This descriptive research was conducted from medical record histories, to study the quality of nursing among COVID-19 patients admitted to the internal medical negative pressure ward at Thammasat University Hospital. The 178 samples were selected by purposive sampling from the inclusion criteria. The instrument for collecting data was developed by the researcher from the literature review and was compliant with the nursing standards of the Thailand Nursing and Midwifery Council, covering all five sections, including patient safety, knowledge and understanding, relieving distress, self-care ability, and satisfaction with nursing care. Data analysis used descriptive statistics.
The results of the study revealed that:
- According to patient safety, the incidence of catheter-associated urinary tract infections was 1.85%, pressure injury was 0.57% and administration error was 1.14%.
- The average score for patient knowledge and understanding was 96.40%. The highest levels of knowledge and understanding were regarding COVID-19 treatment, medication usage, and knowledge of the disease, respectively.
- The average score for relieving distress of patients was 98.15%. The most frequent nursing activity that patients received was relieving fatigue and discomfort.
- The average score for self-care ability for patients was 98.59%. The highest frequency of nursing care was for the Activities of Daily Living and discharge planning.
- The average score for patient satisfaction with nursing care was 96.19%, which was at a high level. Considering each aspect, the highest satisfaction score was for overall nursing services, followed by providing information, and patient rights.
The results of this study show that during the coronavirus disease (COVID-19) outbreak, nurses were particularly important for applying standards of nursing to efficient practice which affected quality of nursing care and patient satisfaction.
References
Alhowaymel, F., Abaoud, A., Alhuwaime, A., Alenezi, A., & Alsayed, N. (2022). COVID-19 patients’ satisfaction levels with nursing care: A cross-sectional study. SAGE Open Nursing, 8, 1-8. doi: 10.1177/23779608221078163
Ballentine, J. M. (2020). The role of palliative care in a COVID-19 pandemic. Retrieved from https://csupalliativecare.org/palliative-care-and-covid-19
Baunoo, W., & Sitakalin, P. (2019). Expectation and perception of service quality of clients of the accident and emergency department in Nongkhai Hospital. Journal of Health Education, 42(1), 157-172.
Blanco-Nistal, M. M., Tortajada-Soler, M., Rodriguez-Puente, Z., Puente-Martínez, M. T., Méndez-Martínez, C., & Fernández-Fernández, J. A. (2021). Patient Perception of Nursing Care in the Context of the COVID-19 Crisis Enfermería Global, 20(4), 44-60.
Bryan, K. C., Kristin, W., & Heather, Y. (2020). CAUTI and CLABSI in Hospitalized COVID-19 patients. Open Forum Infectious Diseases, 7(1), 178. doi: 10.1093/ofid/ofaa439.405
Centers for Diseases Control and Prevention. (2021). Symptoms of COVID-19. Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html
Challoner, T., Vesel, T., Dosanjh, A., & Kok, K. (2022). The risk of pressure ulcers in a proned COVID population. The Surgeon, 20(4), 144-148. doi: 10.1016/j.surge.2021.07.001
Chanchang, L. (2014). Quality of nursing services perceived by patients and nursing care personnel at private wards in Trat Hospital. The Journal of Prapokklao Hospital Clinical Medical, 31(4), 282-296.
Cho S. H., Kim Y. S., Yeon K. N., You S. J., & Lee I. D. (2015). Effects of increasing nurse staffing on missed nursing care. International Nursing Review, 62(2), 267-274. doi: 10.1111/inr.12173
Cho, S. H., Lee, J. Y., You, S. J., Song, K. J., & Hong, K. J. (2020). Nurse staffing, nurses prioritization, missed care, quality of nursing care, and nurse outcomes. International Journal of Nursing Practice, 26(1), 1-9. doi: 10.1111/ijn.12803
Clari, M., Luciani, M., Conti, A., Sciannameo, V., Berchialla, P., Giulio, P. D., ... Dimonte, V. (2021). The impact of the COVID-19 pandemic on nursing care: A cross-sectional survey-based study. Journal of Personalized Medicine , 11(10), 1-12. doi: 10.3390/jpm11100945
Cochran, W. G. (1997). Sampling techniques. USA: John Wiley & Sons.
Department of Disease Control. (2020a). Corona virus disease (COVID-19). Retrieved from https://ddc.moph.go.th/viralpneumonia/eng/index.php
Department of Disease Control. (2020b). Notification of the Ministry of Public Health: Names and significant symptoms of dangerous communicable diseases (No. 3). Retrieved from https://ddc.moph.go.th/uploads/files/10020200514102630.PDF
Department of Disease Control. (2021). Covid19-dashboard. Retrieved from https://ddc.moph.go.th/covid19-dashboard/
Department of Medical Services. (2021). Guidelines for healthcare professionals in patient advice and home isolation for COVID-19 patients. Retrieved from https://covid19.dms.go.th/backend/Content/Content_File/Covid_Health/Attach/ 25650105175718PM_%E0%B9%81%E0%B8%99%E0%B8%A7%E0%B8%97%E0%B8%B2%E0%B8%87homeIso.pdf
Deriba, B. S., Geleta, T. A., Beyane, R. S., Mohammed, A., Tesema, M., & Jemal, K. (2020). Patient satisfaction and associated factors during COVID-19 pandemic in North Shoa health care facilities. Patient Prefer Adherence, 14, 1923-1934.
Division of Health Economics and Health Security. (2021). Guidelines for the right to medical care related to the coronavirus disease 2019 (Covid-19). Retrieved from https://dhes.moph.go.th/?page_id=10520
Du, J., Zhao, T., Dong, Y., Wang, L., Xu, P., & Hongyun, X. (2021). Analysis of etiology and risk factors of catheter-associated urinary tract infection in critically ill patients and research on corresponding prevention and nursing measures. Applied Bionics and Biomechanics, 2021, 1-7. doi: 10.1155/2021/8436344
Gefen, A., & Ousey, K. (2020). COVID-19: Pressure ulcers, pain and the cytokine storm. Journal of Wound Care, 29(10), 540-542. doi: 10.12968/jowc.2020.29.10.540
International Health Facility Guidelines. (2017). Isolation rooms. Retrieved from https://healthfacilityguidelines.com/ ViewPDF/ViewIndexPDF/iHFG_part_d_isolation_rooms
Mahomedradja, R. F., van den Beukel, T. O., van den Bos, M., Wang, S., Kalverda, K. A., Lissenberg‑Witte, B. I., ... van Agtmae, M. A. (2022). Prescribing errors in post - COVID-19 patients: Prevalence, severity, and risk factors in patients visiting a post - COVID-19 outpatient clinic. BMC Emergency Medicine, 22,(35), 1-12. doi: 10.1186/s12873-022-00588-7
Mitchell, P. H. (2016). Nursing assessment of depression in stroke survivors. Stroke, 47(1), 1-3. doi: 10.1161/strokeaha.115.008362
Polancich, S., Hall, A. G., Miltner, R., Poe, T., Enogela, E. M., Montgomery, A. P., & Patrician, P. A. (2021). Learning during crisis: The impact of COVID-19 on hospital-acquired pressure injury incidence. The Journal for Healthcare Quality, 43(3), 137-144. doi: 10.1097/jhq.0000000000000301
Sathira-Angkura, T., Leelawongs, S., Srisuthisak, S., Puttapitukpol, S., Yonchoho, N., & Jamsomboon, K. (2021). Development of nursing administration model in the COVID-19 outbreak situation of hospitals under the Ministry of Public Health. Journal of Health Science, 30(2), 320-333.
Thailand Nursing and Midwifery Council. (2019). Nursing council announcement subject: Nursing standards B.E. 2019. Retrieved from https://www.tnmc.or.th/images/userfiles/files/T_0030.PDF
The Healthcare Accreditation Institute (Public Organization). (2018). Hospital and healthcare standards (4th ed.). Nonthaburi: Author.
Thongngam, S., Pumool, S., & Ratanarat, R. (2020). Nursing care for patients with COVID-19 in the isolation unit, Siriraj Hospital. Siriraj Medical Bulletin, 13(3), 221-231.
World Health Organization. (2020). Coronavirus disease (COVID-19). Retrieved from https://www.who.int/emergencies/diseases/novel-coronavirus-2019
World Health Organization. (2021). Coronavirus disease (COVID-19) questions and answers (general). Retrieved from https://www.who.int/thailand/emergencies/novel-coronavirus-2019/q-a-on-covid-19/q-a-on-covid-19-general
World Health Organization. (2022). Classification of omicron (B.1.1.529): SARS-CoV-2 variant of concern. Retrieved from https://www.who.int/news/item/26-11-2021-classification-of-omicron-(b.1.1.529)-sars-cov-2-variant-of-concern
Wu, M. S., Watson, R., Hayat, F., Ratcliffe, L., Beadsworth, M. B., McKenna, M., ... Wingfield, T. (2021). What do people hospitalised with COVID-19 think about their care? Results of a satisfaction survey during the first wave of COVID-19 in Liverpool. Future Healthcare Journal, 8(1), 70-75. doi: 10.7861/fhj.2020-0260
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