Hemşirelerin çocuk ve yetişkinlere COVID-19 sürecinde bakım vermeye yönelik düşünceleri

Year 2021, , 122 - 127, 30.12.2021

Vildan Apaydın Cırık , Bahar Aksoy

https://doi.org/10.29228/anatoljhr.52724

Abstract

Amaç: Bu araştırmanın amacı, COVID-19 sürecinde hemşirelerin çocuk ve yetişkinlere bakım vermeye yönelik düşüncelerini belirlemektir.
Yöntem: Tanımlayıcı türde yapılan bu araştırma, Haziran-Ağustos 2021 tarihleri arasında, bir devlet hastanesinde çalışmakta olan 139 hemşire ile gerçekleştirilmiştir. Veriler, araştırmacılar tarafından yüz yüze “Tanımlayıcı Bilgi Formu” ve “COVID-19 sürecinde Hemşirelerin Bakım Düşüncelerine Yönelik Soru Formu” kullanılarak toplanmıştır.
Bulgular: Hemşireler “Çocuklarda COVID-19 hastalığının daha hafif semptomlarının olması, çocukların kronik hastalıklarının daha az olması, çocuklarda COVID-19’un iyi klinik seyrinin olması ve ölüm oranlarının düşük olması” nedenleriyle yetişkinlere kıyasla çocuk hastalara daha kolay bakım vereceklerini ifade etmişlerdir. Hemşirelerin COVID-19 sürecinde yetişkin hastalara kolay bakım vermeye yönelik düşünceleri “Yetişkinler için belirli bir tedavi protokolünün olması ve semptomlarının belirgin olması” olarak belirlenmiştir. Hemşireler, yetişkinlere kıyasla “Çocuklarda COVID-19 hastalığı semptomlarının net olmaması, klinik tablosunun belirsiz olması, yoğun bakım sürecindeki çocukların ebeveynlerinin yanında olmaması, COVID-19’un sürekli varyantlarının değişmesi ve semptomların çocuklarda değişmesi ve COVID-19 hastalığının çocuklarda tespiti ve değerlendirmesi hakkında bilgi eksikliği olması” nedenleriyle çocuk hastalara daha zor bakım verebileceklerini ifade etmişlerdir. Ayrıca, hemşireler, çocuklara kıyasla “yetişkinlerde COVID-19 hastalığına ek kronik hastalıkların olmasının bu süreci zorlaştırması, COVID-19 hastalığının ağır seyretmesi ve yetişkin hastaların bakımının fazla fiziksel güç gerektirmesi” nedenleriyle yetişkin hastalara daha zor bakım verebileceklerini belirtmişlerdir.
Sonuçlar: Araştırmada COVID-19 hastalığının çocuk ve yetişkin hastalarda semptomların ve klinik seyrinin farklılık göstermesinin hemşirelerin bakım vermeye yönelik düşüncelerini etkilediği bulunmuştur. Bu nedenle, hemşirelerin COVID-19 hastalığının semptomları ve klinik seyri hakkında eğitim kurslarının düzenlenmesi ve hemşirelerin bakım kalitesini artırmaya yönelik hemşireler için kanıta dayalı rehberler geliştirilmesi önemlidir.

Keywords

bakım, COVID-19, çocuk, hemşire, yetişkin

Nurses' views on caring for children and adults during COVID-19

Abstract

Aim: This study investigated during COVID-19 nurses' views on caring for children and adults.
Methods: This was a descriptive study conducted between June and August 2021. The sample consisted of 139 nurses of a public hospital. Data were collected using a “Descriptive Characteristics Questionnaire” and a “Questionnaire on Nurses' Views on Care during COVID-19”.
Results: Nurses stated that it might be easier to care for children because “children have fewer chronic diseases, develop less severe symptoms of COVID-19, die from the disease less often, and have a better clinical course”. Nurses found it easy to care for adults because there is a specific treatment protocol, and their symptoms are evident. For some, it might be harder to care for children because they "present with unclear symptoms of COVID-19 due to variants, have a vague manifestation, and do not have their parents with them during their stay in ICUs, and also because nurses have gaps in their knowledge of COVID-19 in children". Nurses added that it might be more challenging to care for adults because they have "chronic diseases, present with severe symptoms, and also because nurses need more physical power".
Conclusion: Nurses have different views on caring for children and adults with COVID-19 due to symptoms of varying severity and different clinical courses. Hospitals should train nurses on COVID-19 and develop guidelines to improve the quality of nursing care

Keywords

care, COVID-19, child, nurse, adult

References

• Adams, J. G., & Walls, R. M. (2020). Supporting the health care workforce during the COVID-19 global epidemic. JAMA, 323(15), 1439-1440. https://doi.org/10.1001/jama.2020.39722
• Alhazzani, W., Møller, M. H., Arabi, Y. M., Loeb, M., Gong, M. N., Fan, E., ... & Rhodes, A. (2020). Surviving Sepsis Campaign: Guidelines on the management of critically ill adults with Coronavirus Disease 2019 (COVID-19). Intensive Care Medicine, 46(5), 854-887. https://doi.org/10.1007/s00134-020-06022-5
• Al-Motlaq, M., Neill, S., Foster, M. J., Coyne, I., Houghton, D., Angelhoff, C., ... & Majamanda, M. (2021). Position statement of the international network for child and family centered care: Child and family centred care during the COVID19 pandemic. Journal of Pediatric Nursing, 61, 140-143. https://doi.org/10.1016/j.pedn.2021.05.002
• Al-Tawfiq, J. A. (2020). Asymptomatic coronavirus infection: MERS-CoV and SARS-CoV-2 (COVID-19). Travel Medicine and Infectious Disease, 35, 101608. https://doi.org/10.1016/j.tmaid.2020.101608
• Besli, G. E., Demir, S. Ö., Girit, S., Arman, T., Duyu, M., & Arslanoglu, S. (2021). COVID-19 in children: A single center experience from Istanbul, Turkey. Medical Journal of Bakirkoy, 17(1), 64-71. https://doi.org/10.5222/BMJ.2021.60490
• Bi, Q., Wu, Y., Mei, S., Ye, C., Zou, X., Zhang, Z., ... & Feng, T. (2020). Epidemiology and transmission of COVID-19 in Shenzhen China: Analysis of 391 cases and 1,286 of their close contacts. MedRxiv. https://doi.org/10.1101/2020.03.03.20028423
• Bosnalı, O., & Tander, B. (2020). COVID-19 pandemisi ve çocuk cerrahisi. Çocuk Cerahisi Dergisi, 34(1), 1-8. https://doi.org/10.5222/JTAPS.2020.62333
• Centers for Disease Control and Prevention. (2021). Coronavirus disease 2019 in children — United States, February 12–April 2, 2020. MMWR. https://www.cdc. gov/mmwr/volumes/69/wr/mm6914e4.htm adresinden erişildi. Erişim tarihi: 15.09.2021.
• Chan, J. F. W., Yuan, S., Kok, K. H., To, K. K. W., Chu, H., Yang, J., ... & Yuen, K. Y. (2020). A familial cluster of pneumonia associated with the 2019 novel coronavirus indicating person-to-person transmission: a study of a family cluster. The Lancet, 395(10223), 514-523. https://doi.org/10.1016/S0140-6736(20)30154-9
• Choi, S. H., Kim, H. W., Kang, J. M., Kim, D. H., & Cho, E. Y. (2020). Epidemiology and clinical features of coronavirus disease 2019 in children. Clinical and Experimental Pediatrics, 63(4), 125-132. https://doi.org/10.3345/cep.20200.00535
• Costi, S., Caporali, R., & Cimaz, R. (2020). Dealing with COVID-19 in a pediatric rheumatology unit in Italy. Pediatric Drugs, 22(3), 263-264. https://doi.org/10.1007/s40272-020-00395-2
• Cui, X., Zhao, Z., Zhang, T., Guo, W., Guo, W., Zheng, J., ... & Cai, C. (2021). A systematic review and meta‐analysis of children with coronavirus disease 2019 (COVID‐19). Journal of Medical Virology, 93(2), 1057-1069. https://doi.org/10.1002/jmv.26398
• Demirçelik, Y., & Kanık, A. (2020). Çocuklarda Covid-19: Epidemiyoloji ve klinik bulgular. Tepecik Eğitim ve Araştırma Hastanesi Dergisi, 30(Ek sayı), 58-62 https://doi.org/10.5222/terh.2020.60320
• Dong, Y., Mo, X. I., Hu, Y., Qi, X., Jiang, F., Jiang, Z., & Tong, S. (2020). Epidemiological characteristics of 2143 pediatric patients with 2019 coronavirus disease in China. Pediatrics. https://doi.org/10.1542/peds.2020-0702
• Góes, F. G. B., da Silva, A. C. S. S., dos Santos, A. S. T., Pereira-Ávila, F. M. V., da Silva, L. J., da Silva, L. F., & Goulart, M. D. C. (2020). Challenges faced by pediatric nursing workers in the face of the COVID-19 pandemic. Revista Latino-Americana de Enfermagem, 28. https://doi.org/10.1590/1518-8345.4550.3367
• Guan, W. J., Ni, Z. Y., Hu, Y., Liang, W. H., Ou, C. Q., He, J. X., ... & Zhong, N. S. (2020). Clinical characteristics of coronavirus disease 2019 in China. New England Journal of Medicine, 382(18), 1708-1720. https://doi.org/10.1056/NEJMoa2002032
• Guo, C. X., He, L., Yin, J. Y., Meng, X. G., Tan, W., Yang, G. P., ... & Chen, X. (2020). Epidemiological and clinical features of pediatric COVID-19. BMC Medicine, 18(1), 1-7. https://doi.org/10.1186/s12916-020-01719-2
• Huang, C., Wang, Y., Li, X., Ren, L., Zhao, J., Hu, Y., ... & Cao, B. (2020). Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. The Lancet, 395(10223), 497-506. https://doi.org/10.1016/S0140-6736(20)30183-5
• Kang, Y. J. (2020). Mortality rate of infection with COVID-19 in Korea from the perspective of underlying disease. Disaster Medicine and Public Health Preparedness, 14(3), 384-386. https://doi.org/10.1017/dmp.2020.60
• Karbuz, A., Akkoc, G., Demirdag, T. B., Ciftdogan, D. Y., Ozer, A., Cakir, D., ... & Kara, A. (2021). Epidemiological, clinical, and laboratory features of children with COVID-19 in Turkey. Frontiers in Pediatrics, 9, 631547. https://doi.org/10.3389/fped.2021.631547
• Kaslow, N. J., Dunn, S. E., Bonsall, J. M., Mekonnen, E., Newsome, J., Pendley, A. M., ... & Schwartz, A. C. (2021). A roadmap for patient-and family-centered care during the pandemic. Couple and Family Psychology: Research and Practice. https://doi.org/10.1037/cfp0000176
• Kıraner, E., & Terzi, B. (2020). Covid-19 pandemi sürecinde yoğun bakım hemşireliği. Yoğun Bakım Hemşireliği Derg, 24(EK-1), 83-8.
• Lu, W., Yuan, L., Xu, J., Xue, F., Zhao, B., & Webster, C. (2020). The psychological effects of quarantine during COVID-19 outbreak:Sentiment analysis of social media data. The Lancet, Available at SSRN 3627268. http://dx.doi.org/10.2139/ssrn.3627268
• Menni, C., Valdes, A. M., Freidin, M. B., Sudre, C. H., Nguyen, L. H., Drew, D. A., ... & Spector, T. D. (2020). Real-time tracking of self-reported symptoms to predict potential COVID-19. Nature Medicine, 26(7), 1037-1040. https://doi.org/10.1038/s41591-020-0916-2
• Pan, L., Mu, M., Yang, P., Sun, Y., Wang, R., Yan, J., ... & Tu, L. (2020). Clinical characteristics of COVID-19 patients with digestive symptoms in Hubei, China: a descriptive, cross-sectional,multicenter study. The American Journal of Gastroenterology, 115, 766–73.
• Qiu, H., Wu, J., Hong, L., Luo, Y., Song, Q., & Chen, D. (2020). Clinical and epidemiological features of 36 children with coronavirus disease 2019 (COVID-19) in Zhejiang, China: an observational cohort study. The Lancet İnfectious Diseases, 20(6), 689-696. https://doi.org/10.1016/S1473-3099(20)30198-5
• Rezaee, N., Mardani-Hamooleh, M., & Seraji, M. (2020). Nurses' perception of ethical challenges in caring for patients with COVID-19: A qualitative analysis. Journal of Medical Ethics and History of Medicine, 13(23),1-13 https://doi.org/ 10.18502/jmehm.v13i23.4954
• Sadati, AK., Zarei, L., Shahabi, S., Heydari, S. T., Taheri, V., Jiriaei, R., ... & Lankarani, K. B. (2021). Nursing experiences of COVID‐19 outbreak in Iran: A qualitative study. Nursing Open, 8(1), 72-79. https://doi.org/10.1002/nop2.604
• Schroeder, K., Norful, A.A., Travers, J. & Aliyu, S. (2020) Nursing perspectives on care delivery during the early stages of the COVID-19 pandemic: A qualitative study. International Journal of Nursing Studies Advances. 2, 100006. https://doi.org/10.1016/j.ijnsa.2020.100006
• She, J., Liu, L., & Liu, W. (2020). COVID-19 epidemic: Disease characteristics in children. Journal of Medical Virology, 92(7), 747–754. https://doi.org/10.1002/jmv.25807
• Shen, K. L., Yang, Y. H., Jiang, R. M., Wang, T. Y., Zhao, D. C., Jiang, Y., ... & Wang, X. F. (2020). Updated diagnosis, treatment and prevention of COVID-19 in children: experts’ consensus statement (condensed version of the second edition). World Journal of Pediatrics, 16(3), 232-239. https://doi.org/10.1007/s12519-020-00362-4
• Sheng, Q., Zhang, X., Wang, X., & Cai, C. (2020). The influence of experiences of involvement in the COVID-19 rescue task on the professional identity among Chinese nurses: A qualitative study. Journal of Nursing Management, 28(7), 1662–1669. https://doi.org/10.1111/jonm.13122
• Stokes, E. K., Zambrano, L. D., Anderson, K. N., Marder, E. P., Raz, K. M., El Burai Felix, S., Tie, Y., & Fullerton, K. E. (2020). Coronavirus Disease 2019 Case Surveillance - United States, January 22-May 30, 2020. MMWR. Morbidity and Mortality Weekly Report, 69(24), 759–765. https://doi.org/10.15585/mmwr.mm6924e2
• World Health Organization (2021a). WHO announces COVID-19 outbreak a pandemic. https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/news/news/2020/3/who-announces-covid-19-outbreak-a-pandemic adresinden erişildi. Erişim tarihi:19.09.2021.
• World Health Organization (2021b). Coronavirus disease (COVID-19) dashboard. https://covid19.who.int/ adresinden erişildi. Erişim tarihi:19.09.2021.
• Wu, Z., & McGoogan, J. M. (2020). Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA, 323(13), 1239-1242. https://doi.org/10.1001/jama.2020.2648
• Yılmaz, K., Gozupirinççioğlu, A., Aktar, F., Akın, A., Karabel, M., Yolbas, I., ... & Şen, V. (2020). Evaluation of the novel coronavirus disease in Turkish children: Preliminary outcomes. Pediatric Pulmonology, 55(12), 3587-3594. https://doi.org/10.1002/ppul.25095
• Yin, X., & Zeng, L. (2020). A study on the psychological needs of nurses caring for patients with coronavirus disease 2019 from the perspective of the existence, relatedness, and growth theory. International Journal of Nursing Sciences, 7(2), 157-160. https://doi.org/10.1016/j.ijnss.2020.04.002
• Zhang, C., Gu, J., Chen, Q., Deng, N., Li, J., Huang, L., & Zhou, X. (2020). Clinical and epidemiological characteristics of pediatric SARS-CoV-2 infections in China: A multicenter case series. PLoS Medicine, 17(6), e1003130.
• Joo, J. Y., & Liu, M. F. (2021). Nurses’ barriers to caring for patients with COVID‐19: a qualitative systematic review. International Nursing Review, 68(2), 202-213. https://doi.org/10.1111/inr.12648