Case Care of Twin Newborns Diagnosed with COVID-19: Nursing Process and Concept Map

Yıl 2021, Cilt: 2 Sayı: 1, 45 - 54, 30.06.2021

Nisa Nur Demir Bedriye Ak

Öz

COVID-19 has emerged as a highly contagious disease spreading rapidly and causing a pandemic
worldwide. The risk factors in newborns include immaturity of the immune system, the possibility
of vertical transition, the likelihood of perinatal contact through feces or urine during vaginal
delivery, and close contact with the mother infected asymptomatically. It is very crucial to manage
both treatment and care process in patients diagnosed with COVID-19. In successfully managing a
COVID-19 case, neonatal intensive care nurses should provide optimal care by making use of
critical thinking — also known as a scientific method of problem solving — in addition to the routine
nursing process during the care for newborns. Neonatal intensive care nurses plan, implement and
evaluate holistic care in COVID-19 as well. The use of concept maps, one of the critical thinking
methods, together with the nursing process contributes to fully meeting the care needs. This case
report summarizes the nursing diagnoses that can be addressed in the nursing care of premature neonates diagnosed with COVID-19 with a
concept map. Any interventions and evaluations regarding each nursing diagnosis are also included.
In the present case, the combination of nursing processes and concept map has proved useful to
facilitate the planning of care by providing a holistic perspective in determining, satisfying and
evaluating care needs.

Anahtar Kelimeler

COVİD-19, newborn, nurses process, Concept map, nursing care

Kaynakça

• [1] T.C. Sağlık Bakanlığı,’’ COVID-19 (SARS-CoV-2 enfeksiyonu) genel bilgiler, epidemiyoloji ve tani’’, Bilimsel Danışma Kurulu Çalışması, 7 Aralık 2020, Ankara.Erişim tarihi:20 Mayıs2021 https://covid19.saglik.gov.tr/Eklenti/39551/0/covid19rehberigenelbilgilerepidemiyolojivetanipdf.pdf
• [2] Coronavirus disease 2019 (COVID-19): Epidemiology, Virology, Clinical features, Diagnosis, and Prevention, UpToDate, Mayıs 2021 https://www.uptodate.com/contents/coronavirus-disease2019-covid19-epidemiology-virology-clinical-featuresdiagnosis-and-prevention/print.
• [3] L.Sandee, ‘’ Clinical concept maps in nursing education: An effective way to link theory and practice’’, Nurse Education in Practice, vol.5, no.1, pp.348 -352, 2005.
• [4] Türk Neonatoloji Derneği, ‘’Covid-19 (SARS-CoV2) Enfeksiyonu veya şüphesi olan yenidoğan bebeklere neonatal ve perinatal dönemde yaklaşim önerileri’’, Eylül 2020, Ankara.Erişim Tarihi: 13.09.2020 https://www.neonatology.org.tr/storage/2020/04/Untit led-attachment-00052.pdf
• [5] D. Salinas, F. Leon, et al. ‘’Vertical Transmission of COVİD-19 in children of sero-positive mothers to SARS-CoV-2 in Southeast Mexico: A Case Report’,Respiratory Case Reports,vol.10,no.1,pp.1-7,2021.
• [6] F. Zhou,T. Yu,R. Du, et al. ‘’ Clinical course and risk factors for mortality of adult inpatients with COVID19 in Wuhan, China: a retrospective cohort study’’,Lancet,vol.395,pp.1054-1062,2020.
• [7] L. Wang, et al. ‘’Chinese expert cosensus on the perinatal and neonatal management for the prevention and control of the 2019 novel coronavirüs infection (first edition)’’. Annals of Translational Medicine,vol.8,no.3,pp.47.2020.
• [8] Y. Sökmen, ‘’COVID-19 pandemisinde yenidoğan ve ebelik yaklaşımı’’, Ebelik ve Sağlık Bilimleri Dergisi, vol. 4, no.1, pp.56-65.2020.
• [9] B. Ak,“Hemşirelik Süreci’’,Pediatri Hemşireliği,pp.949-952, 2013.
• [10]. E. Constance ,R. Young, ‘’Intuition and nursing process’’. Holistic Nursing Practice, Mayıs 1987.
• [11] D. Olmaz, P. Karakurt, ‘’Hemşirelerin bakım verirken hemşirelik sürecini bilme ve uygulama durumları’’, DEUHFED, vol.12, no.1, pp.3-14, 2019.
• [12] M. T. Erer, M. Akbaş, G.Yıldırım,’’ Hemşirelik sürecinin evrimsel gelişimi hemşirelik süreci’’,Lokman Hekim Dergisi,vol.7,pp.1-5.2017.
• [13] A. Tunam, ‘’ Hemşirelik öğretiminde kullanilan kavram haritasi ve video çekme yöntemlerine yönelik öğrencilerin memnuniyeti’’, İnsan ve Toplum Bilimleri Araştırma Dergisi, vol.6, no.3, pp.1863-1875.2017.
• [14] S. Atay, Ü. Karabacak, ‘’Care Plans Using Concept Maps And Their Effects On The Critical Thinking Dispositions Of Nursing Students’’ ,International Journal of Nursing Practice,vol.18,no.3,pp.233- 239,2012.
• [15] C. Öztürk, G. Karayağız, ‘’Teori ile uygulama arasında yeni bir köprü: kavram haritası’’, C.Ü. Hemşirelik Yüksekokulu Dergisi,vol.10,no.1,pp.3-10,2006.
• [16] J. D. Novak, A. J. Cañas,’’The theory underlying concept maps and how to construct and use them’’, 2008, Erişim: 13 mayıs 2021, http://cmap.ihmc.us/Publications/Research Papers/TheoryUnderlyingConceptMaps.pdf
• [17] B. Bektüzün, M. Yel, ‘’Canlıların sınıflandırılması ve biyolojik çeşitlilik konusunun kavram haritası ile öğretimin 9. sınıf öğrencilerinin akademik başarılarına etkisi’’, Gazi Üniversitesi Gazi Eğitim Fakültesi Dergisi, vol.39,no.1,pp. 91-113.2019.