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Institutional Const...
Institutional Constraints as an Obstacle for Prioritizing Nursing Interventions During the COVID-19 Pandemic—Critical Care Nurses’ Experiences
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- Engström, Åsa (author)
- Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Luleå University of Technology, Sweden
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- Fredholm, Angelica (author)
- Karolinska Institutet,Karlstads universitet,Institutionen för hälsovetenskaper (from 2013),County Council, Värmland, Sweden; Karlstad University, Sweden
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- Nordin, Anna, 1972- (author)
- Karlstads universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Department of Health Science, Faculty of Health, Science, and Technology, Karlstad University, Karlstad, Sweden,Institutionen för hälsovetenskaper (from 2013),Luleå University of Technology, Sweden; Karlstad University, Sweden
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- Andersson, Maria, 1969- (author)
- Röda Korsets Högskola,Karlstads universitet,Luleå tekniska universitet,Omvårdnad och medicinsk teknik,Swedish Red Cross University College, Huddinge, Sweden,Institutionen för hälsovetenskaper (from 2013),Hälsovetenskapliga institutionen,Luleå University of Technology, Sweden
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(creator_code:org_t)
- 2022-10-31
- 2022
- English.
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In: Sage Open Nursing. - : Sage Publications. - 2377-9608. ; 8
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Abstract
Subject headings
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- Introduction: The demands of the pandemic such as staff shortages and limited resources combined with new guidelines regarding infection control may have required the prioritizing of nursing interventions.Objectives: The aim of this study was to describe critical care nurses’ experiences of prioritizing nursing interventions for patients with COVID-19 in intensive care units (ICUs) during the pandemic.Method: A qualitative descriptive study was gathered from open-ended questions included in a cross-sectional online questionnaire. Characteristics were presented using descriptive statistics, and open-ended questions were analyzed using qualitative content analysis with an inductive approach. The study was conducted in Sweden and focused on critical care nurses working in ICUs during spring 2021 and the second year of the COVID-19 pandemic.Results: During the COVID-19 pandemic, 87% of the critical care nurses had provided orientations for new co-workers, and 52% had supervised intensive care nursing students. In all, 70 answered the question of whether they had prioritized nursing care differently during the pandemic; 86% reported that they had and 14% had not. The qualitative analysis resulted in one theme, Institutional constraints as an obstacle for nursing interventions, with three categories: Prioritizing lifesaving interventions, Performing nursing interventions less frequently, and Not able to provide the nursing care I wish to provide.Conclusion: Institutional constraints as an obstacle for nursing interventions is the overall theme. It illustrates how critical care nurses have been forced to prioritize, thereby not being able to provide the nursing interventions they wanted to do provide, and it describes their feelings in this situation. The nurses need recovery and possibilities for reflection. The organization must also recover and not only return to how it was before the pandemic but also to learn from recent events and take actions to reduce the long-term effects on staffing.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- COVID-19
- critical care
- nursing intervention
- Nursing
- Omvårdnad
- Nursing Science
Publication and Content Type
- ref (subject category)
- art (subject category)
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