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

Year 2021, Volume: 2 Issue: 3, 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

References

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

Year 2021, Volume: 2 Issue: 3, 122 - 127, 30.12.2021

Vildan Apaydın Cırık Bahar Aksoy

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

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
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There are 40 citations in total.

Details

Primary Language Turkish
Subjects Nursing (Other)
Journal Section Research Articles
Authors

Vildan Apaydın Cırık 0000-0002-9494-7283

Bahar Aksoy 0000-0003-0466-5918

Publication Date December 30, 2021
Published in Issue Year 2021 Volume: 2 Issue: 3

Cite

APA Apaydın Cırık, V., & Aksoy, B. (2021). Hemşirelerin çocuk ve yetişkinlere COVID-19 sürecinde bakım vermeye yönelik düşünceleri. Anatolian Journal of Health Research, 2(3), 122-127. https://doi.org/10.29228/anatoljhr.52724
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