Evidence map›Paper›PMID 34039574›Full record

ArticleBMJ open2021

COVID-NURSE: evaluation of a fundamental nursing care protocol compared with care as usual on experience of care for noninvasively ventilated patients in hospital with the SARS-CoV-2 virus-protocol for a cluster randomised controlled trial.

David A Richards, Holly Vr Sugg, Emma Cockcroft, Joanne Cooper, Susanne Cruickshank, Faye Doris, Claire Hulme, Phillipa Logan, Heather Iles-Smith, G J Melendez-Torres and 21 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

31 authors.

David A RichardsInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK D.A.Richards@exeter.ac.uk.ORCID 0000-0002-8821-5027
Holly Vr SuggInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Emma CockcroftInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Joanne CooperNottingham University Hospitals NHS Trust, Nottingham, UK.
Susanne CruickshankRoyal Marsden NHS Foundation Trust, London, UK.
Faye DorisInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Claire HulmeInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Phillipa LoganCommunity Health Sciences, University of Nottingham, Nottingham, UK.
Heather Iles-SmithUniversity of Salford, Salford, UK.
G J Melendez-TorresInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Anne Marie RaffertyFlorence Nightingale School of Nursing and Midwifery, King's College London, London, UK.
Nigel ReedInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Anne-Marie RussellAcademy of Nursing, College of Medicine and Health, University of Exeter, Exeter, UK.ORCID 0000-0002-0468-3537
Maggie ShepherdNIHR Clinical Research Facility, University of Exeter, Exeter, UK.ORCID 0000-0003-2660-0955
Sally J SinghCardiac/Pulmonary Rehabilitation, Leicester Royal Infirmary, Leicester, UK.
Jo Thompson CoonInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.ORCID 0000-0002-5161-0234
Susannah ToozeAcademy of Nursing, College of Medicine and Health, University of Exeter, Exeter, UK.
Stephen WoottonInsitute of Human Nutrition, University of Southampton, Southampton, UK.
Rebecca AbbottInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.ORCID 0000-0003-4165-4484
Alison BethelInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Siobhan CreanorClinical Trials Unit, University of Exeter, Exeter, UK.
Lynne QuinnClinical Trials Unit, University of Exeter, Exeter, UK.
Harry TrippClinical Trials Unit, University of Exeter, Exeter, UK.
Fiona C WarrenInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Rebecca WhearInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Jessica BollenClinical Trials Unit, University of Exeter, Exeter, UK.
Harriet A HuntInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.ORCID 0000-0003-1254-0568
Merryn KentInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Leila MorganAcademy of Nursing, College of Medicine and Health, University of Exeter, Exeter, UK.
Naomi MorleyInstitute for Health Research, College of Medicine and Health, University of Exeter, Exeter, UK.
Lidia RomanczukNIHR Clinical Research Facility, University of Exeter, Exeter, UK.

Funding

Medical Research Council MR/V02776X/1
6 · The paper itself

Abstract

introductionPatient experience of nursing care is correlated with safety, clinical effectiveness, care quality, treatment outcomes and service use. Effective nursing care includes actions to develop nurse-patient relationships and deliver physical and psychosocial care to patients. The high risk of transmission of the SARS-CoV-2 virus compromises nursing care. No evidence-based nursing guidelines exist for patients infected with SARS-CoV-2, leading to potential variations in patient experience, outcomes, quality and costs. METHODS AND ANALYSIS: we aim to recruit 840 in-patient participants treated for infection with the SARS-CoV-2 virus from 14 UK hospitals, to a cluster randomised controlled trial, with embedded process and economic evaluations, of care as usual and a fundamental nursing care protocol addressing specific areas of physical, relational and psychosocial nursing care where potential variation may occur, compared with care as usual. Our coprimary outcomes are patient-reported experience (Quality from the Patients' Perspective; Relational Aspects of Care Questionnaire); secondary outcomes include care quality (pressure injuries, falls, medication errors); functional ability (Barthell Index); treatment outcomes (WHO Clinical Progression Scale); depression Patient Health Questionnaire-2 (PHQ-2), anxiety General Anxiety Disorder-2 (GAD-2), health utility (EQ5D) and nurse-reported outcomes (Measure of Moral Distress for Health Care Professionals). For our primary analysis, we will use a standard generalised linear mixed-effect model adjusting for ethnicity of the patient sample and research intensity at cluster level. We will also undertake a planned subgroup analysis to compare the impact of patient-level ethnicity on our primary and secondary outcomes and will undertake process and economic evaluations. ETHICS AND DISSEMINATION: Research governance and ethical approvals are from the UK National Health Service Health Research Authority Research Ethics Service. Dissemination will be open access through peer-reviewed scientific journals, study website, press and online media, including free online training materials on the Open University's FutureLearn web platform. TRIAL REGISTRATION NUMBER: ISRCTN13177364; Pre-results.

Indexed as

COVID-19SARS-CoV-2HospitalsHumansRandomized Controlled Trials as TopicRespiration, ArtificialState MedicineTreatment Outcomeclinical trialsCOVID-19infectious diseasesprotocols & guidelines

Identifiers

PMID34039574
PMCPMC8159671

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.