Evidence map›Paper›PMID 34554585›Full record

SynthesisJournal of advanced nursing2022

Impact of COVID-19 and other infectious conditions requiring isolation on the provision of and adaptations to fundamental nursing care in hospital in terms of overall patient experience, care quality, functional ability, and treatment outcomes: systematic review.

Rebecca Whear, Rebecca A Abbott, Alison Bethel, David A Richards, Ruth Garside, Emma Cockcroft, Heather Iles-Smith, Pip A Logan, Ann Marie Rafferty, Maggie Shepherd and 6 more

Abstract readSystematic Review
In one paragraph

Synthesis in Journal of advanced nursing, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing 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

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

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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

16 authors.

Rebecca WhearCollege of Medicine and Health, University of Exeter, Exeter, UK.ORCID https://orcid.org/0000-0002-8379-8198
Rebecca A AbbottCollege of Medicine and Health, University of Exeter, Exeter, UK.
Alison BethelCollege of Medicine and Health, University of Exeter, Exeter, UK.
David A RichardsCollege of Medicine and Health, University of Exeter, Exeter, UK.
Ruth GarsideCollege of Medicine and Health, University of Exeter, Exeter, UK.
Emma CockcroftCollege of Medicine and Health, University of Exeter, Exeter, UK.
Heather Iles-SmithSchool of Health and Society, University of Salford, Salford, UK.
Pip A LoganSchool of Medicine, University of Nottingham, Queens Medical Centre, Nottingham, UK.
Ann Marie RaffertyFaculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
Maggie ShepherdNIHR Exeter Clinical Research Facility, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK.
Holly V R SuggCollege of Medicine and Health, University of Exeter, Exeter, UK.
Anne Marie RussellCollege of Medicine and Health, University of Exeter, Exeter, UK.
Susanne CruickshankThe Royal Marsden NHS Foundation Trust, London, UK.
Susannah ToozeCollege of Medicine and Health, University of Exeter, Exeter, UK.
G J Melendez-TorresCollege of Medicine and Health, University of Exeter, Exeter, UK.
Jo Thompson CoonCollege of Medicine and Health, University of Exeter, Exeter, UK.

Funding

Department of Health and Social CareMedical Research Council MR/V02776X/1National Institute for Health ResearchUK Research and Innovation
6 · The paper itself

Abstract

aimThis systematic review identifies, appraises and synthesizes the evidence on the provision of fundamental nursing care to hospitalized patients with a highly infectious virus and the effectiveness of adaptations to overcome barriers to care.

designSystematic review. DATA SOURCES: In July 2020, we searched Medline, PsycINFO (OvidSP), CINAHL (EBSCOhost), BNI (ProQuest), WHO COVID-19 Database (https://search.bvsalud.org/) MedRxiv (https://www.medrxiv.org/), bioRxiv (https://www.biorxiv.org/) and also Google Scholar, TRIP database and NICE Evidence, forwards citation searching and reference checking of included papers, from 2016 onwards. REVIEW

methodsWe included quantitative and qualitative research reporting (i) the views, perceptions and experiences of patients who have received fundamental nursing care whilst in hospital with COVID-19, MERS, SARS, H1N1 or EVD or (ii) the views, perceptions and experiences of professional nurses and non-professionally registered care workers who have provided that care. We included review articles, commentaries, protocols and guidance documents. One reviewer performed data extraction and quality appraisal and was checked by another person.

resultsOf 3086 references, we included 64 articles; 19 empirical research and 45 review articles, commentaries, protocols and guidance documents spanning five pandemics. Four main themes (and 11 sub-themes) were identified. Barriers to delivering fundamental care were wearing personal protective equipment, adequate staffing, infection control procedures and emotional challenges of care. These barriers were addressed by multiple adaptations to communication, organization of care, staff support and leadership.

conclusionTo prepare for continuation of the COVID-19 pandemic and future pandemics, evaluative studies of adaptations to fundamental healthcare delivery must be prioritized to enable evidence-based care to be provided in future. IMPACT: Our review identifies the barriers nurses experience in providing fundamental care during a pandemic, highlights potential adaptations that address barriers and ensure positive healthcare experiences and draws attention to the need for evaluative research on fundamental care practices during pandemics.

Indexed as

COVID-19Influenza A Virus, H1N1 SubtypeHospitalsHumansPandemicsPatient Outcome AssessmentQuality of Health CareSARS-CoV-2adaptationbarrierexperiencefundamental carenursesnursingsupportsystematic review

Identifiers

PMID34554585
PMCPMC8657334

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.