Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Evaluation of Nursing Care Plans of Patients Monitored in the Intensive Care Unit with the Diagnosis of COVID-19:A Retrospective Study
Yoğun Bakım Ünitesinde COVID-19 Tanısı ile İzlenen Hastaların Hemşirelik Bakım Planlarının Değerlendirilmesi: Retrospektif Çalışma
Handan ERENa
aDepartment of Nursing, Yalova University Health Sciences Faculty, Yalova, Türkiye
Turkiye Klinikleri J Nurs Sci. 2023;15(2):395-402
doi: 10.5336/nurses.2022-94392
Article Language: EN
Full Text
ABSTRACT
 Objective: This study aimed to examine electronic nursing care plans for patients who received treatment due to the diagnosis of coronavirus disease-2019 (COVID-19) in the intensive care units of a hospital. Material and Methods: The sample of this descriptive and retrospective study consisted of the electronic nursing care plans of 429 patients who received treatment due to the diagnosis of COVID-19 in the intensive care units of a hospital between 15 March, 2020 and 15 March, 2022. Data were collected between June and July 2022 using a descriptive characteristics form, a patient care plan evaluation form, and the quality measurement tool for nursing diagnosis, interventions, and outcomes. Results: The nurses were found to use 27 different nursing diagnoses in their care plans and they mostly preferred the nursing diagnoses of risk for infection (n=608), risk for ineffective breathing pattern (n=282), and risk for ımpaired oral mucous membrane integrity (n=233). The nurses labeled 87.66% of the nursing diagnosis correctly and identified 72.78% of the related factors and descriptive characteristics and 58.04% of the goals at an adequate level, 74.77% of the nursing interventions feasibly, and 47.26% of the evaluation at an adequate level. The mean score of the nurses for the quality measurement tool for nursing diagnosis, interventions, and outcomes was 51.82±6.89. Conclusion: It was seen that the nurses were sufficient in the electronic nursing process they prepared for the patients treated with the diagnosis of COVID-19, except for the evaluation, and the quality of the nursing process was above the average. It is recommended to provide training to nurses, especially for the evaluation stage of the nursing process.

Keywords: COVID-19; intensive care unit; nursing care planning; nursing process
ÖZET
 Amaç: Bu çalışma, bir hastanenin yoğun bakım ünitesinde koronavirüs hastalığı-2019 [coronavirus disease-2019 (COVID-19)] tanısı ile tedavi görmüş hastaların elektronik hemşirelik bakım planlarının incelenmesi amacıyla yürütülmüştür. Gereç ve Yöntemler: Tanımlayıcı ve retrospektif türde yürütülen çalışmanın örneklemini, 15 Mart 2020-15 Mart 2022 tarihleri arasında yoğun bakım ünitelerinde COVID-19 tanısı ile tedavi görmüş 429 hastanın elektronik hemşirelik bakım planları oluşturdu. Veriler, tanımlayıcı özellikler formu, hasta bakım planı değerlendirme formu, hemşirelik tanıları, girişimleri ve sonuçları için kalite ölçüm aracı ile Haziran-Temmuz 2022 tarihleri arasında toplandı. Bulgular: Hemşirelerin bakım planlarında 27 farklı hemşirelik tanısı kullandıkları, en çok enfeksiyon riski (n=608), solunum fonksiyonlarında etkisizlik riski (n=282) ve oral mukoz membranda bozulma riski (n=233) hemşirelik tanılarını tercih ettikleri görüldü. Hemşirelik tanı etiketlerinin %87,66'sının doğru, ilişkili olduğu faktör ve tanımlayıcı özelliklerin %72,78'i ve hedeflerin %58,04'ünün yeterli, hemşirelik girişimlerinin %74,77'sinin uygun ve değerlendirmenin %47,26'sının yeterli olduğu belirlendi. Hemşirelik tanıları, girişimleri ve sonuçları için kalite aracı puan ortalamasının 51,82±6,89 olduğu saptandı. Sonuç: Hemşirelerin COVID-19 tanısı ile tedavi gören hastalar için hazırladıkları elektronik hemşirelik sürecinde, değerlendirme dışındaki aşamalarda yeterli oldukları ve hemşirelik süreci kalitesinin ortalamanın üzerinde olduğu görüldü. Hemşirelere, hemşirelik sürecinin özellikle değerlendirme aşamasına yönelik eğitimlerin planlanması önerilmektedir.

Anahtar Kelimeler: COVID-19; yoğun bakım üniteleri; hemşirelik bakım planı; hemşirelik süreci
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