Covid-19 Pandemisinde Hemşirelik Süreci

Tüm dünyayı etkisi altına alan COVID-19 pandemisi hem tanı almış hem de risk durumundaki bireylerde etkili ve kapsamlı bakım ve tedavi gerektirmektedir. Sağlık bakım sisteminin her basamağında yer alan ve COVID-19 pandemisinin etkili bir şekilde yürütülmesinde oldukça önemli rolü olan hemşirelerin hümanistik ve holistik bakış açısıyla bireylerin bakımını sağlamaları ve sürdürmeleri büyük önem taşımaktadır. Bu süreçte, hemşirelerin bakım uygulamalarına rehberlik edebilecek, yapılandırılmış zihinsel modellere dayanan klinik akıl yürütme ve karar verme becerilerini kullanabilecekleri hemşirelik sürecinde uygun rehberlerin ve sınıflama sistemlerinin kullanılması önerilmektedir. Bu derlemede, hemşirelerin COVID-19 tanısı almış ve risk altındaki bireylere bakım verirken, hemşirelik sürecinin hemşirelik tanısı belirleme ve planlama aşamalarında kullanabilecekleri rehberlere yer verilmesi amaçlanmaktadır.

Anahtar Kelimeler:

Covid-19, hemşirelik süreci, hemşirelik tanıları, hemşirelik girişimleri, hemşirelik sonuçları, COVID-19, nursing interventions, nursing outcomes

Nursing Process in the Covid-19 Pandemic

The COVID-19 pandemic, which affects the whole world, requires effective and comprehensive care and treatment in both diagnosed and at risk individuals. It is of great importance that nurses, who are at every step of the health care system and have a very important role in the effective execution of the COVID-19 pandemic, provide and maintain care of individuals with a humanistic and holistic perspective. In this process, it is recommended to use appropriate guides and classification systems in the nursing process, where nurses can use clinical reasoning and decision-making skills based on structured mental models to guide care practices. In this review, it is aimed to include guidelines that nurses can use in the nursing diagnosis and planning stages of the nursing process while providing care to individuals diagnosed with COVID-19 and at risk.

Keywords:

Covid-19, nursing process, nursing diagnosis, COVID-19, nursing interventions, nursing outcomes,

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Acaroğlu R, Kaya H, (Eds). (2018). Hemşirelik Tanıları Tanımlar ve Sınıflandırma 2015-2017. İstanbul: Nobel Yayın Dağıtım.
Arashiro T, Furukawa K, Nakamura A. (2020). COVID-19 in 2 persons with mild upper respiratory tract symptoms on a cruise ship, Japan. Emerging Infectious Diseases, 26(6), 1345-1348.
Barros ALBLD, Silva VMD, Santana RF, Cavalcante AMRZ, Vitor AF, Lucena ADF, et al. (2020). Brazilian nursing process research network contributions for assistance in the COVID-19 pandemic. Revista Brasileira de Enfermagem, 73.
Bulechek GM, Butcher HK, Dochterman J. (2016). Classificação das Intervenções da Enfermagem (NIC). São Paulo, Elsevier.
Çayır Y. (2020). Birinci Basamakta COVID-19 Yönetimi ve Pandemi ile Mücadelede Aile Hekimliğinin Rolü. Set T, ed. Aile Hekimliği ve COVID-19 Pandemisi. Ankara: Türkiye Klinikleri, s. 11-14.
Delgado D, Wyss Quintana F, Perez G, Sosa Liprandi A, Ponte-Negretti C, Mendoza I, et al. (2020). Personal safety during the COVID-19 pandemic: Realities and perspectives of healthcare workers in Latin America. International Journal of Environmental Research and Public Health,17(8), 2798.
Dünya Sağlık Örgütü (DSÖ) (2020). WHO coronavirus disease (COVID-19) dashboard. Erişim Tarihi: 2.12.2020, https://COVID19.who.int/table.
Erdemir F, Kav S, Yılmaz AA. (Eds). (2017). Hemşirelik Girişimleri Sınıflaması. İstanbul: Nobel Tıp Kitapevleri.
Gürhan N, Polat ÜG, Fidancı BE. (Eds). (2019). Hemşirelik Tanıları El Kitabı. Ankara: Ankara Nobel Tıp Kitapevleri.
Herdman TH, Kamitsuru S. (Eds.). (2014). NANDA International Nursing Diagnoses: Definitions & Classification, 2015–2017. Oxford: Wiley Blackwell.
Holshue ML, DeBolt C, Lindquist S, Lofy KH., Wiesman J, Bruce H, et al. (2020). First Case of 2019 novel coronavirus in the United States. The New England Journal of Medicine, 382, 929–936.
Huang J, Cheng A, Lin S, Zhu Y, Chen G. (2020). Individualized prediction nomograms for disease progression in mild COVID-19. Journal of Medical Virology, 2 (10), 2074-2080.
Kaya, N. (2019). Hemşirelik Süreci-Hemşirelik Tanılaması. Aştı T, Karadağ A, editörler. Hemşirelik Esasları Bilgiden Uygulamaya: Kavramlar-İlkeler – Beceriler. İstanbul: Akademi Yayınları. s. 104.
Lai J, Ma S, Wang Y, Cai Z, Hu J, Wei N, et al. (2020). Factors associated with mental health outcomes among health care workers exposed to coronavirus disease 2019. JAMA Network Open, 3(3), e203976.
Lechien JR, Chiesa‐Estomba CM, Place S, Van Laethem Y, Cabaraux P, Mat Q, et al. (2020). Clinical and epidemiological characteristics of 1420 european patients with mild-to-moderate coronavirus disease. Journal of Internal Medicine, 288(3), 335-344.
Li Q, Guan X, Wu P, Wang X, Zhou L, Tong Y, et al. (2020). Early transmission dynamics in Wuhan, china, of novel coronavirus-ınfected pneumonia. The New England Journal of Medicine, 382 (13), 1199-1207.
Mahase E. (2020). China Coronavirus: WHO Declares international emergency as death toll exceeds 200. BMJ, 31, 368, m408.
Memikoğlu O, Genç V. (2020). COVID-19. Ankara: Ankara Üniversitesi Basımevi. s.17-29. Moorhead S, Johnson M, Maas M, Swanson E. (2015). Classificação dos Resultados de Enfermagem (NOC). São Paulo: Elsevier.
North America Nursing Diagnosis Association- International (NANDA-I) (2017). NANDA Nursing Diagnosis List 2018-2020. Erişim Tarihi: 15.10.2020, https://challengesandinitiatives.trubox. ca/wpcontent/uploads/sites/601/2018/12/Nanda-Nursing-diagnosis-list-2018-2020.pdf.
Park SE. (2020). Epidemiology, virology, and clinical features of severe acute respiratory syndrome - coronavirus-2 (SARS-CoV-2; Coronavirus Disease-19). Clinical and Experimental Pediatrics, 63(4), 119-124.
Pascarella G, Strumia A, Piliego C, Bruno F, Del Buono R, Costa F, et al. (2020). COVID‐19 diagnosis and management: A comprehensive review. Journal of Internal Medicine, 288(2),192-206.
Saatçi E. (2020). COVID-19 pandemisi ve sağlık çalışanları: yaşatmak mı yaşamak mı? Türkiye Aile Hekimliği Dergisi, 24(3), 153-166.
Sağlık Bakanlığı (2020). COVID-19 Bilgilendirme Sayfası, Genel Koronavirüs Tablosu. Erişim Tarihi: 2.12.2020, https://COVID19.saglik.gov.tr/TR-66935/ genel-koronavirus-tablosu.html.
Seaback WW. (2006). Nursing Process: Concepts and Application. Canada: Thomson Delmar Learning.
Selman LE, Chao D, Sowden R, Marshall S, Chamberlain C, Koffman J. (2020). Bereavement support on the frontline of COVID-19: recommendations for hospital clinicians. Journal of Pain and Symptom Management, S0885-3924(20), 30244-X.
Shi J, Li Y, Zhou X, Zhang Q, Ye X, Wu Z, et al. (2020). Lactate dehydrogenase and susceptibility to deterioration of mild COVID-19 patients: a multicenter nested case-control study. BMC Medicine, 18(1), 168.
Singhal T. (2020). A review of coronavirus disease-2019 (COVID19). The Indian Journal of Pediatrics, 87(4), 281–286.
Stoecklin SB, Rolland P, Silue Y, Mailles A, Campese C, Simondon A, et al. (2020). First cases of coronavirus disease 2019 (COVID-19) in France: surveil-lance, investigations and control measures. Eurosurveillance, 2, 2000094.
Xie J, Covassin N, Fan Z, Singh P, Gao W, Li G, et al. (2020). Association between hypoxemia and mortality in patients with COVID-19. Mayo Clinic Proceedings, 95(6), 1138-47.
Xu XW, Wu XX, Jiang XG, Xu KJ, Ying LJ, Ma CL, et al. (2020). Clinical findings in a group of patients infected with the 2019 novel coronavirus (sarscov-2) outside of Wuhan, China: Retrospective Case Series. BMJ, 368, m606.
Yang X, Yu Y, Xu J. (2020). Clinical course and outcomes of critically ill patients with sars-cov-2 pneumonia in Wuhan, china: a single-centered, retrospective, observational study. The Lancet Respiratory Medicine, 8(5),475-481.
Wu J, Liu J, Zhao X, Liu C, Wang W, Wang D, et al. (2020). Clinical characteristics of imported cases of COVID-19 in Jiangsu province: a multicenter descriptive study. Clinical Infectious Diseases, 199.