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Nursing against COVID-19

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Hoy he tomado esta imagen de nuestro compañero Rubén Lorenzo, enfermero de la Gerencia de Atención Primaria de Tenerife, para contarles los resultados de una búsqueda bibliográfica exploratoria realizada con fecha de ayer en PubMed con los términos COVID-19 y Enfermería. El número de publicaciones y su contenido cambia por momentos así que probablemente la semana próxima los resultados de estas búsquedas sean bien diferentes y puede que hasta desactualizados pero a fecha de hoy les cuento...
Evidencia disponible COVID-19 y Enfermería en PubMed

Búsqueda por terminología libre COVID-19
"COVID-19"[All Fields] OR "severe acute respiratory syndrome coronavirus 2"[Supplementary Concept] OR "severe acute respiratory syndrome coronavirus 2"[All Fields] OR "2019-nCoV"[All Fields] OR "SARS-CoV-2"[All Fields] OR "2019nCoV"[All Fields] OR (("Wuhan"[All Fields] AND ("coronavirus"[MeSH Terms] OR "coronavirus"[All Fields])) AND 2019/12[PDAT] : 2030[PDAT])
1369 resultados (realizada el día 24 de marzo de 2020, 00:00 horas)


Búsqueda por términos MeSH COVID-19
"severe acute respiratory syndrome coronavirus 2"[Supplementary Concept] OR "COVID-19"[Supplementary Concept]
283 resultados (realizada el día 24 de marzo de 2020, 00:00 horas)



Búsqueda por términos MeSH COVID-19 y Enfermería
("severe acute respiratory syndrome coronavirus 2"[Supplementary Concept] OR "COVID-19"[Supplementary Concept]) AND ("Nursing"[Mesh] OR "nursing"[Subheading])
1 resultado (realizada el día 24 de marzo de 2020, 00:01 horas)



("COVID-19"[All Fields] OR "severe acute respiratory syndrome coronavirus 2"[Supplementary Concept] OR "severe acute respiratory syndrome coronavirus 2"[All Fields] OR "2019-nCoV"[All Fields] OR "SARS-CoV-2"[All Fields] OR "2019nCoV"[All Fields] OR (("Wuhan"[All Fields] AND ("coronavirus"[MeSH Terms] OR "coronavirus"[All Fields])) AND 2019/12[PDAT] : 2030[PDAT])) AND ("nursing"[Subheading] OR "nursing"[All Fields] OR "nursing"[MeSH Terms] OR "nursing"[All Fields] OR "breast feeding"[MeSH Terms] OR ("breast"[All Fields] AND "feeding"[All Fields]) OR "breast feeding"[All Fields])
28 resultados (realizada el día 24 de marzo de 2020, 00:01 horas)

Entre estos 28 resultados que son los que, a priori, más nos podrían interesar solamente se hace alusión directa a cuidados enfermeros en 4 de ellos:

- Li Z et al (2020). Vicarius traumatization in the general public, members, and non-members of medical teams aiding in COVID-19 control. Brain Behav Inmun [Epub ahead of print].
Abstract: Since December 2019, more than 79,000 people have been diagnosed with infection of the Corona Virus Disease 2019 (COVID-19). A large number of medical staff was sent to Wuhan city and Hubei province to aid COVID-19 control. Psychological stress, especially vicarious traumatization caused by the COVID-19 pandemic, should not be ignored. To address this concern, the study employed a total of 214 general public and 526 nurses (i.e., 234 front-line nurses and 292 non-front-line nurses) to evaluate vicarious traumatization scores via a mobile app-based questionnaire. Front-line nurses are engaged in the process of providing care for patients with COVID-19. The results showed that the vicarious traumatization scores for front-line nurses including scores for physiological and psychological responses, were significantly lower than those of non-front-line nurses (P < 0.001). Interestingly, the vicarious traumatization scores of the general public were significantly higher than those of the front-line nurses (P < 0.001); however, no statistical difference was observed compared to the scores of non-front-line nurses (P > 0.05). Therefore, increased attention should be paid to the psychological problems of the medical staff, especially non-front-line nurses, and general public under the situation of the spread and control of COVID-19. Early strategies that aim to prevent and treat vicarious traumatization in medical staff and general public are extremely necessary.


- Smith GD, Ng F, Ho Cheung Li W (2020). COVID-19: Emerging compassion, courage and resilience in the face of misinformation and adversity. J Clin Nurs [Epub ahead of print]. Editorial.

- Catton H (2020). Global challenges in health and health care for nurses and midwives everywhere. Int Nurs Rev 67(1):4-6.

Abstract: The next decade is likely to produce any number of global challenges that will affect health and health care, including pan-national infections such as the new coronavirus COVID-19 and others that will be related to global warming. Nurses will be required to react to these events, even though they will also be affected as ordinary citizens. The future resilience of healthcare services will depend on having sufficient numbers of nurses who are adequately resourced to face the coming challenges.

- Jin YH et al (2020). A rapid advice guideline for the diagnosis and treatment of 2019 novel coronavirus (2019-nCoV) infected pneumonia (standard version). Mil Med Res 7(1):4.

Abstract: In December 2019, a new type viral pneumonia cases occurred in Wuhan, Hubei Province; and then named "2019 novel coronavirus (2019-nCoV)" by the World Health Organization (WHO) on 12 January 2020. For it is a never been experienced respiratory disease before and with infection ability widely and quickly, it attracted the world's attention but without treatment and control manual. For the request from frontline clinicians and public health professionals of 2019-nCoV infected pneumonia management, an evidence-based guideline urgently needs to be developed. Therefore, we drafted this guideline according to the rapid advice guidelines methodology and general rules of WHO guideline development; we also added the first-hand management data of Zhongnan Hospital of Wuhan University. This guideline includes the guideline methodology, epidemiological characteristics, disease screening and population prevention, diagnosis, treatment and control (including traditional Chinese Medicine), nosocomial infection prevention and control, and disease nursing of the 2019-nCoV. Moreover, we also provide a whole process of a successful treatment case of the severe 2019-nCoV infected pneumonia and experience and lessons of hospital rescue for 2019-nCoV infections. This rapid advice guideline is suitable for the first frontline doctors and nurses, managers of hospitals and healthcare sections, community residents, public health persons, relevant researchers, and all person who are interested in the 2019-nCoV.

Respecto al total de las publicaciones encontradas (28) comentar, como resumen, que la procedencia de los autores por países era la siguiente (en un mismo artículo encontramos autores de varios países): China (23), Estados Unidos (5), Taiwán (2), España (1), Irán (1), Indonesia (1), Japón (1), Suiza (1) y Canadá (1).

La media fue de 11 autores por publicación.

Entre las revistas donde fueron publicados solo dos son revistas de Enfermería: International Nursing Review y Journal of Clinical Nursing.  


Revistas (generales):


Int J Infect Dis (5)
J Med Virol (2)
J Travel Med (2)
Lancet Psychiatry (2)
Acad Emerg Med
Anesthesiology
Ann Transl Med
Arch Acad Emerg Med
Brain Behav Immun
Infect Control Hosp Epidemiol
J Clin Med
J Microbiol Immunol Infect
Lancet Public Health
Lancet Glob Health
Lancet
Mil Med Res
Signal Transduct Target Ther
Travel Med Infect Dis
Zhejiang Da Xue Xue Bao Yi Xue Ban

  
Además, de la búsqueda exploratoria anterior realizamos una con los mismos términos en Trip Database. Este motor nos proporcionó resultados con mayor evidencia, por lo que quizás es más conveniente para la temática trabajar con este tipo de motores de búsqueda. A continuación, mostramos los resultados:


Búsqueda por terminología libre COVID-19
77 resultados (realizada el día 24 de marzo de 2020, 00:19 horas)
Tipo de evidencia disponible:
   Revisiones Sistemáticas, 2
   Sinopsis basadas en evidencia, 53
   Guías de Práctica, 18
   Investigación primaria clave, 1
   Investigación primaria, 2
   Libros de texto electrónicos, 1



Búsqueda por terminología libre COVID-19 and nursing
15 resultados (realizada el día 24 de marzo de 2020, 00:23 horas)
Tipo de evidencia disponible:
   Revisiones Sistemáticas, 1
   Sinopsis basadas en evidencia, 4
   Guías de Práctica, 8
   Investigación primaria, 1
   Libros de texto electrónicos, 1
Revisiones Sistemáticas:
COVID-19 (Novel Coronavirus) COVID-19 (Novel Coronavirus) You need to enable JavaScript to run this app. Person Subscribe for unlimited access to DynaMed content, CME/CE & MOC credit, and email alerts on content you follow. Subscribe Already subscribed? Language English Search Cancel Specialties KeyboardArrowDown 0 COVID-19 (Novel Coronavirus) List MoreVert AddCircleOutline Follow Share Share AddCircleOutline Follow Share Share General Information Description acute respiratory disease caused (...) by a novel coronavirus (SARS-CoV-2) first identified in December 2019 in Wuhan, Hubei Province, China and spreading worldwide ( ) PubMed 32123347 Nature microbiology Nat Microbiol 20200302 SARS-CoV-2 is a member of beta genus coronaviruses closely related to SARS-CoV ( ) common signs of COVID-19 include fever, cough, and shortness of breath ( ) there is no specific antiviral treatment for COVID-19, but supportive care may help to relieve symptoms and should include support of vital organ functions
Sinopsis basadas en evidencia:

1. Health workers exposure risk assessment and management in the context of COVID-19 virus 

workers in the context of COVID-19: Interim guidance -2- 2. Health worker information A. Last name: B. First name: C. Age D. Sex: ? Male ? Female ? Prefer not to answer E. City: F. Country: G. Contact details (phone number): H. Type of health care personnel: ? Medical doctor ? Physician assistant ? Registered nurse (or equivalent) ? Assistant nurse, nurse technician (or equivalent) ? Radiology /X-ray technician ? Phlebotomist ? Ophthalmologist ? Physical therapist ? Respiratory therapist (...) Health workers exposure risk assessment and management in the context of COVID-19 virus -1- Risk assessment and management of exposure of health care workers in the context of COVID-19Interim guidance 19 March 2020 Current evidence suggests that the virus that causes COVID-19 is transmitted between people through close contact and droplets. People most at risk of acquiring the disease are those who are in contact with or care for patients with COVID-19. This inevitably places health care

2020 Publication 4890984

2. Mental Health Considerations during COVID-19 Outbreak 

Mental Health Considerations during COVID-19 Outbreak 1 Mental Health and Psychosocial Considerations During COVID-19 Outbreak 12 March 2020 In January 2020 the World Health Organization (WHO) declared the outbreak of a new coronavirus disease to be a Public Health Emergency of International Concern. WHO stated there is a high risk of the 2019 coronavirus disease (COVID-19) spreading to other countries around the world. In March 2020, WHO made the assessment that COVID-19 can be characterized (...) as a pandemic. WHO and public health authorities around the world are acting to contain the COVID-19 outbreak. However, this time of crisis is generating stress in the population. These mental health considerations were developed by the WHO’s Department of Mental Health and Substance Use as messages targeting different groups to support for mental and psychosocial well-being during COVID-19 outbreak. General population 1. COVID-19 has and is likely to affect people from many countries, in many geographical

2020 Publication 4890984

3. COVID-19: Rapidly managing pneumonia in older people during a pandemic 

strategy that permits rapid access to the right antimicrobial treatment. Nursing homes could hold stocks of antibiotics for rapid deployment. Health professional confirmation could then be used to facilitate timely self-prescribing for those most at risk. Examination strategy The least amount of equipment that is clinically appropriate should be used to assess a patient who might have COVID-19. This should include a pulse oximeter, a thermometer, and a stethoscope. The ‘eyeball’ test, incorporating (...) COVID-19: Rapidly managing pneumonia in older people during a pandemic Rapidly managing pneumonia in older people during a pandemic - CEBM CEBM The Centre for Evidence-Based Medicine develops, promotes and disseminates better evidence for healthcare. Navigate this website Rapidly managing pneumonia in older people during a pandemic Carl Heneghan, Jeff Aronson, Kamal Mahtani Rationale The current has highlighted the risk faced by older adults, who are more susceptible to complications, including

2020 Oxford COVID-19 Evidence Service

4. Finding the evidence: Coronavirus 

with the latest advice, guidance, and research about COVID-19 (formerly referred to as 2019 Novel Coronavirus or 2019-nCov ): Public Health England is publishing daily updates about the status of COVID-19 in the UK, at 2pm, and these updates are available . COV-ID Alert – PHE Knowledge and Library Service PHE Knowledge and Library Services produce a daily alert containing links to research and news on the latest coronavirus outbreak. If you would like to receive this email alert, which contains latest (...) research articles and news from government departments, please contact. Information specifically for UK health professionals This information has been produced for health professionals in the UK: Public Health England PHE has produced a series of guidance: – information on COVID-19, including guidance on the assessment and management of suspected UK cases. – including general precautions for staff and guidance on the assessment and managem ent of arrivals into the UK. – for schools and other

2020 Public Health England

Guías de Práctica:

1. Novel coronavirus (COVID-19) guidance for primary care providers in community setting 

Novel coronavirus (COVID-19) guidance for primary care providers in community setting 1 | Pa g e Ministry of Health Novel Coronavirus (COVID-19) Guidance for Primary Care Providers in a Community Setting Version 2.1 – February 11, 2020 This fact sheet provides basic information only. It is not intended to take the place of medical advice, diagnosis or treatment. There are a range of capabilities among primary care settings in Ontario and this document reflects a number of options that primary (...) care providers may take depending on their capacity to safely use N95 respirators (fit test, training, supplies available) for patient examination and collection of specimens, as is recommended at this time. What you need to know 1. All primary care settings should follow Routine Practices (routine precautions) plus droplet and contact precautions. 2. All primary care settings should undertake active screening (asking questions) and passive screening (signage) of patients for COVID-19 and develop

2020 CPG Infobase

2. Infection prevention and control for novel coronavirus (COVID-19): interim guidance for acute healthcare settings 

be minimized to those who are essential (e.g., immediate family member or parent, guardian, or primary caregiver), and limit their movement within the facility by visiting the patient directly and exiting the facility directly after their visit. Visitors should be screened and managed if they have. Visitors should be instructed to speak with a nurse or physician before entering the room of a patient on contact and droplet precautions for COVID-19 to assess the risk to the visitor’s health and ability (...) Infection prevention and control for novel coronavirus (COVID-19): interim guidance for acute healthcare settings Infection prevention and control for coronavirus disease (COVID-19): Interim guidance for acute healthcare settings - Canada.ca Language selection Search Search Canada.ca Search Menu Main Menu You are here: Infection prevention and control for coronavirus disease (COVID-19): Interim guidance for acute healthcare settings Table of Contents Introduction The Public Health Agency

2020 CPG Infobase

3. Prince Edward Island guidelines for the management and control of COVID-19 

for 14 days or until laboratory tests have been reported negative. Those who are identified as a contact of a confirmed case will be instructed to self-isolate and be monitored for 14 days (Appendix D). 9 To be completed by Public Health Nursing. COVID-19 March 4, 2020 Self-Isolating in the Home Setting The case or person under investigation (PUI) should isolate themselves in the home setting until advised by the Chief Public Health Office (CPHO) that isolation can be discontinued. Staying at home (...) Prince Edward Island guidelines for the management and control of COVID-19 Prince Edward Island Guidelines for the Management and Control of COVID-19 March 2020 Updated: March 4, 2020 COVID-19 March 4, 2020 Contents Case Definition (1) 3 Person Under Investigation (PUI) 3 Confirmed Case 3 Probable Case 3 Exposure Criteria 4 Reporting Requirements 4 Etiology (4) 5 Clinical Presentation 5 Diagnosis 6 Epidemiology 6 Occurrence 6 Control (Appendix B) 7 Person Under Investigation (PUI) 7 Management

2020 CPG Infobase

4. Coronavirus (COVID-19) Infection in Pregnancy 

, then care in labour should ideally continue in the same isolation room. The following considerations apply to women in spontaneous or induced labour: 3.6.2 Care in labour • When a woman with COVID-19 is admitted to the Delivery Suite, the following members of the multi-disciplinary team should be informed: consultant obstetrician, consultant 16 anaesthetist, midwife-in-charge, consultant neonatologist and neonatal nurse in charge • Efforts should be made to minimise the number of staff members entering (...) Coronavirus (COVID-19) Infection in Pregnancy 1 Information for healthcare professionals Version 1: Published Monday 9 March, 2020 Coronavirus (COVID-19) Infection in Pregnancy2 Table of contents Introduction 3-5 Advice for health professionals to share with pregnant women 7-9 Advice for services caring for women with suspected or confirmed COVID-19 11-23 Advice for services caring for women following recovery from confirmed COVID-1925 Acknowledgements 26 Flow chart to assess COVID-19 risk

2020 Royal College of Obstetricians and Gynaecologists

5. Cross-skill training for pandemic COVID-19 

Cross-skill training for pandemic COVID-19 Cross-skilling guidance — ICM Anaesthesia COVID-19 Open Menu Close Menu ). We must all look after each other (see ). Personnel Although initially aimed at anaesthetists there will be others who can help with the management of the critically ill during the pandemic. In general the skillset that members of staff can bring to these patients and not their current job/grade/title should be reviewed. Previous critical care experience should be actively (...) . It is acknowledged that a number of doctors will have had these skills in the past but may not have used them for some time. Refresher training as outlined in this document aims to address this issue Overview A short overview video of management of COVID-19, and general ICU principles for non-intensivists has been produced in Cambridge by Training checklists Local checklists should be developed to ensure that all staff have had enough training prior to involvement in care of the critically ill during the COVID

2020 ICM Anaesthesia COVID-19

6. COVID-19 Intubation Checklist 

COVID-19 Intubation Checklist COVID-19 Intubation Checklist Clean Space Pre-check (ICU) Consultant, nurse in charge and intubation team ? Name check and assign roles (Most experienced intubator available). ? Pockets empty check ? Discuss and prepare (full) PPE appropriate for intubation team ? Tick content of intubation boxes ? Discuss and draw intubation drugs ? Discuss intubation plan and escalation strategy in failure to intubate ? Route to ICU arranged DON Kit and Make Ready (Outside (...) ? Consider insertion of NG tube in the room ? FFP3 facemask to remain in situ ? Remove visor, gown and gloves and put new plastic gloves and plastic gown ready for the transfer ? Cover the patient with the clear plastic drape ? The runner needs to prepare the route to ICU and alert the intubation team using thumbs up when ready to transfer ? Start the transfer unless agreed differently with ICU nurse in charge at the clean space pre-check meeting ? Document any problems or suggestions at the back

2020 ICM Anaesthesia COVID-19

7. COVID-19 Airway Management Principles 

COVID-19 Airway Management Principles Airway management — ICM Anaesthesia COVID-19 Open Menu Close Menu Airway management: SAS Safe – for staff and patient. Accurate – avoiding unreliable, unfamiliar or repeated techniques. Swift – timely, without rush or delay. Summary for emergency tracheal intubation of COVID-19 patient Tracheal intubation of the patient with COVID-19 a high-risk procedure for staff, irrespective of the clinical severity of disease. In severe COVID-19 is it also a high risk (...) procedure for the patient Limit staff present at tracheal intubation: one intubator, one assistant and one to administer drugs/monitor patient. Create a COVID-19 tracheal intubation trolley that can be used in ICU or elsewhere. PPE is effective and must be worn. Wear full PPE at all times. Consider double gloving. Defog goggles and/or eye wear if possible. Touch as little as possible in the room to avoid fomites. Intubation should take place in a negative pressure room with >12 air changes per minute

2020 ICM Anaesthesia COVID-19

8. Canadian Critical Care Society clinical practice guideline: the use of vasopressin and vasopressin analogues in critically ill adults with distributive shock 

Canadian Critical Care Society clinical practice guideline: the use of vasopressin and vasopressin analogues in critically ill adults with distributive shock Canadian Critical Care Society clinical practice guideline: The use of vasopressin and vasopressin analogues in critically ill adults with distributive shock | SpringerLink Springer Nature is making SARS-CoV-2 and COVID-19 research free. | | Search Search SpringerLink Search Canadian Critical Care Society clinical practice guideline (...) Kirsten Fiest PhD School of Nursing, McMaster University, Hamilton, ON, Canada Donna Grey & Edita Hajdini RN Department of Medicine, Toronto General Hospital/University Health Network, and Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada Margaret Herridge MD, MSc Section of Critical Care, Department of Medicine, and Department of Emergency Medicine, University of Manitoba, Winnipeg, MB, Canada Carmen Hrymak MD Department of Intensive Care, Copenhagen

2020 CPG Infobase

Investigación primaria

1. Video consultations: a guide for practice 

Video consultations: a guide for practice Video consultations: a guide for practice Trisha Greenhalgh, on behalf of the IRIHS research group at the University of Oxford, with input from Clare Morrison of Scottish Government Technology Enabled Care Programme and Professor Gerald Koh Choon Huat from National University of Singapore Summary COVID-19 creates an unprecedented situation. Many GP practices are considering introducing video consultations as a matter of urgency to reduce risk (...) less than 8 seconds before taking the next breath, hypoxia is likely. 6 9 References 1. Greenhalgh T, Wherton J. Greenhalgh T, Wherton J. Evaluation of Attend Anywhere in Scotland 2019-20. . Oxford: Nuffield Department of Primary Care Health Sciences, March 2020. 2020. 2. Greenhalgh T, Wherton J, Shaw S, et al. Video consultations for covid-19: British Medical Journal Publishing Group, 2020. 3. Seuren LM, Wherton J, Greenhalgh T, et al. Physical Examinations via Video for Patients With Heart

2020 The British Journal of General Practice

Libros de texto electrónicos

1. 2019–20 coronavirus pandemic 

Map of total reported cases as of 16 March 2020 10,000+ reported cases 1,000–9,999 reported cases 100–999 reported cases 10–99 reported cases 1–9 reported cases (clockwise from top) Hospitalised patients in , Iran Disinfection vehicles in Emptied shelves in an Australian supermarket due to Health checks at outbreak task force Disease (COVID-19) Virus strain (SARS-CoV-2) Location Worldwide ( ); current centre First case , Hubei, China Date 1 December 2019–present (3 months and 2 weeks) Confirmed (...) cases 184,000+ Recovered 79,000+ Deaths 7,100+ Territories 160+ The 2019–20 coronavirus pandemic is an ongoing of (COVID-19) caused by (SARS-CoV-2). The outbreak was first identified in , , China, in December 2019 and recognised as a pandemic by the (WHO) on 11 March 2020. As of 16 March, more than 184,000 cases of the disease have been reported in over 160 countries and territories, resulting in more than 7,100 deaths and around 79,000 recoveries. Regions affected by major outbreaks include

2020 Wikipedia



Lógicamente, y lo advertimos de nuevo, se trata de una búsqueda muy básica, dado que habrá que introducir nuevos términos que también arrojan resultados como "nurses". No obstante, y debido a la emergencia que ha producido esta crisis sanitaria por COVID-19 en todos los países del mundo, es lógico y normal que apenas existan aún resultados que relacionen el coronavirus con los cuidados enfermeros puesto que son estos profesionales quienes se encuentran en primera línea de asistencia ante el problema.



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