پیامدهای همه‌گیری کووید- 19: چالش‌های پرستاران در مراقبت از کودکان

نوع مقاله : مروری

نویسندگان

1 دانشجوی دکترا، گروه کودک و نوزاد، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد ایران

2 استاد، گروه داخلی جراحی، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

زمینه و هدف: با توجه به همه­ گیری کووید-19 پرستاران اطفال در مراقبت از کودکان با چالش­هایی رو­به ­رو شده ­اند که می­تواند بر روی ارائه مراقبت ­های موثر و با کیفیت تاثیر­گذار باشد. این مطالعه با هدف شناسایی چالش­های پرستاری اطفال در مواجهه با کووید-19 انجام شد.
روش­کار: این مطالعه، یک مرور یکپارچه از مطالعات دربازه زمانی (2021-2019) است. پایگاه داده­ های PubMed ، Embase، ProQuest ،Science Direct ، Google Scholar با استفاده از کلید واژه­های covid-19 ، SARS-COV-2 ، pediatric nursing، adolescence، child، practitioner، childhood، nurse practitioner، coronavirus infection، pandemics جستجو انجام شد. در این مطالعه تنها مطالعات به زبان انگلیسی وارد شدند. 
یافته ها: در نهایت 11 مطالعه وارد این مرور شد که چالش­های پیش روی پرستاران اطفال را می­توان در هشت دسته انتقال بیماری، کمبودها، جابجایی، کاهش میزان واکسیناسیون، ماسک و کاهش ارتباطات، مشکلات روانی کودکان، پرستاران اطفال و تزریق واکسن کووید-19 و آموزش طبقه بندی نمود.
نتیجه گیری: پاندمی کووید-19، پرستاری اطفال را در سراسر جهان با چالش­ های متعددی مواجه کرده است؛ لذا جهت رفع این چالش­ ها و حمایت از پرستاران، مدیران می­توانند با برنامه ­ریزی صحیح در راستای مدیریت منابع و تکیه بر آموزش، راه­کارهای مقابله ­ای موثری را در سطوح مختلف ارائه دهند.

کلیدواژه‌ها


  1. Góes FGB, Silva ACSSd, Santos ASTd, Pereira-Ávila FMV, Silva LJd, Silva LFd. Challenges faced by pediatric nursing workers in the face of the COVID-19 pandemic. Revista latino-americana de enfermagem. 2020;28.
  2. Shi Y, Wang J, Yang Y, Wang Z, Wang G, Hashimoto K, et al. Knowledge and attitudes of medical staff in Chinese psychiatric hospitals regarding COVID-19. Brain, Behavior, & Immunity-Health. 2020;4:100064.
  3. Dalton L, Rapa E, Stein A. Protecting the psychological health of children through effective communication about COVID-19. The Lancet Child & Adolescent Health. 2020;4(5):346-7.
  4. Lima CMAdO. Information about the new coronavirus disease (COVID-19). SciELO Brasil; 2020. p. V-VI.
  5. Ludvigsson JF. Systematic review of COVID‐19 in children shows milder cases and a better prognosis than adults. Acta Paediatrica. 2020;109(6):1088-95.
  6. Fallon D, McGhee K, Davies J, MacLeod F, Clarke S, Sinclair W. Capturing the Impact of the COVID-19 Pandemic on Children’s Nursing. Comprehensive Child and Adolescent Nursing. 2020;43(3):166-70.
  7. Stokes‐Parish J, Elliott R, Rolls K, Massey D. Angels and Heroes: The Unintended Consequence of the Hero Narrative. Journal of Nursing Scholarship. 2020.
  8. Horton R. Offline: the UK's child health emergency. The Lancet. 2018;392(10142):106.
  9. Nathiya D, Singh P, Suman S, Raj P, Tomar BS. Mental health problems and impact on youth minds during the COVID-19 outbreak: Cross-sectional (RED-COVID) survey. Social Health and Behavior. 2020;3(3):83.
  10. Fry-Bowers EK. Children are at risk from COVID-19. Journal of pediatric nursing. 2020;53:A10.
  11. Liguoro I, Pilotto C, Vergine M, Pusiol A, Vidal E, Cogo P. The impact of COVID-19 on a tertiary care pediatric emergency department. European journal of pediatrics. 2021;180(5):1497-504.
  12. Broome ME. Integrative literature reviews for the development of concepts. Concept development in nursing: foundations, techniques and applications Philadelphia (USA): WB Saunders Company. 2000:231-50.
  13. Simba J, Sinha I, Mburugu P, Agweyu A, Emadau C, Akech S, et al. Is the effect of COVID‐19 on children underestimated in low‐and middle‐income countries? Acta Paediatrica. 2020;109(10):1930-1.
  14. Sankar J, Dhochak N, Kabra S, Lodha R. COVID-19 in children: clinical approach and management. The Indian Journal of Pediatrics. 2020;87(6):433-42.
  15. Bressan S, Buonsenso D, Farrugia R, Oostenbrink R, Titomanlio L, Roland D, et al. Preparedness and response to Pediatric CoVID-19 in European Emergency Departments: a survey of the REPEM and PERUKI networks. Annals of emergency medicine. 2020;76(6):788-800.
  16. Walker DM, Tolentino VR. COVID-19: the effects on the practice of pediatric emergency medicine. Pediatr Emerg Med Pract. 2020;17(suppl 6–3):1-15.
  17. Chu DK, Akl EA, Duda S, Solo K, Yaacoub S, Schünemann HJ, et al. Physical distancing, face masks, and eye protection to prevent person-to-person transmission of SARS-CoV-2 and COVID-19: a systematic review and meta-analysis. The Lancet. 2020;395(10242):1973-87.
  18. Piché-Renaud P-P, Groves HE, Kitano T, Arnold C, Thomas A, Streitenberger L, et al. Healthcare worker perception of a global outbreak of novel coronavirus (COVID-19) and personal protective equipment: Survey of a pediatric tertiary-care hospital. Infection Control & Hospital Epidemiology. 2020:1-7.
  19. Gritz A, Daniels R, Chodhari R. Challenges to pediatric services during COVID-19 pandemic: A London, UK perspective. The Journal of Allergy and Clinical Immunology: In Practice. 2020;8(8):2834-5.
  20. Yager PH, Whalen KA, Cummings BM. Repurposing a pediatric ICU for adults. New England Journal of Medicine. 2020;382(22):e80.
  21. Renke C, Callow L, Egnor T, Honstain C, Kellogg K, Pollack B, et al. Utilization of pediatric nurse practitioners as adult critical care providers during the COVID-19 pandemic: A novel approach. Journal of Pediatric Health Care. 2020.
  22. Peck JL. COVID-19: Impacts and Implications for Pediatric Practice. Journal of Pediatric Health Care. 2020;34(6):619-29.
  23. Goldschmidt K. COVID-19 vaccines for children: The essential role of the pediatric nurse. Journal of pediatric nursing. 2020.
  24. Goza S. AAP Statement on New Data Showing Declines in Childhood Immunizations. American Academy of Pediatrics. Published May 8, 2020.
  25. Shack AR, Arkush L, Reingold S, Weiser G. Masked paediatricians during the COVID‐19 pandemic and communication with children. Journal of paediatrics and child health. 2020.
  26. Forgie SE, Reitsma J, Spady D, Wright B, Stobart K. The “fear factor” for surgical masks and face shields, as perceived by children and their parents. Pediatrics. 2009;124(4):e777-e81.
  27. Conlon C, McDonnell T, Barrett M, Cummins F, Deasy C, Hensey C, et al. The impact of the COVID-19 pandemic on child health and the provision of Care in Paediatric Emergency Departments: a qualitative study of frontline emergency care staff. BMC Health Services Research. 2021;21(1):1-11.
  28. Hill RM, Rufino K, Kurian S, Saxena J, Saxena K, Williams L. Suicide ideation and attempts in a pediatric emergency department before and during COVID-19. Pediatrics. 2021;147(3).
  29. Van Lancker W, Parolin Z. COVID-19, school closures, and child poverty: a social crisis in the making. The Lancet Public Health. 2020;5(5):e243-e4.
  30. Shonkoff JP, Garner AS, Siegel BS, Dobbins MI, Earls MF, McGuinn L, et al. The lifelong effects of early childhood adversity and toxic stress. Pediatrics. 2012;129(1):e232-e46.
  31. Deaton A. COVID-19 and global income inequality. National Bureau of Economic Research; 2021.
  32. Freitas BHBMd, Costa AILd, Diogo PMJ, Gaíva MAM. Emotional labor in pediatric nursing considering the repercussions of covid-19 in childhood and adolescence. Revista Gaúcha de Enfermagem. 2021;42(SPE).
  33. Bhopal SS, Bagaria J, Bhopal R. Risks to children during the covid-19 pandemic: some essential epidemiology. BMJ. 2020;369.
  34. Roush K. The Race To Develop A Covid-19 Vaccine. Lippincott Williams & Wilkins Two Commerce Sq, 2001 Market St, Philadelphia …; 2020.
  35. Tyson A, Johnson C, Funk CUS. public now divided over whether to get COVID-19 vaccine https://www.pewresearch.org/science/2020/09/17/u-s-public-now-divided-over-whether-to-get-covid-19-vaccine/: Pew Research Center; 2020 [
  36. Kamidani S, Rostad CA, Anderson EJ. COVID-19 vaccine development: a pediatric perspective. Current opinion in pediatrics. 2021;33(1):144-51.
  37. Opel DJ, Diekema DS, Ross LF. Should we mandate a COVID-19 vaccine for children? JAMA pediatrics. 2021;175(2):125-6.
  38. Betz CL. Challenges facing pediatric nursing. 2017.
  39. Giménez-Espert MdC, Prado-Gascó VJ, Valero-Moreno S. Impact of work aspects on communication, emotional intelligence and empathy in nursing. Revista Latino-Americana de Enfermagem. 2019;27.
  40. Xiaoxia L, Yun X, Hui D, Gary W. SARS-CoV-2 infection in children–Understanding the immune responses and controlling the pandemic. Pediatr Allerg Imm-UK. 2020.
  41. Liu Y, Wang H, Chen J, Zhang X, Yue X, Ke J, et al. Emergency management of nursing human resources and supplies to respond to coronavirus disease 2019 epidemic. International journal of nursing sciences. 2020;7(2):135-8.