New Zealand nurses perceptions of caring for patients with influenza A (H1N1)
Identifieur interne : 000467 ( Istex/Corpus ); précédent : 000466; suivant : 000468New Zealand nurses perceptions of caring for patients with influenza A (H1N1)
Auteurs : Michelle Honey ; Wendy Yq WangSource :
- Nursing in Critical Care [ 1362-1017 ] ; 2013-03.
Abstract
Aim: This study aimed to explore the perceptions of the highly specialized nurses who provided extracorporeal membrane oxygenation therapy for the mostly young and critically ill patients during the 2009 H1N1 pandemic. Background: The 2009 influenza A (H1N1) virus caused a global pandemic and also affected New Zealand during that winter. Nine H1N1‐infected adult patients with severe acute respiratory distress syndrome were admitted into an intensive care unit of a large urban hospital for rescue extracorporeal membrane oxygenation therapy. Design: The study used a two‐phase mix methods study design. Methods: Phase 1 of the study involved five nurses attending a focus group interview to collect their views of the challenges and issues of caring for these patients. The results of the focus group were used to formulate the phase 2 survey. In total, 25 eligible nurses were invited to complete an anonymous survey; 18 completed and returned surveys giving a 72% response rate. Results: The survey identified issues including the acuity and high mortality rate of those affected, nurses working in an isolated environment because of infection control requirements, limited support and being asked to work extra shifts. Conclusion: Despite these challenges, the nurses felt positive about their experience of caring for the H1N1 patients, and felt the experience advanced their skills and improved job satisfaction. Relevance to Clinical Practice: For future pandemics, this study identified the need for all staff to have a basic understanding of extracorporeal membrane oxygenation; strengthen inter‐professional collaboration and communication; provision for more support and recognition of these highly specialized nurses, along with providing regular pandemic updates and offering counselling services.
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DOI: 10.1111/j.1478-5153.2012.00520.x
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Background: The 2009 influenza A (H1N1) virus caused a global pandemic and also affected New Zealand during that winter. Nine H1N1‐infected adult patients with severe acute respiratory distress syndrome were admitted into an intensive care unit of a large urban hospital for rescue extracorporeal membrane oxygenation therapy. Design: The study used a two‐phase mix methods study design. Methods: Phase 1 of the study involved five nurses attending a focus group interview to collect their views of the challenges and issues of caring for these patients. The results of the focus group were used to formulate the phase 2 survey. In total, 25 eligible nurses were invited to complete an anonymous survey; 18 completed and returned surveys giving a 72% response rate. Results: The survey identified issues including the acuity and high mortality rate of those affected, nurses working in an isolated environment because of infection control requirements, limited support and being asked to work extra shifts. Conclusion: Despite these challenges, the nurses felt positive about their experience of caring for the H1N1 patients, and felt the experience advanced their skills and improved job satisfaction. 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Nine H1N1‐infected adult patients with severe acute respiratory distress syndrome were admitted into an intensive care unit of a large urban hospital for rescue extracorporeal membrane oxygenation therapy.</p><p><hi rend="bold">Design:</hi> The study used a two‐phase mix methods study design.</p><p><hi rend="bold">Methods:</hi> Phase 1 of the study involved five nurses attending a focus group interview to collect their views of the challenges and issues of caring for these patients. The results of the focus group were used to formulate the phase 2 survey. In total, 25 eligible nurses were invited to complete an anonymous survey; 18 completed and returned surveys giving a 72% response rate.</p><p><hi rend="bold">Results:</hi> The survey identified issues including the acuity and high mortality rate of those affected, nurses working in an isolated environment because of infection control requirements, limited support and being asked to work extra shifts.</p><p><hi rend="bold">Conclusion:</hi> Despite these challenges, the nurses felt positive about their experience of caring for the H1N1 patients, and felt the experience advanced their skills and improved job satisfaction.</p><p><hi rend="bold">Relevance to Clinical Practice:</hi> For future pandemics, this study identified the need for all staff to have a basic understanding of extracorporeal membrane oxygenation; strengthen inter‐professional collaboration and communication; provision for more support and recognition of these highly specialized nurses, along with providing regular pandemic updates and offering counselling services.</p></abstract><textClass><keywords xml:lang="en"><term xml:id="k1">Advanced practice in ICU</term><term xml:id="k2">Extracorporeal membrane oxygenation therapy</term><term xml:id="k3">H1N1</term><term xml:id="k4">Respiratory management</term><term xml:id="k5">Role of health care professionals</term></keywords><keywords rend="articleCategory"><term>Research</term></keywords><keywords rend="tocHeading1"><term>Research</term></keywords></textClass><langUsage><language ident="en"></language></langUsage></profileDesc><revisionDesc><change when="2019-12-20" who="#istex" xml:id="pub2tei">formatting</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><extension>txt</extension><original>false</original><mimetype>text/plain</mimetype><uri>https://api.istex.fr/ark:/67375/WNG-2J1RRJVW-V/fulltext.txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="Wiley, elements deleted: body"><istex:xmlDeclaration>version="1.0" encoding="UTF-8" standalone="yes"</istex:xmlDeclaration><istex:document><component version="2.0" type="serialArticle" xml:lang="en" xml:id="nicc520"><header><publicationMeta level="product"><publisherInfo><publisherName>Blackwell Publishing Ltd</publisherName><publisherLoc>Oxford, UK</publisherLoc></publisherInfo><doi origin="wiley" registered="yes">10.1111/(ISSN)1478-5153</doi><issn type="print">1362-1017</issn><issn type="electronic">1478-5153</issn><idGroup><id type="product" value="NICC"></id><id type="publisherDivision" value="ST"></id></idGroup><titleGroup><title type="main" sort="NURSING IN CRITICAL CARE">Nursing in Critical Care</title></titleGroup></publicationMeta><publicationMeta level="part" position="20"><doi origin="wiley">10.1111/nicc.2013.18.issue-2</doi><copyright ownership="thirdParty">Nursing in Critical Care © 2013 British Association of Critical Care Nurses</copyright><numberingGroup><numbering type="journalVolume" number="18">18</numbering><numbering type="journalIssue">2</numbering></numberingGroup><coverDate startDate="2013-03">March/April 2013</coverDate></publicationMeta><publicationMeta level="unit" type="article" position="40" status="forIssue"><doi origin="wiley">10.1111/j.1478-5153.2012.00520.x</doi><idGroup><id type="unit" value="NICC520"></id></idGroup><countGroup><count type="pageTotal" number="7"></count></countGroup><titleGroup><title type="articleCategory">Research</title><title type="tocHeading1">Research</title></titleGroup><copyright>© 2012 The Authors. Nursing in Critical Care © 2012 British Association of Critical Care Nurses</copyright><eventGroup><event type="xmlConverted" agent="Converter:BPG_TO_WML3G version:3.2.0 mode:FullText" date="2013-02-07"></event><event type="publishedOnlineEarlyUnpaginated" date="2012-06-13"></event><event type="firstOnline" date="2012-06-13"></event><event type="publishedOnlineFinalForm" date="2013-02-19"></event><event type="xmlConverted" agent="Converter:WILEY_ML3G_TO_WILEY_ML3GV2 version:3.8.8" date="2014-02-03"></event><event type="xmlConverted" agent="Converter:WML3G_To_WML3G version:4.6.4 mode:FullText" date="2015-10-02"></event></eventGroup><numberingGroup><numbering type="pageFirst">63</numbering><numbering type="pageLast">69</numbering></numberingGroup><correspondenceTo>Dr M Honey, School of Nursing, The University of Auckland, Private Bag 92019, Level 2, Building 505, 85 Park Road, Grafton, Auckland, New Zealand
<b>E‐mail:</b><email>m.honey@auckland.ac.nz</email></correspondenceTo><linkGroup><link type="toTypesetVersion" href="file:NICC.NICC520.pdf"></link></linkGroup></publicationMeta><contentMeta><countGroup><count type="figureTotal" number="1"></count><count type="tableTotal" number="7"></count><count type="formulaTotal" number="0"></count><count type="referenceTotal" number="19"></count></countGroup><titleGroup><title type="main">New Zealand nurses perceptions of caring for patients with influenza A (H1N1)</title></titleGroup><creators><creator creatorRole="author" xml:id="cr1" affiliationRef="#a1" corresponding="yes"><personName><givenNames>Michelle</givenNames><familyName>Honey</familyName></personName></creator><creator creatorRole="author" xml:id="cr2" affiliationRef="#a2"><personName><givenNames>Wendy YQ</givenNames><familyName>Wang</familyName></personName></creator></creators><affiliationGroup><affiliation xml:id="a1" countryCode="NZ"><unparsedAffiliation>M Honey, RN, PhD, FCNA (NZ), Senior Lecturer, School of Nursing, University of Auckland, Auckland 1142, New Zealand</unparsedAffiliation></affiliation><affiliation xml:id="a2" countryCode="CA"><unparsedAffiliation>WYQ Wang, RN, MN, Critical Care Nurse, Critical Care Unit, Lakeridge Health Oshawa Hospital, Oshawa, Ontario, Canada</unparsedAffiliation></affiliation></affiliationGroup><keywordGroup xml:lang="en"><keyword xml:id="k1">Advanced practice in ICU</keyword><keyword xml:id="k2">Extracorporeal membrane oxygenation therapy</keyword><keyword xml:id="k3">H1N1</keyword><keyword xml:id="k4">Respiratory management</keyword><keyword xml:id="k5">Role of health care professionals</keyword></keywordGroup><abstractGroup><abstract type="main" xml:lang="en"><p><b>Aim:</b> This study aimed to explore the perceptions of the highly specialized nurses who provided extracorporeal membrane oxygenation therapy for the mostly young and critically ill patients during the 2009 H1N1 pandemic.</p><p><b>Background:</b> The 2009 influenza A (H1N1) virus caused a global pandemic and also affected New Zealand during that winter. Nine H1N1‐infected adult patients with severe acute respiratory distress syndrome were admitted into an intensive care unit of a large urban hospital for rescue extracorporeal membrane oxygenation therapy.</p><p><b>Design:</b> The study used a two‐phase mix methods study design.</p><p><b>Methods:</b> Phase 1 of the study involved five nurses attending a focus group interview to collect their views of the challenges and issues of caring for these patients. The results of the focus group were used to formulate the phase 2 survey. In total, 25 eligible nurses were invited to complete an anonymous survey; 18 completed and returned surveys giving a 72% response rate.</p><p><b>Results:</b> The survey identified issues including the acuity and high mortality rate of those affected, nurses working in an isolated environment because of infection control requirements, limited support and being asked to work extra shifts.</p><p><b>Conclusion:</b> Despite these challenges, the nurses felt positive about their experience of caring for the H1N1 patients, and felt the experience advanced their skills and improved job satisfaction.</p><p><b>Relevance to Clinical Practice:</b> For future pandemics, this study identified the need for all staff to have a basic understanding of extracorporeal membrane oxygenation; strengthen inter‐professional collaboration and communication; provision for more support and recognition of these highly specialized nurses, along with providing regular pandemic updates and offering counselling services.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>New Zealand nurses perceptions of caring for patients with influenza A (H1N1)</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>New Zealand nurses perceptions of caring for patients with influenza A (H1N1)</title></titleInfo><name type="personal"><namePart type="given">Michelle</namePart><namePart type="family">Honey</namePart><affiliation>M Honey, RN, PhD, FCNA (NZ), Senior Lecturer, School of Nursing, University of Auckland, Auckland 1142, New Zealand</affiliation><affiliation>E-mail: m.honey@auckland.ac.nz</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Wendy YQ</namePart><namePart type="family">Wang</namePart><affiliation>WYQ Wang, RN, MN, Critical Care Nurse, Critical Care Unit, Lakeridge Health Oshawa Hospital, Oshawa, Ontario, Canada</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article" authority="ISTEX" authorityURI="https://content-type.data.istex.fr" valueURI="https://content-type.data.istex.fr/ark:/67375/XTP-6N5SZHKN-D">article</genre><originInfo><publisher>Blackwell Publishing Ltd</publisher><place><placeTerm type="text">Oxford, UK</placeTerm></place><dateIssued encoding="w3cdtf">2013-03</dateIssued><copyrightDate encoding="w3cdtf">2013</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><extent unit="figures">1</extent><extent unit="tables">7</extent><extent unit="formulas">0</extent><extent unit="references">19</extent></physicalDescription><abstract lang="en">Aim: This study aimed to explore the perceptions of the highly specialized nurses who provided extracorporeal membrane oxygenation therapy for the mostly young and critically ill patients during the 2009 H1N1 pandemic. Background: The 2009 influenza A (H1N1) virus caused a global pandemic and also affected New Zealand during that winter. Nine H1N1‐infected adult patients with severe acute respiratory distress syndrome were admitted into an intensive care unit of a large urban hospital for rescue extracorporeal membrane oxygenation therapy. Design: The study used a two‐phase mix methods study design. Methods: Phase 1 of the study involved five nurses attending a focus group interview to collect their views of the challenges and issues of caring for these patients. The results of the focus group were used to formulate the phase 2 survey. In total, 25 eligible nurses were invited to complete an anonymous survey; 18 completed and returned surveys giving a 72% response rate. Results: The survey identified issues including the acuity and high mortality rate of those affected, nurses working in an isolated environment because of infection control requirements, limited support and being asked to work extra shifts. Conclusion: Despite these challenges, the nurses felt positive about their experience of caring for the H1N1 patients, and felt the experience advanced their skills and improved job satisfaction. Relevance to Clinical Practice: For future pandemics, this study identified the need for all staff to have a basic understanding of extracorporeal membrane oxygenation; strengthen inter‐professional collaboration and communication; provision for more support and recognition of these highly specialized nurses, along with providing regular pandemic updates and offering counselling services.</abstract><subject lang="en"><genre>keywords</genre><topic>Advanced practice in ICU</topic><topic>Extracorporeal membrane oxygenation therapy</topic><topic>H1N1</topic><topic>Respiratory management</topic><topic>Role of health care professionals</topic></subject><relatedItem type="host"><titleInfo><title>Nursing in Critical Care</title></titleInfo><genre type="journal" authority="ISTEX" authorityURI="https://publication-type.data.istex.fr" valueURI="https://publication-type.data.istex.fr/ark:/67375/JMC-0GLKJH51-B">journal</genre><subject><genre>article-category</genre><topic>Research</topic><topic>Research</topic></subject><identifier type="ISSN">1362-1017</identifier><identifier type="eISSN">1478-5153</identifier><identifier type="DOI">10.1111/(ISSN)1478-5153</identifier><identifier type="PublisherID">NICC</identifier><part><date>2013</date><detail type="volume"><caption>vol.</caption><number>18</number></detail><detail type="issue"><caption>no.</caption><number>2</number></detail><extent unit="pages"><start>63</start><end>69</end><total>7</total></extent></part></relatedItem><relatedItem type="references" displayLabel="cit1"><titleInfo><title>Critical care services and 2009 H1N1 influenza in Australia and New Zealand</title></titleInfo><name type="corporate"><namePart>ANZIC Influenza Investigators.</namePart></name><genre>journal-article</genre><note type="citation/reference">ANZIC Influenza Investigators. 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