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The Impact of COVID-19 on Levels of Adherence to the Completion of Nursing Records for Inpatients in Isolation

Author

Listed:
  • Mercedes Fernández-Castro

    (Hospital Clínico Universitario de Valladolid, 47002 Valladolid, Spain)

  • José-María Jiménez

    (Hospital Clínico Universitario de Valladolid, 47002 Valladolid, Spain)

  • Belén Martín-Gil

    (Hospital Clínico Universitario de Valladolid, 47002 Valladolid, Spain)

  • María-Fé Muñoz-Moreno

    (Hospital Clínico Universitario de Valladolid, 47002 Valladolid, Spain)

  • María-José Castro

    (Nursing Faculty, University of Valladolid, 47005 Valladolid, Spain)

  • María-José Cao

    (Nursing Faculty, University of Valladolid, 47005 Valladolid, Spain)

  • María López

    (Nursing Faculty, University of Valladolid, 47005 Valladolid, Spain)

Abstract

The COVID-19 pandemic has led to an increased workload for nurses and organisational and structural changes, which have been necessary to meet the needs of inpatients in isolation. Aim: To describe the impact of the COVID-19 pandemic on levels of adherence to the completion of nursing records that document the risk of developing pressure ulcers, falling, and social vulnerability among hospitalised patients in isolation. Methods: Observational pre-post comparison study. Comparison between nursing records (the Braden, Downton, and Gijón scales) belonging to 1205 inpatients took place in two phases. Phase 1: 568 patients admitted in February 2020, prior to the COVID-19 pandemic, vs. phase 2: 637 patients hospitalised with COVID-19 in March–April 2020, during the peak of the first wave of the pandemic. This research adheres to the STROBE guidelines for the reporting of observational studies. Results: The degree of completion of the Braden, Downton, and Gijón scales decreased significantly in phase 2 vs. phase 1 ( p < 0.001). The mean Downton and Gijón scale scores for patients admitted in phase 1 were higher compared to those of patients admitted in phase 2 ( p < 0.001). The mean Braden scale score in phase 2 was higher than in phase 1 ( p < 0.05). Conclusion: During the COVID-19 pandemic, there was a decrease in the completion of nursing records in the clinical records of patients in isolation. The levels of risk of developing PUs, falling, and social vulnerability of patients admitted to hospital were lower during the first wave of the pandemic.

Suggested Citation

  • Mercedes Fernández-Castro & José-María Jiménez & Belén Martín-Gil & María-Fé Muñoz-Moreno & María-José Castro & María-José Cao & María López, 2021. "The Impact of COVID-19 on Levels of Adherence to the Completion of Nursing Records for Inpatients in Isolation," IJERPH, MDPI, vol. 18(21), pages 1-8, October.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:21:p:11262-:d:665568
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    References listed on IDEAS

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    1. Ingrid Johansen Skogestad & Liv Martinsen & Tove Elisabet Børsting & Tove Irene Granheim & Eirin Sigurdssøn Ludvigsen & Caryl L Gay & Anners Lerdal, 2017. "Supplementing the Braden scale for pressure ulcer risk among medical inpatients: the contribution of self‐reported symptoms and standard laboratory tests," Journal of Clinical Nursing, John Wiley & Sons, vol. 26(1-2), pages 202-214, January.
    2. Laila Akhu‐Zaheya & Rowaida Al‐Maaitah & Salam Bany Hani, 2018. "Quality of nursing documentation: Paper‐based health records versus electronic‐based health records," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 578-589, February.
    3. Hye Yon Yu & Eun Kyoung Ahn & Eun Ji Seo, 2019. "Relationship between the frequency of nursing activities and adverse outcomes in patients with acute coronary syndrome: A retrospective cohort study," Nursing & Health Sciences, John Wiley & Sons, vol. 21(4), pages 531-537, December.
    4. Tove E Børsting & Christine R Tvedt & Ingrid J Skogestad & Tove I Granheim & Caryl L Gay & Anners Lerdal, 2018. "Prevalence of pressure ulcer and associated risk factors in middle‐ and older‐aged medical inpatients in Norway," Journal of Clinical Nursing, John Wiley & Sons, vol. 27(3-4), pages 535-543, February.
    5. Georgia Fasoi & Eirini C. Patsiou & Areti Stavropoulou & Evridiki Kaba & Dimitrios Papageorgiou & Georgia Toylia & Aspasia Goula & Martha Kelesi, 2020. "Assessment of Nursing Workload as a Mortality Predictor in Intensive Care Units (ICU) Using the Nursing Activities Score (NAS) Scale," IJERPH, MDPI, vol. 18(1), pages 1-12, December.
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