walking papers alone in a place like this

Telehealth is referred to as ‘the entire spectrum of activities used to deliver care at a distance ̶ without direct physical contact with the patient’. The COVID-19 pandemic has accelerated the use of telehealth to remotely deliver nursing and healthcare worldwide. The aim of this study was to describe nursing surveillance of patients infected with COVID-19 provided through remote telephone calls and in an on-site urgent care clinic located in an outpatient hospital clinic and the nurses' experience of delivering the care during the first wave of the pandemic. Although not organized from a distinct theoretical perspective, we place the study in the context of nursing surveillance. This inspired nurse managers to seek collaboration with a group of nurse researchers to study these endeavours. The novelty of the care and the unique role that the nurses took on have international relevance for other complicated health problems. The interdisciplinary healthcare in the COVID-19 outpatient clinic at LUH was launched with minimal preparation and in a situation of emergency. Research suggested the service in the outpatient clinic had been very effective during the first wave of the pandemic (Helgason et al., 2021). with the primary healthcare, the city ambulance service and the Red Cross. Various collaborations were created amongst public services to support the care of the patients, e.g. Patients also had a hotline from which they could seek help 24/7.

intravenous fluid and medications or hospitalization as necessary. Before long, an on-site urgent care clinic was added to the telephone calls where patients with severe symptoms were addmitted for examination, observation and treatment, e.g. It quickly expanded into providing comprehensive care to patients in self-isolation, aiming to support and guide them during their illness. The outpatient clinic started as a remote telephone risk assessment service in March 2020 to provide timely and appropriate care, minimize hospitalization and morbidity, preserve the quality of life and minimize infection transmission (Helgason et al., 2020). The hospital, which is situated in the capital region, organised and provided care for COVID-19-infected patients nationwide as well as inpatient care in the capital area (Jónsdóttir et al., 2022). In Iceland, a key aspect of these reforms was the establishment of an outpatient clinic for COVID-19-infected patients at Landspitali-The National University Hospital of Iceland (LUH) to serve patients diagnosed with the disease all over the country. The coronavirus disease 2019 (COVID-19) pandemic has led to rapid and massive reorganization in healthcare worldwide. There was no patient or public contribution as the study only concerned the providers of the service, i.e. This has relevance for healthcare beyond crisis management during pandemics. The potential of intensive listening as conducted in the study suggests that it may be feasible to assess and holistically take care of COVID-19-infected patients, and other patient groups as well, with this form of healthcare. Impactįindings give a unique insight into nursing surveillance of COVID-19-infected patients provided through telephone calls and in on-site urgent care clinics. This has relevance for professionalism in nursing.

Novel nursing surveillance through remote telephone calls and in an on-site urgent care clinic delivered to COVID-19 patients self-managing at home resulted in holistic nursing care during the first wave of the pandemic. They were proud of the significance of their work. The category ‘Contributing to averting catastrophe’ reflects the wealth of knowledge, support and experience that the nurses used to independently deliver care, albeit in interdisciplinary collaboration, working to their greatest potential. They designed their care to ensure holistic care, reflected in the overarching category, ‘Confronting an unfamiliar health condition in unprecedented circumstances’ and the categories: ‘Digging into the unknown’ and ‘Ensuring holistic nursing care’. They realized that the patients had complex needs for nursing and healthcare which was beyond the scope of a tentatively prescribed assessment scheme. Nurses relied on intensive listening when assessing and caring for COVID-19-infected patients.

Interviews were conducted in May and June 2020, transcribed and analysed using deductive and inductive content analysis into an overarching category, main categories and subcategories. Designĭata were collected through seven semi-structured, audio-recorded, focus group interviews with 24 nurses. To describe nursing surveillance of coronavirus disease 2019 (COVID-19)-infected patients through remote telephone calls and in an on-site urgent clinic during the first wave of the pandemic as experienced by nurses providing the care.

Walking papers alone in a place like this