Nursing interventions for patients with COVID-19: A medical record review and nursing interventions classification study

Abstract

Purpose

To describe the nursing interventions provided to patients with COVID-19 using the Nursing Interventions Classification.

Method

This is a retrospective study involving the review of 1,344 patient records of adults admitted to a specialty hospital for COVID-19 in Tabriz, Iran. The nursing intervention was used to classify documented nursing care and interventions provided to COVID-19–positive patients from February 20 to August 20, 2020. Data were analyzed descriptively using SPSS16.

Findings

The 10 most frequently documented nursing interventions across in-patient (ward) and intensive care unit (ICU) contexts included Admission Care (7310), Environmental Management (6486), Health Education (5510), Infection Protection (6550), Medication Administration (2300), Positioning (0840), Respiratory Monitoring (3350), Vital Signs Monitoring (6680), Nausea Management (1450), and Diarrhea Management (0460). No records of distraction, relaxation techniques, or massage for anxiety reduction were documented.

Conclusion

This study used a common language to describe nursing interventions for patients with COVID-19 admitted to a tertiary hospital.

Implications for nursing practice

The most commonly identified nursing interventions for COVID-19 identified in this study provide evidence-based insight into nurses’ scope of practice in the COVID-19 in-patient context.

Keywords

Clinical protocols COVID-19 virus nurses standardized nursing terminologies

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