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

Mercedes Fernández-Castro, José-María Jiménez, Belén Martín-Gil, María-Fé Muñoz-Moreno, María-José Castro, María-José Cao and María López
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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

IJERPH, 2021, vol. 18, issue 21, 1-8

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.

Keywords: nursing records; patient isolation; COVID-19; nursing care; nurses (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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