Impact of the COVID-19 pandemic on the activity of advanced-practice nurses on a reference unit for inflammatory bowel disease

Copyright © 2021 The Author(s). Publicado por Elsevier España, S.L.U. All rights reserved..

OBJECTIVE: To report the impact of the COVID-19 pandemic on the activity of nurses working on an inflammatory bowel disease (IBD) unit and to identify reasons for telehealth care and its relationship to certain characteristics.

BACKGROUND: The COVID-19 pandemic had led to an increase in demand for remote care in patients with inflammatory bowel disease who require monitoring and frequent access to health services.

DESIGN - METHODS: A retrospective study of all activity (in person and by phone call or email) done on the unit during the acute phase of the pandemic at a reference hospital in Spain. Numbers of activities done by nurses, reasons for telehealth care and sociodemographic and clinical data were collected. Statistical analysis was performed using frequency, chi-squared and analysis of variance tests.

RESULTS: A total of 1095 activities for 561 patients who received care were reported. Among them, 1042 (95.2%) were telemedicine activities, amounting to a 47.3% increase over the prior year. COVID-19-related activities numbered 588 (59.5%). Consultations due to disease flare-up numbered 134 (13.7%), representing a 145% increase compared to 2019. Significant differences were found between reasons for using telemedicine and diagnosis, occupational status, contact week and treatment.

CONCLUSION: The acute phase of the pandemic has changed the activity managed by the nursing staff on the unit. Identifying and analysing these changes has yielded valuable information to achieve more efficient management and better care quality for patients in special situations.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:44

Enthalten in:

Gastroenterologia y hepatologia - 44(2021), 7 vom: 16. Aug., Seite 481-488

Sprache:

Englisch

Beteiligte Personen:

Navarro-Correal, Ester [VerfasserIn]
Borruel, Natalia [VerfasserIn]
Robles, Virginia [VerfasserIn]
Herrera-de Guise, Claudia [VerfasserIn]
Mayorga Ayala, Luis Fernando [VerfasserIn]
Pérez Martínez, Zahira [VerfasserIn]
Ibarz Casas, Arantxa [VerfasserIn]
Agustino Rodríguez, Sandra [VerfasserIn]
Batuecas Duelt, Irene Joana [VerfasserIn]
García Alcaide, Jorge [VerfasserIn]
López Branchadell, Sara [VerfasserIn]
Zuriguel-Perez, Esperanza [VerfasserIn]
Casellas, Francesc [VerfasserIn]

Links:

Volltext

Themen:

Advanced-practice nurses
COVID-19
Colitis ulcerosa
Crohn's disease
Enfermedad de Crohn
Enfermedad inflamatoria intestinal
Enfermeras de práctica avanzada
Inflammatory bowel disease
Journal Article
Observational Study
Telehealth
Telemedicina
Telemedicine
Telesalud
Ulcerative colitis

Anmerkungen:

Date Completed 22.07.2021

Date Revised 21.12.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.gastrohep.2020.11.018

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM320770354