Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia
Background: COVID-19 pandemic caused enormous implications on the frontline staff. The objective was to share our nursing experience in responding to COVID-19 pandemic at a large hospital and its impact on nursing safety and healthcare services. Methods: Six nursing strategic pillars were implemente...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-09-01
|
| Series: | Journal of Infection and Public Health |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1876034121001829 |
| _version_ | 1831583961738903552 |
|---|---|
| author | Nabeeha Tashkandi Maha Aljuaid Theolinda McKerry John Alchin Laura Taylor Elmer J. Catangui Rana Mulla Suwarnnah Sinnappan Georges Nammour Aiman El-Saed Majid M. Alshamrani |
| author_facet | Nabeeha Tashkandi Maha Aljuaid Theolinda McKerry John Alchin Laura Taylor Elmer J. Catangui Rana Mulla Suwarnnah Sinnappan Georges Nammour Aiman El-Saed Majid M. Alshamrani |
| author_sort | Nabeeha Tashkandi |
| collection | DOAJ |
| description | Background: COVID-19 pandemic caused enormous implications on the frontline staff. The objective was to share our nursing experience in responding to COVID-19 pandemic at a large hospital and its impact on nursing safety and healthcare services. Methods: Six nursing strategic pillars were implemented. Pillar 1: establishing corona command centre. Pillar 2: limiting exposure by virtual care model, strict infection control measures, altered patient flow, active surveillance, and contact tracing. Pillar 3: maintaining sufficient supplies of personal protective equipment. Pillar 4: creating surge capacity by establishing dedicated COVID-19 units and increasing critical care beds. Pillar 5: training and redeployment of nurses and implementing alternate staffing models. Pillar 6: monitoring staff wellbeing, establishing mental health support hotline and clinic, providing hotel self-quarantine, and financial incentives. Results: Out of 5483 nurses, 543 (10%) were trained for redeployment, mainly at acute and intensive care units. After serving 11,623 infected patient including 1646 hospitalizations during the first 9 months of the pandemic, only 385 (7.0%) nurses were infected with COVID-19. Out of them, only 10 (2.6%) required hospitalization, one (0.3%) required ICU admission, and none died. Although the number of patients hospitalized at our hospital during the current pandemic was 17 folds higher than the 2015 outbreak of middle East respiratory syndrome coronavirus, the hospital administration did not have to close the hospital as they did in 2015. Conclusions: Proactive nursing leadership and implementation of multiple nursing pillars enabled the facility to maintain the safety of nursing workforce while serving large influx of COVID-19 patients. |
| first_indexed | 2024-12-17T20:51:26Z |
| format | Article |
| id | doaj.art-77552b1050bd45c2bf35f94ee619b47f |
| institution | Directory Open Access Journal |
| issn | 1876-0341 |
| language | English |
| last_indexed | 2024-12-17T20:51:26Z |
| publishDate | 2021-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Infection and Public Health |
| spelling | doaj.art-77552b1050bd45c2bf35f94ee619b47f2022-12-21T21:33:00ZengElsevierJournal of Infection and Public Health1876-03412021-09-0114911551160Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi ArabiaNabeeha Tashkandi0Maha Aljuaid1Theolinda McKerry2John Alchin3Laura Taylor4Elmer J. Catangui5Rana Mulla6Suwarnnah Sinnappan7Georges Nammour8Aiman El-Saed9Majid M. Alshamrani10Nursing Services, King Abdualziz Medical City (KAMC), Riyadh, Saudi Arabia; Corresponding author at: Nursing Services, King Abdulaziz Medical City, Riyadh, Ministry of National Guard Health Affairs, Chair of Saudi Nursing Professional Council, Saudi Commission for Health Specialties, Saudi Arabia.Clinical Nursing, Ambulatory and Haemodialysis Care, KAMC, Riyadh, Saudi ArabiaClinical Nursing, Cardiac Services, KAMC, Riyadh, Saudi ArabiaClinical Nursing, Critical Care, KAMC, Riyadh, Saudi ArabiaClinical Nursing, Surgical Care, KAMC, Riyadh, Saudi ArabiaClinical Nursing, Medical Care, KAMC, Riyadh, Saudi ArabiaNursing Education and Clinical Practice, KAMC, Riyadh, Saudi ArabiaClinical Nursing, Obstetrical, Gynecological and Neonatal Care, KAMC, Riyadh, Saudi ArabiaClinical Nursing, Emergency Care, KAMC, Riyadh, Saudi ArabiaInfection Prevention and Control, KAMC, Riyadh, Saudi ArabiaInfection Prevention and Control, KAMC, Riyadh, Saudi ArabiaBackground: COVID-19 pandemic caused enormous implications on the frontline staff. The objective was to share our nursing experience in responding to COVID-19 pandemic at a large hospital and its impact on nursing safety and healthcare services. Methods: Six nursing strategic pillars were implemented. Pillar 1: establishing corona command centre. Pillar 2: limiting exposure by virtual care model, strict infection control measures, altered patient flow, active surveillance, and contact tracing. Pillar 3: maintaining sufficient supplies of personal protective equipment. Pillar 4: creating surge capacity by establishing dedicated COVID-19 units and increasing critical care beds. Pillar 5: training and redeployment of nurses and implementing alternate staffing models. Pillar 6: monitoring staff wellbeing, establishing mental health support hotline and clinic, providing hotel self-quarantine, and financial incentives. Results: Out of 5483 nurses, 543 (10%) were trained for redeployment, mainly at acute and intensive care units. After serving 11,623 infected patient including 1646 hospitalizations during the first 9 months of the pandemic, only 385 (7.0%) nurses were infected with COVID-19. Out of them, only 10 (2.6%) required hospitalization, one (0.3%) required ICU admission, and none died. Although the number of patients hospitalized at our hospital during the current pandemic was 17 folds higher than the 2015 outbreak of middle East respiratory syndrome coronavirus, the hospital administration did not have to close the hospital as they did in 2015. Conclusions: Proactive nursing leadership and implementation of multiple nursing pillars enabled the facility to maintain the safety of nursing workforce while serving large influx of COVID-19 patients.http://www.sciencedirect.com/science/article/pii/S1876034121001829COVID-19PreparednessNursing strategiesPandemicSaudi Arabia |
| spellingShingle | Nabeeha Tashkandi Maha Aljuaid Theolinda McKerry John Alchin Laura Taylor Elmer J. Catangui Rana Mulla Suwarnnah Sinnappan Georges Nammour Aiman El-Saed Majid M. Alshamrani Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia Journal of Infection and Public Health COVID-19 Preparedness Nursing strategies Pandemic Saudi Arabia |
| title | Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia |
| title_full | Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia |
| title_fullStr | Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia |
| title_full_unstemmed | Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia |
| title_short | Nursing strategic pillars to enhance nursing preparedness and response to COVID-19 pandemic at a tertiary care hospital in Saudi Arabia |
| title_sort | nursing strategic pillars to enhance nursing preparedness and response to covid 19 pandemic at a tertiary care hospital in saudi arabia |
| topic | COVID-19 Preparedness Nursing strategies Pandemic Saudi Arabia |
| url | http://www.sciencedirect.com/science/article/pii/S1876034121001829 |
| work_keys_str_mv | AT nabeehatashkandi nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT mahaaljuaid nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT theolindamckerry nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT johnalchin nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT laurataylor nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT elmerjcatangui nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT ranamulla nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT suwarnnahsinnappan nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT georgesnammour nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT aimanelsaed nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia AT majidmalshamrani nursingstrategicpillarstoenhancenursingpreparednessandresponsetocovid19pandemicatatertiarycarehospitalinsaudiarabia |