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Journal : Jurnal NERS

A qualitative description of nurses' problems to monitor and supervise vital signs in COVID-19 patients in isolation room Christina, Tri Yahya; Ismail, Suhartini; Erawati, Meira
Jurnal Ners Vol. 17 No. 2 (2022): OCTOBER 2022
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v17i2.33638

Abstract

Introduction: Changes and deterioration of the condition of Corona Virus Disease-19 (COVID-19) patients are unknown and can even lead to the death of the patient in the isolation room. This study focuses on identifying the problem of nurses monitoring and supervising the vital signs of COVID-19 patients in the isolation room. Methods: A descriptive qualitative study was conducted in January 2022 at a private hospital in Sukoharjo, Central Java. Ten participants who met the inclusion criteria were involved through purposive sampling. The semi-structured interview guidelines were developed by the researcher, and they used them to obtain the data. Interviews were recorded using a recorder device. The data from the interviews were recorded verbatim and analyzed using inductive content analysis following Elo and Kyngas's method. The member checking and thick description were done to maintain the validity of the data. Results: Three main themes were found from the emerging data, including 1) the comparison of nurses and patients is not ideal with patients' conditions that cannot be predicted, 2) personal protective equipment (PPE) and monitoring tools have not reached the appropriateness target, and 3) the demand for high-technology vital sign monitoring devices was not feasible. Conclusions: The problems being faced by the nurses in monitoring and supervising the vital signs of COVID-19 patients in the isolation room need innovative tools. Therefore, it is important for policymakers and related parties to create high-technology solutions for the isolation rooms to improve nursing service effectively and ensure the safety for patients and the nurses.
Wireless stethoscope for auscultation of the heart and lungs in critically ill patients: A systematic review Ismail, Suhartini; Prawira, Ricky; Johan, Andrew; Ismail, Rifky
Jurnal Ners Vol. 18 No. 1 (2023): MARCH 2023
Publisher : Universitas Airlangga

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/jn.v18i1.41471

Abstract

Background:Examining the heart and lungs is necessary for critically ill patients, as these individuals may have abnormalities with either or both of these organs. This review systematically determined how the auscultation of the heart and lungs using a wireless stethoscope affected the results. Methods: The research design used was a systematic review following preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines. Databases were searched using the search terms "auscultation," "critical patients," and "stethoscope wireless” and associated MeSH terms. The abstracts of the selected articles were examined independently by two researchers. A systematic search was conducted through several databases (Scopus, PubMed, JSTOR, and Springer-link), which were published from July 2012 to July 2022 .After reading the full content of the included studies, key themes and concepts were extracted and synthesized. Results: In total 142 articles were screened. Five articles met the inclusion criteria and were analyzed. The analysis revealed that wireless stethoscopes have increased sensitivity with indicators capable of diagnosing abnormal auscultation results in patients who have abnormal aucultation results on the gold standard. Three out of five studies suggested that the auscultation of the heart and lungs by wireless stethoscopes are more sensitive, while two other studies stated that wireless stethoscopes have the same sensitivity as manual acoustic stethoscopes. Conclusion: Based on this systematic review, a wireless stethoscope may be more sensitive than an acoustic one. Nevertheless, due to limited studies, a more well-controlled human study is warranted to be done.