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Management of COVID-19: A Clinical Nursing Practice Guideline for Pregnant Women Undergoing a Cesarean Section
Abstract
Background:
Coronavirus disease (COVID-19) has been declared a pandemic respiratory disease. Pregnant women infected with COVID-19 may deliver by caesarean section when there are medical reasons that guarantee the safety of the mother and baby. This leads to the development of a strong guidelines for pregnant women infected with the COVID-19 virus undergoing caesarean section.
Objective:
This article is intended to develop a clinical nursing practice guideline for the prevention and control of COVID-19 infection between healthcare providers and COVID-19 infected pregnant women undergoing caesarean section and assess the feasibility of CNPG implementation.
Methods:
An action research was employed between October to March 2021. This study was constructed with the NHMRC model involving the following steps: 1) determining the needs and scope of the guide; 2) a multidisciplinary committee meeting to oversee the development of the guideline; 3) set the objectives and target groups of the guideline; 4) the CNPG formula; 5) implement the guideline; and 6) documented as a guideline. We evaluated the feasibility of CNPG implementation.
Results:
Four themes in the needs for and scope of the guideline were used to create the guideline. Guidelines for the prevention and control of COVID-19 infection related to medical care from pregnant women with COVID -19 who have undergone cesarean section, there are 3 phases: peri-operative period, intra-operative period, and postoperative period. After using CNPG in three pregnant women with coronavirus infection undergoing caesarean section. It was a pilot study to test the feasibility of CNPG implementation. Overall feasibility was high (M= 2.69, SD = 0.35, p <0.05).
Implications for Nursing:
The results of this study can lead to improve the quality of care for prevention and control of healthcare-associated COVID-19 infection from COVID-19 pregnant women undergoing a cesarean section during the COVID-19 spreading era.
Conclusion:
The CNPG has been presented to be beneficial. However, it is necessary to determine the rate of healthcare-associated COVID-19 infection in COVID-19 pregnant women undergoing a cesarean section with an acceptable sample size.
