key: cord-1025335-l4zxiqsq
authors: Tedesco, Brigida; Borgese, Giulia; Cracco, Umberto; Casarotto, Pietro; Zanin, Anna
title: Challenges to delivering family‐centred care during the Coronavirus pandemic: Voices of Italian paediatric intensive care unit nurses
date: 2020-12-01
journal: Nurs Crit Care
DOI: 10.1111/nicc.12578
sha: 28809bb3819f61eead6073f8b3e0ae75fff69cb8
doc_id: 1025335
cord_uid: l4zxiqsq

nan

Italy has been one of the epicentres of the coronavirus pandemic since late February 2020. 1 Although the peak of the pandemic has passed, with the total number of positive coronavirus cases in decline since April, Italy remains one of Europe's worst-affected countries. 2 Lombardy was the most affected region, with 95 459 people testing positive for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and 16 788 officially registered coronavirus disease (COVID-19)-related deaths as of 21st July. 3 The spread of SARS-CoV-2 was very heterogeneous in Italy. A national response to preparing health systems was imperative, but because of the regional specificity, it was managed differently. According to regional indications, hospitals were divided into COVID and non-COVID hospitals, and where this was not possible or in the regions with low impact, COVID-dedicated wards were organized. These COVID areas could be activated according to a sequential strategy that provided for an expansion of capacity (beds, equipment, staff ) based on demand.

In general, paediatric departments had a decrease in activity because of the reduction in elective surgery and consultations. 4 

The COVID-19 pandemic is not over. This situation led nursing professionals to adapt to a rapidly changing clinical culture. The following can be considered lessons learned with implications that extend beyond the pandemic: 

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Challenges to delivering family-centred care during the Coronavirus pandemic: Voices of Italian paediatric intensive care unit nurses