Title: Nursing experience of caring for a critically ill COVID-19 patient in a negative pressure smart technology ward
Abstract:
Background:This report presents the nursing experience of caring for a critically ill patient diagnosed with COVID-19 who was admitted to a negative pressure smart technology ward. The patient experienced respiratory failure requiring intubation and mechanical ventilation. In addition to physiological distress from impaired gas exchange and infection risks, the patient also suffered from significant emotional stress due to isolation and uncertainty about the disease progression.
Objective:To enhance the quality of inpatient care for critically ill COVID-19 patients through the integration of holistic nursing and smart healthcare technologies in a negative pressure ward.
Methods: The nursing care was provided from February 17 to March 1, 2022.Comprehensive assessment was conducted through direct patient care, observation, body language and written communication, physical assessment, and medical record review. Key health issues identified included impaired gas exchange, risk of infection, and anxiety. Interventions included the use of high-frequency chest wall oscillation for sputum clearance, preventive care bundles to reduce ventilator-associated pneumonia, and humanistic care approaches such as relaxation techniques and verbal encouragement to support psychological well-being. Virtual visits were arranged to facilitate emotional connection with the patient’s family.
Results: On March 1, 2022, the patient was successfully de-isolated and transferred out of the negative pressure ward.
Conclusion: This case highlights the potential benefits of integrating smart wearable monitoring devices and QR code–based video health education to enhance clinical management and post-discharge continuity of care for COVID-19 patients. These approaches can serve as valuable references for improving critical care in similar settings.
Keywords: COVID-19, critical care, negative pressure smart ward, holistic nursing, healthcare technology

