Competencies of the nurses in the limitation of therapeutic effort in the intensive care unit: An integrative review.
Nurses inevitably encounter patients who require care aimed at limiting therapeutic effort (LTE), even though many of them are not prepared to provide support to individuals with terminal illnesses and their families. One of the contexts in which the LTE is considered is the intensive care unit (ICU...
| Publicado en: | International Journal of Nursing Sciences Vol. 11; no. 1; pp. 143 - 155 |
|---|---|
| Autores principales: | , , , , , , |
| Formato: | research systematic review Journal Article |
| Publicado: |
Elsevier B.V.
Jan2024
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=175166321&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175166321 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 20966296 MD0M jtl: International Journal of Nursing Sciences issn: 20966296 maglogo: N pubinfo: dt: Jan2024 vid: 11 iid: 1 pid: 467 pub: Elsevier B.V. place: New York, New York artinfo: ui: 175166321 175166321 175166321 10.1016/j.ijnss.2023.12.011 175166321 ppf: 143 ppct: 12 formats: tig: atl: Competencies of the nurses in the limitation of therapeutic effort in the intensive care unit: An integrative review. aug: au: López-Panza, Elvia R. Pacheco-Roys, Vanessa C. Fernández-Ahumada, Kelly J. Díaz-Mass, Diana C. Expósito-Concepción, María Y. Villarreal-Cantillo, Elizabeth Aviles Gonzalez, Cesar I. affil: Nursing Department, Universidad del Norte, Barranquilla, Colombia sug: subj: Clinical Competence Evaluation Critical Care Nurses Critically Ill Patients Intensive Care Units Nursing Role Human Systematic Review Medline Checklists Patient Care Family Centered Care Decision Making, Clinical Quality of Life Quality Assessment Descriptive Statistics ab: Nurses inevitably encounter patients who require care aimed at limiting therapeutic effort (LTE), even though many of them are not prepared to provide support to individuals with terminal illnesses and their families. One of the contexts in which the LTE is considered is the intensive care unit (ICU). This review is to describe the competencies for the execution of a nursing professional role in the LTE in the ICU. An integrative review of the literature published between the years 2010 and 2023. The search was carried out in five databases: Medline, Wiley Online Library, SciELO, ScienceDirect, and Web of Science. The Critical Appraisal Skills Programme in Spanish was used as the template for study evaluation. The methodology of the Oxford Center for Evidence-Based Medicine (CEBM) was used to assess the level of evidence and the degree of recommendation. A total of 25 articles in a wide range of studies were included. The findings suggest that the competencies for LTE in the ICU are direct patient care, family-centered care, and the role of the nurse within the team. However, more high-quality studies are needed to confirm these conclusions. Three categories were identified: (a) competencies as defender agent between the patient, his family, and the interdisciplinary team; (b) competencies for decision-making in limiting the therapeutic effort; and (c) competencies for nursing therapeutic interventions at the end of life. The competencies of the nursing professionals who work in the adult ICU in the LTE are essential to the patient's quality of life, dignity of their death, and comprehensive family support for coping with grief. pubtype: Academic Journal doctype: research systematic review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|