Rol de las enfermeras en el cuidado espiritual a los pacientes y sus familias en las unidades de cuidado intensivo: una revisión de alcance

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-01-01 DOI:10.1016/j.enfi.2024.04.006

María Kappes RN, MSc , Carlos Alberto Fernández-Silva RN, MSc , Lucia Catalán RN, MSc , Constanza Navalle RN , Moisés Diaz RN , Ivan Guglielmi RN, MSc

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引用次数: 0

Abstract

Introduction

Critically ill patients and their families benefit from spiritual care. There is limited evidence on how spiritual care is delivered in Intensive Care Units (ICUs).

Aim

The objective of this review was to determine how nurses include spiritual care for patients and families in ICUs.

Methodology

A scoping review was conducted following the Joanna Briggs Institute methodology guidelines, with results reported using the PRISMA-ScR guidelines from March to April 2023. PubMed, Scopus by Elsevier, Web of Science (WOS), and the Ebsco search engine were consulted, including databases such as Medline Complete, Cinhal, and Academic Search Ultimate using the keywords Nursing care, ICU, spirituality. Articles with qualitative and quantitative approaches of any design describing spirituality in nursing care for patients or families in ICUs were included, excluding editorials and letters to the editor. The time frame ranged from 2015 to 2023, with no language restrictions.

Results

A total of 319 articles were retrieved, after removing duplicates and applying inclusion criteria with critical reading, 11 studies were included, 6 with a quantitative approach and 5 with a qualitative approach. Conditions for spiritual care are described highlighting the need for physical space and nurse-related conditions such as motivation and empathy. Personal, organizational, and team-related barriers to spiritual care exist. Facilitators for spiritual care are described such as preparation, communication, and the presence of chaplains.

Conclusions

Nurses in ICUs have various ways to provide spiritual care to patients and families. These must be developed considering barriers such as physical space, personal, organizational, and team-related challenges.

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护士在重症监护病房病人及其家属精神关怀中的作用：范围界定综述

危重病人及其家属受益于精神关怀。关于如何在重症监护病房（icu）提供精神护理的证据有限。目的本综述的目的是确定护士如何在icu中对患者和家属进行精神护理。方法：根据Joanna Briggs研究所的方法指南进行范围审查，并于2023年3月至4月使用PRISMA-ScR指南报告结果。使用关键词Nursing care， ICU, spirituality，检索PubMed， Scopus by Elsevier, Web of Science （WOS）和Ebsco搜索引擎，包括Medline Complete， Cinhal和Academic search Ultimate等数据库。采用任何设计的定性和定量方法描述icu患者或家属护理中的灵性的文章被纳入，不包括社论和给编辑的信。时间范围从2015年到2023年，没有语言限制。结果共检索到319篇文献，在剔除重复文献并应用批判性阅读纳入标准后，共纳入11篇，其中定量方法6篇，定性方法5篇。描述了精神护理的条件，强调了对物理空间和护士相关条件的需求，如动机和同理心。个人、组织和团队在灵性关怀方面存在障碍。精神关怀的促进因素包括准备、沟通和牧师的在场。结论icu护士对患者及家属的精神关怀方式多种多样。这些必须考虑到物理空间、个人、组织和团队相关挑战等障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Enfermeria Intensiva NURSING-

CiteScore

2.50

自引率

23.10%

发文量

期刊介绍： Enfermería Intensiva es el medio de comunicación por antonomasia para todos los profesionales de enfermería españoles que desarrollan su actividad profesional en las unidades de cuidados intensivos o en cualquier otro lugar donde se atiende al paciente crítico. Enfermería Intensiva publica cuatro números al año, cuyos temas son específicos para la enfermería de cuidados intensivos. Es la única publicación en español con carácter nacional y está indexada en prestigiosas bases de datos como International Nursing Index, MEDLINE, Índice de Enfermería, Cuiden, Índice Médico Español, Toxline, etc.