Enfermeria Intensiva最新文献

{"title":"Percepción del paciente en relación con la valoración de la fragilidad en las unidades de cuidados intensivos: estudio fenomenológico","authors":"María Teresa González-Gil RN, MsC, PhD ,&nbsp;Susana Arias-Rivera RN, MsC, PhDc","doi":"10.1016/j.enfi.2025.500548","DOIUrl":"10.1016/j.enfi.2025.500548","url":null,"abstract":"<div><div>Frail patients admitted to the Intensive Care Unit (ICU) have a poorer outcome that may be related to Post ICU Syndrome, readmissions or death within a year of discharge. Assessing frailty can help guide decision-making and care planning.</div></div><div><h3>Objective</h3><div>To explore the perception of patients in relation to the assessment of frailty in the ICU.</div></div><div><h3>Methodology</h3><div>Qualitative phenomenological study through semi-structured interviews in the ICU of a public hospital of intermediate complexity. Thirteen patients with experience of admission to the ICU participated. A thematic analysis of the discourse was carried out following Braun and Clarke's proposal.</div></div><div><h3>Results</h3><div>Three themes and seven subthemes were identified as pivotal in describing the patients’ experience: perception of own frailty, coping styles and resources for dealing with frailty, and the value of monitoring the evolution of frailty. Participants understand frailty as opposed to strength, from a multidimensional perspective and linked to the idea of loss of capabilities. They try to deal with fragility by coping and struggling with it, drawing on intrapersonal and interpersonal resources. They place value on monitoring the evolution of frailty insofar as they feel considered and supported.</div></div><div><h3>Conclusions</h3><div>The patients’ narratives evidence the important repercussion that an ICU admission has on the physical and psycho-socio-emotional dimensions of patients and caregivers. The assessment of frailty and the monitoring of its evolution at discharge is valued as important to be able to adapt care and significant as a facilitator of emotional support. There is a clear need for support at discharge in the different spheres and for accompanying the patient throughout their recovery to enable an early return to their life prior to admission.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500548"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680619","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intención de abandono de la profesión en enfermeras de cuidados intensivos y hospitalización. Asociación con variables psicosociales","authors":"Fernanda Gil-Almagro MSN, PhD ,&nbsp;Fernando J. García-Hedrera PhD ,&nbsp;F. Javier Carmona-Monge PhD ,&nbsp;Cecilia Peñacoba-Puente PhD","doi":"10.1016/j.enfi.2025.500524","DOIUrl":"10.1016/j.enfi.2025.500524","url":null,"abstract":"<div><h3>Introduction</h3><div>The intention to leave the health profession has been studied as one of the consequences of the work and emotional overload experienced by nurses during the pandemic. However, few studies have focused on ICU nurses. The studies on intention to leave the profession focus on working conditions and symptomatology, without analyzing the personal characteristics involved.</div></div><div><h3>Objective</h3><div>To explore the evolution of the intention to leave the profession in ICU nurses (with respect to hospitalization nurses). In addition, to analyze the possible differences in anxiety, burnout and psychosocial variables (self-efficacy, resilience, cognitive fusion) between nurses who intend to quit and those who do not.</div></div><div><h3>Method</h3><div>Observational, descriptive, longitudinal, prospective study with three data collection periods. Non-probabilistic convenience sampling was performed.</div></div><div><h3>Results</h3><div>Six months after the end of the confinement period in Spain, higher dropout percentages were observed in ICU (49.2%) than in hospitalization (33.3%) (<em>P</em> <!-->=<!--> <!-->.07). One year later, the percentages of intention to leave tend to be equal (50.8% in ICU and 43.9% in hospitalization) (<em>P</em> <!-->=<!--> <!-->.438). With respect to the differential profile of ICU nurses who intend to leave the profession (compared to those who do not), higher scores were observed in anxiety (<em>P</em> <!-->=<!--> <!-->.037), emotional exhaustion (<em>P</em> <!-->&lt;<!--> <!-->.001), decreased personal fulfilment (<em>P</em> <!-->=<!--> <!-->.031) and cognitive fusion (<em>P</em> <!-->=<!--> <!-->.023).</div></div><div><h3>Conclusion</h3><div>A high percentage of ICU nurses show intention to leave the profession, and associations were found with the anxiety experienced at the beginning of the pandemic, with high emotional exhaustion and low personal fulfilment. It is important to highlight in our study the relationship between intention to leave the profession and personal variables such as cognitive fusion.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500524"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143463652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to early mobilization perceived by health staff in a pediatric intensive care unit of a high complexity hospital","authors":"Norman Salazar-Caicedo BSc ,&nbsp;Cristian Camilo Rojas-Godoy BSc ,&nbsp;Angelly Bustamante-de la Cruz BSc ,&nbsp;Stephanie Pabón-Lozano MSc ,&nbsp;Jessica Largo-Ocampo BSc ,&nbsp;Helen Johana Ortiz-Rojas MSc ,&nbsp;Daniela Jiménez-Mora BSc","doi":"10.1016/j.enfi.2025.500526","DOIUrl":"10.1016/j.enfi.2025.500526","url":null,"abstract":"<div><h3>Introduction</h3><div>Hospitalization in the Pediatric Intensive Care Unit (PICU) entails functional complications for patients, derived from various factors that increase the risk of morbidities and may affect the patient's functional prognosis. Early mobilization has been described as a safe, feasible practice with great benefits in the short and long term; however, research has identified that there are barriers that limit the actions of health professionals.</div></div><div><h3>Objective</h3><div>Determine the main barriers perceived by health personnel for early mobilization in the pediatric ICU of a high-complex hospital of the city of Cali during the year 2022.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive study. 60 health care professionals who work in the PICU were surveyed with prior informed consent.</div></div><div><h3>Results</h3><div>The main barriers were lack of staff training, lack of knowledge of the main actors for early mobilization, perception that mobilization increases the workload for nurses and physiotherapists, medical contraindications for mobilization.</div></div><div><h3>Conclusions</h3><div>There is a need to implement educational and organizational interventions in the PICU to overcome the identified barriers. Training staff, clarifying roles and responsibilities, as well as promoting a culture that values early mobilization could be effective strategies to improve the implementation of this practice and, therefore, reduce complications associated with hospitalization.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500526"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403043","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Programa de sistema de respuesta rápida y continuidad de cuidados enfermeros para la prevención del síndrome post-UCI","authors":"Gemma Leiva-Aguado RN, MSc ,&nbsp;M. Isabel Calleja-Serrano RN ,&nbsp;M. Carmen Cuenca-Soriano RN ,&nbsp;Faustino Álvarez-Cebrián MD, PhD ,&nbsp;Álvaro Castellanos-Ortega MD, PhD","doi":"10.1016/j.enfi.2025.500543","DOIUrl":"10.1016/j.enfi.2025.500543","url":null,"abstract":"<div><div>The clinical deterioration of patients admitted to hospital wards, characterised by physiological abnormalities, can be predicted 6 to 24<!--> <!-->hours in advance and often depends on the nurse's ability to detect it early. In addition, advances in the treatment and care of the critically ill patient have increased survival after discharge from the intensive care unit (ICU). This, together with increased severity, frailty, prolonged stays and special treatment needs, means that ICU survivors may have physical weakness and mental and/or cognitive impairment that persists over time. In this context, it is necessary to provide personalised care that guarantees the continuity of nursing care in the different care settings through which patients and their families pass.</div><div>For all these reasons, a continuity of care nursing consultation was designed and implemented in conjunction with a surveillance system on all hospital wards and nurse monitoring for the prevention of post-acute syndrome after discharge from a critical care unit.</div><div>More than 665 adult inpatient beds are currently under surveillance. In the study period from February 2023 to January 2024, of the 2126 patients discharged from the critical care unit, 87 were in post-ICU follow-up, 55 in full follow-up and 32 in partial follow-up.</div><div>The implementation of a surveillance system, monitoring in the continuity of nursing care throughout the disease and during the recovery phases, at the different levels of care (critical care, hospitalisation, primary care), can prevent and/or minimise the physical, psychological and cognitive alterations of the post-ICU syndrome and can contribute to the recovery of the quality of life of patients and their families.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500543"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143783425","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for impairments in quality of life and activities of daily living in survivors of critical illness: A systematic review of observational studies","authors":"Taís Silva-Nascimento RP ,&nbsp;Cleia Lima-Rocha RP ,&nbsp;Ludmilla Ruvenal-Heine-Lustosa RP ,&nbsp;Mikhail Santos-Cerqueira PhD ,&nbsp;Rodrigo Santos-de-Queiroz PhD ,&nbsp;Mansueto Gomes-Neto PhD","doi":"10.1016/j.enfi.2025.500527","DOIUrl":"10.1016/j.enfi.2025.500527","url":null,"abstract":"<div><h3>Introduction</h3><div>The number of survivors of critical illnesses has increased over the years, resulting in impacts on quality of life and daily activities.</div></div><div><h3>Objective</h3><div>To investigate which intra-hospital risk factors are associated with worsening quality of life and functionality, through the assessment of basic and instrumental activities of daily living, in survivors of critical illness after hospital discharge.</div></div><div><h3>Methods</h3><div>Systematic literature review carried out from September 2022 to December 2023, informed by a flowchart, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Search strategy carried out in the CINAHL, Embase and PubMed databases. The research was carried out by two researchers, without restrictions on language or year of publication. Studies were assessed using the Newcastle–Ottawa Quality Assessment Form for Cohort Studies.</div></div><div><h3>Results</h3><div>12 articles were included, 5 studies provided information on daily and instrumental activities, 7 on quality of life and 1 with all these outcomes. Risk factors such as depression, frailty, prolonged time on mechanical ventilation, and muscle weakness acquired in the ICU were considered factors associated with worsening quality of life. And depression, sepsis, prolonged stay in the ICU, and frailty are factors associated with worsening in the basic and instrumental activities of daily life.</div></div><div><h3>Conclusion</h3><div>Survivors of critical illness, in the first 3 months after discharge, present changes in quality of life, in basic and instrumental activities of daily living, which may persist for up to 12 months or more. This situation may be associated with risk factors at the time of admission to the intensive care unit.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500527"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Neumotórax catamenial: a propósito de un caso","authors":"Jorge Álvarez-López RN, MSN ,&nbsp;Cristina Pérez-Talavera RN, MSc","doi":"10.1016/j.enfi.2025.500530","DOIUrl":"10.1016/j.enfi.2025.500530","url":null,"abstract":"<div><h3>Introduction</h3><div>Catamenial pneumothorax (CN) is a rare type of pneumothorax that affects women of childbearing age. Its etiopathogenesis is controversial and several theories have been proposed, although there is a frequent relationship with intrathoracic endometriosis. The diagnosis can be a challenge, so recurrences can appear until it is found and it can be treated correctly. This document describes a case of catamenial pneumothorax and develops a care plan tailored at a patient suffering from this type of pathology.</div></div><div><h3>Case description</h3><div>A 41-year-old woman, with no personal or family history who attended the emergency department reporting pain in the right hemithorax and dyspnea. The chest X-ray revealed a complete pneumothorax that required placement of a chest drain. During the surgical intervention, cicatricial lesions with gray and black diaphragmatic pores are observed, which suggests a pneumothorax of catamenial origin.</div></div><div><h3>Assessment</h3><div>The nursing assessment was designed using the conceptual model of Marjory Gordon, where the patterns of activity-exercise, rest, perception and sexuality-related patterns were identified as altered.</div></div><div><h3>Diagnosis</h3><div>Using the taxonomy created by NANDA, nursing diagnoses related to impaired gas exchange, pain, rest, skin integrity, and problems related to gynecologic-obstetric aspects were established.</div></div><div><h3>Planning</h3><div>The objectives and interventions were established based on the previously marked diagnoses, using the NOC and NIC taxonomy. Those related to gas exchange, skin care at the level of the chest tube area, pain, rest and those with gynecological links stand out.</div></div><div><h3>Discussion</h3><div>CN is a rare entity and it is necessary to know its etiopathogenesis for early detection of the problem and apply care aimed at meeting the needs of the patient and avoiding complications derived from it.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500530"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143760717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trabajo en equipo a través del programa de entrenamiento basado en TeamSTEPPS® mediante una experiencia de escape room: una investigación mixta","authors":"Oscar Arrogante RN, Psy, MSc, PhD ,&nbsp;Marta Raurell-Torredà RN, MSN, PhD ,&nbsp;Elena Maestre-González RN, MsC ,&nbsp;Francisco Javier Sánchez-Chillón RN, MSN ,&nbsp;Martín Torralba-Melero RN, MSN ,&nbsp;Anna Maria Aliberch-Raurell RN, MSN ,&nbsp;Andrés Rojo-Rojo RN, PhD ,&nbsp;Ignacio Zaragoza-García RN, PhD","doi":"10.1016/j.enfi.2025.500536","DOIUrl":"10.1016/j.enfi.2025.500536","url":null,"abstract":"<div><h3>Introduction</h3><div>The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) program has been shown to improve teamwork among critical care professionals. The <em>escape</em> room as an educational strategy is effective for the learning process of professionals according to recent evidence.</div></div><div><h3>Objectives</h3><div>To analyze the degree of satisfaction and explore the perceptions of intensive care nurses after an <em>escape</em> room experience based on the TeamSTEPPS® program.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive and phenomenological study using a mixed methodology. A specific and adapted satisfaction survey was applied to the participants of the <em>escape</em> room, including at the end an open-ended question for them to make comments and thus analyze their perceptions of the experience. A thematic content analysis of the comments was carried out using the interpretative paradigm. Quantitative and qualitative data were analyzed using IBM® SPSS® Statistics 29.0 and ATLAS.ti 24™ respectively.</div></div><div><h3>Results</h3><div>Fifty-five nursing professionals from different intensive care units in Spain participated, with a median age of 34 years (RIC = 12) and 9 years of experience in intensive care (RIC = 11), most of them being women (89.1%). The participants expressed high overall satisfaction with the activity, with a median of 47 points out of 50 (RIC = 4). Three main categories with their respective subcategories emerged from their comments: learning through the <em>escape</em> room (learning new tools; fun way to learn); usefulness of TeamSTEPPS® strategies (communication skills, patient safety and teamwork); implementation in clinical practice (applicable strategies and ease of implementation).</div></div><div><h3>Conclusions</h3><div>The <em>escape</em> room can be a dynamic, interactive, engaging, and fun way to promote teamwork training and education in intensive care nurses through the TeamSTEPPS® training program.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500536"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidencia de retirada no programada de dispositivos invasivos en enfermos con COVID-19 en cuidados intensivos","authors":"Susana Arias-Rivera PhDc, MsN, RN ,&nbsp;Raquel Jareño-Collado RN ,&nbsp;María del Mar Sánchez-Sánchez MsN, RN ,&nbsp;Fernando Frutos-Vivar MD","doi":"10.1016/j.enfi.2024.07.003","DOIUrl":"10.1016/j.enfi.2024.07.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The rate of unscheduled removal of invasive devices (ID) is an indicator of quality programmes in the critically ill. Our research group performed prevalence analyses since 2010 and another during the pandemic. The aim was to analyse the rates of use and non-planed removal of endotracheal tubes, catheters (central venous and arterial) and enteral catheters in the first wave of the COVID-19 pandemic comparing them with previous rates.</div></div><div><h3>Methodology</h3><div>Prevalence study in a polyvalente ICU. After 4 prospective observational analyses (2010, 2011, 2018, 2019) a retrospective analysis was performed (8 March-8 May 2020). Variables: diagnosis, stay and reason for removal of ID (endotracheal tubes (ET), central venous catheters, arterial catheters and enteral catheters) and rate of reintubation after self-removal of ET. Variables analysed and described as accidental removal rates per 1000 device-days and rates of ID use.</div></div><div><h3>Results</h3><div>2026 patients were included (631 in 2010, 724 in 2011, 210 in 2018, 361 in 2019 and 100 in 2020). Significant differences, between all periods, in diagnoses (<em>P</em>&lt;.001), ICU stay (<em>P</em>&lt;.001) and mortality (<em>P</em>=.016) and, between 2020 and all other periods, in rates of use per 100 days-stay (<em>P</em>&lt;.010) and per 100 admissions (<em>P</em>&lt;.001) in all devices except arterial catheter. In 2020, there was an increase in ET obstruction (36.0%; rate 20.27 per 1000 intubation/days, <em>P</em>&lt;.010), decrease in ET self-removals (2020 rate: 0.00 per 1000 intubation/days; <em>P</em>&lt;.050) and enteral catheters (14.33 per 1000 catheter/days). Overall reintubation (all periods) after self-extubation: 12.5%.</div></div><div><h3>Conclusions</h3><div>The rate of devices self-removal in COVID-19 patients in the first wave of the pandemic was lower than that observed in the previous four periods. The high incidence rate of ET obstruction in these patients was significant and relevant.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 100507"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444953","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diez puntos clave para la prevención, monitorización y tratamiento no farmacológico del delirio en el paciente crítico","authors":"Olga Vallés-Fructuoso RN, MSc, PhD ,&nbsp;Juan José Rodríguez-Mondéjar RN, MSc, PhD ,&nbsp;David Alonso-Crespo RN, MSc ,&nbsp;Gemma Robleda-Font RN, MSc, PhD ,&nbsp;Candelas López-López RN, MSc, PhD ,&nbsp;Diana Gil-Castillejos RN, MSc, PhD ,&nbsp;María Acevedo-Nuevo RN, MSc, PhD","doi":"10.1016/j.enfi.2024.05.004","DOIUrl":"10.1016/j.enfi.2024.05.004","url":null,"abstract":"<div><div>In intensive care units, due to critical illness nature and environment special characteristics, it is relatively common for admitted patients to develop acute confusional syndrome (ACS) or delirium. The nurse's duties are to carry out interventions that reduce the presentation of this process, which is still an important complication as it is related to longer periods of mechanical ventilation, longer ICU and hospital stays, higher mortality; both in-hospital and after discharge and grater long term cognitive dysfunction. Therefore, nurses participation is essential to prevent and treat delirium, and more specifically in the autonomous part with non-pharmacological measures such as pain control, avoid under or oversedation, promoting restful sleep and facilitating family support among other measures. The objective is to carry out an update that describes 10 key points focused on the tools for detecting/monitoring delirium and non-pharmacological measures for its prevention and treatment. Based on the review of the literature, the 10 most common interventions are described to serve as an action plan to be included in the care plans of patients affected with delirium, providing quality care to prevent and/or treat delirium in critical patients.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 100499"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Especialización de enfermería en cuidados intensivos: una revisión de alcance","authors":"Cristina Pérez-Talavera RN, MSc","doi":"10.1016/j.enfi.2025.500529","DOIUrl":"10.1016/j.enfi.2025.500529","url":null,"abstract":"<div><h3>Introduction</h3><div>Nursing in Intensive Care Units (ICU) presents an additional difficulty due to the highly complex nature of the patients. This implies a demand for training, skills, and management from the nurses attending to this type of patient, which is not currently guaranteed due to the lack of mandatory prior training. Despite the importance of such education and training, there is currently no existing regulation or national or international consensus regarding its mandatory requirement for performing professional activities in ICUs.</div></div><div><h3>Objectives</h3><div>The main research question posed is to identify the existing recommendations on specialized nursing care in adult intensive care.</div></div><div><h3>Methodology</h3><div>A scoping review was conducted using the databases PubMed, CINAHL, MEDLINE, COCHRANE, CUIDEN, and SciELO. The review included studies in both Spanish and English with varied designs on the topic of study. The quality of the articles was analyzed, achieving moderate to high levels of compliance with quality guidelines.</div></div><div><h3>Results</h3><div>A sample of N<!--> <!-->=<!--> <!-->25 was selected, divided according to the primary theme of the articles: 40% (n<!--> <!-->=<!--> <!-->10) on the implementation of training programs in ICUs, 24% (n<!--> <!-->=<!--> <!-->6) on nursing competencies, 16% (n<!--> <!-->=<!--> <!-->4) on the needs identified by ICU staff themselves, and 20% (n<!--> <!-->=<!--> <!-->5) on the clinical specialty of ICU nursing.</div></div><div><h3>Conclusions</h3><div>The findings indicate an improvement in both patient outcomes and the functioning of ICUs following appropriate training of nursing staff. A model for an Intensive Care Nursing Specialty in Spain is proposed as a viable option to develop the necessary specific training.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500529"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}