Enfermeria Intensiva最新文献

{"title":"Respuesta a «Higiene oral con clorhexidina: una recomendación única no sirve para todos»","authors":"R. García-Díez RN , M. Vázquez-Calatayud PhD","doi":"10.1016/j.enfi.2023.05.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.05.002","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 4","pages":"Pages 228-229"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71775556","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":"Niveles de burnout y de exposición a conflicto ético de los profesionales de enfermería de cuidados intensivos◊","authors":"V. Salas-Bergüés MSN ,&nbsp;E. Lizarazu-Armendáriz RN ,&nbsp;M. Eraso-Pérez de Urabayen RN ,&nbsp;P. Mateo-Manrique RN ,&nbsp;M. Mendívil-Pérez MSN ,&nbsp;R. Goñi-Viguria MSN","doi":"10.1016/j.enfi.2023.02.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.02.001","url":null,"abstract":"<div><h3>Background</h3><p>Nursing professionals working in intensive care units (ICU) are at high risk of developing negative emotional responses as well as emotional and spiritual problems related to ethical issues. The design of effective strategies that improve these aspects is determined by knowing the levels of burnout and ethical conflict of these professionals, as well as the influence that the practice environment might have on them.</p></div><div><h3>Objectives</h3><p>To analyze the relationship between levels of burnout, the exposure to ethical conflicts and the perception of the practice environment among themselves and with sociodemographic variables of the different intensive care nursing professionals.</p></div><div><h3>Methods</h3><p>Descriptive, correlational, cross-sectional, observational study in an ICU of a tertiary level university hospital. The level of burnout was evaluated with the Maslach Burnout Inventory Human Services Survey scale; the level of ethical conflict with the Ethical Conflict Questionnaire for Nurses; and the perception of the environment with the Practice Environment Scale of the Nursing Work Index. Descriptive and inferential statistics were performed. The association between categorical variables was analyzed using Fisher's exact chi-square test (χ²)</p></div><div><h3>Results</h3><p>31 nurses and 8 nursing assistants were evaluated, which meant a participation rate of 82.93%. 31.10% of the nursing professionals presented signs of burnout, 14.89% considered that they work in an unfavorable environment and 87.23% presented a medium-high index of exposure to ethical conflict.</p><p>The educational level (χ² <!-->=<!--> <!-->11.084, <em>P</em> <em>=</em> <!-->.011) and the professional category (χ² <!-->=<!--> <!-->5.007, <em>P</em> <em>=</em> <!-->.025) influenced the level of burnout: nursing assistants presented higher levels of this.</p><p>When comparing the level of burnout with the environment and the index of ethical conflict, there were no statistically significant differences.</p></div><div><h3>Conclusions</h3><p>The absence of association found in the study between burnout and ethical conflict with the perception of the practice environment suggests that personal factors may influence its development.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 4","pages":"Pages 195-204"},"PeriodicalIF":1.3,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71775553","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":"Nursing interventions in palliative care in the intensive care unit: A systematic review","authors":"M.C.R. Araujo RN ,&nbsp;D.A. da Silva RN ,&nbsp;A.M.M.M. Wilson MSN","doi":"10.1016/j.enfi.2022.04.001","DOIUrl":"10.1016/j.enfi.2022.04.001","url":null,"abstract":"<div><h3>Context</h3><p>Patients in palliative care are found in different places where care is provided, including the intensive care environment with important role of the nursing staff.</p></div><div><h3>Objective</h3><p>The aim of this systematic review was to answer the following question: which nursing interventions are aimed to the palliative care patients who are in the intensive care unit (ICU).</p></div><div><h3>Data sources</h3><p>US National Library of Medicine (PUBMED), Virtual Health Library (BVS), SciELO, The Cochrane Library (Cochrane) and Lilacs databases were used.</p></div><div><h3>Data extraction</h3><p>After applying inclusion and exclusion criteria in accordance with the PRISMA method, a total of 36 entries published between 2010 and 2020 were used.</p></div><div><h3>Data analysis</h3><p>The records extracted were analyzed from a qualitative approach, so no statistical analysis was carried out.</p></div><div><h3>Results</h3><p>The findings demonstrated that the interventions that focus on promoting the patient's autonomy and respect their needs on ICU involves effective communication, promoting shared decision with patient and family, individualize care for each patient including the family on the daily care and decisions, maintaining basic nursing care as hygiene and comfort and encouraging self-care, as well as the involvement of nursing palliative care specialists the care is important. Other interventions included promoting a continuing education program for the nursing staff and other professionals involved in caring for patients in palliative care at ICU.</p></div><div><h3>Conclusion</h3><p>This review highlighted the need for specific nursing interventions aimed at palliative care patients at ICU to promote patient autonomy and the focus on patient needs, always sharing decisions with the patient and family. However, it showed that there is a need for the continuous training of the nursing staff because factors such as the nurses’ lack of technical-scientific knowledge and, concomitantly, the absence of a standardized and specific intervention model linked to a bureaucratic system, make it difficult to carry out a specialized care for this type of patient.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 156-172"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46165790","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":"Percepción de la cultura de seguridad del paciente en un área de críticos","authors":"R.M. Peradejordi-Torres RN,&nbsp;J. Valls-Matarín PhD, MSR, RN","doi":"10.1016/j.enfi.2022.11.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.11.002","url":null,"abstract":"<div><h3>Introduction</h3><p>Critical Care Area (CCA) is one of the most complex in the hospital system, requiring a high number of interventions and handling of amounts of information. Therefore, these areas are likely to experience more incidents that compromise patient safety (PS).</p></div><div><h3>Aim</h3><p>To determine the perception of the healthcare team in a critical care area about the patient safety culture.</p></div><div><h3>Method</h3><p>Cross-sectional descriptive study, September 2021, in a polyvalent CCA with 45 beds, 118 health workers (physicians, nurses, auxiliary nursing care technicians). Sociodemographic variables, knowledge of the person in charge in PS and their general training in PS and incident notification system were collected. The validated Hospital Survey on Patient Safety Culture questionnaire, measuring 12 dimensions was used. Positive responses with an average score ≥75%, were defined as an area of strength while ≥50% negative responses were defined as an area of weakness. Descriptive statistics and bivariate analysis: χ² and t-Student tests, and ANOVA. Significance p ≤ 0.05.</p></div><div><h3>Results</h3><p>94 questionnaires were collected (79.7% sample). The PS score was 7.1 (1.2) range 1-10. The rotational staff scored the PS with 6.9 (1.2) compared to 7.8 (0.9) for non-rotational staff (p = 0.04). A 54.3% (n = 51) was familiar with the incident reporting procedure, 53% (n = 27) of which had not reported any in the last year. No dimension was defined as strength.There were three dimensions that behaved like a weakness: security perception: 57.7% (95% CI: 52.7-62.6), staffing: 81.7% (95% CI: 77.4-85.2) and management support: 69 .9% (95% CI: 64.3-74.9).</p></div><div><h3>Conclusions</h3><p>The assessment of PS in the CCA is moderately high, although the rotational staff has a lower appreciation. Half of the staff do not know the procedure for reporting an incident. The notification rate is low. The weaknesses detected are perception of security, staffing and management support. The analysis of the patient safety culture can be useful to implement improvement measures.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 148-155"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49801202","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":"Teoría de las transiciones y empoderamiento: un marco para las intervenciones enfermeras durante la transición del paciente de la unidad de cuidados intensivos","authors":"C. Cuzco RN, MSc, PhD ,&nbsp;P. Delgado-Hito RN, MSc, PhD ,&nbsp;R. Marin-Pérez RN, MSc ,&nbsp;A. Núñez-Delgado RN, MSc ,&nbsp;M. Romero-García RN, MSc, PhD ,&nbsp;M.A. Martínez-Momblan RN, MSc, PhD ,&nbsp;G. Martínez-Estalella RN, MSc ,&nbsp;P. Castro MD, PhD","doi":"10.1016/j.enfi.2022.10.003","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.10.003","url":null,"abstract":"<div><h3>Objectives</h3><p>1) To explore the main characteristics of intensive care unit transition according to patients’ lived experience and 2) to identify nursing therapeutics to facilitate patients’ transition from the intensive care unit to the inpatient unit.</p></div><div><h3>Methodology</h3><p>Secondary analysis of the findings of a descriptive qualitative study on the experience of patients admitted to an ICU during the transition to the inpatient unit, based on the nursing transitions theory. Data for the primary study were generated from 48 semi-structured interviews of patients who had survived critical illness in three tertiary university hospitals.</p></div><div><h3>Results</h3><p>Three main themes were identified during the transition of patients from the intensive care unit to the inpatient unit: 1) nature of ICU transition, 2) response patterns and 3) nursing therapeutics. Nurse therapeutics incorporates information, education and promotion of patient autonomy; in addition to psychological and emotional support.</p></div><div><h3>Conclusions</h3><p>Transitions theory as a theoretical framework helps to understand patients’ experience during ICU transition. Empowerment nursing therapeutics integrates the dimensions aimed at meeting patients’ needs and expectations during ICU discharge.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 138-147"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49801203","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":"XLVIII CONGRESO NACIONAL DE LA SOCIEDAD ESPAÑOLA DE ENFERMERIA INTENSIVA Y UNIDADES CORONARIAS","authors":"Miriam del Barrio Linares (Presidenta de la S.E.E.I.U.C)","doi":"10.1016/j.enfi.2023.07.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2023.07.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 113-114"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49800762","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 entrenamiento basado en TeamSTEPPS® mediante simulación clínica en profesionales de cuidados intensivos: un estudio con metodología mixta","authors":"Ó. Arrogante RN, Psy, MSc, PhD ,&nbsp;M. Raurell-Torredà RN, PhD ,&nbsp;I. Zaragoza-García RN, PhD ,&nbsp;F.J. Sánchez-Chillón RN, MSN ,&nbsp;A.M. Aliberch-Raurell RN, MSN ,&nbsp;A. Amaya-Arias Psy, MSc, PhD(c) ,&nbsp;A. Rojo-Rojo RN, PhD","doi":"10.1016/j.enfi.2022.10.002","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.10.002","url":null,"abstract":"<div><h3>Introduction</h3><p>The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) programme has been shown to improve interprofessional work among healthcare professionals by enhancing teamwork. Intensive care professionals were trained in this methodology through the course «Simulation Trainer: Improving Teamwork through TeamSTEPPS®».</p></div><div><h3>Objectives</h3><p>To analyse the teamwork performance and good practice in simulation of the intensive care professionals attending the course and to explore their perceptions of the training experience carried out during the course.</p></div><div><h3>Methods</h3><p>A cross-sectional descriptive and phenomenological study was carried out using a mixed methodology. The 18 course participants were administered the questionnaires «TeamSTEPPS™ 2.0 Team Performance Observation Tool» to evaluate teamwork performance and «Educational Practices Questionnaire» for good practices in simulation after the simulated scenarios. Subsequently, a group interview was conducted through a focus group with 8 attendees using the Zoom™ videoconferencing platform. A thematic and content analysis of the discourses was carried out using the interpretative paradigm. Quantitative and qualitative data were analysed using IBM SPSS Statistics™ 27.0 and MAXQDA Analytics Pro™, respectively.</p></div><div><h3>Results</h3><p>Both the level of teamwork performance (mean = 96.25; SD = 8.257) and good practice in simulation (mean = 75; SD = 1.632) following the simulated scenarios were adequate. The following main themes were identified: satisfaction with the TeamSTEPPS® methodology, usefulness of the methodology, barriers to methodology implementation and non-technical skills improved through TeamSTEPPS®.</p></div><div><h3>Conclusions</h3><p>TeamSTEPPS® methodology can be a good interprofessional education strategy for the improvement of communication and teamwork in intensive care professionals, both at the care level (through on-site simulation strategies) and at the teaching level (through its inclusion in the students’ curriculum).</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 126-137"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49842888","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":"La disfagia en cuidados intensivos, un problema real: análisis de factores de riesgo","authors":"L.P. Armas-Navarro RN ,&nbsp;Y.G. Santana-Padilla RN, MSc, PhD ,&nbsp;L. Mendoza-Segura MD ,&nbsp;M. Ramos-Díaz MD ,&nbsp;B.N. Santana-López RN, MSc (PhD candidate) ,&nbsp;J.A. Alcaraz-Jiménez RN, MSc ,&nbsp;J. Rico-Rodríguez MD ,&nbsp;L. Santana-Cabrera MD, PhD","doi":"10.1016/j.enfi.2022.08.001","DOIUrl":"https://doi.org/10.1016/j.enfi.2022.08.001","url":null,"abstract":"<div><h3>Aims</h3><p>To identify risk factors present in patients with dysphagia in a population of critically ill patients.</p></div><div><h3>Methods</h3><p>Case series of a cohort of patients recruited in the intensive care unit (ICU) until hospital discharge. Patients who gave consent and met the inclusion criteria were recruited. The Volume-Viscosity clinical examination method was used for the screening of dysphagia. An uni- and bivariate statistical analysis was performed using odds ratio (OR) to detect risk factors for dysphagia.</p></div><div><h3>Outcomes</h3><p>103 patients were recruited from 401 possible. The mean age was 59,33±13,23, men represented 76,7%. The severity of the sample was: APACHE II (12,74±6,17) and Charlson (2,98±3,31). 45,6% of patients showed dysphagia, obtaining significant OR values (p&lt;0,050) for the development of dysphagia: older age, neurological antecedents, COVID19, long stay in ICU and hospitalization, and the presence of tracheotomy. COVID19 patients represented 46,6% of the sample, so an analysis of this subgroup was performed, showing similar results, with a Charlson risk (OR:4,65; 95% CI:1,31-16,47; p=0,014) and a hospital stay (OR: 8,50; 95%CI: 2,20-32,83; p&lt;0,001). On discharge from the ICU, 37,9% of the population still had dysphagia; 12,6% maintained this problem at hospital discharge.</p></div><div><h3>Conclusions</h3><p>Almost half of our patients developed dysphagia. Clinical severity and the presence of tracheotomy were risk factors. We observed in patients with dysphagia a longer stay in both ICU and hospitalization.</p></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 3","pages":"Pages 115-125"},"PeriodicalIF":1.3,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49801201","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":"Comité Científico del Congreso","authors":"","doi":"10.1016/S1130-2399(23)00041-X","DOIUrl":"https://doi.org/10.1016/S1130-2399(23)00041-X","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 ","pages":"Page i"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49770109","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":"Índice de autoress","authors":"","doi":"10.1016/S1130-2399(23)00043-3","DOIUrl":"https://doi.org/10.1016/S1130-2399(23)00043-3","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"34 ","pages":"Pages S33-S35"},"PeriodicalIF":1.3,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49770107","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}