Enfermeria intensiva最新文献

{"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.enfie.2025.500527","DOIUrl":"10.1016/j.enfie.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":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500527"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205495","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":"Internal consistency, minimal detectable change, and sensitivity to change of the Spanish version of the Barthel Index at intensive care unit discharge and three months later","authors":"Esther Cecilia Wilches-Luna PT, PhD ,&nbsp;Vilma Eugenia Muñoz-Arcos PT, MSc ,&nbsp;Paula Benavides-Candezano PT ,&nbsp;José Julián Bernal-Sánchez PT, PhD, MSc ,&nbsp;Ada Clarice Gastaldi PT, PhD","doi":"10.1016/j.enfie.2025.500539","DOIUrl":"10.1016/j.enfie.2025.500539","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the internal consistency (IC), minimal detectable change (MDC), and sensitivity to change of the Barthel Index (BI) at ICU discharge and three months post-hospital discharge.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted between November 2016 and July 2017 in a medical-surgical intensive care unit (ICU). A total of 149 patients over 18 years with a BI score &gt;90 prior to ICU admission were included. The COSMIN checklist was utilized to evaluate the measurement properties. Clinical and demographic variables, BI scores, IC, MDC, and sensitivity to change were analyzed. The Cronbach's alpha coefficient (<em>α</em>) was calculated to determine the IC of the BI by domain and for the overall scale. Effect size (ES) indices and standardized mean response (SMR) were used for sensitivity to change. The MDC was identified using a distribution-based method, calculating the standard error of measurement (SEM). Floor and ceiling effects were assessed, with a threshold of less than 15% considered acceptable.</div></div><div><h3>Results</h3><div>A total of 141 patients were evaluated at discharge from the ICU. Of these, <em>n</em> <!-->=<!--> <!-->77 (41.7%) were men, with a mean age of 58.5<!--> <!-->±<!--> <!-->16.8 years; <em>n</em> <!-->=<!--> <!-->62 (41.6%) required invasive mechanical ventilation. One hundred twelve patients were reassessed three months after discharge. The overall IC was: <em>α</em> <!-->=<!--> <!-->0.70 at ICU discharge and <em>α</em> <!-->=<!--> <!-->0.96 at three months. Ninety two percent (<em>n</em> <!-->=<!--> <!-->103) of the patients showed values greater than or equal to the MDC of 10 points, with statistically significant differences identified in the type of weaning, tracheostomy, and length of stay in the ICU (<em>p</em> <!-->&lt;<!--> <!-->0.005).</div></div><div><h3>Conclusions</h3><div>The items of the Spanish version of the BI demonstrate acceptable IC at ICU discharge. The MDC was 10 points, validating its responsiveness and utility for monitoring the functional independence of critically ill patients at ICU discharge and three months after hospital discharge.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500539"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205799","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":"Characterization of the professional profile and working conditions of nurses in intensive care units","authors":"Diana Marcela Achury-Saldaña MSN ,&nbsp;Luisa Fernanda Achury-Beltrán MSN ,&nbsp;Sandra M. Rodríguez-Colmenares MSN ,&nbsp;Herly Ruth Alvarado-Romero MSN ,&nbsp;Martha Consuelo Romero-Torres RN ,&nbsp;Diana Lucero Pardo-Camacho RN ,&nbsp;María Teresa Diaz-Muñoz RN ,&nbsp;Marcela Moran-Vargas RN ,&nbsp;Janeth Daza-Ramírez RN ,&nbsp;David Andradre-Fonseca MSN","doi":"10.1016/j.enfie.2025.500525","DOIUrl":"10.1016/j.enfie.2025.500525","url":null,"abstract":"<div><h3>Introduction</h3><div>The development of political and academic actions aimed at increasing the quality of care and the outcomes of health care requires knowledge of the conditions of the nursing workforce in intensive care units.</div></div><div><h3>Aim</h3><div>To characterise the professional profile and working conditions of Intensive Care Unit nurses in Colombia.</div></div><div><h3>Methods</h3><div>Multicenter, cross-sectional observational study. A total of 433 Intensive Care Unit nurses in Colombia participated, the information was collected through an online survey. The information was analysed with RStudio statistical software. Descriptive statistics were used for the presentation of results.</div></div><div><h3>Results</h3><div>79.4% of the nursing professionals were women with a mean age of 35.6(±) 9.6 years. A total of 63.9% worked in private adult Intensive Care Units and only 22.4% had a degree in Critical Care. The competencies that are permanently applied are care management, problem solving and communication; however, those related to teamwork and personal development are not fully developed. Regarding working conditions, it was found that: 71.6% have a nurse-patient ratio of 1:6 or more; only 47.5% have an indefinite term contract; 62% work have a salary remuneration of 3.5 minimum wages and only 66.2% are satisfied with their work.</div></div><div><h3>Conclusion</h3><div>The profile of nurses shows the need to strengthen specialised training, while skills and working conditions must be improved to guarantee quality care and the well-being of staff.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500525"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138430","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":"Nurses’ job satisfaction and intention to leave the intensive care unit","authors":"Marta Santana-Martín RN ,&nbsp;José Manuel López-Álvarez MD, PhD ,&nbsp;Yeray Gabriel Santana-Padilla RN, MSN, PhD ,&nbsp;Luciano Santana-Cabrera MD, PhD ,&nbsp;Borja Nicolás Santana-López RN, MSN, PhD","doi":"10.1016/j.enfie.2025.500537","DOIUrl":"10.1016/j.enfie.2025.500537","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurse turnover increases the shortfall in coverage of different health services. Research studies have found high quitting intention rates related to low levels of job satisfaction among nurses in different areas, including Intensive Care Units (ICU). The aim of this study was to compare the level of job satisfaction of ICU nurses according to the population of critically ill patients they care for (paediatric vs. adult) and their intention to leave the ICU.</div></div><div><h3>Methods</h3><div>A cross-sectional descriptive study in which nurses from public ICUs on the island of Gran Canaria, two adult units and one paediatric unit, participated. An electronic questionnaire was sent out, which included questions on socio-demographic and occupational variables, the validated Font Roja job satisfaction survey and a final question on the participant's own intention to leave. Comparative analysis was performed using Chi-square for qualitative variables and Mann Whitney U for quantitative variables.</div></div><div><h3>Results</h3><div>A total of 152 nurses were recruited, 55.9% of whom expressed their intention to leave the ICU. Although both types of units had a higher number of nurses who wanted to leave the ICU, there was a higher proportion in the paediatric ICU who had this intention in the short period of time (30.4% vs. 7.0%) (χ² = 11,691; p = .003). Job satisfaction was generally good (3.37/5), being lower among those who did intend to leave (3.97 vs 2.91; <em>p</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>There is a high intention to leave among the professionals consulted. Paediatric ICU nurses had the highest intention to leave the ICU in the short term (&lt;6 months). An inverse relationship was found between intention to leave and job satisfaction.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500537"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881678","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":"Moral distress in critical care nurses caring for patients undergoing ECMO: A cross-sectional study","authors":"Elisangela da-Conceição-Jorge RN ,&nbsp;João Paulo-Vitorino RN ,&nbsp;Donna M-Wilson RN, PhD ,&nbsp;Filipe Utuari-de-Andrade-Coelho RN, PhD","doi":"10.1016/j.enfie.2025.500533","DOIUrl":"10.1016/j.enfie.2025.500533","url":null,"abstract":"<div><h3>Background</h3><div>Extracorporeal membrane oxygenation (ECMO) is commonly used now in cases of refractory cardiac and pulmonary failure. Moral distress among nurses is often present; nevertheless, the literature regarding this topic is scarce.</div></div><div><h3>Objective</h3><div>To identify the level of moral distress among nurses providing direct care to patients undergoing ECMO by applying the Moral Distress Scale Revised (MDSR).</div></div><div><h3>Method</h3><div>This is a cross-sectional study conducted in an Adult Intensive Care Unit (ICU) in Brazil, involving nurses providing direct care to patients undergoing ECMO. Data on nurse sociodemographic and professional characteristics were collected, along with MDSR data and Moral Distress Index (MDI).</div></div><div><h3>Results</h3><div>A total of 30 nurses were included, of whom 80.0% were female, with an age of 32 (27.7–38.2) years, professional experience time of 5 (3.0–11.2) years, duration of direct support care experience of 2.5 (1.4–4.0) years, and 83.3% had completed an institutional ECMO course. The questions in the MDRS with the highest mean scores which indicate moral distress were 3 (8.57<!--> <!-->±<!--> <!-->4.83), 6 (7.20<!--> <!-->±<!--> <!-->4.73), 16 (6.10<!--> <!-->±<!--> <!-->6.13), 2 (5.87<!--> <!-->±<!--> <!-->4.39) and 7 (5.77<!--> <!-->±<!--> <!-->4.26), with these collectively resulting in a mean MDI of 70.7<!--> <!-->±<!--> <!-->48.02, indicating a significant intensity and frequency of moral distress experienced by the research participants.</div></div><div><h3>Conclusion</h3><div>Moral distress for nursing professionals caring for ECMO patients appears to be linked to the need for ongoing questioning, discussions, and reflections among the working teams. The greatest intensity and frequency of moral distress were attributed to adhering to the family's wishes to sustain life even when it might not be in the best interest of the patient. The study highlights the importance of developing educational programs to identify and mitigate the presence of moral distress and its triggering factors in critical care teams, aiming to reduce its impact over time.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500533"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205771","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":"Evaluation of muscular atrophy in the ICU: Application of ultrasound as a diagnostic and prognostic tool","authors":"Bernat Planas-Pascual PT PhD ,&nbsp;Stefania Spiliopoulou PT MSc ,&nbsp;Gonzalo Ballesteros-Reviriego PT MSc","doi":"10.1016/j.enfie.2025.500553","DOIUrl":"10.1016/j.enfie.2025.500553","url":null,"abstract":"","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500553"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205795","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.enfie.2025.500526","DOIUrl":"10.1016/j.enfie.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":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500526"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144205798","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":"Patient perception of frailty assessment in intensive care units: A phenomenological study","authors":"María Teresa González-Gil RN, MsC, PhD ,&nbsp;Susana Arias-Rivera RN, MsC, PhDc","doi":"10.1016/j.enfie.2025.500548","DOIUrl":"10.1016/j.enfie.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":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500548"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143899527","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":"10 key issues for prevention, monitoring and non-pharmacological treatment of delirium in critically ill patients","authors":"Olga Vallés-Fructuoso RN, MSc ,&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.enfie.2025.100499","DOIUrl":"10.1016/j.enfie.2025.100499","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":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 100499"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143912600","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":"Humanization strategies in pediatric intensive care: A scoping review","authors":"María Esther Salgado-Reguero PhD, MsC, RN ,&nbsp;Sara Furtado-Eraso PhD, RN ,&nbsp;Arantxa Bujanda-Sainz de Murieta PhD, MsC, RN ,&nbsp;Cristina García-Vivar PhD, RN ,&nbsp;Nelia Soto-Ruiz PhD, RN ,&nbsp;Paula Escalada-Hernández PhD, RN","doi":"10.1016/j.enfie.2025.500531","DOIUrl":"10.1016/j.enfie.2025.500531","url":null,"abstract":"<div><h3>Background</h3><div>The international HU-CI project advocates eight strategic strands for the humanization of intensive care units. Despite of adult ICUs have received attention to promote humanization of care, in the paediatric context, the humanization of care continues to receive limited attention, with limited data on paediatric structures and humanization patterns lacking integration into practice.</div></div><div><h3>Objectives</h3><div>Identify available evidence related to humanization concepts according to the theoretical framework of the HU-CI Project and understand the implementations in the field of paediatric intensive care units.</div></div><div><h3>Method</h3><div>A scoping review was conducted through a literature search in PubMed and CINAHL. Studies addressing concepts or elements related to the strategic lines of the HU-CI framework within the context of paediatric intensive care units were included. The perspective of patients, families, and frontline healthcare professionals was considered, using quantitative, qualitative, and mixed methods approaches. Data analysis followed a narrative approach, categorically synthesised according to the strategic lines of the HU-CI framework in paediatric intensive care units.</div></div><div><h3>Results</h3><div>A total of 41 articles were included. Within the eight action lines of action of the HU-CI framework, end-of-life care and communication predominated over flexible schedules, family presence and participation in care, patient well-being, professional care, post-ICU syndrome and humanised infrastructure.</div></div><div><h3>Conclusions</h3><div>The analysed action lines suggest the need for development and improvement through further research to facilitate their full integration into the practice of paediatric intensive care units.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500531"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143886950","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}