儿科重症监护人性化战略：范围审查

IF 1.1 Q3 NURSING

Enfermeria Intensiva Pub Date : 2025-02-25 DOI:10.1016/j.enfi.2025.500531

María Esther Salgado-Reguero PhD candidate, MsC, RN , Sara Furtado-Eraso PhD, RN , Arantxa Bujanda-Sainz de Murieta PhD candidate, MsC, RN , Cristina García-Vivar PhD, RN , Nelia Soto-Ruiz PhD, RN , Paula Escalada-Hernández PhD, RN

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引用次数: 0

摘要

国际icu - ci项目倡导重症监护病房人性化的8个战略要点。尽管成人icu在促进护理的人性化方面受到了关注，但在儿科方面，护理的人性化仍然受到有限的关注，关于儿科结构和人性化模式的数据有限，缺乏与实践的结合。目的根据HU-CI项目的理论框架，识别与人性化概念相关的现有证据，并了解其在儿科重症监护病房领域的实施情况。方法通过PubMed和CINAHL的文献检索进行范围综述。在儿童重症监护病房的背景下，研究解决与HU-CI框架战略路线相关的概念或要素。采用定量、定性和混合方法，考虑了患者、家庭和一线医疗保健专业人员的观点。数据分析采用叙事方法，根据儿科重症监护室HU-CI框架的战略路线进行分类综合。结果共纳入41篇文献。在HU-CI框架的8个行动线中，临终关怀和沟通在灵活的时间表、家庭在场和参与护理、患者福祉、专业护理、icu后综合征和人性化基础设施方面占主导地位。结论所分析的行动线需要通过进一步的研究来发展和改进，以使其充分融入儿科重症监护病房的实践中。

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Estrategias de humanización en cuidados intensivos pediátricos: una revisión de alcance

Background

The international HU-CI project advocates 8 strategic strands for the humanization of intensive care units. Despite of adult ICUs have received attention to promote humanization of care, in the pediatric context, the humanization of care continues to receive limited attention, with limited data on pediatric structures and humanization patterns lacking integration into practice.

Objectives

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 pediatric intensive care units.

Method

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 pediatric 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 synthesized according to the strategic lines of the HU-CI framework in pediatric intensive care units.

Results

A total of 41 articles were included. Within the 8 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 humanized infrastructure.

Conclusions

The analyzed action lines suggest the need for development and improvement through further research to facilitate their full integration into the practice of pediatric intensive care units.

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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.