Enfermería en la monitorización del delirium en cuidado intensivo adulto: una revisión de alcance

Introduction. Delirium is a cognitive alteration secondary to an acute clinical situation, which may be present in patients in critical condition. Nursing plays a key role in the prevention, monitoring, and non-pharmacological treatment of delirium in patients in intensive care units. Objective. Identify current research projects that describe the strategies used by nurses for delirium monitoring in adult intensive care units. Methods. Scope review, using the guiding question, what strategies are used by nursing professionals in the monitoring of delirium in intensive care units? Studies were gathered from the PubMed, Virtual Health Library (Biblioteca Virtual en Salud), Science Direct, and Cochrane databases. A critical review was performed using the CASPe instrument. Data were extracted and entries were made in graphic tables created to condense the information. Results. irteen studies were considered Notas de autor a Autora de correspondencia. Correo electrónico: angmhenaocas@unal.edu.co Investigación en Enfermería: Imagen y Desarrollo, 2020, vol. 22, ISSN: 0124-2059 / 2027-128X relevant and were analyzed. e delirium monitoring strategies mainly used by nursing professionals were clinical judgement, observation of agitation and, to a lesser extent, the use of valid detection instruments. Conclusion. It is required for nursing professionals to gain a better understanding of delirium and to this end education is vital to improve knowledge and increase selfcondence and competence in the assessment through the correct use of instruments.