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

Abstract

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.