Enfermeria Intensiva最新文献

{"title":"Interevaluator reliability of a tool for measuring body height in adult intensive care patients","authors":"H.A. Payán-Salcedo ,&nbsp;J.L. Estela-Zape ,&nbsp;L.P. Chanchi-Quintero ,&nbsp;E.C. Wilches-Luna","doi":"10.1016/j.enfi.2024.01.002","DOIUrl":"10.1016/j.enfi.2024.01.002","url":null,"abstract":"<div><h3>Background</h3><div>The calculation of body height in the intensive care unit is essential for obtaining the ideal body weight, which is used to program the tidal volume and establish objective and effective pulmonary ventilation. The objective of the study was to determine the interrater reliability of a tool for measuring body height in adult patients in an intensive care unit (ICU) in southwestern Colombia.</div></div><div><h3>Methods</h3><div>This cross-sectional observational study was conducted between January and May 2021, following the recommendations of the COSMIN protocol. Two physiotherapists in the roles of observer/evaluator measured the heights of 106 patients upon admission to the ICU with a previously designed. The sample size was calculated based on Pearson's correlation coefficient. For interrater reliability, the intraclass correlation coefficient (ICC) was used, and Bland–Altman analysis was used to assess concordance. The 95% confidence interval was established, and a P value &lt;0.05 indicated statistical significance.</div></div><div><h3>Results</h3><div>A total of 106 individuals with a mean age of 59.3 years were included; the mean body height was 158.5 cm for women. The interrater reliability of the measurement of height was excellent (global ICC of 0.99, <em>P</em> = 0.000), and an almost perfect positive correlation was obtained between the raters for both women and men (<em>R</em> = 0.99).</div></div><div><h3>Conclusions</h3><div>Excellent interrater/interobserver reliability was obtained for the measurement of body height in the ICU. This research highlights the importance of protocolizing the measurement of height in critical patients with valid and reliable instruments.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 299-307"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652066","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":"The roles and responsibilities of advanced practice nurses in intensive care units: A scoping review","authors":"F. Jafari Pour MSc, RN ,&nbsp;R. Watson PhD, RN ,&nbsp;E. Jafaripour MSc ,&nbsp;R. Jafarian BSc","doi":"10.1016/j.enfi.2024.05.001","DOIUrl":"10.1016/j.enfi.2024.05.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Since the intensive care units are one of the most sensitive hospital settings and critically ill patients undergo various stressful factors that put their lives in danger, a more advanced level of nursing practice is imperative to accommodate these issues and provide optimal care of patients.</div></div><div><h3>Objectives</h3><div>To review the literature describing the roles and activities performed by advanced practice nurses in intensive care units.</div></div><div><h3>Review methods</h3><div>We conducted a scoping review to search published articles using Scopus, PubMed, CINAHL (EBSCOhost), Science Direct, MEDLINE (EBSCOhost) and Cochrane Library during a 10-year period from 2013 to 2023.</div></div><div><h3>Results</h3><div>We identified 729 records, from which eleven articles were included in the review. We included six reviews and five original articles or research papers. With regard to the target area of our review, we used the information provided by these studies and categorized the contents related to the roles of advanced practice nurses in intensive care units into five sections, including direct practice, education and counseling, research, collaboration, and leadership.</div></div><div><h3>Conclusion</h3><div>Advanced practice nurses are essential members of critical care team by playing various roles in practice, education, research, collaboration, and leadership, and therefore, they can increase patients’ access to critical care and improve healthcare outcomes. The advancement of technology and complexity of care in intensive care units have led to the role expansion of these nurses which results in task-shifting between doctors and nurses. Therefore, it is considered essential for nursing and medical professionals to reach an agreement to establish standardized roles for advanced practice nurses.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages e31-e40"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652161","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":"Punción ecoguiada versus técnica tradicional para la extracción de gasometrías arteriales en adultos: una revisión sistemática","authors":"P. Romo-Miguel RN ,&nbsp;S. Ballesteros-Peña RN, MPH, PhD","doi":"10.1016/j.enfi.2023.10.003","DOIUrl":"10.1016/j.enfi.2023.10.003","url":null,"abstract":"<div><h3>Aim</h3><div>To compare the efficacy of conventional puncture versus ultrasound-guided puncture for arterial blood gas sampling in adults.</div></div><div><h3>Method</h3><div>A search protocol was developed and applied to 3<!--> <!-->databases (Medline, Cochrane, and Dialnet). Clinical trials published between January 2013 and January 2023, in Spanish or English, were considered. Outcomes in terms of first-attempt success, number of attempts until success, time taken, self-reported iatrogenic pain, and patient or professional experience were collected. The risk of bias for each included study was assessed.</div></div><div><h3>Results</h3><div>Five randomized clinical trials were selected, with sample sizes ranging from 50 to 238 adult patients treated in emergency settings. Three out of 4<!--> <!-->studies showed higher first-attempt success rates when using ultrasound, and 2 out of 4 studies reported a decrease in iatrogenic pain. Discrepant findings were observed among the studies in terms of time taken and the number of attempts required for success.</div></div><div><h3>Conclusions</h3><div>Although current evidence is limited and the findings are heterogeneous, ultrasound-guided arterial puncture may have advantages over conventional puncture in terms of first-attempt success and in reducing iatrogenic pain.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 368-375"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139456041","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":"Adverse events with arterial catheters in intensive care units: a scoping review","authors":"P.M. Mariano-Gomes,&nbsp;A. Ouverney-Braz,&nbsp;G. Oroski-Paes","doi":"10.1016/j.enfi.2024.04.005","DOIUrl":"10.1016/j.enfi.2024.04.005","url":null,"abstract":"<div><h3>Introduction</h3><div>The installation of an arterial line is one of the invasive procedures performed for hemodynamic monitoring and, even with its clear importance in intensive care, it is still an invasive procedure and liable to cause harms to the patients.</div></div><div><h3>Objective</h3><div>To identify the adverse events associated with the use of arterial catheters in critically-ill patients in the world scientific production.</div></div><div><h3>Methodology</h3><div>The present scoping review was conducted according to the JBI methodology for scoping reviews. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist was used for reporting. The research question was “Which adverse events related to the use of arterial catheters in patients admitted to intensive care are more evident in the literature?”. Data collection took place in the following databases: LILACS; MEDLINE; EMBASE; CINAHL, EBSCOhost; and WEB OF SCIENCE.</div></div><div><h3>Results</h3><div>Through the search strategies, 491 articles were found in the databases. After exclusion of duplicates, peer analysis of titles and abstracts, full reading and screening of lists of references, the final sample of studies included was 38 articles. The main harms cited by the publications were as follows: limb ischemia, thrombosis, hemorrhage, accidental removal, inadvertent connection of inadequate infusion solution, pseudoaneurysm and bloodstream infection.</div></div><div><h3>Conclusions</h3><div>It was evidenced that patients are subjected to risks of adverse events from the insertion moment to removal of the arterial catheter, focusing on the infusion solution used to fill the circuit, the type of securement and dressings chosen, as well as the Nursing care measures for the prevention of bloodstream infection.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 410-427"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652162","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 reporting adverse events from the perspective of ICU nurses: A mixed-method study","authors":"D. Kohanová PhD, RN ,&nbsp;D. Bartoníčková MSc, RN","doi":"10.1016/j.enfi.2023.12.003","DOIUrl":"10.1016/j.enfi.2023.12.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurses represent the largest group of healthcare professionals and are responsible for improving patient safety, including reporting adverse events. However, adverse events are underreported due to the many barriers that compromise patient safety in the hospital setting.</div></div><div><h3>Aim</h3><div>The study aimed to investigate the barriers to reporting adverse events as perceived by nurses working in intensive care units (ICUs).</div></div><div><h3>Methods</h3><div>The exploratory sequential mixed-method study design was used. Data were collected between January 2022 and March 2023 in intensive care units of one selected university hospital in the Slovak Republic. The quantitative phase was carried out using a specific instrument to explore barriers to reporting adverse events and included 111 nurses from the ICU. The qualitative phase was conducted using semi-structured face-to-face interviews and consisted of 10 nurses from the ICU.</div></div><div><h3>Results</h3><div>In terms of quantitative aspect, fear of liability, lawsuits, or sanctions was the most significant barrier to reporting adverse events among ICU nurses. As a result of qualitative thematic analysis, four significant barriers to reporting adverse events were identified: negative attitude toward reporting adverse events; lack of knowledge and experience in reporting adverse events; time scarcity; fear.</div></div><div><h3>Conclusion</h3><div>Based on the results of the study, it is evident that only effective and regular reporting of adverse events leads to the minimization of adverse events. To improve patient safety in hospitals, education and management practices must be implemented to overcome barriers to reporting adverse events. The most important approach to overcoming barriers to reporting adverse events is to implement a culture of no blame and a positive culture of patient safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 287-298"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140468174","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":"Manejo de la disfagia por las enfermeras de las unidades de cuidados intensivos españolas","authors":"Y.G. Santana-Padilla RN, MSc, PhD ,&nbsp;T. Linares-Pérez RN ,&nbsp;B.N. Santana-López RN, MSc, PhDc ,&nbsp;L. Santana-Cabrera MD, PhD","doi":"10.1016/j.enfi.2024.02.006","DOIUrl":"10.1016/j.enfi.2024.02.006","url":null,"abstract":"<div><h3>Introduction/purpose</h3><div>Dysphagia is a disorder that presents with specific signs and symptoms in critically ill patients. Intensive care unit (ICU) nurses are responsible for monitoring and detecting abnormalities in critically ill patients, so they must be trained to assess swallowing and the complications that may arise. The aim of this research is to analyse the dynamics of the detection and assessment of dysphagia by ICU nurses.</div></div><div><h3>Method</h3><div>Cross-sectional descriptive study using an electronic questionnaire to nurses from different Spanish ICUs. The survey was adapted from previous research and consisted of 6 sections with 30 items of qualitative questions. The collection period was between December 2022 and March 2023. Statistical analysis was performed using frequencies and percentages, and the Chi-Square test was used for bivariate analysis.</div></div><div><h3>Outcomes</h3><div>43 nurses were recruited. Dysphagia is considered an important problem (90.7%) but in 50.3% of the units there is no standard or care protocol for this disorder. The most common technique is the swallowing test (32.6%). There is a consensus in our sample that aspiration pneumonia is the main problem; however, nurses in the busiest care units consider sepsis to be a frequent complication (p<!--> <!-->=<!--> <!-->0.029). The most common treatment is modification of food consistency (86.0%).</div></div><div><h3>Conclusion</h3><div>The findings of this research show a low systematisation of dysphagia screening in the units included. There is a need for greater implementation of interventions and clinical protocols for monitoring complications as well as for compensatory and rehabilitative management.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 329-339"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652165","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":"Notificación de Incidentes. El eslabón más débil de los Sistemas de Seguridad del Paciente","authors":"Angel Cobos-Vargas ,&nbsp;Aurora Bueno-Cavanillas","doi":"10.1016/j.enfi.2024.10.001","DOIUrl":"10.1016/j.enfi.2024.10.001","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 251-254"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142652164","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":"Perspectiva de género en la realización de la higiene en cuidados intensivos cardiológicos","authors":"S. Pérez-Ortega RN, MSc, PhD student ,&nbsp;M. Parellada-Vendrell RN, MSc, PhD student ,&nbsp;E. Querol RN, MSc ,&nbsp;J. Prats RN, MSc ,&nbsp;M. Venturas RN, PhD ,&nbsp;A. Zabalegui RN, PhD, FEANS","doi":"10.1016/j.enfi.2023.12.002","DOIUrl":"10.1016/j.enfi.2023.12.002","url":null,"abstract":"<div><h3>Introduction</h3><div>Hygiene in critical patients is an essential daily care, provided under safe conditions, to promote comfort and maintain the integrity of skin and mucous membranes, however, it can generate feelings of dependence and vulnerability in patients.</div><div>The aim of this post hoc study is to know the differences in satisfaction and lived experience regarding bed hygiene in an intensive care unit according to biological sex and gender perspective.</div></div><div><h3>Methods</h3><div>Observational, descriptive and prospective study in which an ad hoc questionnaire was administered to 148 conscious and oriented patients of legal age. The questionnaire was completed 24-48<!--> <!-->hours after admission to the unit, once the initial bed hygiene had been performed.</div></div><div><h3>Results</h3><div>Males experienced conformism (51%), embarrassment (31%) and relief (9%); Women felt conformism (35.4%), embarrassment (18.8%) and relief (29.2%) (<em>P</em> <!-->&lt;<!--> <!-->.05). Women experienced a feeling of cleanliness in 89.1% compared to 56.1% of men (<em>P</em> <!-->&lt;<!--> <!-->.05). Men were offered to wash their genitals in 72.9% compared to 35.7% of women (<em>P</em> <!-->&lt;<!--> <!-->.05).</div><div>34.3% of men would prefer a family member to assist them during hygiene (62.9% by their wives), compared to 27.1% of women who would prefer a family member (84.6% by their daughters).</div></div><div><h3>Conclusion</h3><div>Women tolerate bed hygiene better than men and appreciate more the feeling of cleanliness.</div><div>Women are identified as caregivers, both professionally and in the family, and patients prefer them to collaborate in the performance of hygiene, being wives preferred by men and daughters preferred by women.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 278-286"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140087358","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 del confort en el paciente crítico desde el modelo teórico de Kolcaba","authors":"M.D. Gonzalez-Baz RN, MSN, PhD ,&nbsp;E. Pacheco-del Cerro RN, MSN, PhD ,&nbsp;M.I. Durango-Limárquez RN, MSN ,&nbsp;A. Alcantarilla-Martín RN ,&nbsp;R. Romero-Arribas RN ,&nbsp;J. Ledesma-Fajardo RN ,&nbsp;M.N. Moro-Tejedor RN, MSN, PhD","doi":"10.1016/j.enfi.2023.11.001","DOIUrl":"10.1016/j.enfi.2023.11.001","url":null,"abstract":"<div><h3>Background</h3><div>The stay in a critical care unit (CCU) has a serious impact on physical condition causing numerous discomfort factors such as pain or difficulty in communicating. All of these are associated with possible sequelae following discharge from the Intensive Care Unit (ICU) named post-ICU syndrome. The Kolcaba Comfort Theory allows, from a holistic approach, to identify care needs from the patient's perspective using instruments such as the General Comfort Questionnaire (GCQ).</div></div><div><h3>Objectives</h3><div>To determine the comfort level of patients admitted to the CCU using the GCQ of Kolcaba and to identify the discomfort factors.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive observational prospective study. <em>Population:</em> 580 patients admitted to adult CCU of two high complexity hospitals from June 2015 to March 2020 with stay ≥24<!--> <!-->h were interviewed. Descriptive analysis, Student's t-test and ANOVA and multivariate analysis were performed using SPSS v26 and STATA v16.</div></div><div><h3>Results</h3><div>The mean age was 52.62 (16.21), 357 (61.6%) were male and 434 (74.8%) were believers. The type of admission was planned in 322 (55.5%) and the most prevalent reason for admission was surgical 486 (83.8%). The median pain score (NRS) was 3.00 [0-4] and severity score (APACHE II) was 13.26 (5.89), the median length of stay was 4.00 [2-7] days. The mean comfort level was 3.02 (0.31) showing the highest value for the Reanimation Unit 3.02 (0.30) and the lowest fort the Emergency and Trauma Unit 2.95 (0.38). Statistically significant differences were found between the units in the comfort level of patients &gt;65 years of age (<em>P</em>=.029). The Relief comfort type obtained the lowest mean 2.81 (0.33) and the physical context 2.75 (0.41) in the three units. In the multivariate analysis, statistically significant differences were found between the comfort level and the pain level: no pain (<em>P</em>=.000) OR: 4.361; IC: 2.184-8.707, mild pain (<em>P</em>=.000) OR: 4.007; IC: 2.068-7.763, moderate pain (<em>P</em>=.007) OR: 2.803; IC: 1.328-5.913, and the APACHE II score equal to or greater than 10 (<em>P</em>=.000) OR: 0.472; IC: 0.316-0.705.</div></div><div><h3>Conclusions</h3><div>The comfort level showed high scores in all three units. The physical and environmental contexts and the relief comfort type negatively affected the perception of comfort. The variables that explained comfort were pain and severity of illness. The evaluation of comfort from the patient's perspective through the GCQ could be considered an indicator of quality of nursing interventions.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 264-277"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140787083","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":"Intervenciones interprofesionales y factores que mejoran los cuidados al final de la vida en unidades de cuidados intensivos: revisión integradora","authors":"S.M. Hernández-Zambrano PhD ,&nbsp;A.J. Carrillo-Algarra MSN ,&nbsp;O.E. Manotas-Solano RN ,&nbsp;S.E. Ibáñez-Gamboa RN ,&nbsp;L.M. Mejia-Mendez RN ,&nbsp;O.H. Martínez-Montoya RN ,&nbsp;M. Fernández-Alcántara PhD ,&nbsp;C. Hueso-Montoro PhD","doi":"10.1016/j.enfi.2023.08.003","DOIUrl":"10.1016/j.enfi.2023.08.003","url":null,"abstract":"<div><h3>Introduction</h3><div>The changes in health dynamics, caused by the SARS-CoV-2 pandemic and its consequences, generated a greater need to integrate palliative care in the ICU to promote a dignified death.</div></div><div><h3>Objective</h3><div>Identify interprofessional interventions and factors that improve the care of patients at the end of life.</div></div><div><h3>Methodology</h3><div>Integrative review, including experimental, quasi-experimental, observational, analytical, and descriptive studies with correlation of variables, published from 2010 to 2021, identified in Cochrane, CINAHL, CUIDEN, LILACS, SciELO, Dialnet, PsychInfo, PubMed, ProQuest Psychology Journals and ScienceDirect, with the MeSH terms: “Critical Care”, “Intensive Care”, “Life support care”, “Palliative care”, “Life Quality”, “Right to die”. A total of 36,271 were identified; after excluding duplicates and because of title, abstract, year of publication, design, theme, methodological quality, objectives, and content, 31 studies were found.</div></div><div><h3>Results</h3><div>It included 31 articles, 16.7% experimental, 3.3% quasi-experimental, 80% observational, analytical, and descriptive with correlation of variables, 38% published in the United States, and 19% in Brazil. The pooled sample was 24,779 participants. A percentage of 32.2 of the studies had level of evidence 1 recommendation (c), and 25.8% level of evidence 2 recommendation (c). This paper synthesizes evidence to promote interprofessional collaborative practice in the ICU, improve end-of-life care, and interventions to achieve established therapeutic goals, implement effective care policies, plans, and programs for critically ill patients and their families; factors that affect palliative care and improve with training and continuing education for health personnel.</div></div><div><h3>Conclusion</h3><div>There are interventions to manage physical and emotional symptoms, training strategies and emotional support aimed at health personnel and family members to improve the quality of death and reduce stays in the ICU. The interdisciplinary team requires training on palliative and end-of-life care to improve care.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"35 4","pages":"Pages 352-367"},"PeriodicalIF":1.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141279171","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}