Nursing interventions for patient empowerment during intensive care unit discharge: a systematic review

Intensive care unit discharge is an important transition that impacts a patient's wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (the...

Descripción completa

Detalles Bibliográficos
Autores: Cuzco, Cecilia, Torres Castro , Rodrigo, Torralba, Yolanda, Manzanares Téllez, Isabel, Muñoz Rey, M. Pilar, Romero García, Marta, Martínez Momblán, Ma. Antonia, Martínez Estalella, Gemma, Delgado-Hito, Pilar, Castro Rebollo, Pedro
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2021
País:España
Institución:Universidad de Barcelona
Repositorio:Dipòsit Digital de la UB
OAI Identifier:oai:diposit.ub.edu:2445/181443
Acceso en línea:https://hdl.handle.net/2445/181443
Access Level:acceso abierto
Palabra clave:Unitats de cures intensives
Pacients
Infermeria
Intensive care units
Patients
Nursing
Descripción
Sumario:Intensive care unit discharge is an important transition that impacts a patient's wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (the PRISMA Statement. Embase), PubMed/MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), CUIDEN Plus, and LILACS databases; these were evaluated in May 2021. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. Quality of the studies included was assessed using the Cochrane risk-of-bias tool. Of the 274 articles initially identified, eight randomized controlled trials that reported on nursing interventions had mainly focused on patients' ICU discharge preparation through information and education. The creation of ICU nurse-led teams and nurses' involvement in critical care multidisciplinary teams also aimed to support patients during ICU discharge. This systematic review provides an update on the clinical practice aimed at improving the patient experience during ICU discharge. The main nursing interventions were based on information and education, as well as the development of new nursing roles. Understanding transitional needs and patient empowerment are key to making the transition easier.