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Detección y barreras de medición de delirium en Unidad de cuidado intensivo: Una revisión de alcance
Detection and measurement barriers of delirium in the Intensive Care Unit: A scoping review
Detecção e barreiras de mensuração do delirium em terapia intensiva: uma revisão de escopo
DOI:
https://doi.org/10.15446/av.enferm.v41n1.104725Palabras clave:
Cuidado Crítico, Delirium, Profesionales de Enfermería, Revisión (es)Critical Care, Delirium, Clinical Nurses, Review (en)
Cuidados Críticos, Delírio, Enfermeiros Clínicos, Revisão (pt)
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Objetivo: identificar las estrategias de enfermería para la detección de delirium y las barreras para su medición en la unidad de cuidado intensivo.
Materiales y método: revisión de alcance a partir de la metodología del Instituto Joanna Briggs y el protocolo PRISMA-ScR, mediante una búsqueda en seis bases de datos con los términos “delirium”, “diagnosis”, “nursing”, “critical care” y “critical care nursing” y la extracción del software SUMARI.
Resultados: se seleccionaron 43 estudios para análisis y categorización en dos temáticas emergentes: “Herramientas de uso frecuente para la detección del delirium” y “Barreras reportadas por el personal de enfermería para la evaluación del delirium”.
Conclusiones: existe una gran variedad de herramientas validadas y estandarizadas para la detección del delirium en cuidado intensivo. No obstante, su uso es limitado en muchas ocasiones debido a las distintas barreras del paciente, el personal evaluador y el equipo multidisciplinar. Por ello, resulta importante entrenar al personal de salud para que esté familiarizado con el delirium, su detección y el uso de los múltiples instrumentos disponibles.
Objective: To identify nursing strategies for the detection of delirium and the existing barriers for measuring this condition in the Intensive Care Unit.
Materials and method: Scoping review following the Joanna Briggs Institute methodology and the PRISMA-ScR protocol through a research in six databases —with the terms “delirium”, “diagnosis”, “nursing”, “critical care”, and “critical care nursing”—and extraction in SUMARI software.
Results: Forty-three studies were selected for analysis and categorization into two emerging themes: “Frequently used tools for delirium screening” and “Barriers by nursing staff for the evaluation of delirium.”
Conclusions: There is a wide variety of validated and standardized tools for the detection of delirium in intensive care. However, their use is often limited due to different barriers experienced by the patient, the evaluating staff, and the multidisciplinary team. Therefore, it is important to train health personnel so that they are familiar with delirium, its detection, and the use of the available instruments.
Objetivo: identificar as estratégias de enfermagem para detectar o delirium e as barreiras para sua mensuração na unidade de terapia intensiva.
Materiais e métodos: revisão de escopo que seguiu a metodologia do Instituto Joanna Briggs e o protocolo Prisma-ScR, com busca em seis bases de dados, com os termos “delirium”, “diagnosis”, “nursing”, “critical care” e “critical care nursing”, e a extração no software SUMARI.
Resultados: foram selecionados 43 estudos para a análise e categorização dos temas emergentes: “ferramentas de uso frequente para a detecção do delirium” e “barreiras apresentadas pela equipe de enfermagem para a avaliação do delirium”.
Conclusões: existe uma grande variedade de ferramentas validadas e padronizadas disponíveis para a detecção do delirium em terapia intensiva, no entanto seu uso é muitas vezes limitado devido às diferentes barreiras tanto do paciente quanto da equipe avaliadora e da equipe multidisciplinar. Por isso, é importante capacitar os profissionais de saúde para que se familiarizem com o delirium, sua detecção e o uso dos múltiplos instrumentos disponíveis.
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Derechos de autor 2022 Kevin David León López, ANGELA MARIA HENAO CASTAÑO, Vilanice Alves de Araujo Püschel
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