Interprofessional interventions and factors that improve end-of-life care in intensive care units: An integratory review.
Enferm Intensiva (Engl Ed)
; 2024 Jun 22.
Article
em En
| MEDLINE
| ID: mdl-38910066
ABSTRACT
INTRODUCTION:
The changes in health dynamics, caused by the SARS-COVD-2 pandemic and its consequences, generated a greater need to integrate palliative care in the ICU to promote a dignified death.OBJECTIVE:
Identify interprofessional interventions and factors that improve the care of patients at the end of life.METHODOLOGY:
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, PROQUES, PSYCHOLOGY, JOURNALS, SCIENCEDIRECT, with MeSH/DECS terms "Critical Care", "IntensiveCare" "Life support care", "Palliative care", "Life Quality", "Right to die". 36,271 were identified, after excluding duplicate title, abstract, year of publication, design, theme, methodological quality, objectives, and content, 31 studies were found.RESULTS:
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, 38%, and 19% in Brazil. The pooled sample was 24,779 participants. 32.2% of the studies had level of evidence 1 recommendation (c), and 25.8% level of evidence 2 recommendation (c). This paper synthesises 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 programmes for critically ill patients and their families; factors that affect palliative care and improve with training and continuing education for health personnel.CONCLUSION:
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.
Critical care; Cuidados críticos; Cuidados de soporte vital; Cuidados paliativos; Cuidados terminales; Derecho a morir; Intensive care units; Palliative care; Planificación anticipada de cuidados; Planning advance of care; Right to die; Terminal care; Toma de decisiones compartidas; Unidades de cuidados intensivos; Vital supportive care
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Enferm Intensiva (Engl Ed)
Ano de publicação:
2024
Tipo de documento:
Article