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Inicio Enfermería Intensiva (English Edition) The role of the nurse at the end of the life of a critically ill patient
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Vol. 30. Issue 2.
Pages 78-91 (April - June 2019)
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Vol. 30. Issue 2.
Pages 78-91 (April - June 2019)
Review article
DOI: 10.1016/j.enfie.2018.02.001
The role of the nurse at the end of the life of a critically ill patient
Rol de la enfermera en el cuidado al final de la vida del paciente crítico
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M. González-Rincóna, P. Díaz de Herrera-Marchalb,
Corresponding author
Palomaddhm@gmail.com

Corresponding author.
, M.L. Martínez-Martínc
a Unidad Docente, Hospital Universitario La Paz, Madrid, Spain
b Área de Salud Norte, Madrid, Spain
c Sección Departamental Enfermería, Facultad de Medicina, Universidad Autónoma de Madrid, Madrid, Spain
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Tables (3)
Table 1. Descriptors used in the searches with controlled language.
Table 2. Search strategies and results of the bibliographic search.
Table 3. Articles analysed and included in this review.
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Abstract
Objective

Analyse the role of the nurse at the end of the life of a critically ill patient.

Method

Bibliographic review from a search of the health science databases such as PubMed, CINAHL, Cuiden, Scopus, Cochrane, as well as specialised platforms, general and thematic browsers. The limits were language (English or Spanish) and publication date (2005–2015).

Results

180 articles met the inclusion criteria, and 16 of them were selected for analysis. The main results were grouped into three categories of analysis: direct patient care, family-focussed care and the nurse's role within the team.

Conclusions

the described roles place the nurse as a key element in humanising death in the ICU and so nurses can and must lead change, playing an active role in creating strategies that really promote the integration of a palliative care approach in ICU.

Keywords:
Intensive care unit
Withdrawing of life support
Palliative care
Nurse's role
Decision making
Resumen
Objetivo

Analizar el rol de la enfermera en el cuidado al final de la vida del paciente crítico.

Método

Revisión bibliográfica a partir de la búsqueda en bases de datos de ciencias de la salud: PubMed, CINAHL, Cuiden, Scopus, Cochrane Plus, y en plataformas especializadas, buscadores generales y temáticos. Los límites establecidos fueron el idioma (español e inglés) y la fecha de publicación (2005-2015).

Resultados

Ciento ochenta artículos cumplieron los criterios de inclusión, seleccionándose 16 para su análisis. Los principales resultados se agruparon en tres categorías de análisis: el cuidado directo al paciente, la atención centrada en la familia y el rol dentro del equipo multidisciplinar.

Conclusiones

Los roles descritos sitúan a la enfermera como un elemento clave para humanizar la muerte en las UCI, por ello las enfermeras pueden y deben liderar el cambio desempeñando un papel activo en la creación de estrategias que hagan realidad la integración del enfoque de cuidados paliativos en las UCI.

Palabras clave:
Unidad de Cuidados Intensivos
Limitación de tratamiento de soporte vital
Cuidados paliativos
Rol de la enfermera
Toma de decisiones

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