Utilization-focused integrative reviews in a nursing service

Stetler, Cheryl B.; Morsi, Deborah; Rucki, Sheila Quinn; Broughton, Sheila; Corrigan, Barbara; Fitzgerald, Jan; Giuliano, Karen K.; Havener, Patricia; Sheridan, E. Ann

doi:10.1016/s0897-1897(98)80329-7

Cited by 365 publications

(370 citation statements)

References 10 publications

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“…This is an integrative review (IR) developed from the adaptation of the theoretical reference of Stetler's model (11) , which proposes the development of guidelines for evidence-based care practice, clarifying controversial issues and implementing activities aimed at improving the quality of care.…”

Section: Methodsmentioning

confidence: 99%

“…The purposes of the IR were determined according to the guiding question and the keywords, supporting the data collection and the identification of relevant studies (11)(12) . The guiding question for the subject studied was: "What are the recommended multiprofessional care for critical delirium patients in the ICU described in the literature?".…”

Section: Methodsmentioning

confidence: 99%

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Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Souza

Azzolin

Fernandes

2018

Rev. Gaúcha Enferm.

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Objective: To describe the multiprofessional care for the management of critical patients in delirium in the ICU from the evidences found in the literature.Methods: This integrative review was carried out in the period from February 1 to June 30, 2016 through searches on PubMed, Scopus, Web of Science, and CINAHL, with the following descriptors: delirium, critical care e intensive care units, which brought up 17 original papers. Results:A bundle and a guideline, two systematic reviews, evidence 1a and four clinical trials, evidence 1b and 2b, cohort and observational studies were found. The multiprofessional care was presented to better understand the diagnosis of delirium, sedation pause, early mobilization, pain, agitation and delirium guidelines, psychomotor agitation, cognitive orientation, sleep promotion, environment and family participation. Conclusion:The care for delirium is wide and not specific, which determines its multifactorial aspect. Keywords: Delirium. Intensive care units. Critical care. Patient care team. Review. RESUMO Objetivo: Descrever os cuidados multiprofissionais para manejo de pacientes críticos em delirium na UTI a partir das evidências encontradas na literatura.Métodos: Trata-se de uma revisão integrativa realizada no período de 1º de fevereiro a 30 de junho de 2016, através de busca nas bases de dados PubMed, Scopus, Web of Science e CINAHL, com os descritores delirium, critical care e intensive care units que finalizou com 17 estudos originais. Resultados:Foram encontrados um bundle e uma diretriz, duas revisões sistemáticas, evidência 1a e quatro ensaios clínicos, evidência 1b e 2b, os demais estudos de coorte e observacionais. Os cuidados multiprofissionais foram apresentados para melhor entendimento em diagnóstico de delirium, pausa de sedação, mobilização precoce, diretrizes para dor, agitação e delirium, agitação psicomotora, orientação cognitiva, promoção do sono, ambiente e participação da família. Conclusão:Os cuidados para delirium são abrangentes e pouco específicos, determinando seu aspecto multifatorial. Palavras-chave: Delírio. Unidades de terapia intensiva. Cuidados críticos. Equipe de assistência ao paciente. Revisão. RESUMEN Objetivo: Se objetivó describir los cuidados multiprofesionales para manejo de pacientes críticos en delirium en la UCI, a partir de las evidencias encontradas en la literatura.Métodos: Se trata de una revisión integradora, realizada en el período del 1 de febrero al 30 de junio de 2016 a través de búsqueda en PubMed, Scopus, Web of Science, y CINAHL con descriptores delirium, critical care e intensive care units que finalizó con 17 estudios originales.Resultados: Se encontraron un bundle, una directriz, dos revisiones sistemáticos, evidencia 1a, cuatro ensayos clínicos, evidencia 1b y 2b, los demás estudios de cohorte y observacionales. Se presentaron los cuidados multiprofesionales para una mejor comprensión de diagnóstico de delirium, pausa de sedación, movilización temprana, directrices para el dolor, agitación, y delirium, agitación...

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Souza

Azzolin

Fernandes

2018

Rev. Gaúcha Enferm.

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“…Level 1: evidence resulting from the meta-analysis of multiple controlled and randomized clinical studies; Level 2: evidence obtained from individual studies based on experimental design; Level 3: evidence from quasiexperimental studies; Level 4: evidence from descriptive (non-experimental) or qualitative approach studies; Level 5: evidence resulting from case or experience reports; Level 6: evidence based on experts' opinions. [13] …”

Section: Methodsmentioning

confidence: 99%

Simulation in emergency nursing education: An integrative review

Bias

Agostinho

Coutinho

et al. 2016

JNEP

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Introduction: The growing development of technological resources has allowed simulations to be increasingly used in nursing education. Aim: assessing the scientific literature on the use of simulations in emergency nursing education. Methods: Integrative literature review conducted in databases such as LILACS, MEDLINE, ERIC, and CINAHL, including full-text articles published in English, Portuguese or in Spanish, between 2005 and 2015. Results: After applying the inclusion and exclusion criteria, the current study selected six primary studies supporting three categories, namely: developing skills and assuredness to work in emergencies; types of simulation used in emergency training; and the impact of simulation on self-confidence and on satisfaction. Conclusions: Simulation is a satisfactory teaching methodology, which shows positive effects on the responses to emergencies, and it contributes to the participants' assuredness and to the improvement of their skills and self-confidence.

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“…The inclusion criteria were as follows: full text being available; having addressed the topical use of chlorhexidine in the oral hygiene of adult ICU patients for the prevention of VAP; having been published in English, Spanish, or Portuguese between January of 1998 and August of 2007; and having been classified as level of evidence I and II, according to the classification system devised by Stetler et al (22) It is important to emphasize that the aforementioned classification of scientific evidence is based on the study design, level I consisting of evidence from meta-analysis of multiple controlled studies, and level II comprising individual experimental studies.…”

Section: Introductionmentioning

confidence: 99%

Higiene bucal com clorexidina na prevenção de pneumonia associada à ventilação mecânica

Beraldo

Andrade

2008

J. bras. pneumol.

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those that favor the colonization of the oropharynx or the stomach, the aspiration of secretions into the lower respiratory tract or reflux of the gastrointestinal tract, and factors inherent in the host. (2,4,5) The bacterial agent found will depend on length of hospital stay, use of antimicrobial agents, host susceptibility, and ICU microbiota. Gram-negative bacilli (Pseudomonas aeruginosa, Proteus spp., Acinetobacter spp.) and Staphylococcus aureus are frequently isolated. (6,7) Considering that the microbiota of the oral cavity represents a threat to critical patients, (2,4,(8)(9)(10)(11)(12) some strate- IntroductionVentilator-associated pneumonia (VAP) is defined as that developing in the period from 48 h after initiation of mechanical ventilation to 48 h after extubation. It is one of the most common cross infections in intensive care units (ICUs), with rates that range from 9 to 40% of the infections acquired in these units, and is associated with an increase in length of hospitalization and in morbidity and mortality rates, which significantly affects costs. (1)(2)(3) The aspiration of microorganisms present in the oropharynx constitutes the most common means of acquiring the disease, and the principal risk factors are AbstractVentilator-associated pneumonia (VAP) is a common infection in intensive care units (ICUs), and oral antiseptic is used as a preventive measure. We reviewed meta-analyses and randomized clinical trials indexed in the Medical Literature Analysis and Retrieval System and Cumulative Index to Nursing and Allied Health Literature databases regarding the topical use of chlorhexidine in the prevention of VAP. Eight publications were analyzed. In seven (87.5%) chlorhexidine diminished the colonization of the oropharynx, and in four (50%) there was a reduction of VAP. Chlorhexidine seems to reduce colonization, thus reducing the incidence of VAP.Keywords: Pneumonia, ventilator-associated; Oral hygiene; Chlorhexidine. ResumoA pneumonia associada à ventilação mecânica (PAVM) é uma infecção freqüente nas unidades de terapia intensiva (UTI), e anti-sépticos bucais são utilizados preventivamente. Revisamos metanálises e ensaios clínicos randomizados indexados no Medical Literature Analysis and Retrieval System e Cumulative Index to Nursing and Allied Health Literature sobre o uso tópico da clorexidina na prevenção da PAVM.Oito publicações foram avaliadas. Em sete (87,5%), a clorexidina diminuiu a colonização da orofaringe, e em quatro (50%) houve redução de PAVM. A clorexidina parece diminuir a colonização, podendo reduzir a incidência da PAVM.Descritores: Pneumonia associada à ventilação mecânica; Higiene bucal; Clorexidina.

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Utilization-focused integrative reviews in a nursing service

Cited by 365 publications

References 10 publications

Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Cuidados multiprofissionais para pacientes em delirium em terapia intensiva: revisão integrativa

Simulation in emergency nursing education: An integrative review

Higiene bucal com clorexidina na prevenção de pneumonia associada à ventilação mecânica

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