Nursing interventions to cover patients' basic needs in the intensive care context – A systematic review

Abstract

Aim To examine the content, theoretical frameworks and effectiveness of nursing interventions utilizing patient‐reported outcome measures (PROMs) in the intensive care unit (ICU). Design A systematic review and narrative synthesis following the guidelines of the preferred reporting items for systematic reviews and meta‐analysis checklist. Methods We searched the MEDLINE, CINAHL, PsycINFO, SweMed and Cochrane controlled trials register (CENTRAL) databases for studies evaluating interventions primarily delivered by nurses in the ICU. Two independent reviewers performed study selection, data extraction and risk of bias. Results Twenty‐two studies were included, whereas only seven studies used a theoretical framework. The interventions were heterogeneous in content, duration and choice of PROMs. Outcomes were related to covering patients' and families' basic needs, described by Henderson as essential functions of nursing. Several studies reported positive intervention effects, and nurses' communication and psychosocial care were considered essential components of nursing interventions in the ICU.

Nursing core competencies for postresuscitation care in Iran: a qualitative study

“…This included providing independent nursing care, taking responsibility for the required patient care and maintaining professional behaviour. The importance of being able to provide independent nursing care has been well-documented in previous studies 40. However, a study found that critical care nurses considered a lack of professional autonomy despite having high professional responsibilities as one of the reasons for considering leaving critical care 41.…”

“…The importance of being able to provide independent nursing care has been well-documented in previous studies. 40 However, a study found that critical care nurses considered a lack of professional autonomy despite having high professional responsibilities as one of the reasons for considering leaving critical care. 41 The nurse participants in our study viewed professional autonomy and being accountable to such autonomy as essential aspects of providing high-quality postresuscitation care to both patients and their families.…”

Home Care Nurses’ Experiences of the Use and Introduction of the Subacute Functional Decline in the Elderly Instrument

“…Moreover, a regular update of SAFE to remain relevant and effective was recommended by the nurses in this study and is also supported by previous research ( Moldskred et al, 2021 ). Nurses who used a nursing documentation systems and standardized care plans in home care, reported needing regular updates to ensure that the system remained relevant to the needs of patients and the practice of nurses ( Larsen et al, 2022 ; Moldskred et al, 2021 ; Ree et al, 2019 ). Overall, the findings of this study highlight the importance of ongoing support and training, clear guidelines and routines, and regular updates to ensure the effectiveness of tools in home care.…”

Exploring family functioning and ‐ hardiness in families’ experiencing adult intensive care – A cross-sectional study

“…The experience of the ICU and critical illness affects the patient in particular, but also the family members and the family as a unit [ 4 , 5 ]. The family is important for the patient’s recovery and require information to be able to cope and give the patient the best support [ 6 ]. Identifying those families putting a greater access to those in need of more follow-up/information can increase mental and physical well-being of both the patient and their family members.…”