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2020, Number 3

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Rev Cuba Enf 2020; 36 (3)

Nurse Competences for Managing Direct Care in an Adult Intensive Care Unit

Díaz MDC, Soto LVI

Language: Spanish
References: 25
Page: 1-13
PDF size: 406.34 Kb.


ABSTRACT

Introduction: The competences acquired and developed by nurses who manage direct care in adult intensive care units are an essential factor to guarantee safe and quality care. The level of expertise required must be directed by a specific profile or map of competences.
Objective: To determine the competences of nurses for direct care management in an adult intensive care unit.
Methods: Integrative literature review. Fourteen articles with a qualitative and quantitative approach published between 2000 and 2017, found in the databases Ovid-Nursing, Global Health-Ovid, MEDLINE, Web of Science, SCIELO, SCOPUS, Science Direct, and EBSCO were analyzed. The critical reading of these was carried out using CASPe, STROBE Statement and Joanna Briggs Institute. The level of evidence and degree of recommendation were determined using the CEBM tool. From common findings, the categories were determined.
Conclusions: Nursing clinical judgment is the core competence for direct care management in intensive care units because it allows the nurse to make decisions in changing situations based on critical thinking and clinical reasoning for problem solving, prioritization and achieving health outcomes.


REFERENCES

  1. Tabari-Khomeiran R, Kiger A, Parsa-Yekta Z, Ahmadi F. Competence development among nurses: the process of constant interaction. J Contin Educ Nurs. 2007 [acceso: 11/02/2017];38(5):211-8. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/17907665

  2. Juneja D, Nasa P, Singh O. Physician staffing pattern in intensive care units: Have we cracked the code? World J Crit Care Med. 2012 [acceso: 25/03/2018];1(1):10-4. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3956065/

  3. Lakanmaa R, Suominen T, Ritmala-Castrén M, Vahlberg T, Leino-Kilpi H. Basic competence of intensive care unit nurses: cross-sectional survey study. Biomed Res Int. 2015 [acceso: 15/06/2018];2015(no):1-12. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628747/

  4. González C. Competencias en enfermería intensiva: Rúbricas de evaluación del desempeño. España: Editorial Académica Española; 2016.

  5. Milos P, Bórquez B, Larrain A. La “Gestión del Cuidado” En la legislación Chilena. Interpretación y alcance. Cienc. Enferm. 2010 [acceso: 07/01/2020];16(1):17-29. Disponible en: https://scielo.conicyt.cl/scielo.php?script=sci_arttext&pid=S0717-95532010000100003&lng=es. http://dx.doi.org/10.4067/S0717-95532010000100003

  6. Fernández Araque A. Competencias de las profesiones sanitarias. Nursing (Ed. esp., Internet). 2008 [acceso: 28/11/2019];26(7):56-64. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0212538208707714

  7. Ministerio de Salud y Protección Social. Resolución 00002003/2014 de 28 mayo. Colombia: MINSALUD; 2014 [acceso: 18/01/2017]. Disponible en: https://www.minsalud.gov.co/Normatividad_Nuevo/Resoluci %C3 %B3n %202003 %20de %202014.pdf

  8. De Oliveira P, Kowal I. Perfil y competencias de gerentes de enfermería de hospitales acreditados. Rev. Latino-Am. Enfermagem. 2011;19(1):106-14. DOI: http://dx.doi.org/10.1590/S0104-11692011000100015

  9. Mendes K, Silveira R, Galvão C. Revisão integrativa: método de pesquisa para a incorporação de evidências na saúde e na enfermagem. Texto contexto enferm. 2008;17(4):758-64. DOI: http://dx.doi.org/10.1590/S0104-07072008000400018

  10. Joanna Briggs Institute. The JBI-Qualitative Assessment and Review Instrument (JBI-QARI). Australia: The University of Adelaide-Joanna Briggs Institute; 2003 [acceso: 18/06/2018]. Disponible en: https://joannabriggs.org/critical_appraisal_tools

  11. Strauss A, Corbin J. Bases de la investigación cualitativa: técnicas y procedimientos para desarrollar la teoría fundamentada. Colombia: Editorial Universidad de Antioquía; 2002.

  12. Arreciado A, Estorach M, Ferrer S. La enfermera experta en el cuidado del paciente crítico según Patricia Benner. Enferm. Intensiva. 2011 [acceso: 05/12/2018];22(3):112-6. Disponible en: https://www.elsevier.es/es-revista-enfermeria-intensiva-142-pdf-S1130239910001136

  13. Camelo S. Competencias profesionales de los enfermeros para trabajar en Unidades de Cuidaos Intensivos: una revisión integradora. Rev. Latino-Am. Enfermagem. 2012;20(1):1-9. DOI: http://dx.doi.org/10.1590/S0104-11692012000100025

  14. Camelo S, Dos Santos V, Laus A, Pedreschi L. Perfil profesional de los enfermeros que trabajan en unidades de cuidados intensivos de un hospital universitario. Cienc. enferm. 2013;19(3):51-62. DOI: http://dx.doi.org/10.4067/S0717-95532013000300006

  15. Ääri R, Tarja S, Helena L. Competence in intensive and critical care nursing: A literature review. Intensive Crit Care Nurs. 2008 [acceso: 05/10/2018];24(2):78-89. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S096433970700122X?via %3Dihub

  16. Lakanmaa R., Suominen T, Ritmala-Castrén M, Vahlberg T, Leino-Kilpi H. Basic competence of intensive care unit nurses: cross-sectional survey study. Biomed Res Int. 2015 [acceso: 22/11/2019];2015(no):1-12. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4628747/

  17. Lakanmaa R, Suominen T, Perttilä J, Puukka P, Leino-Kilpi H. Competence requirements in intensive and critical care nursing–still in need of definition? A Delphi study. Intensive Crit Care Nurs. 2012 [acceso: 03/01/2020];28(6):329-36. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S0964339712000341

  18. Lakanmaa R, Suominen T, Perttila, J, Ritmala-Castrén M, Vahlberg T, Leino-Kilpi H. Basic competente in intensive and critical care nursing: development and psychometric testing of a competente scale. J. Clin. Nurs. 2014 [acceso: 07/11/2018];23(5-6):799-810. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/23331409

  19. Del Barrio-Linares M, Pumar-Méndez M. Diferencias y similitudes entre las competencias de una supervisora de enfermería y una enfermera clínica especialista. Enferm. Intensiva. 2015 [acceso: 16/06/2018];26(3):112-9. Disponible en: https://www.elsevier.es/es-revista-enfermeria-intensiva-142-articulo-diferencias-similitudes-entre-competencias-una-S1130239915000577

  20. Aued G, Bernardino E, Peres A, Lacerda M, Dallaire C, Ribas E. Competências clínicas do enfermeiro assistencial: uma estratégia para gestão de pessoas. Rev. Bras. Enferm. 2016;69(1):142-9. DOI: http://dx.doi.org/10.1590/0034-7167.2016690119i

  21. O`Leary J. Comparison of self-assessed competence and experience among critical care nurses. J Nurs Manag. 2012 [acceso: 14/04/2019];20(5):607-14. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/22823216

  22. Meretoja R, Leino-Kilpi H, Kaira A. Comparison of nurse competence in different hospital work environments. J Nurs Manag. 2004 [acceso: 04/01/2020];12(5):329-36. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/15315489

  23. Salonen A, Kaunonen M, Meretoja R, Tarkka M. Competence profiles of recently registered nurses working in intensive and emergency settings. J Nurs Manag. 2007 [acceso: 27/12/2019];15(8):792-800. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/17944604

  24. Camelo S, Pedreschi L. Teamwork as a nursing competence at Intensive Care Units. Inv. educ. enferm.2013 [acceso: 13/09/2019];31(1):107-15. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=s0120-53072013000100013&lng=en&tlng=en

  25. Alastalo M, Salminen L, Lakanmaa R, Leino-Kilpi H. Seeing beyond monitors—Critical care nurses’ multiple skills in patient observation: Descriptive qualitative study. Intensive Crit Care Nurs. 2017 [acceso: 09/10/2018];42:80-7. Disponible en: https://www.sciencedirect.com/science/article/abs/pii/S096433971730085X?via %3Dihub




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