SENSITIVE INDICATORS TO NURSING CARE IN PALLIATIVE CARE: AN INTEGRATIVE LITERATURE REVIEW
Palliative care aims to improve the quality of life of patients and their families, following a process of chronic and/or advanced, severe and life-limiting disease. Nurses, through the therapeutic relationship with patients and their families, have a fundamental role in its implementation. Obtaining quality indicators sensitive to nursing care in palliative care is necessary to promote the quality and objectives of this care. The present study aimed to evaluate and synthesize empirical evidence on sensitive indicators for nursing care in palliative care through an integrative review with thematic synthesis, using the CINAHL, PubMed, MEDLINE, Nursing & Allied Health Collection: Comprehensive, Cochrane databases. Central Register of Controlled Trials and MedicLatina. Studies on sensitive indicators of nursing care in palliative care, written in English, Spanish or Portuguese, from May 2012 to April 2022 were considered. The articles were selected, evaluated and reviewed by two authors. Quality assessment was performed according to Hawker criteria. Found 1,528 records, 22 articles were included in the analysis. Fifty indicators were identified distributed in the dimensions of structure, process and result in 8 sensitive domains to nursing care in palliative care, namely structure and care process; physical aspects of care; psychological; cultural; spiritual, religious and existential; ethical and legal care and care for the patient in imminent death. The development of a set of indicators sensitive to nursing care is essential for the continuous improvement of care and visibility of nursing care in palliative care.
SENSITIVE INDICATORS TO NURSING CARE IN PALLIATIVE CARE: AN INTEGRATIVE LITERATURE REVIEW
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DOI: 10.22533/at.ed.1592332230067
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Palavras-chave: palliative care; nursing; health indicators; revision
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Keywords: palliative care; nursing; health indicators; revision
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Abstract:
Palliative care aims to improve the quality of life of patients and their families, following a process of chronic and/or advanced, severe and life-limiting disease. Nurses, through the therapeutic relationship with patients and their families, have a fundamental role in its implementation. Obtaining quality indicators sensitive to nursing care in palliative care is necessary to promote the quality and objectives of this care. The present study aimed to evaluate and synthesize empirical evidence on sensitive indicators for nursing care in palliative care through an integrative review with thematic synthesis, using the CINAHL, PubMed, MEDLINE, Nursing & Allied Health Collection: Comprehensive, Cochrane databases. Central Register of Controlled Trials and MedicLatina. Studies on sensitive indicators of nursing care in palliative care, written in English, Spanish or Portuguese, from May 2012 to April 2022 were considered. The articles were selected, evaluated and reviewed by two authors. Quality assessment was performed according to Hawker criteria. Found 1,528 records, 22 articles were included in the analysis. Fifty indicators were identified distributed in the dimensions of structure, process and result in 8 sensitive domains to nursing care in palliative care, namely structure and care process; physical aspects of care; psychological; cultural; spiritual, religious and existential; ethical and legal care and care for the patient in imminent death. The development of a set of indicators sensitive to nursing care is essential for the continuous improvement of care and visibility of nursing care in palliative care.
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Número de páginas: 17
- Marco P. Silva Mendonça
- Milene I. Costa Mendonça Lima
- Alexandre Marques Rodrigues