Difficulties and strategies associated with nurse integration in critical care provision: a scoping review

Diana Raquel Marques Manique Tomaz Flores; Inês Imperadeiro Ribeiro Ferreira; Patrícia Sofia Rodrigues Correia; Maria Manuela Madureira Lebre Mendes; Patrícia Cruz Pontífice Sousa Valente Ribeiro; Filipa Alexandra Veludo Fernandes

doi:10.6018/eglobal.478501

Difficulties and strategies associated with nurse integration in critical care provision: a scoping review

Título traduzido da contribuição: Dificuldades e estratégias na integração ao cuidado da pessoa em situação crítica: uma scoping review

Diana Raquel Marques Manique Tomaz Flores
, Inês Imperadeiro Ribeiro Ferreira
, Patrícia Sofia Rodrigues Correia
, Maria Manuela Madureira Lebre Mendes
, Patrícia Cruz Pontífice Sousa Valente Ribeiro
, Filipa Alexandra Veludo Fernandes

Resultado de pesquisa › revisão de pares

67 Transferências (Pure)

Resumo

Introdução: A integração do enfermeiro no cuidado à pessoa em situação crítica constitui uma preocupação cada vez maior devido à mobilização e contratação de profissionais de enfermagem. Uma integração adequada é crucial para o sucesso e adaptação do enfermeiro ao novo serviço, garantindo a qualidade e segurança do cuidado. Objetivo: Mapear o conhecimento relativamente às dificuldades sentidas pelo enfermeiro e estratégias que podem facilitar a sua integração no cuidado à pessoa em situação crítica.
Método: Foi realizada uma Scoping Review, com base no Joanna Briggs Institute. Critérios de inclusão: População - enfermeiro; Conceito - dificuldades sentidas e as estratégias facilitadoras na integração; Contexto - cuidado à pessoa em situação crítica. Foram incluídos 13 artigos, publicados até maio de 2020. Resultados: Dificuldades sentidas pelos enfermeiros: comunicação com a equipa, pessoa em situação crítica e/ou familiares; stress; complexidade da situação de saúde, técnicas e/ou procedimentos realizados; sobrecarga de trabalho; rotatividade de enfermeiros entre serviços; lidar com a morte e/ou a doação de órgãos. Estratégias facilitadoras: simulação de situações reais; trabalho em equipa; enfermeiro de referência/tutor; transmissão de feedback; estratégias de resiliência. Conclusão: O processo de integração requer planeamento, sendo crucial o desenvolvimento de estratégias que o facilitem. O treino através da simulação de práticas leva à aquisição de competências fundamentais para o cuidado, tal como a atribuição de um enfermeiro tutor e feedback sobre o trabalho desenvolvido. Isto permite colmatar as dificuldades sentidas através da construção da resiliência e estratégias de coping, prevenindo o burnout e a rotatividade dos profissionais entre serviços.

Título traduzido da contribuição	Dificuldades e estratégias na integração ao cuidado da pessoa em situação crítica: uma scoping review
Idioma original	English
Páginas (de-até)	501-516
Número de páginas	16
Revista	Enfermeria Global
Volume	21
Número de emissão	2
DOIs	https://doi.org/10.6018/eglobal.478501
Estado da publicação	Publicado - 1 abr. 2022

Keywords

Integração
Dificuldades
Estratégias
Enfermeiro
Pessoa em situação crítica

Acesso ao documento

10.6018/eglobal.478501Licença:

43585753_enFinal published version, 591 KBLicença:
43585753_ptFinal published version, 687 KBLicença:
43585753_esFinal published version, 681 KBLicença:

http://hdl.handle.net/10400.14/37528Licença:

Outros arquivos e links

Link to publication in Scopus

CIIS: Centro de Investigação Interdisciplinar em Saúde
Barros, M. (PI), Rosa, N. (Investigador), Correia, M. J. (Investigador), Caldas, A. C. (Investigador), Amado, J. C. (Investigador), Figueiredo, A. S. (Investigador), Esteves, A. C. (Investigador), Mineiro, A. (Investigador), Abreu, A. M. (Investigador), Duarte, A. S. (Investigador), Almeida, S. F. (Investigador), Correia, A. (Investigador), Moura, A. (Investigador), Almeida, A. (Investigador), Araújo, B. (Investigador), Moura-Netto, C. (Investigador), Ferrito, C. (Investigador), Pais-Vieira, C. (Investigador), Festas, C. (Investigador), Marques-Vieira, C. (Investigador), Catré, D. (Investigador), Nunes, E. (Investigador), Jesus, É. (Investigador), Ribeiro, F. (Investigador), Rosário, F. (Investigador), Fernandes, G. (Investigador), Rato, J. R. (Bolseiro), Salgado, J. R. (Investigador), Neves-Amado, J. (Investigador), Amendoeira, J. (Investigador), Sá, L. (Investigador), Capelas, M. L. (Investigador), Vieira, M. M. (Investigador), Nunes, M. V. S. (Investigador), Cardoso, M. (Investigador), Veiga, N. J. (Investigador), Fonseca, P. (Investigador), Correia, P. N. (Investigador), Couto, P. (Investigador), Pontífice-Sousa, P. (Investigador), Ravasco, P. (Investigador), Carvalho, P. V. D. (Investigador), Alves, P. (Investigador), Melo, P. (Investigador), Silva, R. (Investigador), Canaipa, R. (Investigador), Noites, R. (Investigador), Rio, R. (Investigador), Almeida, S. (Investigador), Deodato, S. (Investigador), Caldeira, S. (Investigador), Silva, S. (Investigador), Borges, T. (Investigador), Silva, V. (Investigador), Charepe, Z. (Investigador), Rodrigues-Pires, F. (Voluntário), Veludo, F. (Investigador), Carmo, H. (Bolseiro), Romeiro, J. (Estudante), Melo, M. (Investigador), Braga, M. (Investigador), Amaral, T. (Investigador), Moreira, M. A. (Investigador), Guerra, N. (Estudante), Santos, P. (Investigador), Paço, S. (Estudante), Lynce, S. (Bolseiro), Miguel, S. (Estudante), Costa, T. (Investigador), Silva-Neves, V. (Investigador), Silva, A. (Investigador), Carvalho, A. R. (Investigador), Almeida, B. (Investigador), Figueiredo, C. (Investigador), Esteves, E. (Bolseiro), Araújo, F. M. (Investigador), Garcia, J. G. (Investigador), Santos, L. (Investigador), Santos, N. M. D. (Investigador), Lopes, P. (Investigador), Bornes, R. (Investigador), Silva, R. (Investigador), Costa, S. (Investigador), Silva, S. M. (Investigador), Marques, T. (Investigador), Almeida, A. (Investigador), Santos, M. (Bolseiro), Santos, P. (Investigador), Miguel, S. (Investigador), Mendes, K. (Investigador), Gomes, A. P. (Investigador), Henriques, J. M. P. (Investigador), Costa, H. (Investigador) & Ribeiro, P. (Investigador)
Fundação para a Ciência e a Tecnologia
1/01/20 → 31/12/24
Projeto

Citação

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title = "Difficulties and strategies associated with nurse integration in critical care provision: a scoping review",

abstract = "Introduction: The nurses{\textquoteright} integration in specialized care provision to critically ill patients is an increasing concern in the context of hiring and mobilizing nursing professionals. An adequate integration is crucial for the nurses{\textquoteright} success and adaptation to the new service, as well as to ensure the quality and safety of the provided care. Objective: To map the existing knowledge on the difficulties experienced by nurses, as well as on the strategies that facilitate their integration in specialized care provision to the critically ill. Method: A scoping review was conducted, following the method proposed in the Joanna Briggs Institute Reviewers{\textquoteright} Manual 2015. The following were used as inclusion criteria: Population - nurses; Concept - the experienced difficulties and the strategies employed to facilitate the nurses{\textquoteright} integration; Context - the provision of care to the critically ill. A total of 13 articles, published until May 2020, were included. Results: The following difficulties were reported: communication issues with the team, as well as with the patients and/or their relatives; overall stress; dealing with complex health conditions, as well as with intricate procedures and/or techniques; work overload; high staff turnover rate between services; dealing with a patient{\textquoteright}s death and/or with organ donation planning. The following were pointed out as facilitating strategies: simulated practice; performing teamwork; assignment of a nursing supervisor/tutor; receiving feedback; developing resilience mechanisms. Conclusion: As regards care provision, the nurses{\textquoteright} integration process requires planning and the inclusion of facilitating strategies is crucial. Simulated practice leads to the acquisition of fundamental skills, as does the assignment of a nursing supervisor/tutor and receiving feedback on the conducted tasks. In addition to overcoming the difficulties experienced, these strategies also allow developing resilience and coping mechanisms, which help prevent burnout and the adverse effects caused by the high staff turnover rate between services.",

keywords = "Integration, Difficulties, Strategies, Nurse, Person in critical condition, Integra{\c c}{\~a}o, Dificuldades, Estrat{\'e}gias, Enfermeiro, Pessoa em situa{\c c}{\~a}o cr{\'i}tica",

author = "Flores, \{Diana Raquel Marques Manique Tomaz\} and Ferreira, \{In{\^e}s Imperadeiro Ribeiro\} and Correia, \{Patr{\'i}cia Sofia Rodrigues\} and Mendes, \{Maria Manuela Madureira Lebre\} and Ribeiro, \{Patr{\'i}cia Cruz Pont{\'i}fice Sousa Valente\} and Fernandes, \{Filipa Alexandra Veludo\}",

year = "2022",

month = apr,

day = "1",

doi = "10.6018/eglobal.478501",

language = "English",

volume = "21",

pages = "501--516",

journal = "Enfermeria Global",

issn = "1695-6141",

publisher = "Universidad de Murcia Servicio de Publicaciones",

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T1 - Difficulties and strategies associated with nurse integration in critical care provision

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AU - Flores, Diana Raquel Marques Manique Tomaz

AU - Ferreira, Inês Imperadeiro Ribeiro

AU - Correia, Patrícia Sofia Rodrigues

AU - Mendes, Maria Manuela Madureira Lebre

AU - Ribeiro, Patrícia Cruz Pontífice Sousa Valente

AU - Fernandes, Filipa Alexandra Veludo

PY - 2022/4/1

Y1 - 2022/4/1

N2 - Introduction: The nurses’ integration in specialized care provision to critically ill patients is an increasing concern in the context of hiring and mobilizing nursing professionals. An adequate integration is crucial for the nurses’ success and adaptation to the new service, as well as to ensure the quality and safety of the provided care. Objective: To map the existing knowledge on the difficulties experienced by nurses, as well as on the strategies that facilitate their integration in specialized care provision to the critically ill. Method: A scoping review was conducted, following the method proposed in the Joanna Briggs Institute Reviewers’ Manual 2015. The following were used as inclusion criteria: Population - nurses; Concept - the experienced difficulties and the strategies employed to facilitate the nurses’ integration; Context - the provision of care to the critically ill. A total of 13 articles, published until May 2020, were included. Results: The following difficulties were reported: communication issues with the team, as well as with the patients and/or their relatives; overall stress; dealing with complex health conditions, as well as with intricate procedures and/or techniques; work overload; high staff turnover rate between services; dealing with a patient’s death and/or with organ donation planning. The following were pointed out as facilitating strategies: simulated practice; performing teamwork; assignment of a nursing supervisor/tutor; receiving feedback; developing resilience mechanisms. Conclusion: As regards care provision, the nurses’ integration process requires planning and the inclusion of facilitating strategies is crucial. Simulated practice leads to the acquisition of fundamental skills, as does the assignment of a nursing supervisor/tutor and receiving feedback on the conducted tasks. In addition to overcoming the difficulties experienced, these strategies also allow developing resilience and coping mechanisms, which help prevent burnout and the adverse effects caused by the high staff turnover rate between services.

AB - Introduction: The nurses’ integration in specialized care provision to critically ill patients is an increasing concern in the context of hiring and mobilizing nursing professionals. An adequate integration is crucial for the nurses’ success and adaptation to the new service, as well as to ensure the quality and safety of the provided care. Objective: To map the existing knowledge on the difficulties experienced by nurses, as well as on the strategies that facilitate their integration in specialized care provision to the critically ill. Method: A scoping review was conducted, following the method proposed in the Joanna Briggs Institute Reviewers’ Manual 2015. The following were used as inclusion criteria: Population - nurses; Concept - the experienced difficulties and the strategies employed to facilitate the nurses’ integration; Context - the provision of care to the critically ill. A total of 13 articles, published until May 2020, were included. Results: The following difficulties were reported: communication issues with the team, as well as with the patients and/or their relatives; overall stress; dealing with complex health conditions, as well as with intricate procedures and/or techniques; work overload; high staff turnover rate between services; dealing with a patient’s death and/or with organ donation planning. The following were pointed out as facilitating strategies: simulated practice; performing teamwork; assignment of a nursing supervisor/tutor; receiving feedback; developing resilience mechanisms. Conclusion: As regards care provision, the nurses’ integration process requires planning and the inclusion of facilitating strategies is crucial. Simulated practice leads to the acquisition of fundamental skills, as does the assignment of a nursing supervisor/tutor and receiving feedback on the conducted tasks. In addition to overcoming the difficulties experienced, these strategies also allow developing resilience and coping mechanisms, which help prevent burnout and the adverse effects caused by the high staff turnover rate between services.

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KW - Difficulties

KW - Strategies

KW - Nurse

KW - Person in critical condition

KW - Integração

KW - Dificuldades

KW - Estratégias

KW - Enfermeiro

KW - Pessoa em situação crítica

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U2 - 10.6018/eglobal.478501

DO - 10.6018/eglobal.478501

M3 - Article

SN - 1695-6141

VL - 21

SP - 501

EP - 516

JO - Enfermeria Global

JF - Enfermeria Global

IS - 2

ER -

Difficulties and strategies associated with nurse integration in critical care provision: a scoping review

Resumo

Keywords

Acesso ao documento

Outros arquivos e links

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CIIS: Centro de Investigação Interdisciplinar em Saúde

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