Difficulties and strategies associated with nurse integration in critical care provision: a scoping review
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/10400.14/37528 |
Resumo: | 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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Difficulties and strategies associated with nurse integration in critical care provision: a scoping reviewDificuldades e estratégias na integração ao cuidado da pessoa em situação crítica: uma scoping reviewIntegrationDifficultiesStrategiesNursePerson in critical conditionIntegraçãoDificuldadesEstratégiasEnfermeiroPessoa em situação críticaIntroduction: 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.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.Veritati - Repositório Institucional da Universidade Católica PortuguesaFlores, Diana Raquel Marques Manique TomazFerreira, Inês Imperadeiro RibeiroCorreia, Patrícia Sofia RodriguesMendes, Maria Manuela Madureira LebreRibeiro, Patrícia Cruz Pontífice Sousa ValenteFernandes, Filipa Alexandra Veludo2022-05-13T09:18:27Z2022-04-012022-04-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/10400.14/37528eng1695-614110.6018/eglobal.47850185129421693info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-12T17:42:59Zoai:repositorio.ucp.pt:10400.14/37528Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:30:34.252532Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review Dificuldades e estratégias na integração ao cuidado da pessoa em situação crítica: uma scoping review |
title |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review |
spellingShingle |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review Flores, Diana Raquel Marques Manique Tomaz Integration Difficulties Strategies Nurse Person in critical condition Integração Dificuldades Estratégias Enfermeiro Pessoa em situação crítica |
title_short |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review |
title_full |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review |
title_fullStr |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review |
title_full_unstemmed |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review |
title_sort |
Difficulties and strategies associated with nurse integration in critical care provision: a scoping review |
author |
Flores, Diana Raquel Marques Manique Tomaz |
author_facet |
Flores, Diana Raquel Marques Manique Tomaz Ferreira, Inês Imperadeiro Ribeiro Correia, Patrícia Sofia Rodrigues Mendes, Maria Manuela Madureira Lebre Ribeiro, Patrícia Cruz Pontífice Sousa Valente Fernandes, Filipa Alexandra Veludo |
author_role |
author |
author2 |
Ferreira, Inês Imperadeiro Ribeiro Correia, Patrícia Sofia Rodrigues Mendes, Maria Manuela Madureira Lebre Ribeiro, Patrícia Cruz Pontífice Sousa Valente Fernandes, Filipa Alexandra Veludo |
author2_role |
author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Flores, Diana Raquel Marques Manique Tomaz Ferreira, Inês Imperadeiro Ribeiro Correia, Patrícia Sofia Rodrigues Mendes, Maria Manuela Madureira Lebre Ribeiro, Patrícia Cruz Pontífice Sousa Valente Fernandes, Filipa Alexandra Veludo |
dc.subject.por.fl_str_mv |
Integration Difficulties Strategies Nurse Person in critical condition Integração Dificuldades Estratégias Enfermeiro Pessoa em situação crítica |
topic |
Integration Difficulties Strategies Nurse Person in critical condition Integração Dificuldades Estratégias Enfermeiro Pessoa em situação crítica |
description |
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. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-05-13T09:18:27Z 2022-04-01 2022-04-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
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publishedVersion |
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http://hdl.handle.net/10400.14/37528 |
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http://hdl.handle.net/10400.14/37528 |
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eng |
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eng |
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1695-6141 10.6018/eglobal.478501 85129421693 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf application/pdf application/pdf |
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