Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review

Cecilia Cuzco, Rodrigo Torres-Castro, Yolanda Torralba, Isabel Manzanares, Pilar Muñoz-Rey, Marta Romero-García, Ma. Antonia Martínez-Momblan, Gemma Martínez-Estalella, Pilar Delgado-Hito and Pedro Castro
Additional contact information
Cecilia Cuzco: Department of Medical lntensive Care Unit, Hospital Clinic of Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain
Rodrigo Torres-Castro: Department of Pulmonary Medicine, Hospital Clínic–Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain
Yolanda Torralba: Department of Pulmonary Medicine, Hospital Clínic–Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain
Isabel Manzanares: Department of Epilepsy, Hospital Clinic of Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain
Pilar Muñoz-Rey: Hospital Universitari Germans Trias i Pujol, 08916 Badalona, Spain
Marta Romero-García: GRIN-IDIBELL—Nursing Research Group, Department of Fundamental Care and Medical-Surgical Nursing, Nursing School of Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
Ma. Antonia Martínez-Momblan: GRIN-IDIBELL—Nursing Research Group, Department of Fundamental Care and Medical-Surgical Nursing, Nursing School of Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
Gemma Martínez-Estalella: GRIN-IDIBELL—Nursing Research Group, Nursing Direction, Hospital Clinic of Barcelona, 08036 Barcelona, Spain
Pilar Delgado-Hito: GRIN-IDIBELL—Nursing Research Group, Department of Fundamental Care and Medical-Surgical Nursing, Nursing School of Faculty of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain
Pedro Castro: Department of Medical lntensive Care Unit, Hospital Clinic of Barcelona, Institut d’Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), University of Barcelona, 08036 Barcelona, Spain

IJERPH, 2021, vol. 18, issue 21, 1-14

Abstract: Intensive care unit discharge is an important transition that impacts a patient’s wellbeing. Nurses can play an essential role in this scenario, potentiating patient empowerment. A systematic review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (the PRISMA Statement. Embase), PubMed/MEDLINE, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), CUIDEN Plus, and LILACS databases; these were evaluated in May 2021. Two independent reviewers analyzed the studies, extracted the data, and assessed the quality of evidence. Quality of the studies included was assessed using the Cochrane risk-of-bias tool. Of the 274 articles initially identified, eight randomized controlled trials that reported on nursing interventions had mainly focused on patients’ ICU discharge preparation through information and education. The creation of ICU nurse-led teams and nurses’ involvement in critical care multidisciplinary teams also aimed to support patients during ICU discharge. This systematic review provides an update on the clinical practice aimed at improving the patient experience during ICU discharge. The main nursing interventions were based on information and education, as well as the development of new nursing roles. Understanding transitional needs and patient empowerment are key to making the transition easier.

Keywords: patient empowerment; patient education; patient information; intensive care unit discharge; intensive care unit transition; nursing interventions; systematic review (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
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