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Nursing interventions to cover patients' basic needs in the intensive care context - A systematic review
Marie Hamilton Larsen1, Gudrun Irene Johannessen1, Kristin Heggdal1
1Lovisenberg Diaconal University College, Oslo, Norway.
This review explores nursing interventions using patient-reported outcome measures (PROMs) in the intensive care unit (ICU). While interventions varied, many showed positive effects, highlighting nurses
Area of Science:
- Nursing Science
- Critical Care Medicine
- Patient-Reported Outcomes
Background:
- Intensive care unit (ICU) nursing interventions require evaluation for content and effectiveness.
- Patient-reported outcome measures (PROMs) offer valuable insights into patient experiences and needs within the ICU.
Purpose of the Study:
- To systematically review nursing interventions in the ICU that utilize PROMs.
- To analyze the theoretical frameworks, content, and effectiveness of these interventions.
Main Methods:
- A systematic review and narrative synthesis was conducted.
- Searches were performed across multiple databases (MEDLINE, CINAHL, PsycINFO, SweMed, CENTRAL).
- Two independent reviewers managed study selection, data extraction, and risk of bias assessment.
Main Results:
- Twenty-two studies were included in the review.
- Only seven studies incorporated a theoretical framework.
- Interventions demonstrated heterogeneity in content, duration, and PROM selection.
- Outcomes aligned with essential nursing functions, focusing on patient and family needs.
- Several studies reported positive intervention effects, emphasizing communication and psychosocial care.
Conclusions:
- Nursing interventions in the ICU utilizing PROMs are diverse.
- Positive intervention effects were noted, particularly those involving communication and psychosocial support.
- Further research could benefit from stronger theoretical underpinnings in intervention design.
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