Preprint Review Version 1 Preserved in Portico This version is not peer-reviewed

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

Cecilia Cuzco
ORCID logo ,
Rodrigo Torres-Castro
,
Yolanda Torralba
,
Isabel Manzanares
,
Pilar Muñoz-Rey
,
Marta Romero-García
,
Ma. Antonia Martínez-Momblan
ORCID logo ,
Gemma Martínez-Estalella
,
Pilar Delgado-Hito
* ,
Pedro Castro
Version 1 : Received: 12 September 2021 / Approved: 14 September 2021 / Online: 14 September 2021 (10:05:11 CEST)

A peer-reviewed article of this Preprint also exists.

Cuzco, C.; Torres-Castro, R.; Torralba, Y.; Manzanares, I.; Muñoz-Rey, P.; Romero-García, M.; Martínez-Momblan, M.A.; Martínez-Estalella, G.; Delgado-Hito, P.; Castro, P. Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 11049. Cuzco, C.; Torres-Castro, R.; Torralba, Y.; Manzanares, I.; Muñoz-Rey, P.; Romero-García, M.; Martínez-Momblan, M.A.; Martínez-Estalella, G.; Delgado-Hito, P.; Castro, P. Nursing Interventions for Patient Empowerment during Intensive Care Unit Discharge: A Systematic Review. Int. J. Environ. Res. Public Health 2021, 18, 11049.

Abstract

Intensive care unit discharge is an important transition which impacts on patient 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, and Cochrane Central Register of Controlled Trials (CENTRAL) databases 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 273 articles initially identified, eight randomized controlled trials reported nursing interventions mainly focused on patients’ ICU discharge preparation through information and education. The creation of ICU Nurse-Led and nurses’ involvement in critical care multidisciplinary teams also aimed to support patients during ICU discharge. This systematic review provides an update on 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.

Subject

Public Health and Healthcare, Nursing

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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