[Non-pharmacological steps for the treatment of acute confusional syndrome in the intensive care unit]. / Medidas no farmacológicas para el tratamiento del síndrome confusional agudo en la unidad de cuidados intensivos.

UNLABELLED: The incidence of delirium in intensive care units is high and it has been under-diagnosed and under-treated. OBJECTIVE: To describe the experiences of ICU nurses in the identification and application of non-pharmacological treatments. METHOD: A qualitative phenomenological research study was performed, based on focus groups. INCLUSION CRITERIA: ICU nurses with one year of more of experience were included. Sample Purpose and snowball technique. DATA COLLECTION: Data from the focus groups were transcribed for analysis and a thematic analysis of the texts was performed. RESULTS: Four themes were identified: a) the physical and social structure of the ICU b) family involvement, c) need for training of health professionals, and d) encouraging the sleep-wake cycle. CONCLUSIONS: It is necessary to control the ICU environment to make it more friendly, to change the routine work to promote relaxation, implement training activities and to make visiting hours flexible.

El significado del lenguaje estandarizado NANDA-NIC-NOC en las enfermeras de cuidados intensivos madrileñas: abordaje fenomenológico / The meaning of standardized language nanda-nic-noc intensive care nurses in madrid: a phenomenological approach

ResumenEl lenguaje estandarizado de la enfermería es un instrumento que permite integrar un marco teórico de identificación de problemas, intervenciones y resultados en los cuidados. Su utilización en diversos medios asistenciales es variada. En el caso de las unidades de cuidados intensivos es preciso estudiar las implicaciones que tiene la integración de este lenguaje en las enfermeras.ObjetivoDescribir el significado del lenguaje estandarizado NANDA-NIC-NOC para las enfermeras que trabajan en las Unidades de Cuidados Intensivos madrileñas (UCIM).MétodoEstudio cualitativo fenomenológico. Criterio de inclusión: enfermeras de UCIM con un año o más de experiencia que en el momento del estudio estuvieran trabajando en UCIM.MuestreoPor propósito y técnica de bola de nieve.Recogida de datosEntrevistas no-estructuradas, documentos personales (cartas, diarios). Se grabaron las entrevistas y se transcribieron palabra por palabra para su posterior análisis.AnálisisPropuesta de Giorgi. Identificación de unidades de significado, grupos de significado comunes y temas.Resultados3 temas construyen el significado de las enfermeras de cuidados intensivos; Vivir integrando 2 caras de la misma moneda, vivir una imposición conceptual, y vivir una oportunidad de desarrollo y autonomía profesional.ConclusionesExiste una distancia en la teoría del lenguaje y su aplicación en la clínica. Las enfermeras refieren sentir una imposición conceptual de un determinado lenguaje. Esto crea la construcción de una jerarquía entre enfermeras basada en el uso de NANDA-NIC-NOC. Aun así, el lenguaje estandarizado es vivido como una oportunidad de desarrollo profesional (AU)

AbstractNursing standardized language is a tool that makes it possible to integrate a theoretical framework of problem identification, interventions and outcomes in care. Its use in the difference care settings is varied. In the case of intensive care units, it is necessary to study the implications that integration of this language would have in nursing area.ObjectiveTo describe the meaning of standardized NANDA-NIC-NOC language for the nurses working in Intensive Care Units in Madrid.MethodA phenomenological qualitative study was conducted. Inclusion criteria: ICU in Madrid of nurses with one year or more experience at the time of the study who were working in the ICU.SamplePurposive and Snowball sampling technique.Data collectionUnstructured interviews, personal documents (letters, diaries). Interviews were recorded and transcribed verbatim for later analysis.AnalysisGiorgi proposal. Identifying meaning units, groups of common senses and themes.ResultsThree themes made up the meaning of standardized language in intensive care nursing. "Living integrating 2 sides of the same coin", "living a conceptual imposition", and "living a development opportunity and professional autonomy".ConclusionsThere is a gap in the theory of language and its clinical application. Nurses report feeling imposition of a specific conceptual language. This creates the construction of a hierarchy between nurses based on the use of NANDA-NIC-NOC. Even so, the standardized language is experienced as a professional development opportunity (AU)

[The meaning of standardized language NANDA-NIC-NOC intensive care nurses in Madrid: a phenomenological approach]. / El significado del lenguaje estandarizado NANDA-NIC-NOC en las enfermeras de cuidados intensivos madrileñas: abordaje fenomenológico.

UNLABELLED: Nursing standardized language is a tool that makes it possible to integrate a theoretical framework of problem identification, interventions and outcomes in care. Its use in the difference care settings is varied. In the case of intensive care units, it is necessary to study the implications that integration of this language would have in nursing area. OBJECTIVE: To describe the meaning of standardized NANDA-NIC-NOC language for the nurses working in Intensive Care Units in Madrid. METHOD: A phenomenological qualitative study was conducted. INCLUSION CRITERIA: ICU in Madrid of nurses with one year or more experience at the time of the study who were working in the ICU. SAMPLE: Purposive and Snowball sampling technique. DATA COLLECTION: Unstructured interviews, personal documents (letters, diaries). Interviews were recorded and transcribed verbatim for later analysis. ANALYSIS: Giorgi proposal. Identifying meaning units, groups of common senses and themes. RESULTS: Three themes made up the meaning of standardized language in intensive care nursing. "Living integrating 2 sides of the same coin", "living a conceptual imposition", and "living a development opportunity and professional autonomy". CONCLUSIONS: There is a gap in the theory of language and its clinical application. Nurses report feeling imposition of a specific conceptual language. This creates the construction of a hierarchy between nurses based on the use of NANDA-NIC-NOC. Even so, the standardized language is experienced as a professional development opportunity.