Examinando por Autor "Portocarrero Mayta, Debora Esperanza"

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    Nursing interventions for the prevention of unplanned orotracheal extubations in critically ill ICU patients
    (Universidad Privada Norbert Wiener, 2019-10-13) Bulnes Tijero, María Elizabeht; Portocarrero Mayta, Debora Esperanza; Cárdenas de Fernández, María Hilda
    Objective: To systematize the evidence on nursing interventions for preventing unplanned extubations in critically ill ICU patients. Materials and Methods: A systematic, observational, and retrospective review was conducted, with the articles selected using the GRADE evaluation system. Articles were found in Lilacs, PubMed, Medline, Dialnet, and Epistemonikos. The quality of the evidence was high in 80%, moderate in 10%, and low in 10%, while the strength of recommendation was strong in 80% and weak in 20%. Of the 10 articles reviewed, 50% were systematic reviews (n=5/10), 20% were clinical trials (n=2/10), 10% were meta-analyses (n=1/10), 10% were quasi-experimental studies (n=1/10), and 10% were descriptive quantitative studies (n=1/10), from the USA (50%), Brazil (10%), Mexico (10%), Greece (10%), Australia (10%), and South Korea (10%). Results: 90% of the articles indicate that the main nursing intervention is using a protocol for fixing the orotracheal tube, while 10% mention other interventions such as patient transport, repositioning, and assisted bathing. Conclusion: Nine of the ten articles reviewed show that using a standardized method for fixing the orotracheal tube reduces unplanned extubations significantly, while one article suggests additional interventions such as using protocols for patient transport, repositioning, and bathing by two healthcare professionals.