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Abstract(s)
Introdução: O Delírium define-se por uma síndrome caracterizada por perturbações do
nível de consciência com défice de atenção e distúrbios da cognição ou perceção que
simultaneamente conduz a um processo de disfunção cerebral global com elevado
impacto no doente, família e profissionais.
De forma a perceber objetivamente a dimensão deste impacto nos profissionais, em
particular nos enfermeiros em contexto de cuidados paliativos, pretende-se com este
estudo identificar o impacto psicológico do delírium em contexto de cuidados paliativos.
Método: revisão sistemática da literatura realizada nos meses de março e abril de 2021
com recurso às bases de dados eletrónicas Pubmed, EBSCO e SCOPUS.
Resultados: Foram selecionadas 13 publicações (n=13), entre as quais se incluem
estudos qualitativos, quantitativos, etnográficos, artigos de revisão e estado de arte.
Entre as publicações identificadas, os investigadores identificam frequentemente a
problemática do impacto psicológico nos enfermeiros e a sua associação com o défice
de formação dos profissionais.
Conclusão: Os achados deste estudo apontam que o evidente impacto psicológico nos
enfermeiros, é complexo e caracterizado por dificuldades associadas ao processo de
tomada de decisão, dilemas éticos, problemas de imprevisibilidade, sentimentos de
desconfiança, isolamento, culpa, raiva, ansiedade e frustração, concomitantemente
com o aumento do volume/carga de trabalho que o doente com delírium representa.
Introduction: Delírium is defined as a syndrome characterized by consciousness disturbances, attention deficit and disorders of cognition/perception, that simultaneously lead to a process of global brain dysfunction with a high impact on patient, family and professionals. In order to perceive the dimension of such impact on health professionals, particularly, in nurses who work in palliative settings, this study aims to identify, specifically, the psychological impact of delirium in the context of palliative care. Method: Systematic review of the literature held between March and April 2021, using pubmed, EBSCO and Scopus electronic databases. Articles from 2005 to 2020 were included. Results: A total of 13 articles were selected, including qualitative, quantitative, ethnographic studies, revisions of the literature and state of art articles. Among the selected articles, researchers often identify a psychological impact of delírium among nurses and it´s association with the deficit of professional training to deal with it. Conclusion: The findings of this study highlight the complex psychological impact of delirium among nurses. It is characterized by difficulties on the decision-making process, ethical dilemmas, problems of unpredictability, feelings of mistrust, isolation, guilt, anxiety, and frustration, concomitantly with increased workload that these patients represent
Introduction: Delírium is defined as a syndrome characterized by consciousness disturbances, attention deficit and disorders of cognition/perception, that simultaneously lead to a process of global brain dysfunction with a high impact on patient, family and professionals. In order to perceive the dimension of such impact on health professionals, particularly, in nurses who work in palliative settings, this study aims to identify, specifically, the psychological impact of delirium in the context of palliative care. Method: Systematic review of the literature held between March and April 2021, using pubmed, EBSCO and Scopus electronic databases. Articles from 2005 to 2020 were included. Results: A total of 13 articles were selected, including qualitative, quantitative, ethnographic studies, revisions of the literature and state of art articles. Among the selected articles, researchers often identify a psychological impact of delírium among nurses and it´s association with the deficit of professional training to deal with it. Conclusion: The findings of this study highlight the complex psychological impact of delirium among nurses. It is characterized by difficulties on the decision-making process, ethical dilemmas, problems of unpredictability, feelings of mistrust, isolation, guilt, anxiety, and frustration, concomitantly with increased workload that these patients represent
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Keywords
Nurses Nursing Nursing staff Health care providers Health care professionals Palliative care End of life care Terminal care Hospice care Hospice and palliative care nursing Delírium Confusion Acute confusion Disorientation Psychomotor agitation Terminal restlessness