Abstract
Identify the main clinical indicators for assistance in the Intensive Care Unit (ICU) and map them in the nursing interventions described by the Nursing Interventions Classification (NIC). Integrative literature review study, followed by cross-mapping between clinical indicators for assistance in the ICU care and NIC nursing interventions and activities. 36 articles were identified, which resulted in 285 clinical indicators for ICU care, with mechanical ventilatory assistance, pain, sedation, psychomotor agitation, delirium, anxiety, altered heart rate, diet by naso tube / oroenteral and diarrhea the clinical indicators for assistance in the ICU the most prevalent. These were mapped in 12 Nursing Interventions Classification interventions and 130 nursing activities. It is concluded that the clinical indicators for ICU care associated with Nursing Interventions Classification are concrete data that assist intensive care nurses in their clinical practice.
Highlights
The Intensive Care Unit (ICU) is the hospitalization sector that has specialized equipment and technologies for maintaining vital functions, continuous monitoring and uninterrupted assistance from health professionals, in order to provide care to critical patients(1)
The articles indexed in CINAHL were accessed through the CAPES portal; those published in LILACS were searched by the Virtual Health Library (VHL); and Medical Literature Analysis and Retrieval System Online (MEDLINE) studies were researched through the VHL and PubMed
This research promoted the identification of 285 clinical indicators for ICU care, with mechanical ventilatory assistance, pain, sedation, psychomotor agitation, delirium, anxiety, altered heart rate, diet by naso/ oroenteral tube and diarrhea the most prevalent, which were mapped with similarities in 12 Nursing Interventions Classification (NIC) interventions and 130 nursing activities
Summary
The Intensive Care Unit (ICU) is the hospitalization sector that has specialized equipment and technologies for maintaining vital functions, continuous monitoring and uninterrupted assistance from health professionals, in order to provide care to critical patients(1) This type of patient is characterized by a serious or risky clinical situation and may present instability and imbalance in one or more systems of the body, which are identified through changes in signs and symptoms(2). There are still several places in which, steps in the nursing process are used for the organization of care, standardized languages such as NIC are not yet used to name their actions In this context, identifying the main clinical indicators for the care of a specific clientele, such as the ICU, and mapping them with the nursing interventions of the NIC can favor the systematization of health actions, considering the needs of the patient, in addition to assisting in the forecast and provision of human and material resources(5,9)
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