Intervenciones y criterios de resultado planificados por las enfermeras comunitarias en la atención al duelo en Canarias

  1. Martín Rodríguez Alvaro
  2. Alfonso Miguel García Hernández
  3. Pedro Ruymán Brito Brito
  4. Armando Aguirre Jaime
  5. Domingo Ángel Fernández Gutiérrez
Journal:
Enfermería clínica

ISSN: 1130-8621

Year of publication: 2018

Volume: 28

Issue: 4

Pages: 240-246

Type: Article

DOI: 10.1016/J.ENFCLI.2017.11.005 DIALNET GOOGLE SCHOLAR

Abstract

Nursing care in bereavement is complex. Primary health care is the ideal setting to support the bereaved, but we do not know much about the care plans designed by primary health care nurses in the treatment of grief. Objective To identify the outcomes criteria and interventions planned by nurses for mourners with and without complications in the Canary Islands. Method Retrospective longitudinal study, using the electronic health records of the Canary Islands health service of people with a diagnosis of grieving, risk of complicated grieving and complicated grieving, in the period 2009-2014. Results NOC outcomes criteria were recorded in 67% of the mourners, and up to 24 different outcomes were identified. The main outcomes measures were Grief resolution; Psychosocial adjustment, Life change; Coping; Family coping; Family social climate and Caregiver emotional health. The remaining outcomes were present in less than 1% of the mourners. Although the outcomes criteria proposed by nurses in the mourners with and without complications were quite homogeneous, differences in interventions were found. In 67% of the cases, NIC interventions were reported. Ninety-nine different interventions were identified in the mourners; the most frequent were Emotional support; Grief work facilitation; Active listening; Coping enhancement and counselling. The remaining identified interventions were present in less than 5% of patients. The main interventions in the mourners with complications were Grief work facilitation; Coping enhancement; Active listening; Counselling and Family integrity promotion. Conclusion Nurses state that there are more interventions and outcomes in mourners with complications. Given the few methodologically reliable studies that prove their effectiveness, continued research in this area is recommended.