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

  1. Martín Rodríguez-Álvaro
  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

More publications in: Enfermería clínica

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.

Bibliographic References

  • Freitas, T.L., Banazeski, A.C., Eisele, A., de Souza, E.N., Bitencourt, J.V., Souza, S., La visión de la enfermería ante el Proceso de Muerte y Morir de pacientes críticos: una revisión integradora. Enferm Global. 41 (2016), 322–334.
  • Chocarro González, L., Representación social de la muerte entre los profesionales: una aproximación psicosociológica desde el análisis del discurso (Tesis doctoral). 2010, Universidad Complutense de Madrid.
  • Raymond, A., Lee, S., Bloomer, M.J., Understanding the bereavement care roles of nurses within acute care: A systematic review. J Clin Nurs. 26 (2017), 1787–1800, 10.1111/jocn.13503.
  • Navarro Serer, M., La muerte y el duelo como experiencia vital: acompañando el proceso de morir. Información Psicológica 88 (2006), 12–21.
  • Tristancho, R., Estupiñán, M., Sánchez, M., Company, M.C., Sanz, E., Santana, B., VII Congreso Nacional de atención sanitaria al paciente crónico, II Conferencia Nacional del paciente activo, Relación entre diagnósticos de enfermería y uso de recursos sanitarios, 2015, Valladolid.
  • Shimomai, K., Furukawa, H., Kuroda, Y., Fukuda, K., Masuda, M., Koizumi, J., The difficulty of selecting the NANDA-I nursing diagnoses (2015-2017) of ‘Death Anxiety’ in Japan. Int J Nurs Knowl., 2016, 10.1111/2047-3095.12154.
  • Brito, P.R., Rodríguez, M., Toledo, C., Problemas NANDA del dominio psicosocial más frecuentes en Atención Primaria. Rev ENE Enferm. 3 (2009), 42–51.
  • National Institute for Clinical Evidence. Improving supportive and palliative care for adults with cancer. 2004, National Institute for Clinical Evidence, London.
  • Prigerson, H.G., Horowitz, M.J., Jacobs, S.C., Parkes, C.M., Aslan, M., Goodkin, K., et al. Prolonged grief disorder: Psychometric validation of criteria proposed for DSM-V and ICD-11. PLoS Med., 6, 2009, e1000121, 10.1371/journal.pmed.1000121.
  • Brownhill, S., Chang, E., Bidewell, J., Johnson, A., A decision model for community nurses providing bereavement care. Br J Community Nurs. 18 (2013), 133–139.
  • Johnson, A., Analysing the role played by district and community nurses in bereavement support. Br J Community Nurs. 20 (2015), 272–277, 10.12968/bjcn.2015.20.6.272.
  • Doering, B.K., Eisma, M.C., Treatment for complicated grief: State of the science and ways forward. Curr Opin Psychiatry. 29 (2016), 286–291, 10.1097/YCO.0000000000000263.
  • Redshaw, S., Harrison, K., Johnson, A., Chang, E., Community nurses’ perceptions of providing bereavement care. Int J Nurs Pract. 19 (2013), 344–350, 10.1111/ijn.12069.
  • Chang, E., Bidewell, J., Hancock, K., Johnson, A., Easterbrook, S., Community palliative care nurse experiences and perceptions of follow-up bereavement support visits to carers. Int J Nurs Pract. 18 (2012), 332–339, 10.1111/j.1440-172X.2012.02046.x.
  • Brito, P.R., Rodríguez, M., Pérez, C., Caso clínico: duelo complicado en Atención Primaria. Planificación de los cuidados. Enferm Clín. 19 (2009), 345–348.
  • Kentish-Barnes, N., Chevret, S., Champigneulle, B., Thirion, M., Souppart, V., Gilbert, M., et al. Effect of a condolence letter on grief symptoms among relatives of patients who died in the ICU: A randomized clinical trial. Intensive Care Med. 43 (2017), 473–484, 10.1007/s00134-016-4669-9.
  • Dorado MªI, Alonso, R., Herrera MªC, Aragón, M., Cabral, P., La prevención del diagnóstico enfermero. Duelo Disfuncional desde la Atención Primaria. Rev Paraninfo Digital., 2008 [consultado 14 Feb 2017]. Disponible en: http://www.index-f.com/para/n3/p089.php.
  • Brito, P.R., Rodríguez, M., Pérez, C., El Duelo en Atención Primaria. Metas Enferm. 9 (2006), 69–71.
  • Brito, P.R., Aguirre, A., Perfiles del paciente asociados a las etiquetas del CdePS. Brito, P.R., Aguirre, A., (eds.) El diagnóstico psicosocial desde una perspectiva enfermera, 2014, Elsevier, Barcelona, 68–78.
  • Forte, A.L., Hill, M., Pazder, R., Feudtne, C., Bereavement care interventions: A systematic review. BMC Palliat Care., 3, 2004, 3.
  • Wittouck C1, van Autreve, S., de Jaegere, E., Portzky, G., van Heeringen, K., The prevention and treatment of complicated grief: A meta-analysis. Clin Psychol Rev. 31 (2011), 69–78, 10.1016/j.cpr.2010.09.005.
  • Candy, B., Jones, L., Drake, R., Leurent, B., King, M., Intervenciones para el apoyo de los cuidadores no profesionales de pacientes en la fase terminal de su enfermedad. Cochrane Database Syst Rev., 2011, 10.1002/14651858.CD007617 Art. CD007617.
  • Currier J, Holland J, Coleman R, Neimeyer RA. Bereavement following violent death: An assault on life and meaning. In: Stevenson, R & Cox G (eds). Violence. Perspectives on violence and violent death. Amityville, NY: Baywood, OMEGA: The Journal of Death and Dying. Volumen 53, 3: 175-191.
  • Delalibera, M., Presa, J., Coelho, A., Barbosa, A., Franco, M.H., Family dynamics during the grieving process: A systematic literature review. Cien Saude Colet. 20 (2015), 1119–1134, 10.1590/1413-81232015204.09562014.
  • Kissane D, Zaider T, Lederberg M, Schuler T, Li Y, Hichenberg S, et al. Outcomes of randomized controlled trial of family focused grief therapy in palliative care and bereavement. 2015 World Congress of Psycho-Oncology, Jul 28-Aug 1 2015, Washington, DC, United States.
  • García-García, J.A., Landa, V., Trigueros, M.C., Gaminde, I., Grief for loss of a spouse: A study with discussion groups in primary care. Aten Primaria. 18 (1996), 475–479.
  • Maccallum, F., Bryant, R.A., Autobiographical memory following cognitive behaviour therapy for complicated grief. J Behav Ther Exp Psychiatry. 42 (2011), 26–31.
  • Flenady V, Wilson TT. Apoyo a madres, padres y familias después de la muerte perinatal (Revision Cochrane traducida). En: Biblioteca Cochrane Plus 2009 Número 3. Oxford: Update Software Ltd. [Consultado 16 Oct 2016]. Disponible en: http://www.bibliotecacochrane.com (Traducida de The Cochrane Library, 2008 Issue 1 Art no. CD000452. Chichester, UK: John Wiley & Sons, Ltd.).
  • Roberts, L., Montgomery, S., Mindfulness-based intervention for perinatal grief education and reduction among poor women in Chhattisgarh, India: A pilot study. Interdiscip J Best Glob Dev., 2, 2016, 1.
  • Sevilla-Casado, M., Ferré-Grau, C., Ansiedad ante la muerte en enfermeras de Atención Sociosanitaria: Datos y Significados. Gerokomos 24 (2013), 109–114, 10.4321/S1134-928X2013000300003.
Data source: Dialnet