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- Title
Nursing microtheory in the prevention of delirium in older adult in the intensive care unit.
- Authors
da Silva Kinalski, Sandra; Beuter, Margrid; Rieth Benetti, Eliane Raquel; Tambara Leite, Marinês; Venturini, Larissa; Gomes Brandão, Marcos Antônio
- Abstract
Objective: to describe a microtheory for nursing care in the prevention of delirium in older adult in the intensive care unit. Method: prescriptive theoretical research, based on substruction. Roy's Adaptation Model constructs were deduced and data from the phenomenon of nursing care in the prevention of delirium in older adult in intensive care were induced, based on an integrative literature review. Results: the microtheory has a theoretical and operational system and a model of care. In the theoretical system, Roy's focal and contextual stimulus constructs were used. From them, the concepts of focal and contextual care and the variable adaptive response to prevention were elaborated. From the relational statements, four axioms, two postulates, eight propositions and an epistemic assumption were elaborated. Two empirical indicators were established in the operating system: the Confusion Assessment Method for Intensive Care Units and the demographic/clinical history of the older adult. Subsequently, two transformational statements, four hypotheses and the model of care represented in figure were produced. Conclusion: the microtheory produced prescribes care in the prevention of delirium in older adult in intensive care, through a construct of interest to nursing, and allows interceptions for the development of instruments that guide nursing activities.
- Subjects
INTENSIVE care units; COGNITION disorders; INTENSIVE care nursing; NURSING models; FLUID therapy; ALCOHOLISM; PSYCHOSES; NURSING theory; FAMILIES; SLEEP; EARLY ambulation (Rehabilitation); MUSIC therapy; DIET therapy; FAMILY-centered care; NURSING practice; ROY adaptation model; DESCRIPTIVE statistics; COMMUNICATION; HOSPITAL night care; DEMENTIA; SOCIODEMOGRAPHIC factors; SMOKING; NURSING interventions; THERAPEUTIC alliance; OLD age
- Publication
Revista Latino-Americana de Enfermagem (RLAE), 2023, Vol 31, p1
- ISSN
1518-8345
- Publication type
Article
- DOI
10.1590/1518-8345.6707.4071