NURSING CARE FOR PATIENTS WITH INVASIVE MECHANICAL VENTILATION IN THE EMERGENCY SERVICE: A SCOPING REVIEW

Abstract

Introduction: Several international studies show that more critically ill patients are undergoing invasive mechanical ventilation (IMV) in the emergency department (ER) and are staying longer. Their stay in these services is linked to worse outcomes. These are patients who require the nurses who care for them to have knowledge and skills about the best care to provide, as this will influence the success of their recovery.Objective: To map the available scientific evidence on the best practices to adopt when caring for critically ill patients under IMV in hospital emergency departments.Method: A scoping review was conducted according to the indications of the Joanna Briggs Institute (JBI). The search was conducted in the MEDLINE, CINAHL, LILACS and BDENF - Nursing databases, with a time limitation of articles published between the years 2019 and 2023, respecting inclusion and exclusion criteria, resulting in a total of five articles.Results: The analysis of the five included studies allowed us to identify twenty-four interventions considered good practices for a higher quality of care and safety of patients undergoing IMV who remain in the ER.Conclusion: The results obtained demonstrate the importance of these interventions for the success of IMV. However, there are discrepancies in the way nurses care for these patients, and there is no uniformity in their applicability. More studies, training and the development of standards adapted to the ER context are needed.