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Nurses' Interventions in Minimizing Adult Patient Vulnerability During Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation: An Integrative Review

2024Journal article Open access
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dc.contributor.authorCosta, Nuno
dc.contributor.authorHenriques, Helga Rafael
dc.contributor.authorDurão, Cândida
dc.date.accessioned2025-04-02T13:43:39Z
dc.date.available2025-04-02T13:43:39Z
dc.date.issued2024
dc.description.abstractIntroduction: People during extracorporeal membrane oxygenation (ECMO) as a bridge to lung transplantation find themselves in a high degree of physical and psychological vulnerability, which could cause additional problems for their health status. Therefore, this review aims to identify the interventions that shape critical nursing care to minimize patient vulnerability during ECMO as a bridge to lung transplantation. Method: A literature review was performed using CINAHL, MEDLINE, PubMed, Scopus and Web of Science databases with searches conducted in March 2023, with temporal restriction of articles published between 2013 and 2023. After selecting articles involving adults in critical situations on ECMO, their quality was assessed using the critical appraisal tools from the Joanna Briggs Institute. Articles with the pediatric population, reviews, and opinion articles were excluded. A spreadsheet was built for data extraction and a narrative analysis was performed. Results: Three articles were included involving 40 participants in total. Interventions that shape critical nursing care to minimize a person's vulnerability are in the physical domain (basic precautions to prevent infection) and in the psychological domain (trusting relationships, consistent and clear communication, physical presence of nurses and family members and the use of advocacy). The Awake ECMO strategy was identified as beneficial for reducing vulnerability. Conclusion: By recognizing and identifying the person's vulnerability during ECMO as a bridge to lung transplantation, nurses can implement effective interventions to minimize vulnerability in this population, thus contributing to the person's well-being through personalization and individualization of care. Additionally, the results of this review could be useful for developing tools to assess the degree of vulnerability and for implementing person-centered care measures and policies. However, further research is warranted given the scarcity of literature on these topics.eng
dc.identifier.citationCosta, N., Henriques, H. R., & Durao, C. (2024). Nurses' Interventions in Minimizing Adult Patient Vulnerability During Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation: An Integrative Review. SAGE open nursing, 10, 23779608241262651. https://doi.org/10.1177/23779608241262651
dc.identifier.doihttps://doi.org/10.1177/23779608241262651
dc.identifier.issn2377-9608
dc.identifier.urihttp://hdl.handle.net/10400.26/57528
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSAGE Publications
dc.relation.hasversionhttps://journals.sagepub.com/doi/10.1177/23779608241262651
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectCritical care nursing
dc.subjectCritically ill
dc.subjectExtracorporeal membrane oxygenation
dc.subjectLung transplantation
dc.subjectVulnerability
dc.titleNurses' Interventions in Minimizing Adult Patient Vulnerability During Extracorporeal Membrane Oxygenation as a Bridge to Lung Transplantation: An Integrative Revieweng
dc.typejournal article
dspace.entity.typePublication
oaire.citation.titleSAGE Open Nursing
oaire.citation.volume10
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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