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      Palliative care strategies in the management of people with serious cases of COVID-19 Translated title: Estrategias de cuidados paliativos en el manejo de personas con casos graves de COVID-19 Translated title: Estratégias de cuidados paliativos no manejo de pessoas com casos graves da COVID-19

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          ABSTRACT

          Objectives:

          to analyze the assistance strategies in palliative care developed in the COVID-19 pandemic for critically ill patients and their families.

          Methods:

          an integrative review carried out in August 2021 and updated in April 2022 in the Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science databases, and presented in the PRISMA flowchart.

          Results:

          thirteen works were selected for reading and content analysis, from which emerged the two main themes that reflect the reality evidenced in this context: The sudden advent of COVID-19 with impacts on palliative care; and The strategies used in palliative care to mitigate these impacts.

          Final Considerations:

          palliative care is the best strategy for providing health care, used as a comfort to bring relief and comfort to patients and families.

          RESUMO

          Objetivos:

          analisar as estratégias assistenciais em cuidados paliativos desenvolvidas na pandemia de COVID-19 aos pacientes graves e familiares.

          Métodos:

          revisão integrativa, realizada em agosto de 2021 e atualizada em abril de 2022, nas bases de dados Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science, e apresentadas no fluxograma PRISMA.

          Resultados:

          foram selecionados treze trabalhos para leitura e análise de conteúdo, dos quais emergiram as duas principais temáticas que traduzem a realidade evidenciada neste contexto : O advento súbito da COVID-19 com impactos nos cuidados paliativos; e, As estratégias utilizadas em cuidados paliativos para amenizar esses impactos.

          Considerações Finais:

          os cuidados paliativos se convergem na melhor estratégia de prestação de atendimento à saúde, usados como um acalento para trazer alívio e conforto aos pacientes e às famílias.

          RESUMEN

          Objetivos:

          analizar las estrategias asistenciales en cuidados paliativos desarrolladas en la pandemia de COVID-19 para pacientes críticos y sus familias.

          Métodos:

          revisión integradora, realizada en agosto de 2021 y actualizada en abril de 2022, en las bases de datos Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science, y presentado en el diagrama de flujo PRISMA.

          Resultados:

          se seleccionaron trece obras para lectura y análisis de contenido, de las cuales surgieron dos temas principales que reflejan la realidad evidenciada en este contexto: El advenimiento repentino de la COVID-19 con impactos en los cuidados paliativos; y Las estrategias utilizadas en cuidados paliativos para mitigar estos impactos.

          Consideraciones Finales:

          los cuidados paliativos son la mejor estrategia para brindar atención en salud, utilizados como un consuelo para brindar alivio y comodidad a los pacientes y familiares”.

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          Most cited references36

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          The PRISMA 2020 statement: an updated guideline for reporting systematic reviews

          The Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) statement, published in 2009, was designed to help systematic reviewers transparently report why the review was done, what the authors did, and what they found. Over the past decade, advances in systematic review methodology and terminology have necessitated an update to the guideline. The PRISMA 2020 statement replaces the 2009 statement and includes new reporting guidance that reflects advances in methods to identify, select, appraise, and synthesise studies. The structure and presentation of the items have been modified to facilitate implementation. In this article, we present the PRISMA 2020 27-item checklist, an expanded checklist that details reporting recommendations for each item, the PRISMA 2020 abstract checklist, and the revised flow diagrams for original and updated reviews.
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            Integrative review: what is it? How to do it?

            ABSTRACT Introduction: The integrative review is the methodology that provides synthesis of knowledge and applicability of results of significant studies to practice. Objective: To present the phases of an integrative review and the relevant aspects to be taken into account when using this methodological resource. Methods: This study was based on bibliographic search and on the experience of the authors when performing an integrative review. Results: Presentation of the six stages of the integrative review process: preparing the guiding question, searching or sampling the literature, data collection, critical analysis of the studies included, discussion of results and presentation of the integrative review. Conclusions: Considering the need to assure care based on scientific evidence, the integrative review has been identified as a unique tool in healthcare for it synthesizes investigations available on the given topic and guides practice based on scientific knowledge.
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              The PICO strategy for the research question construction and evidence search

              Evidence based practice is the use of the best scientific evidence to support the clinical decision making. The identification of the best evidence requires the construction of an appropriate research question and review of the literature. This article describes the use of the PICO strategy for the construction of the research question and bibliographical search.
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                Author and article information

                Contributors
                Role: contributed to the conception or design of the study/researchRole: contributed to the analysis and/or interpretation of dataRole: contributed to the final review with critical and intellectual participation in the manuscript
                Role: contributed to the conception or design of the study/researchRole: contributed to the analysis and/or interpretation of data
                Role: contributed to the analysis and/or interpretation of dataRole: contributed to the final review with critical and intellectual participation in the manuscript
                Role: contributed to the final review with critical and intellectual participation in the manuscript
                Role: contributed to the final review with critical and intellectual participation in the manuscript
                Role: contributed to the analysis and/or interpretation of dataRole: contributed to the final review with critical and intellectual participation in the manuscript
                Journal
                Rev Bras Enferm
                Rev Bras Enferm
                reben
                Revista Brasileira de Enfermagem
                Associação Brasileira de Enfermagem
                0034-7167
                1984-0446
                06 March 2023
                2023
                : 76
                : Suppl 1
                : e20220308
                Affiliations
                [I ]Universidade Estadual de Maringá. Maringá, Paraná, Brazil
                Author notes
                Corresponding author: Eleandro do Prado, E-mail: eleandroprado@ 123456hotmail.com

                EDITOR IN CHIEF: Antonio José de Almeida Filho

                ASSOCIATE EDITOR: Mellina Yamamura

                Author information
                http://orcid.org/0000-0003-2403-5462
                http://orcid.org/0000-0003-1724-2455
                http://orcid.org/0000-0002-0814-0193
                http://orcid.org/0000-0002-6008-2795
                http://orcid.org/0000-0002-2046-7009
                http://orcid.org/0000-0002-6607-362X
                Article
                00300
                10.1590/0034-7167-2022-0308
                9987459
                36888747
                e0c675ed-79dd-4b42-b15e-426b25d6b86f

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 14 June 2022
                : 13 October 2022
                Categories
                Review

                palliative care,health strategies,coronavirus infections,pandemic,covid-19.,cuidados paliativos,estrategias de salud,infecciones por coronavirus,pandemia,estratégias de saúde,infecções por coronavírus

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