Scales to measure care needs in patients, family and professionals facing the end of life in the UCI

Abstract

Introduction: The needs generated at the end of life can influence not only the physical health but also the emotional, psychological and spiritual health of those who coexist in a critical care environment. Objective: To describe the scales that allow to determine the needs of care in patients, family and professionals that face the end of life in the ICU. Method: Integrative review of the literature. A search was conducted in the databases: PubMed, CINAHL, CUIDEN, Ovid, Epistemonikos, BVS, EBMR, repositories and cross-reference analysis. Results: After the process of critical reading, 13 articles met the inclusion criteria: 4 psychometric validations, 2 systematic reviews and 7 descriptive quantitative studies. The results were classified into three categories: measurement instruments for patients, family and professionals. Discussion: It was found within the category instruments of measurement of needs focused on the family 27 scales, the best known the CCFNI. For patients, a great research trajectory of needs measurement was identified using the CARE-Q scale. As for UCI professionals, there is no evidence of a scale that measures needs beyond those of work.