{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T22:51:22Z","timestamp":1772232682326,"version":"3.50.1"},"reference-count":33,"publisher":"FapUNIFESP (SciELO)","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev. Latino-Am. Enfermagem"],"abstract":"<jats:p>Objetivo: describir una microteor\u00eda para cuidados de enfermer\u00eda en la prevenci\u00f3n del delirio en personas mayores en la unidad de cuidados intensivos.  M\u00e9todo: investigaci\u00f3n te\u00f3rica prescriptiva, basada en la subconstrucci\u00f3n. Se dedujeron constructos del Modelo de Adaptaci\u00f3n de Roy y se indujeron datos del fen\u00f3meno de cuidados de enfermer\u00eda en la prevenci\u00f3n del delirium en personas mayores en cuidados intensivos, a partir de una revisi\u00f3n integrativa de la literatura.  Resultados: la microteor\u00eda posee sistema te\u00f3rico, operativo y modelo de cuidado. En el sistema te\u00f3rico se utilizaron los constructos est\u00edmulo focal y contextual de Roy. A partir de ellos, se elaboraron los conceptos de cuidado focal y contextual y la variable respuesta adaptativa a la prevenci\u00f3n. De las declaraciones relacionales se elaboraron cuatro axiomas, dos postulados, ocho proposiciones y una presuposici\u00f3n epist\u00e9mica.  En el sistema operativo se establecieron dos indicadores emp\u00edricos: el Confusion Assessment Method for Intensive Care Units y el historial demogr\u00e1fico\/cl\u00ednico de las personas mayores. Posteriormente, se produjeron dos declaraciones transformacionales, cuatro hip\u00f3tesis y el modelo de cuidado representado en figura.  Conclusi\u00f3n: la microteor\u00eda producida prescribe cuidados en la prevenci\u00f3n del delirium en personas mayores en cuidados intensivos, por un constructo de inter\u00e9s para la enfermer\u00eda, y permite intervenciones en el desarrollo de instrumentos que gu\u00edan la actuaci\u00f3n de la enfermer\u00eda.<\/jats:p>","DOI":"10.1590\/1518-8345.6707.4070","type":"journal-article","created":{"date-parts":[[2023,12,4]],"date-time":"2023-12-04T06:07:27Z","timestamp":1701670047000},"source":"Crossref","is-referenced-by-count":0,"title":["Microteor\u00eda de enfermer\u00eda en la prevenci\u00f3n del delirium en personas mayores en la unidad de cuidados intensivos"],"prefix":"10.1590","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4841-2288","authenticated-orcid":false,"given":"Sandra da Silva","family":"Kinalski","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Maria,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3179-9842","authenticated-orcid":false,"given":"Margrid","family":"Beuter","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1626-5698","authenticated-orcid":false,"given":"Eliane Raquel Rieth","family":"Benetti","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3280-337X","authenticated-orcid":false,"given":"Marin\u00eas Tambara","family":"Leite","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5401-3849","authenticated-orcid":false,"given":"Larissa","family":"Venturini","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Maria,  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8368-8343","authenticated-orcid":false,"given":"Marcos Ant\u00f4nio Gomes","family":"Brand\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio de Janeiro,  Brasil; Conselho Nacional de Desenvolvimento Cient\u00edfico e Tecnol\u00f3gico (CNPq),  Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2023,12]]},"reference":[{"issue":"13-14","key":"ref1","doi-asserted-by":"crossref","first-page":"2083","DOI":"10.1111\/jocn.15219","article-title":"Delirium point prevalence studies in inpatient settings: a systematic review and meta-analysis","volume":"29","author":"Koirala B","year":"2020","journal-title":"J Clin Nurs"},{"key":"ref2","article-title":"Identification of delirium in elderly people admitted to intensive care units: an integrative review","volume":"9","author":"Silva MAP","year":"2020","journal-title":"Res Soc Dev"},{"key":"ref3","article-title":"Prevalence and risk factors associated with delirium at a critical care unit","volume":"35","author":"Pinheiro FG","year":"2022","journal-title":"Acta Paul Enferm"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1016\/j.cger.2019.11.001","article-title":"Delirium in the elderly","volume":"36","author":"Hshieh TT","year":"2020","journal-title":"Clin Geriatr Med"},{"issue":"39","key":"ref5","doi-asserted-by":"crossref","first-page":"E1525","DOI":"10.1503\/cmaj.210652","article-title":"Optimizing care for critically ill older adults","volume":"193","author":"Geen O","year":"2021","journal-title":"Can Med Assoc J"},{"key":"ref6","doi-asserted-by":"crossref","DOI":"10.1590\/1518-8345.6120.3687","article-title":"Frailty and delirium in hospitalized elderly: systematic review with meta-analysis","volume":"30","author":"Cechinel C","year":"2022","journal-title":"Rev. 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