<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1988-348X</journal-id>
<journal-title><![CDATA[Ene]]></journal-title>
<abbrev-journal-title><![CDATA[Ene.]]></abbrev-journal-title>
<issn>1988-348X</issn>
<publisher>
<publisher-name><![CDATA[Martín Rodríguez Álvaro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1988-348X2021000200009</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Adecuación del esfuerzo terapéutico en unidades de críticos. Una revisión bibliográfica narrativa]]></article-title>
<article-title xml:lang="en"><![CDATA[Therapeutic effort adaptation in critical units]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez Herrera]]></surname>
<given-names><![CDATA[Alicia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[García Hernández]]></surname>
<given-names><![CDATA[Alfonso Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Universitario Nuestra Señora de La Candelaria Servicio Canario de Salud ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de La Laguna  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>España</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2021</year>
</pub-date>
<volume>15</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_arttext&amp;pid=S1988-348X2021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_abstract&amp;pid=S1988-348X2021000200009&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.isciii.es/scielo.php?script=sci_pdf&amp;pid=S1988-348X2021000200009&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen El propósito del presente estudio es una revisión bibliográfica sistematizada, sobre la Adecuación del Esfuerzo Terapéutico (AET) en las unidades de críticos, mediante el análisis de la literatura publicada que nos permita conocer las competencias actuales de la adecuación del esfuerzo terapéutico, desde el punto de vista médico y de enfermería. Se realiza una revisión bibliográfica donde se utiliza como principal recurso el PuntoQ, y las bases de datos: PubMeb, MEDLINE, CINAHL, SciELO, ScienceDirect - Revistas electrónicas (Elsevier), Free-e journals, EBSCOhost. De la estrategia de búsqueda se obtienen 602 artículos. Tras la lectura de los resúmenes se seleccionan 39 artículos que cumplen con los criterios de inclusión para llevar a cabo el presente estudio. Se analizan dichas publicaciones y se identifican tres áreas de interés para el estudio: la situación actual de la AET, el valor de la misma en el campo de la enfermería y los aspectos éticos y morales a la hora de tomar la decisión de AET. Los resultados evidencian la necesidad de mejorar la implantación de guías de actuación al final de la vida, e identifican algunos factores asociados a este tipo de decisiones, tales como la edad, las zonas geográficas, la calidad de vida y las comorbilidades. Además, se constata la baja participación de las enfermeras en la toma de decisiones de AET, LET y LTSV.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract The purpose of this study is a systematized bibliographical review, about the Therapeutic Effort Adaptation (TEA) in critical units, through the study of published literature allow us to know the current competencies of the adaptation of therapeutic effort, from the medical and nursing point of view. A bibliographic review is made where the main resource is the Puntoq, and the databases: Pubmeb, MEDLINE, CINAHL, Scielo, Sciencedirect - Electronic journals (Elsevier), Free-e journals, Ebscohost. From the search strategy are got 602 articles. After reading the summaries, 39 articles are selected which ones live up with the inclusion perspectiv to carry out the current study. These publications are analyzed and three interesting areas are identified to be studied: the current situation of the TEA, the value of it in the area of nursing and the ethical and moral aspects when the decision has to be taken by the TEA. The results show the need to improve the implementation of end-of-life guidelines and identify some factors associated with such decisions, such as age, geographical areas, quality of life and co-morbidities. In addition, nurses' participation in the decision-making of TEA, LET and LSTV is low.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Esfuerzo terapéutico]]></kwd>
<kwd lng="es"><![CDATA[Cuidados Críticos]]></kwd>
<kwd lng="en"><![CDATA[Therapeutic effort]]></kwd>
<kwd lng="en"><![CDATA[Critical Care]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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