Nursing evidence-based inteprofissional practice guidelines for anxiety related to death in ICU - Systematic Literature Review

Carina Maria Fernandes de Lima, Isabel CF da Cruz


Death-related anxiety is an important factor in the Intensive Care Unit for both the nurse and the patient and their family members. Thus, the following practical question, the high-complexity client with the diagnosis of anxiety related to death, was established, what is the most effective nursing intervention for its resolution? Objective to review the evidence-based practice using the PICO strategy that will help the intensive care nurse in the identification and treatment of nursing care behavior related to death-related anxiety in the ICU. Methodology a study carried out by means of a computerized search in order to produce a systematic review of the literature, in the Virtual Health Library (VHL), in the bases: Lilacs, Bdenf and Scielo, between 2013 and 2018, using as descriptors: anxiety, death, intensive care unit. Results nurses did not are prepared to deal with death, and are seen as a professional defeat. Conclusion highlights the need to train professionals during the academic life, since nursing courses do not yet offer space for this theme.


terminal patient; anxiety; death; intensive care unit

Full Text:



Gomes TC, Cruz I. Death related anxiety - Systematized Review of Literature. Journal of Specialized Nursing Care [Internet]. 2017 Mai; 9 (1). ISSN 1983-4152. Available at: .

Silva N R da, Menezes R A. "If stopped, stopped": categorization of dying in an intensive care unit in the city of Rio de Janeiro. Physis Revista de Saúde Coletiva [Internet]. 2015 Mar; 25 (1): 265-285. Available at: .

Kuhn T, Lazzari, DD, Jung W. Experiences and feelings of nursing professionals in lifelong care. Rev. bras. Sick [Internet]. 2011 Dec [quoted 14 Jun 2016]; 64 (6): 1075-1081. Available at: .

Mota MS, Gomes GC, MF Rabbit, Lunardi Filho WD, Dousa LD de. Reactions and feelings of nursing professionals regarding the death of patients under their care. Rev. Gaúcha Enferm. [Internet]. 2011 Mar [quoted 14 Jun 2016]; 32 (1): 129-135. Available at: .

North American Nursing Diagnosis Association International. NANDA nursing diagnoses: definitions and classification 2015-2017. Porto Alegre: Artmed, 2016.

Souza PCS de, Cruz I. Nursing care at the end of life in an intensive care unit - Systematized Literature Review. Journal of Specialized Nursing Care [Internet]. 2014 Dec; 3 (2). ISSN 1983-4152. Available at: .

ABSTRACT: This study was carried out in the city of. Social representations of nurses on religiosity when caring for patients in the process of death. Rev. bras. sick [Internet]. 2013 Oct; 66 (5): 730-737. Available at: .

Backes MTS, Erdmann AL, Buscher A. The living, dynamic and complex care environment in the Intensive Care Unit. Rev. Latino-Am. Nursing [Internet]. 2015 Jun [quoted 14 Jun 2016]; 23 (3): 411-418. Available at: .

Flag D, Cogo SB, Hildebrandt LM, Badke MR. Death and dying in the process of training nurses from the perspective of nursing teachers. Texto contexto - enferm. [Internet]. 2014 Jun [quoted 14 Jun 2016]; 23 (2): 400-407. Available at: Available at: .

Beraldo LM, Almeida DD de, Bocchi SCM. From frustration to coping with care for death by nursing technicians. Rev. Bras. Sick [Internet]. 2015 Dec [quoted 14 Jun 2016]; 68 (6): 1013-1019. Available at: .

Brito FM, Costa ICP, Costa SFG, Andrade CG de, Santos KFO dos, Francisco DP. Communication at the imminence of death: perceptions and strategy adopted to humanize care in nursing. Esc. Anna Nery. 2014 Jun; 18 (2): 317-322. Available at: .

MV Days, Backes DS, Barlem ELD, Backes MTS, Lunardi VL, Souza MHT de. Nursing training in relation to the death-dying process: perceptions in the light of complex thinking. Rev. Gaúcha Enferm. [Internet]. Dec 2014 [quoted 14 Jun 2016]; 35 (4): 79-85. Available in: .

Gemano KS, Meneguin S. Meanings attributed by nursing undergraduates to palliative care. Acta paul. sick 2013 Dec; 26 (6): 522-528. Available at: .

Santana JCB, Dutra BS, Carlos JMM, Barros JKA. Orthopedics in intensive care units: nurses' perception. Rev. Bioét. 2017 Apr; 25 (1): 158-167. Available at: .

Silva R S da, Pereira A, Mussi FC. Comfort for a good death: perspective of an intensive care team. Esc. Anna Nery [Internet]. 2015 Mar [quoted on Apr 19, 2016]; 19 (1): 40-46. Available at: .

Souza TL de, Barilli, SLS, Azeredo, NSG de. Perspective of relatives about the process of dying in intensive care unit. Texto contexto - enferm. 2014 Sep; 23 (3): 751-757. Available at: .

Oxford Center for Evidence-Based Medicine. Levels of evidence [Internet] 2009 [access June 15, 2016]. Available: .

Santos, JL dos, Bueno SMV. Education for the death of teachers and nursing students: documentary review of the scientific literature. Rev. esc. sick USP [Internet]. 2011 Mar [quoted 14 Jun 2016]; 45 (1): 272-276. Available at: .

Barros NCB, Oliveira CDB, Alves ERP, France ISX de, Nascimento RM, Freire MEM. ICU Palliative Care: Nurses' Comprehension. R. pesq. found. [Internet] 2013 Jan / Mar [quoted 14 Jun 2016]; 5 (1): 3293-01. Available in: .

Silva RS da, Campos AER, Pereira A. Caring for the patient in the process of death in the Intensive Care Unit. Rev. esc. sick USP [Internet]. 2011 Jun [quoted 19 Apr 2016]; 45 (3): 738-744. Available at: .


Share |