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Revista Cubana de Enfermería

versión impresa ISSN 0864-0319versión On-line ISSN 1561-2961


DIAZ MASS, Diana Carolina  y  SOTO LESMES, Virginia Inés. Nurse Competences for Managing Direct Care in an Adult Intensive Care Unit. Rev Cubana Enfermer [online]. 2020, vol.36, n.3, e3446.  Epub 01-Sep-2020. ISSN 0864-0319.


The competences acquired and developed by nurses who manage direct care in adult intensive care units are an essential factor to guarantee safe and quality care. The level of expertise required must be directed by a specific profile or map of competences.


To determine the competences of nurses for direct care management in an adult intensive care unit.


Integrative literature review. Fourteen articles with a qualitative and quantitative approach published between 2000 and 2017, found in the databases Ovid-Nursing, Global Health-Ovid, MEDLINE, Web of Science, SCIELO, SCOPUS, Science Direct, and EBSCO were analyzed. The critical reading of these was carried out using CASPe, STROBE Statement and Joanna Briggs Institute. The level of evidence and degree of recommendation were determined using the CEBM tool. From common findings, the categories were determined.


Nursing clinical judgment is the core competence for direct care management in intensive care units because it allows the nurse to make decisions in changing situations based on critical thinking and clinical reasoning for problem solving, prioritization and achieving health outcomes.

Palabras clave : clinical competence; critical care nursing; critical cares; intensive care units.

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