<?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>0864-0319</journal-id>
<journal-title><![CDATA[Revista Cubana de Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Cubana Enfermer]]></abbrev-journal-title>
<issn>0864-0319</issn>
<publisher>
<publisher-name><![CDATA[Editorial Ciencias Médicas]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0864-03192020000300019</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Competencias de enfermeras para gestionar el cuidado directo en la Unidad de Cuidados Intensivos de adultos]]></article-title>
<article-title xml:lang="en"><![CDATA[Nurse Competences for Managing Direct Care in an Adult Intensive Care Unit]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díaz Mass]]></surname>
<given-names><![CDATA[Diana Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Soto Lesmes]]></surname>
<given-names><![CDATA[Virginia Inés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad del Norte Departamento de Enfermería ]]></institution>
<addr-line><![CDATA[Barranquilla ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia Facultad de Enfermería ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>09</month>
<year>2020</year>
</pub-date>
<volume>36</volume>
<numero>3</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S0864-03192020000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S0864-03192020000300019&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S0864-03192020000300019&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  Las competencias que adquieren y desarrollan las enfermeras que gestionan el cuidado directo en las unidades de cuidados intensivos de adultos son un factor esencial para garantizar una atención segura y de calidad. El nivel de experticia requerido debe estar direccionado por un perfil o mapa de competencias específico.  Objetivo:  Determinar las competencias de las enfermeras para la gestión del cuidado directo en una unidad de cuidados intensivos de adultos.  Métodos:  Revisión integrativa de literatura. Se analizaron 14 artículos con abordaje cualitativo y cuantitativo publicados entre los años 2000 a 2017, encontrados en base de datos Ovid- Nursing, Global Health-Ovid, MEDLINE, Web of Science, SCIELO, SCOPUS, Science Direct, y EBSCO. La lectura crítica de estos, se realizó empleando: CASPe, STROBE Statement y Joanna Briggs Institute. Se determinó nivel evidencia y grado de recomendación mediante la herramienta del CEBM. A partir de los hallazgos comunes se determinaron las categorías.  Conclusiones:  El juicio clínico de enfermería es la competencia central para la gestión del cuidado directo en unidades de cuidados intensivos porque permite a la enfermera tomar decisiones en situaciones cambiantes a partir del pensamiento crítico y el razonamiento clínico para la resolución de problemas, la priorización y el logro de resultados en salud.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  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.  Objective:  To determine the competences of nurses for direct care management in an adult intensive care unit.  Methods:  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.  Conclusions:  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.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[competencia clínica]]></kwd>
<kwd lng="es"><![CDATA[enfermería de cuidados críticos]]></kwd>
<kwd lng="es"><![CDATA[cuidados críticos]]></kwd>
<kwd lng="es"><![CDATA[unidades de cuidados intensivos]]></kwd>
<kwd lng="en"><![CDATA[clinical competence]]></kwd>
<kwd lng="en"><![CDATA[critical care nursing]]></kwd>
<kwd lng="en"><![CDATA[critical cares]]></kwd>
<kwd lng="en"><![CDATA[intensive care units]]></kwd>
</kwd-group>
</article-meta>
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