Decision making for nursing rehabilitation in intensive care: foci of care

Keywords: Decision Making; Intensive Care Units; Nursing Process; Rehabilitation Nursing.


Objective: to understand the focus of care developed by nurses specialized in adult intensive care rehabilitation. Methods: qualitative study with a focus group session with six nurses, specialists in rehabilitation nursing, who have roles in the intensive care of three hospitals. The information transcribed was submitted to content analysis. Results: regarding the profile of participants, three were female and three were male, with ages varying from 28 to 51 years old, with a mean of 39.33 years old (standard deviation=7.32). Through data analysis, two categories emerged: Sedated Clients and Awake Clients. Conclusion: when the client was sedated, the care was focused on the processes of the respiratory and musculoskeletal systems that were compromised. When he was awake, more elements related to those body processes became foci of care, in addition to other elements related to the psychological process, to the phenomenon of status, and to self-care.


Mendes RMG, Nunes ML, Pinho JA, Gonçalves RBR. Organização dos cuidados de reabilitação nas unidades de cuidados intensivos portuguesas. Rev Bras Ter Intensiva. 2018; 30(1):57-63. doi:

Ordem dos Enfermeiros (PT). Regulamento nº 392/19. Diário da República nº 85, II Série [Internet]. 2019 [cited Jan 05, 2021]. Available from:

International Council of Nurses. Classificação Internacional para a Prática de Enfermagem [Internet]. 2015 [cited Jan 05, 2021]. Available from:

Malone D, Ridgeway K, Nordon-Craft A, Moss P, Schenkman M, Moss M. Physical therapist practice in the intensive care unit: results of a national survey. Phys Ther. 2015; 95(10):1335-44. doi:

Schoeller SD, Martins MM, Ribeiro I, Lima DKS, Padilha MI, Gomes BP. Breve Panorama mundial da enfermagem de reabilitação. Rev Port Enferm Reabil. 2018; 1(1):6-12. doi:

Bardin L. Análise de conteúdo. Lisboa: Edições 70; 2016.

International Council of Nurses. ICNP Browser [Internet]. 2019 [cited Jan 05, 2021]. Available from:

Parry SM, Puthucheary ZA. The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extrem Physiol Med. 2015; 4:16. doi:

Cunha FA, Oliveira AFS. Complicações decorrentes da ventilação mecânica ao paciente de unidades de terapia intensiva (UTI) adulto. Rev Pesq Saúde [Internet]. 2018 [cited Jan 05, 2021]; 1(1):138-61. Available from:

McWilliams D, Weblin J, Atkins G, Bion J, Williams J, Elliott C, et al. Enhancing rehabilitation of mechanically ventilated patients in the intensive care unit: a quality improvement project. J Crit Care. 2015; 30(1):13-8. doi:

McWilliams D, Snelson C, Goddard H, Attwood B. Introducing early and structured rehabilitation in critical care: a quality improvement project. Intensive Crit Care Nurs. 2019; 53:79-83. doi:

Smith S, Rahman O. Post intensive care syndrome. StatPearls [Internet]. 2020 [cited Jan 05, 2021]. Available from:

Ordem dos Enfermeiros (PT). Padrão documental dos cuidados de enfermagem da especialidade de enfermagem de reabilitação [Internet]. 2015 [cited Jan 05, 2021]. Available from:

Rose L, Adhikari NK, Leasa D, Fergusson DA, McKim D. Cough augmentation techniques for extubation or weaning critically ill patients from mechanical ventilation. Cochrane Database Syst Rev. 2017; 11(1):CD011833. doi:

Zuercher P, Moret CS, Dziewas R, Schefold JC. Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit Care. 2019; 23(1):103. doi:

Schefold JC, Berger D, Zürcher P, Lensch M, Perren A, Jakob SM, et al. Dysphagia in mechanically ventilated ICU patients (DYnAMICS): a prospective observational trial. Crit Care Med. 2017; 45(12):2061-9. doi:

Vanhorebeek I, Latronico N, Van den Berghe G. ICU-acquired weakness. Intensive Care Med. 2020; 46(4):637-53. doi:

Preul MC. Editorial. Ipsilateral hemiparesis and its history for neurosurgery: same side, wrong side. Neurosurg Focus. 2019; 47(3):E8. doi:

Research Article