Background:

Delirium is a common condition in institutionalized adults, characterized by disturbance of consciousness, decreased attention span and disorganized thinking, with an evolution in a short period of time. Delirium has a more detailed symptomatic presentation than acute confusion, being the first one a medical diagnosis and the second a nursing diagnosis. Acute confusion is often subject to misinterpretation by nurses.

Aim:

To identify autonomous nursing interventions capable of preventing acute confusion.

Methods:

Integrative Review, starting from the question: “Which autonomous nursing interventions can prevent acute confusion?” Research carried out in october 2020 using the following databases: CINAHL®Complete; MEDLINE Complete; Nursing & Allied Health collection: Comprehensive; Cochrane Central Register of Controlled Trials; Cochrane Database of Systematic Reviews and SciELO, with the inclusion criteria: articles with full text, between 2015 and 2020, in portuguese, spanish and english.

Results:

71 results were identified and ten articles were included. The selection was made by reading the title, eliminating duplicates, reading abstracts and full texts, using Preferred Reporting Items for Systematic Reviews and Meta-Analyses, according to the inclusion criteria. The articles included are: two systematic reviews; four meta-analyses; two experimental studies; a quasi-experimental study and a literature review.

Conclusions:

Autonomous nursing interventions fit into the ten domains of multicomponent interventions, being perceived a heterogeneity of interventions. Multicomponent interventions are those that show better results, when compared to isolated interventions.

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