Critical Care Nursing Quarterly最新文献

Antimicrobials in the Management of Sepsis in the Intensive Care Unit (ICU).

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000545

Adriana Betancourth, Salman Bangash, Yousaf Bajwa, Ashley Garbinski, Tiffany DuMont, Omer Bajwa, Nitin Bhanot

引用次数: 0

Renal Involvement in Sepsis: Acute Kidney Injury.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000553

Rahul Prakash Rane, Sheahahn Soundranayagam, Daniel A Shade, Kevin Nauer, Tiffany DuMont, Khaled Nashar, Marvin R Balaan

引用次数: 0

Nurses' Knowledge, Attitude, Practice, and Perceived Barriers of Infection Control Measures in the Intensive Care Units at Northwest Bank Hospitals. 西北银行医院重症监护室护士对感染控制措施的认知、态度、实践和感知障碍。

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000538

Khaled Ali Bawaqneh, Ahmad Ayed, Basma Salameh

{"title":"Nurses' Knowledge, Attitude, Practice, and Perceived Barriers of Infection Control Measures in the Intensive Care Units at Northwest Bank Hospitals.","authors":"Khaled Ali Bawaqneh, Ahmad Ayed, Basma Salameh","doi":"10.1097/CNQ.0000000000000538","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000538","url":null,"abstract":"The foremost challenge encountered by patients in intensive care units is nosocomial infections impacting their prognosis. Nurses play a vital role in infection control, necessitating adequate knowledge and adherence to protocols. Therefore, the study aims to assess nurses' knowledge, attitude, practice, and perceived barriers of infection control measures in the Intensive care units at the Northwest Bank Hospitals. The study employed a quantitative cross-sectional and observational design, utilizing a self-administration questionnaire and checklist distributed among 115 ICU nurse working in governmental hospitals in the Northwest Bank. The study revealed that the majority of nurses demonstrated a moderate to low knowledge level. However, 63.5% exhibited a positive attitude toward infection control measures, and 72.9% demonstrated good practice levels. Among the sociodemographic determinants, gender was the only significant factor in relation to practice, where male nurses demonstrated better practices than female nurses (P < .05). Nursing staff identified several barriers to achieving infection standards, including lack of equipment, inadequate training courses on infection control, challenges posed by visitors, absence of infection control policies and standards, insufficient isolation rooms, and heavy workload. The majority of nurses displayed good practice levels and positive attitudes toward infection prevention. Additionally, male nurses practiced infection control measures significantly more effectively than female nurses. The major barriers were lack of equipment, lack of training courses, and challenges related to visitors. Addressing these barriers is essential to improving infection control measures in critical care units.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"160-171"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Pathophysiology of Sepsis.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000552

Tanya Marshall, Karen Dysert, Meilin Young, Tiffany DuMont

引用次数: 0

The Effect of Prior Use of Statins on the Severity of COVID-19 Disease: A Retrospective Study.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000544

Hadi Hasani, Farzaneh Hamidi, Fatemeh Ahmadi-Forg, Pardis Panahi, Fatemeh Tofighi Khelejan

{"title":"The Effect of Prior Use of Statins on the Severity of COVID-19 Disease: A Retrospective Study.","authors":"Hadi Hasani, Farzaneh Hamidi, Fatemeh Ahmadi-Forg, Pardis Panahi, Fatemeh Tofighi Khelejan","doi":"10.1097/CNQ.0000000000000544","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000544","url":null,"abstract":"It has been suggested that the use of statin pills beforehand could potentially influence the outcomes when individuals are hospitalized with COVID-19. In this study, we investigated how the prior use of statin medication could influence the COVID-19 severity parameters. In this retrospective cohort study, we categorized COVID-19 patients into 2 groups: statin users and non-users. Then, various data including age, gender, the patient's need for ventilation support, the lowest oxygen blood saturation level, the length of hospitalization, receiving remdesivir treatment, and their COVID-19 vaccination status were collected. Out of 168 patients, 62 had taken statin medication before being admitted. Using statins decreased the patient's need for ventilation support, length of hospitalization, ventilation duration, and oxygen saturation level (P < .001). Interaction effect analysis showed that receiving remdesivir statically affected the length of hospitalization, ventilation duration, and oxygen saturation level but did not significantly affect the association between statins and needing to ventilator. The use of statin pills before COVID-19 admission reduced the requirement for ventilator support.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"143-150"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514878","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing and Validating a Flipped Classroom Intervention to Improve CPR Competency.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000550

Golnaz Azami, Boshra Ebrahimy

引用次数: 0

Unveiling Atrial Fibrillation: The Risk Factors, Prediction, and Primary Prevention.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000541

Muhammad Arslan Ul Hassan, Sana Mushtaq, Tao Li, Zhen Yang

{"title":"Unveiling Atrial Fibrillation: The Risk Factors, Prediction, and Primary Prevention.","authors":"Muhammad Arslan Ul Hassan, Sana Mushtaq, Tao Li, Zhen Yang","doi":"10.1097/CNQ.0000000000000541","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000541","url":null,"abstract":"Atrial fibrillation (AF) is a highly prevalent, progressive cardiac arrhythmia that significantly impacts the patient's health-related quality of life. AF is linked to a 5-fold and 2-fold higher risk of stroke and cognitive dysfunction, respectively. With advancements in cardiac electrophysiology, many risk factors have been identified, which increase the risk for the development of AF. These risk factors encompassing age, hypertension, smoking, diabetes mellitus, male gender, obesity, alcohol intake, obstructive sleep apnea and so on, can be categorized into 3 major groups: modifiable, non-modifiable, and cardiac. Multiple AF prediction models have been successfully validated to identify people at high risk of AF development using these risk factors. These prediction models, such as CHARGE-AF (Cohorts for Heart and Aging Research in Genomic Epidemiology) and HARMS2-AF score can be used in clinical practice because of their easy applicability. It is crucial to address modifiable risk factors in individuals with a high risk of developing AF. Furthermore, the implementation of primary AF prevention in individuals at high risk can contribute to improved long-term outcomes. This review aims to provide the most recent, concise explanation of the risk factors linked to AF, the prediction of AF, and strategies for the primary prevention of AF.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"109-119"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514880","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Effect of Nurse Residency Programs on New Graduate Nurses Entering the Critical Care Setting: An Integrative Review.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000543

Jae Chung, Fidelindo Lim

{"title":"Effect of Nurse Residency Programs on New Graduate Nurses Entering the Critical Care Setting: An Integrative Review.","authors":"Jae Chung, Fidelindo Lim","doi":"10.1097/CNQ.0000000000000543","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000543","url":null,"abstract":"The transition period from undergraduate nursing education to professional practice is a time of uncertainty and great difficulty for new graduate nurses (NGNs). Nurse residency programs (NRPs) provide structured education, simulation-based learning, and preceptorship to ease the transition. Although its effect on improving retention of NGNs is well established in the literature, the effect on clinical competency has not been documented as well. The purpose of this integrative review is to appraise the available literature and synthesize the evidence that demonstrates the effect of NRPs on clinical competency of NGNs entering the critical care setting. Inclusion criteria were quantitative and qualitative studies, peer-reviewed studies published after 2004 and in English, identified through a systematic literature search using the CINAHL database. Critical appraisal of the articles was completed using Law et al's Critical Review Form. Eight articles (4 quantitative, 3 mixed method, and 1 qualitative study) met the inclusion criteria. The themes identified were common tools used to assess the efficacy of NRPs, improved clinical competency of NGNs, improved self-confidence, improved retention rates, and peer support among NGNs. Implications for nursing education and practice include applying evidence-based NRPs, incorporating simulation, enhancing sustainability, and reducing NRP variability through accreditation.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"120-142"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Exploring Alternate Targets for Respiratory Resuscitation in Patients With Sepsis and Septic Shock.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000547

Lindsay Richardson, Krystofer Bagunu, Kanyada Doughty, Lisa Concilio, Stephen Jaime, Anova Westcott, Julie-Kathryn Graham

{"title":"Exploring Alternate Targets for Respiratory Resuscitation in Patients With Sepsis and Septic Shock.","authors":"Lindsay Richardson, Krystofer Bagunu, Kanyada Doughty, Lisa Concilio, Stephen Jaime, Anova Westcott, Julie-Kathryn Graham","doi":"10.1097/CNQ.0000000000000547","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000547","url":null,"abstract":"Despite limited evidence to support it, resuscitation in sepsis has primarily targeted aggressive fluid administration and liberal administration of oxygen. In 2024, new thought paradigms emerged to suggest that dysregulation of aerobic metabolism are essential underpinnings of sepsis, and that in fact, aggressive resuscitation with fluids liberal oxygen could potentially aggravate oxidative stress and organ failure in sepsis. As sepsis continues to be shaped and molded by the latest research; therapies targeting sepsis and septic shock management warrant similar scrutiny.Methods: We searched literature pertaining to what is known about metabolic dysregulation in sepsis, to consider approaches to identifying new targets for resuscitation and management in sepsis.Results: Therapeutic hypoxemic targets of 88-92% have been shown to have some benefit in sepsis resuscitation in a limited number of studies. The benefit is believed to result from protection from excessive accumulation of harmful reactive oxygen species.Conclusion: Limited supporting evidence exists in the literature to recommend targeted hypoxemia or hypercapnia in patients with sepsis. Mixed results have been observed in the literature, including minimal benefit to mortality. New research designs with consideration to the dysregulated metabolic sequelae in sepsis could improve the meaningfulness of these therapies in sepsis.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"93-99"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514920","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Crisis Management and Problem-Solving Skill Levels of Nurses Caring for Patients With COVID-19 and Affecting Factors: A Cross-Sectional Survey.

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000554

Cansu Kesemen, Ülkü Polat

{"title":"Crisis Management and Problem-Solving Skill Levels of Nurses Caring for Patients With COVID-19 and Affecting Factors: A Cross-Sectional Survey.","authors":"Cansu Kesemen, Ülkü Polat","doi":"10.1097/CNQ.0000000000000554","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000554","url":null,"abstract":"This study aims to assess the crisis management and problem-solving skills of nurses caring for patients with COVID-19. The participants of this descriptive cross-sectional were 132 nurses who cared for patients with COVID-19 in a public hospital. The crisis management scale (CMS), problem-solving inventory (PSI), and Nurse Introduction Form were used to collect data. In this study, the nurses' CMS total score average was 3.75 ± 0.442, the average PSI total score was 86.32 ± 24.420, and it was determined that their crisis management ability was at a good level and their problem-solving skills were at a medium level. A significant difference was found between the nurses' descriptive characteristics of having children (P = .029), being informed about crisis management (P = .035), and their total average score on the CMS (P < .05). A statistically significant negative relationship was found between the nurses' total CMS and PSI scores (P < .05).This study showed that the problem-solving skill levels of nurses caring for patients with COVID-19 affected their crisis management skills.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"172-185"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514916","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0