Critical Care Nursing Quarterly最新文献

Experiences of Nurses Who Work in Intensive Care Units in Caring for Patients With Delirium: A Qualitative Study. 重症监护室护士护理谵妄患者的经验：一项定性研究。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000636

İlknur Metin Akten, Özlem Özdemir, Seda Baydemir Erdem

{"title":"Experiences of Nurses Who Work in Intensive Care Units in Caring for Patients With Delirium: A Qualitative Study.","authors":"İlknur Metin Akten, Özlem Özdemir, Seda Baydemir Erdem","doi":"10.1097/CNQ.0000000000000636","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000636","url":null,"abstract":"The present study aimed to determine the care experiences of nurses working in intensive care units with patients with delirium. The study made use of reflective thematic analysis, one of the thematic analysis approaches for qualitative data analysis. The study's data were collected from 14 nurses using the Semi-Structured Interview Form. As a result of the analyses, 4 main themes and 18 subthemes were created. The main themes were (1) The Bell Rings: Recognizing delirium, (2) I am a captain in a stormy sea: Perceived competence in delirium assessment, (3) Nursing management: Putting the puzzle together, and (4) Thorny roads: Difficulties experienced. Most nurses might recognize the symptoms of delirium and know that delirium is a syndrome that develops in a multifactorial manner. Patients who experience delirium are recognized through observation, but a scale is not used. It is argued that creating an appropriate care environment, maintaining effective communication, and including family members in care are necessary for delirium management. The areas where nurses face the most difficulty in providing care to patients with delirium are psychological fatigue, physical load, time management, and material management.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"410-425"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839005","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

A Word from the Editorial Board: The Paradox of Nursing in 2026. 编委会的一句话：2026年护理的悖论。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000640

Julie-Kathryn Graham

引用次数: 0

Effects of Integration Sedation Interruption With Early Mobility on Patient Outcomes and Prevention of Intensive Care Unit-Acquired Weakness in Critically Ill Ventilated Patients. 整合镇静中断与早期活动对危重通气患者预后和重症监护病房获得性虚弱预防的影响。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000626

Zeinab Mohammed Aysha, Mohammed Abdelkrim Adam Abdelmalik, Samah Anwar Mohamed, Mohamed Adam Beraima Abdallah

{"title":"Effects of Integration Sedation Interruption With Early Mobility on Patient Outcomes and Prevention of Intensive Care Unit-Acquired Weakness in Critically Ill Ventilated Patients.","authors":"Zeinab Mohammed Aysha, Mohammed Abdelkrim Adam Abdelmalik, Samah Anwar Mohamed, Mohamed Adam Beraima Abdallah","doi":"10.1097/CNQ.0000000000000626","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000626","url":null,"abstract":"Background: Early mobilization and sedation reduction are critical strategies for improving patient outcomes.Aim: This study assessed the effects of integrating daily sedation interruptions with an early progressive mobility strategy on outcomes in critically ill, ventilated patients.Study design: A quasi-experimental research with a control group was conducted on a sample of 60 mechanically ventilated adult patients who met the inclusion criteria. We randomly divided the patients into 30 groups, with each representing the control and study groups. Data were gathered using 4 tools.Results: The intervention group showed significant improvements (P < .001) in Medical Research Council strength scores, progressive mobility milestones, and functional assessment. Moreover, the intervention group showed significant improvements in clinical outcomes (P < .001), including shorter hospital stays, fewer adverse events, improved discharge status, and better weaning outcomes.Conclusions: The protocol for integrating sedation interruptions with early progressive mobility is associated with improved outcomes of critically ill ventilated patients. Further randomized controlled trial studies are suggested to improve patients' clinical outcomes.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"342-358"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839047","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

Impact of Just Culture Implementation on Safety Event Reporting in Critical Care Units in an Academic Medical Center. 某学术医疗中心重症监护病房实施公正文化对安全事件报告的影响

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000623

Michelle McGonigal, Abigail Hebb, Lauren Williams, Jenna Li

{"title":"Impact of Just Culture Implementation on Safety Event Reporting in Critical Care Units in an Academic Medical Center.","authors":"Michelle McGonigal, Abigail Hebb, Lauren Williams, Jenna Li","doi":"10.1097/CNQ.0000000000000623","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000623","url":null,"abstract":"Background: This article describes the journey of a hospital system, specifically within the intensive care units, related to implementing a Just Culture program. It focuses on the process, strategies implemented, and challenges/roadblocks. The results of the survey's impact on patient safety and overall safety event reporting will be shared. The article will end with tips for success.Methods: The quality improvement project focused on a comprehensive approach to Just Culture using the Institute for Healthcare Improvement Plan, Do, Study, Act methodology.Results: Impact was measured using the CT2023 Agency for Research & Quality Patient Safety Survey, compared with the calendar year (CY) 2025 results, to understand the extent to which the organizational culture supported patient safety. An improvement was noted in the response to the error domain in the critical care units. The overall domain increased from 54.58% (2023) to 59% (2025). Safety event reporting was compared from CY2023 to CY2024. A t test was utilized to evaluate statistical significance with reporting practices. There was a statistically significant improvement in reporting (P = .00000009).Conclusions: Implementation of Just Culture statistically impacted the critical care units throughout the hospital.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"426-433"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839099","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

Enhancing ICU-OR Handoff Communication Through Simulation-Based Education in Nurse Anesthesiology Training. 通过护士麻醉学培训中的模拟教育加强ICU-OR交接沟通。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000627

Annie Bridges Meyers, Brett Morgan, Benjamin Smallheer

{"title":"Enhancing ICU-OR Handoff Communication Through Simulation-Based Education in Nurse Anesthesiology Training.","authors":"Annie Bridges Meyers, Brett Morgan, Benjamin Smallheer","doi":"10.1097/CNQ.0000000000000627","DOIUrl":"10.1097/CNQ.0000000000000627","url":null,"abstract":"Background: Effective handoff communication during the transition of critically ill patients between the intensive care unit (ICU) and operating room is essential for patient safety, yet formal training in standardized handoff protocols remains limited in nurse anesthesiology education.Methods: This project evaluated a simulation-based learning intervention integrating a structured handoff communication tool to prepare nurse anesthesia students for high-risk care transitions. Sixteen second-year doctoral nurse anesthesia students participated in a high-fidelity simulation involving the transfer of a critically ill patient from the operating room to the ICU. The simulation incorporated prebriefing, a scenario using a standardized handoff tool, and structured debriefing. Student perceptions were assessed using the Simulation Effectiveness Tool-Modified (SET-M).Results: Fifteen students completed the evaluation, with 94% strongly agreeing they felt empowered to make clinical decisions and had opportunities to practice decision-making skills. High confidence was reported in prioritizing care (94%), communicating with healthcare teams (94%), and providing safety interventions (94%). Qualitative feedback revealed overwhelmingly positive perceptions, with students recommending earlier curriculum placement.Conclusions: Simulation-based handoff training effectively enhanced student confidence in communication, clinical decision-making, and team collaboration. This approach bridges the gap between didactic instruction and clinical application, preparing students for safe care transitions and interdisciplinary teamwork.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"434-443"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13521249/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Complementary Action of the Alternative Immunologic Pathway to Improve Sepsis Survival. 替代免疫途径对提高脓毒症生存率的补充作用。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000630

Taylor Bay, Krystofer Bagunu, Kanyada Doughty, Julie-Kathryn Graham

{"title":"The Complementary Action of the Alternative Immunologic Pathway to Improve Sepsis Survival.","authors":"Taylor Bay, Krystofer Bagunu, Kanyada Doughty, Julie-Kathryn Graham","doi":"10.1097/CNQ.0000000000000630","DOIUrl":"10.1097/CNQ.0000000000000630","url":null,"abstract":"Background: Sepsis remains one of the leading causes of death around the world. For many years, sepsis was thought to activate the systemic inflammatory response syndrome in the presence of infection. We now know that this is not true. The current definition of sepsis is a dysregulated host response to infection resulting in organ failure. We sought to examine the literature for evidence of the lectin and alternative pathways (APs) to determine if there is evidence of further dysregulation of these pathways or if they may play a role in compensation for classical pathway dysregulation.Methods: PubMed was searched for evidence about elements of the classical pathway and APs, and their relationship to survivability in sepsis. Key terms are the classical pathway, the AP, the lectin pathway, sepsis, immunologic dysregulation in sepsis, and metabolic dysregulation in sepsis.Results: Patients with dysregulated activation of the classical pathway (toll-like receptor 4) cannot contain the pathogen and will develop sepsis. In septic patients, those who can elicit the response of the AP are better able to overcome sepsis than those who cannot. Limited evidence suggests that chronic activation of the AP in asthma protects against sepsis mortality.Conclusions: This analysis provided insight into innate immune dysregulation in sepsis, offering evidence to serve as a detailed model of the directionality of immunologic dysregulation in sepsis. Evidence of the alternative immune pathways' capacity to complement the immune response shows a relationship to decreased mortality in sepsis. Future research needs to be done to map out the failure of the innate response and develop targeted immune therapies.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"359-366"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839339","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

ICOUGH Bundle for Reduction of Postoperative Pulmonary Complications Among Cardiac Surgery Patients: A Quasi-Experimental Study. ICOUGH束减少心脏手术患者术后肺部并发症：一项准实验研究。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000632

Amira Elsayed Elsayed, Asmaa Ibrahim Abosaeda, Nahed Attia Kandeel

{"title":"ICOUGH Bundle for Reduction of Postoperative Pulmonary Complications Among Cardiac Surgery Patients: A Quasi-Experimental Study.","authors":"Amira Elsayed Elsayed, Asmaa Ibrahim Abosaeda, Nahed Attia Kandeel","doi":"10.1097/CNQ.0000000000000632","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000632","url":null,"abstract":"Background: Postoperative pulmonary complications (PPCs) are a significant contributor to morbidity and mortality in cardiac surgery patients, resulting in prolonged hospital stays and increased health care expenses. The current study aimed to lower the incidence of PPCs through implementing the ICOUGH bundle for cardiac surgery patients.Methods: A quasi-experimental research design was used to conduct the current study. Ninety-eight cardiac surgery patients who were admitted to the cardiothoracic surgery department at the Cardiothoracic and Vascular Surgery Center in Egypt during the study period and were subjected to cardiac surgery were recruited in this study. Patients were assigned to a bundle group (n = 49) who received the ICOUGH bundle and a control group (n = 49) who received the standard unit care.Results: A significantly lower incidence of PPCs (hypoxia, atelectasis, and pneumonia) was observed in the bundle group (P < .001).Conclusions: The ICOUGH bundle can lower the incidence of hypoxia, atelectasis, and pneumonia among patients undergoing heart surgery. Therefore, it can be incorporated into daily nursing care for these patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"379-391"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839083","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

Letter to the Editor: Oral Care Practices in Critically Ill Patients: Bridging the Gap Between Evidence and Clinical Practice. 致编辑的信：危重病人的口腔护理实践：弥合证据与临床实践之间的差距。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000641

Gian Domenico Giusti, Stefano Bambi, Pasquale Iozzo, Alberto Lucchini

引用次数: 0

Nurses' Perceptions of Using Capnography During Resuscitation of Patients in Emergency Department. 急诊科护士在病人复苏过程中使用二氧化碳造影的认知。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000621

Ghayda' Zaid, Dalia Toqan, Ibrahim Aqtam, Ahmad Ayed

{"title":"Nurses' Perceptions of Using Capnography During Resuscitation of Patients in Emergency Department.","authors":"Ghayda' Zaid, Dalia Toqan, Ibrahim Aqtam, Ahmad Ayed","doi":"10.1097/CNQ.0000000000000621","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000621","url":null,"abstract":"Background: Capnography provides real-time data on ventilation by measuring exhaled carbon dioxide. Its use improves patient safety, especially during resuscitation. Despite its clinical value, capnography adoption remains limited in emergency settings in some regions. The aim of this study is to assess nurses' knowledge, experience, and perceptions of capnography use during cardiac arrest resuscitation in emergency departments in North West Bank hospitals.Methods: A descriptive cross-sectional study was conducted with 96 emergency nurses from 7 governmental hospitals. Data was collected using a validated self-administered questionnaire. Statistical analysis included descriptive statistics, correlation tests, and significance testing at P < .05.Results: Most nurses (80.2%) had low knowledge of capnography. Only 34.4% reported any clinical experience using it. Perception scores showed 39.6% had fair perception, 22.9% had good perception, and 37.5% had poor perception. A weak but statistically significant correlation existed between knowledge and prior experience with capnography (P = .048).Conclusions: Despite a fair to good perception of capnography, most nurses demonstrated low knowledge and limited clinical experience. Educational interventions and policy changes are needed to improve capnography use in emergency resuscitation settings.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"367-378"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839315","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

The Effect of Slow Deep Breathing Relaxation Exercise on Pain and Anxiety Levels During and Post-Chest Tube Removal After CABG. 慢速深呼吸放松运动对冠状动脉搭桥术后拔胸管期间及后疼痛和焦虑水平的影响。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-10-01 Epub Date: 2026-08-26 DOI: 10.1097/CNQ.0000000000000620

Ahmad Lutfi Abu Sabiha, Basma Salameh, Sameer A Alkubati, Yara Salameh

{"title":"The Effect of Slow Deep Breathing Relaxation Exercise on Pain and Anxiety Levels During and Post-Chest Tube Removal After CABG.","authors":"Ahmad Lutfi Abu Sabiha, Basma Salameh, Sameer A Alkubati, Yara Salameh","doi":"10.1097/CNQ.0000000000000620","DOIUrl":"10.1097/CNQ.0000000000000620","url":null,"abstract":"Chest tube removal after coronary artery bypass graft is frequently reported by patients as stressful and painful, highlighting the need for effective nonpharmacological interventions. Slow deep breathing relaxation exercises (SDBREs) may serve as a simple nursing strategy to reduce discomfort. In this study, we aimed to evaluate the effect of SDBRE on pain and anxiety during and after chest tube removal following coronary artery bypass grafting in Nablus hospitals. An experimental design was used with 80 patients recruited from 2 hospitals. Participants were randomly assigned to either an intervention group (n = 40) that practiced SDBRE or a control group (n = 40) that received standard care. Data were collected through a self-administered questionnaire, the Numeric Pain Scale, and the Visual Anxiety Scale. Data collection occurred from March to October 2024. The intervention group reported significantly lower pain scores during removal (M: 5.325 vs 7.125, P < .001) and after removal (P < .001). Anxiety scores were significantly lower both during and after removal (P < .001). Pain correlated with duration, with more complex operations and prolonged chest tube insertion linked to higher scores. SDBRE significantly reduced pain and anxiety during and after chest tube removal, supporting its integration into routine postoperative nursing care.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 4","pages":"392-409"},"PeriodicalIF":1.2,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148839349","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