Critical Care Nursing Quarterly最新文献

Pairing Spontaneous Awakening and Breathing Trials to Improve Weaning of Intensive Care Unit Patients: A Systematic Review. 结合自主觉醒和呼吸试验改善重症监护病房患者脱机：系统回顾。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000551

Fatma Refaat Ahmed, Nabeel Al-Yateem, Aram Halimi, Atefe Salimi Akinabadi, Fatemeh Hadavandsiri, Jacqueline Maria Dias, Syed Azizur Rahman, Amina Al-Marzouqi, Alireza Momani, Alizera Mosavi Jarrahi, Seyed Saeed Hashemi Nazari, Mitra Zandi, Rawia Gamil, Mohannad Eid Aburuz

{"title":"Pairing Spontaneous Awakening and Breathing Trials to Improve Weaning of Intensive Care Unit Patients: A Systematic Review.","authors":"Fatma Refaat Ahmed, Nabeel Al-Yateem, Aram Halimi, Atefe Salimi Akinabadi, Fatemeh Hadavandsiri, Jacqueline Maria Dias, Syed Azizur Rahman, Amina Al-Marzouqi, Alireza Momani, Alizera Mosavi Jarrahi, Seyed Saeed Hashemi Nazari, Mitra Zandi, Rawia Gamil, Mohannad Eid Aburuz","doi":"10.1097/CNQ.0000000000000551","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000551","url":null,"abstract":"Objective: This systematic review evaluates the clinical effectiveness of the spontaneous awakening trial (SAT)-spontaneous breathing trial (SBT) protocol in mechanically ventilated sedated patients (MVSPs) within intensive care units (ICUs). Methods: A comprehensive search identified 18 studies involving 12 284 patients from 11 countries. Outcomes included weaning success, mechanical ventilation (MV) duration, sedation time, complications, cognitive impairment, ICU stay length, and mortality. Results: Implementing the ABCDE bundle, particularly the paired SAT-SBT protocol, significantly reduced ventilation and sedation time by nearly 50%. The intervention was associated with decreased medication use, improved patient wakefulness, and higher extubation success rates. The intervention group showed shorter durations of MV, ICU, and hospital stays. Cognitive impairment was less frequent in the intervention group at the 3-month follow-up. Nurse workload was unaffected, and 1-year mortality was lower in the SAT-SBT group. Conclusion: The systematic review supports the clinical effectiveness of the paired SAT-SBT protocol within the ABCDE bundle for MVSPs in ICUs. The protocol improved weaning outcomes, reduced ventilation and sedation time, decreased complications, and shortened durations of MV and ICU stay. The findings underscore the benefits of a comprehensive approach integrating SAT and SBT in managing MVSPs. Further research is needed to optimize intervention timing, address implementation challenges, assess cost-effectiveness, and determine generalizability across diverse patient populations and healthcare settings.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"237-256"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149977","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

Sepsis Epidemiology, Definitions, Scoring Systems, and Diagnostic Markers. 脓毒症流行病学，定义，评分系统和诊断标记。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000570

Sujith Modugula, Mary Altenbaugh, Milla Ivanova, Tiffany DuMont, Hammad Arshad

{"title":"Sepsis Epidemiology, Definitions, Scoring Systems, and Diagnostic Markers.","authors":"Sujith Modugula, Mary Altenbaugh, Milla Ivanova, Tiffany DuMont, Hammad Arshad","doi":"10.1097/CNQ.0000000000000570","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000570","url":null,"abstract":"Sepsis is a life-threatening organ dysfunction resulting from a dysregulated host response to infection. It is a major global health concern due to its high morbidity and mortality. This article provides a comprehensive overview of sepsis, focusing on its epidemiology, definitions, scoring systems, and diagnostic markers. The epidemiology section highlights the global burden of sepsis, noting variations in incidence and mortality across different regions and populations. It also discusses the risk factors associated with sepsis, including age, comorbidities, and healthcare-associated exposures. The definitions section traces the evolution of sepsis definitions, emphasizing the current sepsis-3 criteria, which focus on organ dysfunction as a key diagnostic feature. Scoring systems, such as the Sequential Organ Failure Assessment (SOFA) score and the Quick SOFA (qSOFA) score, are discussed in terms of their components, calculation, and interpretation. The diagnostic markers section details the clinical, laboratory, and microbiological parameters used in sepsis diagnosis, highlighting traditional markers and emerging technologies. The conclusion summarizes the key points and emphasizes the importance of early recognition and adherence to evidence-based guidelines for improving sepsis outcomes.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"229-236"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149980","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

Improving the Endotracheal Tube Cuff Pressure Control Management Knowledge of Medical and Surgical Intensive Care Nurses: A Quasi-Experimental Study Pre-Post Test. 提高内科和外科重症监护护士气管插管袖口压力控制管理知识：一项准实验研究。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000562

Selda Karaveli Çakir, Ozlem Soyer Er, Elmas Yilmaz

{"title":"Improving the Endotracheal Tube Cuff Pressure Control Management Knowledge of Medical and Surgical Intensive Care Nurses: A Quasi-Experimental Study Pre-Post Test.","authors":"Selda Karaveli Çakir, Ozlem Soyer Er, Elmas Yilmaz","doi":"10.1097/CNQ.0000000000000562","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000562","url":null,"abstract":"The knowledge level of nurses' endotracheal tube (ETT) cuff pressure control management is important for patient safety. The aim of this study is to assess how the knowledge level of intensive care (ICU) nurses is affected by ETT cuff pressure control training delivered using 2 alternative teaching techniques. The research was conducted with 88 medical and surgical nurses working in ICUs. The nurses in the groups were given education with presentation techniques in line with evidence-based guidelines on ETT cuff pressure control management. In addition to the nurses in the experimental group, 4 one-on-one follow-up visits were made using the demonstration technique. A statistically significant difference was found between the total scores of the knowledge level of ETT cuff pressure control after training in the experimental group and control group (P < .001). It was determined that presentation and demonstration teaching techniques increased the knowledge level of nurses on ETT cuff pressure control management, and the use of demonstration and one-to-one follow-up strategies were most effective.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"281-291"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149976","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

Erratum: Developing and Validating a Bundle for Safe Intra-Hospital Transporting of the Critically Ill Patients Mahran, Ghada Shalaby Khalaf PhD; Mekawy, Mimi M. PhD; Abd El-Aziz, Wafaa W. PhD; Ali, Aida F.A. PhD; El Demerdash, Doaa A. PhD; Sayed, Magdy M.M. MD. 勘误：开发和验证一种安全的院内危重病人运输捆绑包Mekawy, Mimi M. PhD；Abd El-Aziz, Wafaa W. PhD；阿里，阿依达文学博士；El Demerdash, Doaa A. PhD；说，马格迪m.m.d.。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000571

引用次数: 0

Sepsis Care: Cardiovascular Challenges and Solutions for Nurses. 败血症护理：护士面临的心血管挑战和解决方案。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000560

Martin Herrera, Kevin Koch, Jennifer Reynolds, Tiffany DuMont, Tariq Cheema, Valentyna Ivanova

{"title":"Sepsis Care: Cardiovascular Challenges and Solutions for Nurses.","authors":"Martin Herrera, Kevin Koch, Jennifer Reynolds, Tiffany DuMont, Tariq Cheema, Valentyna Ivanova","doi":"10.1097/CNQ.0000000000000560","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000560","url":null,"abstract":"Sepsis and septic shock are two of the most prevalent disease states in today's medical intensive care units. Sepsis is a multi-system inflammatory response to infection that affects multiple organ systems, with the cardiovascular system being one of the most profoundly affected. Inflammatory mediators cause dilatation of the venous system, local tissue perfusion defects cause vasoconstriction of arterioles, and catecholamines cause increases in heart rate. Thus, nurses play a crucial role in assessing these clinical manifestations in the critically ill patient as noted through blood pressure, heart rate, capillary refill, and mentation. Invasive monitoring, such as arterial lines along with laboratory markers of perfusion also contribute to characterization of this clinical picture. Thus, early recognition and intervention are essential to prevent the progression to cardiovascular collapse and death. This article provides practical guidance for nurses in recognizing cardiovascular instability and implementing treatment strategies to help improve patient outcomes in the critical care setting.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"223-228"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149979","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

Complementary Therapies in ICU: The Effect on Aspiration and Physiological Parameters in Mechanically Ventilated Patients. ICU辅助治疗：对机械通气患者吸痰及生理参数的影响。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000566

Masouda Hassan Abd-Elhamid, Murhaf Mohamed Aldugiem, Basma Salameh, Farida Khalil Ibrahim Mohamed, Fadia Ahmed Abdelkader Reshia

引用次数: 0

"Starting on the Right Foot": An Algorithmic Approach to Facilitate an Improved ICU Admission Process. “从右脚开始”：一种促进改进ICU入院过程的算法方法。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000561

Biana Shnayder, Mor R Levi, Paz Kelmer, Zvi R Cohen, Lior Ungar

{"title":"\"Starting on the Right Foot\": An Algorithmic Approach to Facilitate an Improved ICU Admission Process.","authors":"Biana Shnayder, Mor R Levi, Paz Kelmer, Zvi R Cohen, Lior Ungar","doi":"10.1097/CNQ.0000000000000561","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000561","url":null,"abstract":"We developed a streamlined approach to improve healthcare quality by enhancing the patient admission process to the intensive care unit (ICU). Guided by the SQUIRE (Standards for Quality Improvement Reporting Excellence) guidelines, our departmental initiative, \"Starting on the Right Foot,\" was implemented in 3 stages: data collection and problem identification, design and implementation, and regular assessments. To evaluate the impact of this intervention, we compared satisfaction rates before and after implementation. One year following the launch of the initiative, we observed a significant increase in satisfaction among patients' loved ones during ICU admissions. The average satisfaction rating rose from 51.5% prior to the intervention to 81.6% post-implementation (p < .001), underscoring the model's effectiveness in improving the overall critical care experience. This initiative demonstrates the value of a family-centered model that emphasizes communication, empathy, and collaboration, and we advocate for similar approaches to foster a more compassionate, patient-centered environment in healthcare settings.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"274-280"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149818","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 Relationship Between Emotional Intelligence and Burnout Among Critical Care Nurses: A Study From Jordan. 重症护理护士情绪智力与职业倦怠的关系：来自约旦的研究。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000563

Raghad Alkhalili, Ghada Shahrour, Ibrahim Al-Faouri, Dina Masha'al, Ala Ashour

{"title":"The Relationship Between Emotional Intelligence and Burnout Among Critical Care Nurses: A Study From Jordan.","authors":"Raghad Alkhalili, Ghada Shahrour, Ibrahim Al-Faouri, Dina Masha'al, Ala Ashour","doi":"10.1097/CNQ.0000000000000563","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000563","url":null,"abstract":"Critical care nurses experience high levels of burnout compared to other nurses, due to daily exposure to extremely stressful situations, critically ill patients, and high workload. Emotional intelligence (EI) is considered a protective factor against burnout. There is a dearth of literature on the association between these 2 variables among critical care nurses including those in Jordan. To explore the relationship between EI and burnout among critical care nurses in Jordan, a descriptive, cross-sectional, and correlational design was used. A convenience sample of 284 critical care nurses working in Jordanian governmental hospitals was recruited. Data were collected using Maslach burnout inventory to assess burnout level, and Genos Emotional Intelligence Inventory (concise version) to assess EI level. Nurses' burnout level was moderate with respect to emotional exhaustion (44.5%), while high burnout was reported for depersonalization (66.9%) and low personal accomplishment (48.4%). In terms of hierarchical regression analysis, emotional exhaustion was predicted negatively as a function of working hours, other marital status group, and emotional intelligence, with 26.2% of variance explained, and similar results were observed in depersonalization burnout with 15.5% of variance explained. Finally, EI alone had a positive impact on personal accomplishment with 38.8% of variance in personal accomplishment explained by nurses' emotional intelligence. This study showed a negative and significant correlation between EI and burnout levels among nurses in critical care units in Jordan. Starting to prepare nurses to be emotionally competent is highly recommended to reduce their burnout.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"292-301"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149981","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

Close-to-Bedside Magnetic Resonance Imaging in the Neurocritical Care Unit: Descriptive Observational Study Exploring Patient Safety of a Novel Patient Transportation Method. 神经危重症监护病房的近床磁共振成像：探索一种新型病人运输方法的病人安全的描述性观察性研究。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000557

Marcelo P Martins, Sofia Melin, Jacob Engström, Anders Tisell, Lovisa Tobieson, Peter Zsigmond, Thorsteinn Gunnarsson

{"title":"Close-to-Bedside Magnetic Resonance Imaging in the Neurocritical Care Unit: Descriptive Observational Study Exploring Patient Safety of a Novel Patient Transportation Method.","authors":"Marcelo P Martins, Sofia Melin, Jacob Engström, Anders Tisell, Lovisa Tobieson, Peter Zsigmond, Thorsteinn Gunnarsson","doi":"10.1097/CNQ.0000000000000557","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000557","url":null,"abstract":"Unstable patients in the neurocritical care unit (NCCU) need repeated diagnostic imaging. Intrahospital transports of such patients is hazardous where even small changes in physiology may lead to secondary brain injury. In this study we describe the workflow, safety aspects and reflect on our initial experience of close-to-bedside magnetic resonance (MR) imaging in the NCCU. A descriptive observational study was conducted to assess the safety of the transportation method and potential physiological changes associated with it. Eligible patients referred for MR imaging while in critical care at the NCCU between December 2021 and April 2022 were included. Physiological variables, including mean arterial pressure, heart rate, oxygen saturation, and fraction of inspired oxygen, were documented by critical care nurses before patient transfer, midway through MR scanning, and upon return to the NCCU bed. The suite's setup, including equipment and staffing, is detailed. Patient preparation and transportation procedures are described, emphasizing safety protocols. No main detrimental physiological changes occurred in patients undergoing close-to-bedside MR scanning included in our study (n = 45). No hazardous safety incidents occurred during the conduction of this study using this transportation approach. The concept of close-to-bedside MR imaging in the NCCU appears safe and minimizes numerous risks associated with intrahospital transports of unstable patients in neurocritical care. Safe access to repeated MR scanning of NCCU patients enables us to further advance the field of neurocritical care.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"257-266"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149803","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 Narrative Literature Review and Case Study Highlighting Errors in Automatic External Defibrillator Use at a Community Event. 在一次社区活动中使用自动体外除颤器时出现的错误：一篇叙述性文献综述和案例研究。

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Critical Care Nursing Quarterly Pub Date : 2025-07-01 Epub Date: 2025-05-21 DOI: 10.1097/CNQ.0000000000000546

Patricia Ann Zrelak

{"title":"A Narrative Literature Review and Case Study Highlighting Errors in Automatic External Defibrillator Use at a Community Event.","authors":"Patricia Ann Zrelak","doi":"10.1097/CNQ.0000000000000546","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000546","url":null,"abstract":"Early basic life support and defibrillation using automated external defibrillators (AEDs) are key for improving survival in those suffering an out-of-hospital sudden cardiac arrest. To improve survival, access to AEDs by lay responders is growing, and use is included in basic cardiac life support training. These devices are considered extremely safe, evidenced by the paucity of medical literature on AED misuse and expert opinion. However, it's crucial to point out that even medical personnel can make errors in their use. This case study of AED misuse during a community event and narrative literature review underscores the potential for errors in using an AED, which could cause considerable patient harm. To prevent errors in AED use, it is important to train on (1) equipment in use or likely to be encountered in the field, (2) how to dump an electric charge, especially when using a fully automated machine, (3) the need to follow specific machine instructions, (4) proper application of the defibrillator pads (including one-piece pads with metronome), (5) the need to assess the patient and not rely entirely on the AED prompts, which can contain false alerts and inappropriate instruction, and (6) the need for closed-loop communication, even when participating in a community event.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"267-273"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149822","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