Critical Care Nursing Quarterly最新文献_第2页

Editor's Foreword. 编者前言。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000622

Kerstin Hudgins

引用次数: 0

Effect of Transducer Position on Intra-Arterial Blood Pressure Monitoring Among Patients Who Underwent Cardiac Surgery. 换能器位置对心脏手术患者动脉内血压监测的影响。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000612

Margaret Kath, Lakshmi Ramamoorthy, Ram Sankar P, Lalthanthuami Ht

{"title":"Effect of Transducer Position on Intra-Arterial Blood Pressure Monitoring Among Patients Who Underwent Cardiac Surgery.","authors":"Margaret Kath, Lakshmi Ramamoorthy, Ram Sankar P, Lalthanthuami Ht","doi":"10.1097/CNQ.0000000000000612","DOIUrl":"10.1097/CNQ.0000000000000612","url":null,"abstract":"Invasive blood pressure (IBP) monitoring is essential for caring for critically ill patients. The pressure transducer should be placed at the phlebostatic axis to provide accurate and reliable readings. A prospective observational study was conducted with 50 participants using consecutive sampling. Adult patients on IBP monitoring admitted to the intensive care unit after cardiac surgery, who were hemodynamically stable, were included. Arterial blood pressure and central venous pressure measurements were taken at different transducer positions, including the IV stand, bedside, and upper arm, which were leveled at the phlebostatic axis (PA) and ±5 cm from PA. The study found a statistically significant difference in systolic, diastolic, and mean arterial blood pressure measured at the PA and ±5 cm of the phlebostatic (PB) axis (P < .001), as well as at various transducer positions, including the IV stand, taped to bedside, and taped to the upper arm (P = .052, P < .001, P < .001). At all positions at the PB axis, taping at the bedside placement generally results in higher readings. Routine placement of the transducer at the bedside should be avoided, and it is essential to position the transducer with the IV/Transducer stand, or the patient's upper arm approximated at the PA.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"248-258"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041373","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 Monitor Alarm Management Training on the Level of Alarm Fatigue of Nurses in Intensive Care Units. 监护报警管理培训对重症监护病房护士报警疲劳水平的影响。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000615

Maryam Barzegar, Bahare Fallah, Fatemeh Bakhshi

{"title":"The Effect of Monitor Alarm Management Training on the Level of Alarm Fatigue of Nurses in Intensive Care Units.","authors":"Maryam Barzegar, Bahare Fallah, Fatemeh Bakhshi","doi":"10.1097/CNQ.0000000000000615","DOIUrl":"10.1097/CNQ.0000000000000615","url":null,"abstract":"Background: Frequent activation of monitor alarms, many of which are clinically insignificant, may contribute to alarm fatigue and reduced attentiveness among nurses.Objective: To determine the effect of monitor alarm management training on the level of alarm fatigue of nurses in intensive care units.Methods: A single-group, quasi-experimental study with a pre- and post-test design was conducted in 2024 among 48 ICU nurses from 2 tertiary hospitals in southern Iran. Participants were selected systematically based on predefined criteria. The intervention included 6 weeks of educational sessions, comprising lectures, workshops, and multimedia classes, focused on alarm management for bedside monitoring equipment, ventilators, and infusion pumps. Data were gathered using a demographic questionnaire and a standardized alarm fatigue scale. Statistical analysis was performed using SPSS v26 and paired t-tests at the 0.05 significance level.Results: The mean age of participants was 30.89 ± 4.41 years; most were women (58.3%) and held bachelor's degrees (95.8%). Alarm fatigue scores significantly declined from 34.52 ± 10.47 to 26.64 ± 4.80 post-intervention (mean difference = 7.88, 95% CI 5.33-10.38, P < .001).Conclusions: Incorporating targeted training on alarm settings can be an effective step toward reducing alarm fatigue and supporting safer, more attentive nursing practice in critical care settings. Given that a large proportion of monitor alarms-85-99%-are false or clinically insignificant, integrating this knowledge into training programs helps nurses prioritize clinically relevant alerts and enhance patient safety.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"320-328"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041343","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

Nurses' Knowledge of Blood Transfusion Safety at Intensive Care Units in Jordan: A Cross-Sectional Study. 约旦重症监护病房护士输血安全知识：一项横断面研究。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000617

Nedal F Abu Jasser, Nour A Alrida, Ferial A Hayajneh, Ibrahim R Ayasreh, Rabia H Haddad, Mo'tasem M Aldaieflih

{"title":"Nurses' Knowledge of Blood Transfusion Safety at Intensive Care Units in Jordan: A Cross-Sectional Study.","authors":"Nedal F Abu Jasser, Nour A Alrida, Ferial A Hayajneh, Ibrahim R Ayasreh, Rabia H Haddad, Mo'tasem M Aldaieflih","doi":"10.1097/CNQ.0000000000000617","DOIUrl":"10.1097/CNQ.0000000000000617","url":null,"abstract":"This study aims to assess critical care nurses' knowledge of blood transfusion safety in a university hospital in Jordan. A descriptive cross-sectional study was conducted among 200 critical care nurses who completed a questionnaire assessing knowledge of transfusion procedures, safety protocols, and management of transfusion reactions. Of the participants, 58% were female, with a mean clinical experience of 9.37 years (SD = 5.4); 68% had more than 10 years of experience. The mean blood transfusion safety score was 18.9 (54%) out of 35 (SD = 5.92), indicating poor overall knowledge. Major gaps were noted in recognizing acute transfusion reactions (86.5%) and identifying drug restrictions during transfusion (74.5%). In contrast, most nurses were knowledgeable about informed consent (90.5%) and blood cross-matching (87%). Knowledge levels differed significantly by gender, education, experience, and workplace (P < .05), with intensive care unit nurses scoring lower than those in emergency, burn, or dialysis units. Multiple linear regression showed that the workplace was the only significant predictor, explaining 10.3% of the variance. Significant knowledge gaps in transfusion safety were identified, underscoring the need for targeted education and training to improve nurses' competency, enhance patient safety, and reduce transfusion-related adverse outcomes.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"278-287"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041355","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 Ethical Ideology and Moral Resilience in Critical Care Nurses. 危重病护士伦理意识与道德弹性的关系。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000614

Nilofar Karimi, Parvaneh Asgari, Maryam Esmaeili

{"title":"The Relationship Between Ethical Ideology and Moral Resilience in Critical Care Nurses.","authors":"Nilofar Karimi, Parvaneh Asgari, Maryam Esmaeili","doi":"10.1097/CNQ.0000000000000614","DOIUrl":"10.1097/CNQ.0000000000000614","url":null,"abstract":"Moral resilience plays a key role in providing quality care to patients. The way nurses view ethical issues directly affects their decision-making. This study aimed to investigate the relationship between the ethical ideology and moral resilience of nurses working in critical care units. The present study is a cross-sectional, correlational study. The study sample included 196 nurses working in critical care units. In addition to the demographic questionnaire, Forsyth's Ethics Position Questionnaire was used to examine ethical ideology, and Rushton Moral Resilience Scale (RMRS-16) questionnaire was employed to assess moral resilience. The relationship between ethical ideology and the moral resilience of nurses was examined via Spearman's correlation coefficient. The total RMRS-16 score was 2.67 (median: 2.69). Per quartile analysis, 75% of nurses achieved scores beyond 2.44, with 50% reaching beyond 2.69 and 25% above 2.88. The results revealed that most nurses tended toward idealism. The overall level of moral resilience of nurses was also assessed as moderate to high. There was a significant positive correlation between the mean score of relativism and the total score of the RMRS-16. The results of this study indicate that ethical ideology can affect nurses' ability to maintain moral values and cope with job pressures. Additionally, relativistic nurses showed significantly higher moral resilience, suggesting their context-dependent approach may better navigate complex ethical decisions. Our findings show that critical care nurses' ethical beliefs directly influence their moral resilience and clinical decisions. To support idealist nurses facing systemic barriers, units should implement ethics consultations and structured debriefings. Simultaneously, units can leverage relativist nurses' resilience by adopting flexible decision frameworks that balance contextual needs with core principles. These targeted improvements will help nurses navigate ethical challenges more effectively.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"329-338"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041338","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

Factors Associated With Early Recognition of Persistent Inflammation, Immunosuppression, and Catabolism Syndrome in Critically-Ill Patients. 危重患者持续炎症、免疫抑制和分解代谢综合征早期识别的相关因素

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000602

Bita Shahrami, Elahe Karimpour-Razkenari, Amir Riazi, Aida Sefidani Forough, Farhad Najmeddin, Majid Davari, Amirmahdi Mojtahedzadeh, Atabak Najafi, Mojtaba Mojtahedzadeh

{"title":"Factors Associated With Early Recognition of Persistent Inflammation, Immunosuppression, and Catabolism Syndrome in Critically-Ill Patients.","authors":"Bita Shahrami, Elahe Karimpour-Razkenari, Amir Riazi, Aida Sefidani Forough, Farhad Najmeddin, Majid Davari, Amirmahdi Mojtahedzadeh, Atabak Najafi, Mojtaba Mojtahedzadeh","doi":"10.1097/CNQ.0000000000000602","DOIUrl":"10.1097/CNQ.0000000000000602","url":null,"abstract":"Background: Recent advances in critical care have led to a reduction in early mortality, and an increase in the incidence of persistent inflammation, immunosuppression, and catabolism syndrome (PICS). Factors associated with PICS early recognition were not elucidated. Due to unclarified factors concomitant with PICS, this study was conducted.Methods: Retrospectively, ICU patients were surveyed for chronic critical illness (CCI) and PICS within one year. Patients were divided into PICS (clinical-PICS and marker-positive PICS) and non-PICS groups. Clinical characteristics and factors were compared and analyzed between groups.Results: 100 patients were defined as having a CCI (44 clinical-PICS, 23 marker-positive PICS, 47 non-PICS). Clinical-PICS is associated with higher mortality, ICU duration, and sepsis incidence (P < .05), as well as higher lactate level (OR [CI 95%]; 0.90 [0.82-0.98], P = .01), lower platelet and lymphocyte count (OR [CI 95%]; 1.02 [1.00-1.03], 22.38 [0.72-691.79], P < .05, respectively) on ICU day 14. Acute kidney injuries requiring renal replacement therapy and higher sequential organ failure assessment (SOFA) scores were observed (P < .05).Conclusion: Complicated ICU courses occur in PICS patients, therefore, finding early detection methods and markers is vital. Lactate levels, platelet counts, lymphocyte counts, and SOFA scores on the 14th day, sepsis, transfusion, and RRT during ICU stay are factors that may be predictive of the development of PICS. However further studies are needed for revision of PICS criteria and risk factors.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"238-247"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041359","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

Oral Care in Patients With Invasive Airway Management in the ICU: A Prospective Observational Study. ICU有创气道管理患者的口腔护理：一项前瞻性观察研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-20 DOI: 10.1097/CNQ.0000000000000616

Simona Saibertová, Petra Šafářová, Andrea Pokorná

{"title":"Oral Care in Patients With Invasive Airway Management in the ICU: A Prospective Observational Study.","authors":"Simona Saibertová, Petra Šafářová, Andrea Pokorná","doi":"10.1097/CNQ.0000000000000616","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000616","url":null,"abstract":"Intensive care unit (ICU) patients often have compromised oral health due to their overall condition and intensive treatment. Oral hygiene is a crucial nursing intervention, particularly for preventing ventilator-associated pneumonia. In the Czech Republic, intensive care is provided in standard ICUs for critically ill but relatively stable patients requiring continuous monitoring, and in anesthesiology and resuscitation units, which provide the most advanced and intensive supportive interventions for patients at immediate risk of life-threatening deterioration (such as cardiac arrest). The aim is to investigate professional and situational factors affecting the quality of oral care in ICU patients with invasive airway management. A prospective observational study was conducted over 5 months (August 2023 to January 2024) in 6 ICU units. Data were collected via participant observation of health care professionals. Statistical analysis used the chi-square test (P < .05) in SPSS 28.0. Preparation for oral care was insufficient in all areas. Personal protective equipment was used by 70% of health care professionals, 62.1% placed patients in Fowler's position, 9.2% assessed the oral cavity, and 73.3% suctioned oral secretions before cleaning the mouth. Only 36 of 87 health care professionals (41.38%) performed dental care correctly. The most used tools were disposable foam swabs (41.38%), toothbrushes (31.03%), and suction toothbrushes (8.05%). Proper rinsing and suction were completed by 14.94%, and tongue, palate, and mucosa care were properly done by 64.37%. Oral care for ICU/critical care unit patients, particularly those with invasive airway management, remains insufficient due to limited attention to and assessment of the oral cavity. These findings are clinically relevant for nursing research and practice, as they highlight gaps in routine nursing care and emphasize the need for standardized, evidence-based oral care protocols and improved adherence to support better patient outcomes.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"307-319"},"PeriodicalIF":0.9,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041330","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. 给编辑的信。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000604

Khaled Ebrahim Al Ebrahim

引用次数: 0

Implementing a Mobility Program for Pretransplant Patients With Femoral Intra-Aortic Balloon Pump: A Nurse-Led Initiative Quality Improvement Approach. 实施股骨主动脉内球囊泵移植前患者的活动计划：护士主导的主动质量改进方法。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000609

Miguel Angel Velazquez, Anthony Andreas, Alice Chan, Anita Barsekhi, Bernice Coleman, Meshe Chonde

{"title":"Implementing a Mobility Program for Pretransplant Patients With Femoral Intra-Aortic Balloon Pump: A Nurse-Led Initiative Quality Improvement Approach.","authors":"Miguel Angel Velazquez, Anthony Andreas, Alice Chan, Anita Barsekhi, Bernice Coleman, Meshe Chonde","doi":"10.1097/CNQ.0000000000000609","DOIUrl":"10.1097/CNQ.0000000000000609","url":null,"abstract":"Heart failure is a growing public health burden with high morbidity and mortality, often requiring mechanical circulatory support such as femoral intra-aortic balloon pump (f-IABP) for patients in cardiogenic shock awaiting heart transplantation. Traditionally, bedrest is a standard practice for f-IABP patients due to concerns over catheter displacement, leading to muscle deconditioning and functional decline. This quality improvement project implemented and evaluated a nurse-led, modified Ramsey protocol to assess the safety and feasibility of early mobility in f-IABP patients. The protocol included verticalization using a tilt bed, followed by structured ambulation for eligible patients. Sixty-two patients were enrolled, with 42 undergoing verticalization only and 20 advancing to ambulation. Data on ICU and hospital length of stay, adverse events, and discharge disposition were collected. Results showed minimal complications across groups, with improved post-transplant recovery and higher rates of home discharge in the ambulation group. This initiative demonstrates that nurse-led mobility programs can be safely executed in critically ill cardiac patients with f-IABP, offering promising implications for functional preservation and postoperative recovery. The study supports the integration of early mobility into standard care for this complex patient population.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"259-268"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041371","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

Association Between Early Tracheostomy and Patient Outcomes in Critically Ill Patients on Mechanical Ventilator: A Retrospective Cohort Study. 危重患者早期气管切开术与机械呼吸机患者预后的关系：一项回顾性队列研究。

IF 1.2

Critical Care Nursing Quarterly Pub Date : 2026-07-01 Epub Date: 2026-05-21 DOI: 10.1097/CNQ.0000000000000618

Baraah Tawfeeq Owdeh, Basma Basha, Yara Salameh, Mohammed Hayek

{"title":"Association Between Early Tracheostomy and Patient Outcomes in Critically Ill Patients on Mechanical Ventilator: A Retrospective Cohort Study.","authors":"Baraah Tawfeeq Owdeh, Basma Basha, Yara Salameh, Mohammed Hayek","doi":"10.1097/CNQ.0000000000000618","DOIUrl":"10.1097/CNQ.0000000000000618","url":null,"abstract":"Tracheostomy is frequently performed in critically ill patients to prevent complications associated with prolonged intubation, including prolonged ventilation and extended hospital stays. Despite these benefits, its effect on mortality rates remains uncertain. This study investigates the relationship between tracheostomy timing and patient outcomes in ventilated intensive care unit (ICU) patients. A retrospective cohort study was conducted, including adults who underwent tracheostomy between January 2021 and July 2023. The primary outcomes were hospital and ICU mortality. Patients were categorized into 4 quartiles by timing: Q1 (≤6 days), Q2 (7-14 days), Q3 (15-22 days), and Q4 (>22 days). Regression analyses were conducted to evaluate the association between tracheostomy timing and mortality. Sixty ICU patients were included. Mortality rates increased with delayed tracheostomy: 5.9% in Q1, 12.5% in Q2, 28.6% in Q3, and 30.77% in Q4, with a significant trend (P = .001). The adjusted odds ratio for mortality in Q4 versus Q1 was 3.04 (95% CI: 0.22-40.82). Subgroup analyses of patients with respiratory failure and reduced awareness revealed similar patterns, whereas other parameters were not statistically significant. Early tracheostomy was associated with lower hospital and ICU mortality, suggesting its potential benefit in optimizing outcomes for critically ill patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 3","pages":"288-298"},"PeriodicalIF":1.2,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148041370","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