Critical Care Nursing Quarterly最新文献_第2页

Neuromonitoring Techniques in ECMO: A Critical Analysis and Implications for Nursing Practice. ECMO中的神经监测技术：对护理实践的关键分析和影响。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000589

Alice Mones, Marco Ventre, Ivan Trapin, Simone Cosmai, Diego Lopane, Daniela Cattani, Cristina Chiari, Stefano Mancin, Beatrice Mazzoleni

引用次数: 0

Editor's Foreword. 编者前言。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000600

Kerstin Hudgins

引用次数: 0

Exploring Sleep Disturbance and Fatigue Level Among Critical Care Nurses in Jordan. 约旦重症护理护士睡眠障碍和疲劳程度的调查。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000595

Mohammad Bani Younis

{"title":"Exploring Sleep Disturbance and Fatigue Level Among Critical Care Nurses in Jordan.","authors":"Mohammad Bani Younis","doi":"10.1097/CNQ.0000000000000595","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000595","url":null,"abstract":"Sleep disturbances and fatigue are significant concerns among critical care nurses due to the demanding nature of their work, which includes long shifts, high patient acuity, and constant exposure to stress. This study explores the prevalence and correlation between sleep disturbances and fatigue among critical care nurses. Using a cross-sectional design, data were collected from 104 nurses across 6 government hospitals through validated self-reported measures, including the Richards-Campbell Sleep Scale and the Fatigue Assessment Scale. Findings revealed moderate sleep disturbance, with an average sleep quality (SQ) score of 57.57 (SD = 23.90). Fatigue levels were also notable, particularly physical exhaustion. While demographic factors such as experience and work shifts showed no significant effect on SQ, age and gender were significantly associated with fatigue levels. Additionally, a negative correlation (R = -0.234, P = .017) was found between SQ and fatigue, indicating that poorer SQ was linked to higher fatigue levels. These results highlight the urgent need for targeted interventions to improve sleep hygiene and reduce fatigue among critical care nurses. Implementing structured shift schedules and fatigue management strategies could enhance nurses' well-being and ultimately improve patient safety and health care outcomes.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"33-42"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573437","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

Standardizing Care in Decompensated Cirrhosis: A Prospective Study on the Effectiveness of an Admission Care Bundle. 失代偿期肝硬化规范化护理：入院护理包有效性的前瞻性研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000585

Ghada Shalaby Khalaf Mahran, Asmaa Saber Mohamed, Ahmed Farooq El-Sayed, Mogedda Mohamed Mehany

{"title":"Standardizing Care in Decompensated Cirrhosis: A Prospective Study on the Effectiveness of an Admission Care Bundle.","authors":"Ghada Shalaby Khalaf Mahran, Asmaa Saber Mohamed, Ahmed Farooq El-Sayed, Mogedda Mohamed Mehany","doi":"10.1097/CNQ.0000000000000585","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000585","url":null,"abstract":"Decompensated cirrhosis is a critical stage of liver disease associated with high morbidity and mortality. Significant variability in care exists, potentially impacting patient outcomes. This study aimed to evaluate the effectiveness of a standardized admission care bundle in improving outcomes for patients with decompensated cirrhosis. Quasi-experimental research design was utilized in the study. Gastroenterology intensive care unit (ICU) at Al-Rajhy Liver Hospital at Assiut University, Assiut, Egypt. The study included 180 patients with decompensated cirrhosis, comparing outcomes between a control group (received routine hospital care, n = 90) and study group (received admission care bundle, n = 90) of a standardized admission care bundle. The bundle comprised early risk stratification, timely antibiotics administration, prompt fluid assessment, variceal bleeding prophylaxis, and hepatic encephalopathy management. Primary outcomes included mortality rate and length of gastroenterology ICU stay. Secondary outcomes included the occurrence of specific complications. Compared to the control group, the post-implementation cohort demonstrated a significant reduction in mortality (38% vs. 18.9% respectively) (P < .05). Also observed was a statistically significant decrease in the average length of hospital stay and occurrence of complication (P < .01). Implementation of a standardized admission care bundle for decompensated cirrhosis is associated with improved patient outcomes, specifically a reduction in 90-day mortality and length of stay, highlighting the potential of standardized care to enhance the management of this complex condition.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"79-93"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573464","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. 护理COVID-19患者的护士危机管理和问题解决技能水平及其影响因素

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000601

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Nurses' Experiences in Preventing or Reducing Sensory Deprivation and Sensory Overload in Intensive Care Patients: A Phenomenological Study. 护士预防或减轻重症病人感觉剥夺和感觉超载的经验：现象学研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000592

Sevda Uzun, Çimen Aslan

{"title":"Nurses' Experiences in Preventing or Reducing Sensory Deprivation and Sensory Overload in Intensive Care Patients: A Phenomenological Study.","authors":"Sevda Uzun, Çimen Aslan","doi":"10.1097/CNQ.0000000000000592","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000592","url":null,"abstract":"This study aimed to assess nurses' experiences in preventing or reducing sensory deprivation and sensory overload in intensive care unit (ICU) patients, utilizing a phenomenological approach. The qualitative research involved face-to-face, semi-structured, in-depth interviews with 15 nurses working in a general ICU in the southern region of our country. Data collection continued until data saturation was achieved, and all interviews were audio recorded and transcribed. Colaizzi's phenomenological analysis method was employed for data analysis, and adherence to the COREQ checklist was ensured throughout the study. The data analysis revealed 2 main categories (reflection on situations that may cause sensory deprivation and sensory overload in intensive care units and practices and coping experiences of nurses to avoid sensory deprivation and overload) and 6 themes (environment, disease, and its effects, being separated from the family environment and loved ones, challenges encountered, coping, and psychosocial applications). The results indicated that patients undergo sensory deprivation or sensory overload in the intensive care environment, with nurses playing a pivotal role in addressing these situations. It was observed that nurses encountered challenges in coping with sensory deprivation or sensory overload issues in patients. Nurses are advised to regularly assess training programs to ensure the ongoing promotion of safe nursing practices aimed at minimizing sensory deprivation or sensory overload in patients.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"23-32"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573461","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

Intra-Abdominal Pressure Variations in Different Body Angles and Implications for Clinical Management in Trauma Patients: An Experimental Comparative Study. 不同体位角度的腹部压力变化及其对创伤患者临床管理的意义：一项实验比较研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000584

Ghada Shalaby Khalaf Mahran, Magdy Mohammed Mahdy Sayed, Bedour Adel Mohamed, Hanan F Alharbi, Hend El-Sayed Mansour, Mohammed Musaed Al-Jabri, Wafaa Wahdan Abd El-Aziz

{"title":"Intra-Abdominal Pressure Variations in Different Body Angles and Implications for Clinical Management in Trauma Patients: An Experimental Comparative Study.","authors":"Ghada Shalaby Khalaf Mahran, Magdy Mohammed Mahdy Sayed, Bedour Adel Mohamed, Hanan F Alharbi, Hend El-Sayed Mansour, Mohammed Musaed Al-Jabri, Wafaa Wahdan Abd El-Aziz","doi":"10.1097/CNQ.0000000000000584","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000584","url":null,"abstract":"Intra-abdominal pressure (IAP) is a physiological measure of great importance that can have profound clinical consequences in a range of medical diseases particularly trauma patients who are requiring fluid resuscitation. This study examines the changes in intra-abdominal pressure at 3 distinct body positions-0°, 15°, and 30° of head of bed elevation in a supine position-and its impact on trauma patients. A prospective, non-randomized comparative study involving 63 trauma patients in intensive care was carried out. Every patient's IAP was measured in 3 positions, and the mean values-and a grading system for categorizing IAP levels-were examined. IAP grades were divided into 5 levels. IAP rose as the angle of body inclination increased, reaching a maximum at 30° (21.61 ± 2.93 mm Hg). At 0° (16.17 ± 3.12 mm Hg), the lowest IAP was observed (P < .001). The grading of IAP displayed notable trends at 0° and 30°head of bed positions as grades 2, 3, and 4 were specific to abdominal trauma, showing substantially higher IAP compared to others. This study demonstrates a statistically significant correlation between head of bed elevation and intra-abdominal pressure in trauma patients. A progressive increase in IAP as the head of bed was elevated from 0° to 30°, with the highest mean IAP recorded at 30°. Furthermore, the IAP grading system highlighted that patients with abdominal trauma exhibited substantially higher IAP, particularly at 0° and 30°, falling into grades 2, 3, and 4, which are indicative of clinically significant intra-abdominal hypertension.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"66-78"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573447","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

Assessing Cardiopulmonary Resuscitation Knowledge, Attitudes, and Practices Among Nurses in Palestine. 评估巴勒斯坦护士的心肺复苏知识、态度和实践。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000590

Mahmoud Salahat, Moath Abu Ejheisheh, Ahmad Ayed, Ahmad Batran, Basma Salameh

{"title":"Assessing Cardiopulmonary Resuscitation Knowledge, Attitudes, and Practices Among Nurses in Palestine.","authors":"Mahmoud Salahat, Moath Abu Ejheisheh, Ahmad Ayed, Ahmad Batran, Basma Salameh","doi":"10.1097/CNQ.0000000000000590","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000590","url":null,"abstract":"Cardiopulmonary resuscitation (CPR) is a critical emergency technique used in cases of cardiac arrest or respiratory failure. This study aims to assess the knowledge, attitudes, and practices related to CPR among nurses working in hospitals in southern Palestine. A cross-sectional study was conducted on 157 nurses across 6 hospitals. Data were collected using a self-administered questionnaire composed of 4 sections: sociodemographic information, knowledge, attitudes, and practices of nurses toward CPR. The analysis revealed that 49% of the participants have moderate knowledge, while 29.9% had low knowledge. Also, 54.8% of the participants demonstrated positive attitudes, while 36.9% had fair attitudes. In terms of practice, 42.0% exhibited fair practice, and 38.9% had good practice. The results also showed no statistically significant differences between nurses' sociodemographic characteristics and their levels of knowledge, attitudes, and practice regarding CPR. The findings indicate that while nurses generally exhibit positive attitudes toward CPR, their levels of knowledge and practice vary. This article highlights the need for enhanced training programs to improve CPR competency.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"53-65"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573352","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 Implementing Oral Care With Betadine Wash on Mechanically Ventilated Patients' Outcomes. 应用倍他定洗液进行口腔护理对机械通气患者预后的影响。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000587

Asmaa Mohamed Ahmed Elnosary, Basma Salameh, Fadia Ahmed Abdelkader Reshia, Jihad M Abdallah, Asmaa Ibrahem Abo Seada

{"title":"Effect of Implementing Oral Care With Betadine Wash on Mechanically Ventilated Patients' Outcomes.","authors":"Asmaa Mohamed Ahmed Elnosary, Basma Salameh, Fadia Ahmed Abdelkader Reshia, Jihad M Abdallah, Asmaa Ibrahem Abo Seada","doi":"10.1097/CNQ.0000000000000587","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000587","url":null,"abstract":"The purpose of this article is to assess the effect of implementing oral care with betadine wash on the occurrence of ventilator-associated pneumonia (VAP) and oral health problems in mechanically ventilated patients. A quasi-experimental research design with a nonequivalent control group pretest-posttest approach was employed. The study utilized a VAP diagnostic criteria sheet and Oral Assessment Scale. A convenience sample of 90 ventilated patients admitted to intensive care units with patients assigned to either an intervention group or a control group (45 patients in each). On day 3 and day 6, the intervention group showed significantly better outcomes than the control group (P < .001). The intervention had lower VAP occurrence, though not statistically significant. Regarding mouth alterations, on day 3 and day 6, these were significantly more common in the control group (4.4% and 35.6%) compared to the intervention group (64.4% and 82.2%) (P < .001). For VAP, 6.7% of the control group developed VAP on day 3, increasing to 11.1% by day 6, compared to 0% and 4.4% in the intervention group. However, these differences were not statistically significant. Comprehensive oral care intervention with betadine wash is effective in improving oral health status and reducing the occurrence of ventilator-associated pneumonia.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"94-104"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573467","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

Predictive Accuracy of FOUR Score Vs. Glasgow Coma Scale in ICU Neurological Patients: A Comparative Study in the South West Bank Hospitals. 四评分与格拉斯哥昏迷评分在ICU神经系统患者中的预测准确性：西南岸医院的比较研究

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000581

Ahmed Batran, Ahmad Batran, Ibrahim Aqtam, Ahmad Ayed, Moath Abu Ejheisheh, Bahaa Alassoud, Mosaab Farajallah

{"title":"Predictive Accuracy of FOUR Score Vs. Glasgow Coma Scale in ICU Neurological Patients: A Comparative Study in the South West Bank Hospitals.","authors":"Ahmed Batran, Ahmad Batran, Ibrahim Aqtam, Ahmad Ayed, Moath Abu Ejheisheh, Bahaa Alassoud, Mosaab Farajallah","doi":"10.1097/CNQ.0000000000000581","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000581","url":null,"abstract":"Introduction: Neurological assessments are vital in managing critically ill patients, with tools like the Glasgow Coma Scale (GCS) and Full Outline of Unresponsiveness (FOUR) score aiding decision-making and predicting outcomes. This study compared the predictive accuracy of the GCS and FOUR scores for mortality in ICU patients with neurological disorders across eight hospitals in the South West Bank with a total of 76 ICU beds.Methods: A prospective cross-sectional study included 243 ICU patients. GCS and FOUR scores were recorded at admission, 48 hours, and discharge. Predictive accuracy for mortality was assessed using ROC curves and AUC values, alongside sensitivity and specificity evaluations.Results: The FOUR score outperformed the GCS, especially in intubated or sedated patients, with an AUC of 0.821 (95% CI: 0.766-0.876) versus 0.729 (95% CI: 0.666-0.739). The FOUR score achieved 100% sensitivity and specificity at admission and after 48 hours, while the GCS showed moderate sensitivity (74.6%) and specificity (50.0%). Both scales demonstrated high sensitivity at discharge, with the FOUR score maintaining superior accuracy.Discussion: The FOUR score offers enhanced neurological assessment, particularly in resource-limited settings, outperforming the GCS in intubated or sedated patients. Its adoption in ICUs could improve patient outcomes by enabling more precise and timely evaluations.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"14-22"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573505","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