Critical Care Nursing Quarterly最新文献_第3页

Developing and Validating a Flipped Classroom Intervention to Improve CPR Competency. 开发和验证翻转课堂干预提高心肺复苏术能力。

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. 揭示心房颤动：危险因素、预测和一级预防。

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":"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. 护士住院医师计划对新毕业护士进入重症监护环境的影响：一项综合综述。

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":"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. 探讨脓毒症和感染性休克患者呼吸复苏的替代靶点。

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":"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

Summary of Critical Care Nurses' Understanding, Adherence, and Barriers in Applying Ventilator-Associated Pneumonia Prevention Guidelines: A Narrative Review. 危重病护理护士在应用呼吸机相关肺炎预防指南中的理解、依从性和障碍总结：叙述性回顾。

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000548

Imad Asmar, Omar Almahmoud, Aya Manassrah, Dalya Moqady, Raneen Abd Al Hamed, Rania Soboh, Mahmoud Fatafta

{"title":"Summary of Critical Care Nurses' Understanding, Adherence, and Barriers in Applying Ventilator-Associated Pneumonia Prevention Guidelines: A Narrative Review.","authors":"Imad Asmar, Omar Almahmoud, Aya Manassrah, Dalya Moqady, Raneen Abd Al Hamed, Rania Soboh, Mahmoud Fatafta","doi":"10.1097/CNQ.0000000000000548","DOIUrl":"10.1097/CNQ.0000000000000548","url":null,"abstract":"Both adults and pediatric patients who are on mechanical ventilation face high rates of mortality and morbidity due to ventilator-associated pneumonia (VAP), which is the most prevalent deadly hospital-acquired infection. Healthcare organizations provide evidence-based guidelines to help nurses decrease VAP in ICUs; however, there are obstacles to putting these guidelines into practice. An extensive investigation was conducted for pertinent English studies published from January 2014 to February 2024 in the databases of Science Direct, Scopus, PubMed, and CINAHL. The study centered on nurses' understanding, adherence, and obstacles regarding introducing VAP prevention guidelines. The majority of ICU nurses have a basic to intermediate understanding of evidence-based methods to reduce VAP. The nurses in the ICUs typically followed the guidelines for preventing VAP about 60% of the time. A basic analysis of descriptive content identified the obstacles preventing critical care nurses (CCNs) from following VAP PGs. The obstacles were separated into 2 groups: barriers related to nurses (such as education, experience, and training) and barriers related to the work environment (such as lack of supplies, staffing shortage, lack of policies, and ineffective supervision). To improve their skills, CCNs should get frequent updates on courses and seminars related to the VAP PG implementation. Healthcare administrators must be aware of these obstacles and implement work procedures that help CCNs overcome them if they want to increase compliance.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"151-159"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514930","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. 护理COVID-19患者护士危机管理、问题解决技能水平及其影响因素的横断面调查

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":"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

Foreword. 前言。

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-04-01 Epub Date: 2025-02-27 DOI: 10.1097/CNQ.0000000000000558

Tiffany DuMont

引用次数: 0

Metabolic Profiles of Critical Care Patients to Confirm Sepsis and Further Understand the Metabolic Phenotype of Sepsis. 危重症患者代谢谱确认败血症并进一步了解败血症的代谢表型。

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/CNQ.0000000000000540

Julie-Kathryn Graham, Anova Westcott, Shawn Smith, Emlyn Mann, Ray Daniels, Molly Quillin-McEwan, Angel Bahena, Dwight Bello, Christina Kelley

{"title":"Metabolic Profiles of Critical Care Patients to Confirm Sepsis and Further Understand the Metabolic Phenotype of Sepsis.","authors":"Julie-Kathryn Graham, Anova Westcott, Shawn Smith, Emlyn Mann, Ray Daniels, Molly Quillin-McEwan, Angel Bahena, Dwight Bello, Christina Kelley","doi":"10.1097/CNQ.0000000000000540","DOIUrl":"10.1097/CNQ.0000000000000540","url":null,"abstract":"Sepsis remains a major concern in health care globally. Despite decades of research, incidence is on the rise, and mortality remains high. Costs are staggering. Additionally, the outdated sepsis bundle established based on SIRS, remains the standard by which providers are held accountable. It is now accepted that organ dysfunction in sepsis is secondary to cellular metabolic dysregulation. Technology for metabolic monitoring should be explored for improved, early recognition of sepsis. We sought to investigate the underlying metabolic profile of patients with sepsis, to determine the value of continuous metabolic monitoring technology. The investigators partnered with industry, to trial noninvasive monitoring of the cellular metabolite carbon dioxide, under a prospective, observational design. During the 6-month trial, the investigators collected data from the electronic medical record of patients using the technology, to determine the specific metabolic differences between patients with and without sepsis. The investigators found serum carbon dioxide (paCO2) was significantly lower in patients with sepsis, and, low paCO2 had a significant inverse relationship to serum lactate. This finding supports the notion that paCO2 is low in sepsis secondary to metabolic dysregulation and not hyperventilation, which had historically explained low paCO2 under the SIRS model. Metabolic monitoring is available, easy to apply and manage, and contributes valuable information in the detection of sepsis. Further research should be done to understand trends in serum CO2 and its relationship to the development of sepsis. This study also provides important further support for the emerging understanding of the dysregulated host response in sepsis.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 1","pages":"8-14"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784644","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 Earplugs and Eye Masks on the Melatonin and Cortisol Levels of Patients Hospitalized in Cardiac Critical Care Units. 耳塞和眼罩对心脏重症监护住院患者褪黑激素和皮质醇水平的影响

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/CNQ.0000000000000531

Saeideh I Noroziani, Maryam Esmaeili, Mohammad A Cheraghi

{"title":"The Effect of Earplugs and Eye Masks on the Melatonin and Cortisol Levels of Patients Hospitalized in Cardiac Critical Care Units.","authors":"Saeideh I Noroziani, Maryam Esmaeili, Mohammad A Cheraghi","doi":"10.1097/CNQ.0000000000000531","DOIUrl":"10.1097/CNQ.0000000000000531","url":null,"abstract":"To determine the effectiveness of using earplugs and eye masks on the melatonin and cortisol levels of patients hospitalized in cardiac critical care units (CCUs). The research population of this study included all patients with acute coronary syndrome hospitalized in the CCU of Shahid Rajaei Hospital affiliated with to Alborz University of Medical Sciences. A total of 60 patients were selected by the available sampling method based on the inclusion criteria and then were divided into 2 control and intervention groups by block randomization method with blocks of 4 (n = 30 in the intervention group, and n = 30 in the control group). Patients in the intervention groups used blindfolds and earmuffs during the night sleep for 3 nights, but patients in the control group received the routine care. Cortisol and melatonin levels of both groups were measured at 8 am, using the urine samples. The findings of the 2 groups were compared and statistically analyzed by SPSS software version 16. The findings showed no significant difference between the 2 groups in terms of demographic characteristics and clinical variables. The intervention had no effect on the cortisol level of patients in the intervention group (P = .24). After the intervention, a statistically significant difference was observed between the control and intervention groups in terms of the melatonin level in the nocturnal urine (P ≤ .001). A statistically significant difference was also observed between the 2 groups in terms of the time taken for patients to fall asleep (P ≤ .001) and the number of times waking up at night (P ≤ .001). The use of earplugs and eye masks had no impact on the level of cortisol hormone, but it affected the level of melatonin hormone and the sleep quality of patients hospitalized in the CCU.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 1","pages":"59-65"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142783703","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

Acute-on-Chronic Inflammation and Patients' Risk for Renal Support in Critically Ill Patients. 急慢性炎症与危重患者肾支持风险的关系

IF 1

Critical Care Nursing Quarterly Pub Date : 2025-01-01 Epub Date: 2024-12-02 DOI: 10.1097/CNQ.0000000000000536

Julie-Kathryn Graham, Molly Quillin-Mcewan, Christina Kelley

{"title":"Acute-on-Chronic Inflammation and Patients' Risk for Renal Support in Critically Ill Patients.","authors":"Julie-Kathryn Graham, Molly Quillin-Mcewan, Christina Kelley","doi":"10.1097/CNQ.0000000000000536","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000536","url":null,"abstract":"Hypertension (HTN) and heart failure (HF) can chronically activate the renin-angiotensin-aldosterone system, a mechanism designed to maintain hemodynamic stability by reabsorption of water and electrolytes. Additionally, this system activates the sympathetic nervous system to increase vagal tone. When these patients face acute illness requiring hospitalization, the acute stressor or pathogen also activates the sympathetic nervous system. The combination of activation of both systems puts patients at increased risk of organ failure, specifically renal failure. With early recognition of renal insult, organ damage can be reversed. C-reactive protein (CRP) and D-dimer are commonly used to measure acute inflammation. These biomarkers can alert critical care nurses to excessive inflammation in patients with underlying HTN and HF, enabling nurses to make informed decisions to intervene at the earliest sign of renal failure. This retrospective study of adult SARS-CoV-2 patients in an intensive care unit setting sought to examine the relationship of CRP, D-dimer, and the need for eventual renal support in patients with HF and HTN. Of the sample (n + 189), mean age was 62 (SD = 14.0), and most (70.9%) were male. Thirty-nine patients (20.6%) required renal support. Of the cases requiring renal support, 21 (53.8%) had a history of prior renal disease (P < 0.001, r = 0.351). History of HTN was significantly correlated with requirement for renal support (P = 0.010, r = 0.187). D-dimer (P = 0.038, η = 1.0) and CRP (P = 0.018, η = 0.924) were also significant. Survival was significantly worse in the renal support group (P < 0.001, r = -0.310). D-dimer and CRP were correlated with more severe illness and need for renal support. Study findings have implications for future validation research of chronic inflammation and risk for renal support during acute severe illness.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 1","pages":"52-58"},"PeriodicalIF":1.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142784552","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