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":"10.1097/CNQ.0000000000000563","url":null,"abstract":"<p><p>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.</p>","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}
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":"10.1097/CNQ.0000000000000557","url":null,"abstract":"<p><p>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.</p>","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}
{"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":"10.1097/CNQ.0000000000000546","url":null,"abstract":"<p><p>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.</p>","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}
{"title":"Frailty and the Risk of Delirium: A Mendelian Randomization Study.","authors":"Miao Yu, Baohua Li","doi":"10.1097/CNQ.0000000000000565","DOIUrl":"10.1097/CNQ.0000000000000565","url":null,"abstract":"<p><p>Observational studies have explored associations between frailty and delirium, but conclusions have been controversial. We aimed to identify the potential causality effect between these 2 traits using Mendelian randomization (MR). The genetics instrument related with frailty index (FI) was taken from a summary-level genome-wide association study (GWAS), and the GWAS of delirium was obtained from the FinnGen Study. The inverse variance weighted method (IVW) was performed. MR analysis found a causal association between genetically predicted FI and an elevated risk of delirium in IVW (odds ratio [OR]: 2.85; 95% CI: 1.03-7.90; P= .04). This study encouraged early identification of the baseline frailty in intensive care units. Critical care nurses are advised to use multidimensional tools to identify frailty. Then, individualized care plans should be made according to frailty degrees, like nutrition and pre-rehabilitation for pre-frail patients. Nurses can optimize medical resources and apply cluster interventions for delirium high-risk groups.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"316-324"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149974","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}
Laura Gutierrez, Abhinandan Chittal, Tiffany DuMont, Bridget Smith, William Thewes, Ahmad AlhajHusain, Eric Bihler
{"title":"Pulmonary Manifestations of Sepsis.","authors":"Laura Gutierrez, Abhinandan Chittal, Tiffany DuMont, Bridget Smith, William Thewes, Ahmad AlhajHusain, Eric Bihler","doi":"10.1097/CNQ.0000000000000556","DOIUrl":"10.1097/CNQ.0000000000000556","url":null,"abstract":"<p><p>Sepsis is an inflammatory response to severe infection, which can affect any organ system. This inflammatory response can lead to life-threatening end organ dysfunction. In this article, we review pulmonary complications of sepsis including hypoxemia and acute respiratory distress syndrome. We also discuss pulmonary sources of sepsis including the management of community- and hospital-acquired pneumonia and ventilator-associated pneumonia.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"206-213"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149978","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}
{"title":"A Systematic Review of the Neurological Benefits Associated With the Use of Targeted Hypothermia Temperature Management Versus Targeted Normothermia in Out-of-Hospital Cardiac Arrest Patients.","authors":"Hue Truong, Catherine Han","doi":"10.1097/CNQ.0000000000000564","DOIUrl":"10.1097/CNQ.0000000000000564","url":null,"abstract":"<p><p>Cardiac arrest, a condition in which the heart ceases to function and oxygen delivery to the brain and other vital organs is interrupted, affects 700 000 Americans annually. One of the most devastating consequences of cardiac arrest is the lack of oxygen delivery to the brain, resulting in anoxic brain injury and severe neurological dysfunction. The pivotal trial published in 2002 by Dr. Stephen Bernard and his team, touted the positive benefits of therapeutic temperature management on the neurological recovery of post-cardiac arrest patients and changed the way the scientific and medical communities viewed the use of hypothermia. Since then, research has seemingly confirmed the apparent benefits of hypothermia on neurological recovery but the question remains as to what temperature patients should be cooled to, and more recently, if patients should actively be cooled at all or if the medical team should strive to maintain normothermia. A thorough literature review identified 6 studies comparing the neurological benefits of targeted temperature management and targeted normothermia, and concluded that a change in clinical practice cannot be made based on the current literature.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"302-315"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149793","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}
{"title":"Gastrointestinal and Nutritional Support, Endocrine, and Hematological Considerations in Sepsis.","authors":"Arshpal Gill, Nikolas Touloumes, Justin Dorman, Kayla Flanigan, Tiffany DuMont, Khalid Malik, Patricia Bononi, Akash Gadani, Billie Barker","doi":"10.1097/CNQ.0000000000000559","DOIUrl":"10.1097/CNQ.0000000000000559","url":null,"abstract":"<p><p>The gastrointestinal system alongside nutritional support, the endocrine system, and the hematological system has integral roles in sepsis. Understanding these systems can help clinicians better manage patients with sepsis and potentially improve outcomes. This chapter details these 3 important organ systems and, in particular, the clinical impact on each organ system in sepsis.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 3","pages":"214-222"},"PeriodicalIF":1.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144149975","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}
Rahul Prakash Rane, Sheahahn Soundranayagam, Daniel A Shade, Kevin Nauer, Tiffany DuMont, Khaled Nashar, Marvin R Balaan
{"title":"Renal Involvement in Sepsis: Acute Kidney Injury.","authors":"Rahul Prakash Rane, Sheahahn Soundranayagam, Daniel A Shade, Kevin Nauer, Tiffany DuMont, Khaled Nashar, Marvin R Balaan","doi":"10.1097/CNQ.0000000000000553","DOIUrl":"10.1097/CNQ.0000000000000553","url":null,"abstract":"<p><p>Acute kidney injury (AKI) is a common complication of sepsis due to a myriad of contributing factors and leads to significant morbidity and mortality in critically ill patients. Prompt identification and management are vital to reverse and/or prevent the worsening of AKI. When renal function is severely compromised, there may be a need for dialytic therapy to meet the metabolic needs of patients. This article will review the definition of AKI, epidemiology, risk factors, and pathophysiology of AKI in sepsis, along with both non-dialytic and dialytic treatment strategies. We will also review landmark trials in fluid resuscitation in sepsis.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"100-108"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514928","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}
{"title":"Antimicrobials in the Management of Sepsis in the Intensive Care Unit (ICU).","authors":"Adriana Betancourth, Salman Bangash, Yousaf Bajwa, Ashley Garbinski, Tiffany DuMont, Omer Bajwa, Nitin Bhanot","doi":"10.1097/CNQ.0000000000000545","DOIUrl":"10.1097/CNQ.0000000000000545","url":null,"abstract":"<p><p>Sepsis is a severe and often life-threatening condition which can lead to widespread organ dysfunction, septic shock, and even death. Antimicrobials are critical in improving outcomes for patients with sepsis. This chapter details the general principles of antimicrobial therapy, appropriate selection and de-escalation of antimicrobials, and challenges in antimicrobial stewardship.</p>","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 2","pages":"80-87"},"PeriodicalIF":1.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143514911","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}