Critical Care Nursing Quarterly最新文献_第5页

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

Prevalence, Level, and Characteristics of Obsessive-Compulsive Symptoms Among Critical Care Nurses in Oman. 阿曼重症护理护士强迫症的患病率、水平和特征

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000591

Mohammad Ghalib Qutishat, Rasha Abubaker, Kholoud Al-Damery

{"title":"Prevalence, Level, and Characteristics of Obsessive-Compulsive Symptoms Among Critical Care Nurses in Oman.","authors":"Mohammad Ghalib Qutishat, Rasha Abubaker, Kholoud Al-Damery","doi":"10.1097/CNQ.0000000000000591","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000591","url":null,"abstract":"Obsessive-compulsive disorder (OCD) is a prevalent psychiatric issue, particularly among critical care nurses who face intense emotional demands. This descriptive correlational study employed a cross-sectional design to assess the prevalence and characteristics of OCD among 175 registered critical care nurses in Oman, utilizing the Obsessive-Compulsive Inventory-Revised (OCI-R) for data collection. Recruitment occurred via online surveys distributed through social media in May-June 2023. The findings indicated that 88% of participants reported OCD, with the majority at low levels (45.45%). Significant differences in OCD were associated with marital status (t = 10.108, P = .002) and clinical experience (F = 3.275, P = .022), while age, gender, nationality, and education showed no significant differences. The high prevalence of OCD among critical care nurses underscores the psychological toll of their work environment. Factors, including single marital status and less clinical experience, contribute to the increase in OCD. This study emphasizes the urgent need for targeted mental health interventions to support critical care nurses in Oman. Establishing supportive resources and policies can improve their mental well-being and enhance patient care quality.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"43-52"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573511","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 Directional Model Depicting Nursing's Command of Clinical Surveillance as a Science. 描述护理对临床监测的控制作为一门科学的定向模型。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000586

Julie-Kathryn Graham, Danisha Jenkins, Christina Kelley

引用次数: 0

Mothers' Participation in Neonatal Pain Management in the Intensive Care Unit: A Descriptive Study Based on Barnard's Interaction Model. 母亲参与重症监护室新生儿疼痛管理：基于Barnard互动模型的描述性研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2026-01-01 Epub Date: 2025-11-20 DOI: 10.1097/CNQ.0000000000000593

Haneih Neshat, Hadi Hassankhani, Mahnaz Jabraeili, Mahni Rahkar Farshi

{"title":"Mothers' Participation in Neonatal Pain Management in the Intensive Care Unit: A Descriptive Study Based on Barnard's Interaction Model.","authors":"Haneih Neshat, Hadi Hassankhani, Mahnaz Jabraeili, Mahni Rahkar Farshi","doi":"10.1097/CNQ.0000000000000593","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000593","url":null,"abstract":"Neonatal pain management is critical in the neonatal intensive care unit (NICU) and mothers play a significant role in alleviating pain. This study investigates mothers' participation in managing neonatal pain based on Barnard's interaction model. A descriptive study was conducted in NICU from September 2022 to May 2023. The study involved 100 mothers of hospitalized infants, utilizing convenience sampling. Data were collected through a two-part questionnaire assessing demographic characteristics and mothers' perceptions of their infants' pain experiences and management strategies. The mean age of mothers was 27.77 years, with a mean neonatal hospitalization duration of 13.12 days. A majority (84%) believed their infants experienced pain. Mothers reported limited verbal (52%) and written (91%) information regarding pain management. They identified crying as the primary behavioral sign of pain and predominantly used their voice and breastfeeding as non-pharmacological pain relief methods, with 77% believing these methods effectively reduced pain. The findings underscore the critical importance of maternal involvement in managing neonatal pain. According to Barnard's model, the mother-neonate interaction is essential for recognizing pain signs and employing effective non-pharmacological pain relief strategies. This study emphasizes the necessity for healthcare providers to enhance and support these interactions in the context of pain management.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"49 1","pages":"112-120"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573531","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 Reflexology Intervention on Stress Levels, Sleep Duration, Sucking Frequency, and Crying Episodes in Newborn Infants. 反射疗法干预对新生儿应激水平、睡眠时间、吸吮频率和哭闹的影响。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-22 DOI: 10.1097/CNQ.0000000000000567

Abdullah Sarman, Suat Tuncay, Ali Ay

{"title":"Effect of Reflexology Intervention on Stress Levels, Sleep Duration, Sucking Frequency, and Crying Episodes in Newborn Infants.","authors":"Abdullah Sarman, Suat Tuncay, Ali Ay","doi":"10.1097/CNQ.0000000000000567","DOIUrl":"10.1097/CNQ.0000000000000567","url":null,"abstract":"Reflexology is an alternative treatment method that has been increasingly used in recent years. This study aimed to determine the effect of reflexology intervention on stress levels, sleep duration, sucking frequency, and crying episodes in newborn infants. This study was designed as a randomized controlled trial. Using the block randomization method, 72 infants were included in the study (control = 36, experimental = 36). A demographic characteristics form, the Neonatal Stress Scale, and neonatal sleep duration, sucking frequency, and crying episodes form were used. Reflexology was applied to the left and right feet twice on the second day of the study, once in the morning and once in the evening. Within-group comparisons showed that the stress scale scores of infants in the experimental group decreased statistically significantly compared to the control group. One day before the intervention, sleep duration, sucking frequency, and crying episodes of the control and experimental group infants were similar. On the second and third days, when the intervention was applied twice, the sleep duration and sucking frequency increased, and the crying episodes decreased. Reflexology was found to decrease stress, crying episodes and increase sleep duration and sucking frequency in newborn infants.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 4","pages":"429-440"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191039","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

Using a Checklist to Decrease Central Line Infections in the Intensive Care Unit. 使用检查表减少重症监护病房中心静脉感染。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-22 DOI: 10.1097/CNQ.0000000000000568

Charles S Reynolds, Jill L Cunningham, Yeow Chye Ng, Candy L Dean

引用次数: 0

To Nap or Not to Nap? Medical Managers' Views on Night Shift Fatigue Management. 睡午觉还是不睡？医疗管理人员对夜班疲劳管理的看法

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-22 DOI: 10.1097/CNQ.0000000000000574

Roqia Saleem Maabreh, Ghada Shalaby Khalaf Mahran, Nahed Khamies Mohamed, Amany Gamal Abd-Elhamed

{"title":"To Nap or Not to Nap? Medical Managers' Views on Night Shift Fatigue Management.","authors":"Roqia Saleem Maabreh, Ghada Shalaby Khalaf Mahran, Nahed Khamies Mohamed, Amany Gamal Abd-Elhamed","doi":"10.1097/CNQ.0000000000000574","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000574","url":null,"abstract":"Night shift work is a critical component of healthcare delivery, yet it poses significant challenges to the well-being and performance of healthcare professionals. This qualitative study explores the perceptions of medical managers regarding night shift napping, a potential strategy to mitigate fatigue and enhance patient safety. Using semi-structured interviews with 20 medical managers from various intensive care units at Assiut University Hospital in Egypt, we examined views on the benefits, challenges, and institutional support for sanctioned napping during night shifts. Thematic analysis revealed 3 key themes: (1) perceived benefits of napping; (2) barriers to implementation-such as concerns about professional image, staffing inadequacies, and operational disruptions; and (3) institutional support and policy gaps-highlighting a lack of formal guidelines, inconsistent leadership attitudes, and logistical challenges in creating designated nap areas. While many managers acknowledged the potential benefits of night shift napping, concerns about its practical implementation and impact on workflow persist. The findings suggest that developing clear policies, fostering a culture of safety, and addressing logistical constraints could enhance support for strategic napping as a fatigue management tool in healthcare settings. This study underscores the need for further research and policy development to balance staff well-being with continuous, high-quality patient care.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 4","pages":"373-380"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191337","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 Different Levels of PEEP on the Occurrence of Atelectasis After CABG: A Retrospective Study From Palestine. 不同PEEP水平对冠脉搭桥术后肺不张发生的影响：来自巴勒斯坦的回顾性研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-22 DOI: 10.1097/CNQ.0000000000000577

Ahmad Bassam Abdallatif, Basma Salameh, Bahaaeddin Hammad, Sameer A Alkubati, Mohammed ALBashtawy, Abdullah Alkhawaldeh

{"title":"The Effect of Different Levels of PEEP on the Occurrence of Atelectasis After CABG: A Retrospective Study From Palestine.","authors":"Ahmad Bassam Abdallatif, Basma Salameh, Bahaaeddin Hammad, Sameer A Alkubati, Mohammed ALBashtawy, Abdullah Alkhawaldeh","doi":"10.1097/CNQ.0000000000000577","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000577","url":null,"abstract":"Respiratory complications are among the most common issues post coronary artery bypass grafting (CABG), with atelectasis being one of the most serious respiratory consequences. This study aims to evaluate the association between positive end-expiratory pressure (PEEP) levels and post-CABG atelectasis, investigate demographic risk factors associated with atelectasis, and determine the timing pattern of atelectasis development. A retrospective analysis was conducted on data from 268 CABG patients. Three PEEP levels-5, 8, and 10 cm H2O were considered. Demographic information and postoperative outcomes were collected using a self-developed data collection tool. The study took place at a tertiary care hospital in Nablus, West Bank. Higher PEEP levels, especially at 10 cm H2O, were associated with a reduction in pulmonary atelectasis. Smoking emerged as a significant factor influencing atelectasis, while interventions such as spirometry and early thoracic drainage showed positive effects in reducing the incidence of atelectasis. Furthermore, higher PEEP levels were associated with a shorter hospital stay after CABG. This study has highlighted the importance of optimal PEEP adjustment in improving respiratory outcomes and reducing recovery time post-CABG.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 4","pages":"389-400"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191377","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

Predictors of Nurses' Practice Regarding Care of Patients With Stroke: A Cross-Sectional Study. 护士护理脑卒中患者行为的预测因素：一项横断面研究。

IF 0.9

Critical Care Nursing Quarterly Pub Date : 2025-10-01 Epub Date: 2025-08-22 DOI: 10.1097/CNQ.0000000000000576

Raghad N Khallaf, Moath Abu Ejheisheh, Ahmad Ayed, Ibrahim Aqtam, Ahmad Batran, Bahaaeddin M Hammad, Mohammed F Hayek

{"title":"Predictors of Nurses' Practice Regarding Care of Patients With Stroke: A Cross-Sectional Study.","authors":"Raghad N Khallaf, Moath Abu Ejheisheh, Ahmad Ayed, Ibrahim Aqtam, Ahmad Batran, Bahaaeddin M Hammad, Mohammed F Hayek","doi":"10.1097/CNQ.0000000000000576","DOIUrl":"https://doi.org/10.1097/CNQ.0000000000000576","url":null,"abstract":"Stroke is a leading global health concern and a primary cause of death and disability. Nurses play an essential role in stroke care, significantly influencing patient outcomes. This study aimed to assess the predictors of nurses' practice in caring for patients with stroke. A cross-sectional study was conducted among 167 nurses working in medical departments between January 1, 2023 and March 15, 2024. Data were collected using a structured questionnaire evaluating nurses' knowledge, attitudes, and practices. The study revealed that 138 (82.6%) nurses had moderate knowledge, 77 (46.1%) displayed positive attitudes, and 91 (54.4%) demonstrated good practice levels regarding stroke care. Multivariable regression analysis showed that education level (bachelor's degree), stroke care training, and knowledge were significant predictors of effective nursing practice (P < .01). This study highlights that while nurses generally have moderate knowledge and positive attitudes, only half exhibit good practices in stroke care. Tailored educational and training programs focusing on evidence-based stroke care can significantly enhance nursing practices, ultimately improving patient outcomes. Prioritizing ongoing professional development and structured stroke care protocols in resource-constrained settings like Palestine is essential to address these gaps effectively.","PeriodicalId":10789,"journal":{"name":"Critical Care Nursing Quarterly","volume":"48 4","pages":"381-388"},"PeriodicalIF":0.9,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145191091","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