Enfermeria Intensiva最新文献

{"title":"Monitorización continua de glucosa en un paciente crítico con oxigenación por membrana extracorpórea (ECMO), balón de contrapulsación intraaórtico y terapia de reemplazo renal continua: caso clínico","authors":"Marc Pañero-Moreno RN, MSc ,&nbsp;Cristina Carbonell-Sabate RN ,&nbsp;Rut Conesa-González RN ,&nbsp;Laura Risco-Patiño RN ,&nbsp;Eva Maria Guix-Comellas RN, MSN, PhD ,&nbsp;Alberto Villamor-Ordozgoiti RN, MSN, PhD ,&nbsp;Tània Cordón-Arnau RN","doi":"10.1016/j.enfi.2026.500589","DOIUrl":"10.1016/j.enfi.2026.500589","url":null,"abstract":"<div><h3>Introduction</h3><div>Glycemic control in critically ill patients is essential to prevent complications. This study evaluates the use of continuous glucose monitoring (CGM) in a 58-year-old patient with acute myocardial infarction, complicated by intraventricular communication and progression to cardiogenic shock, admitted to the intensive care unit (ICU).</div></div><div><h3>Methods</h3><div>The patient received advanced hemodynamic support with extracorporeal membrane oxygenation, intra-aortic balloon pump, and continuous renal replacement therapy. A Dexcom G7 sensor was used for 10.5<!--> <!-->days to monitor glucose levels. Accuracy (Mean Absolute Relative Difference [MARD]) and clinical reliability (Clarke Error Grid) were analyzed, along with the impact on glycemic control and nursing workload.</div></div><div><h3>Results</h3><div>The CGM system showed preliminarily high accuracy, with a MARD of 7.12%, and 100% of values fell within zones<!--> <!-->A and<!--> <!-->B of the Clarke Error Grid. During 98.00% of the monitored time, glucose remained within the target range (70-180<!--> <!-->mg/dL), with a mean of 138<!--> <!-->mg/dL and no hypoglycaemic episodes. A 27.62% reduction in point-of-care glucose (POC-G) measurements was observed, and the need for capillary glucose testing was eliminated.</div></div><div><h3>Discussion</h3><div>This case aligns with findings from other authors, demonstrating that CGM in critically ill patients requiring advanced hemodynamic support is accurate, reduces invasive procedures and nursing workload, and improves glycemic control. Larger clinical trials are needed to validate its routine use in the ICU.</div></div><div><h3>Conclusions</h3><div>CGM in patients with advanced hemodynamic support shows high accuracy and effectiveness, reducing invasiveness and nursing burden, and positioning itself as a promising tool for glycemic management in intensive care, but more clinical trials are needed.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 2","pages":"Article 500589"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146189375","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":"Descriptive cross-sectional analysis of nursing diagnoses, interventions, and outcomes in neonatal intensive care based on Roy's and Swanson's models","authors":"Hernando Parra-Reyes RN, MSc,&nbsp;Alejandra Mendoza-Monsalve RN, MSc,&nbsp;Faride Astrid Sarabia-Herrera RN,&nbsp;Adriana Camila Rincon-Ascanio RN,&nbsp;Edgar Fabian Manrique-Hernandez MD, MSc,&nbsp;Alexandra Hurtado-Ortiz Msc,&nbsp;Maricel Licht-Ardila RN, MSc","doi":"10.1016/j.enfi.2025.500585","DOIUrl":"10.1016/j.enfi.2025.500585","url":null,"abstract":"<div><h3>Introduction</h3><div>Caring for neonatal intensive care unit patients requires precise, individualized, and compassionate care. Roy's Adaptation Model and Swanson's Theory of Caring provide complementary frameworks for addressing physiological and emotional needs. Integrated with the Nursing Care Process (NCP) and standardized languages (NANDA-I, NIC, NOC), these models support systematic, evidence-based, and family-centered neonatal nursing care. The objective was to describe the most frequently identified nursing diagnoses, interventions, and outcomes in NICU patients, guided by the theoretical perspectives of Callista Roy and Kristen Swanson.</div></div><div><h3>Methods</h3><div>A cross-sectional observational study was conducted using nursing records from a NICU in Colombia (September 2023–February 2024). The NCP was implemented based on Roy's Adaptation Model and Swanson's Theory of Caring. Records including all five NCP phases were analyzed. Diagnoses, interventions, and outcomes were classified using NANDA-I, NIC, and NOC taxonomies, respectively. Variables were grouped by gestational age (&lt;32, 32–34, &gt;34 weeks) and summarized using descriptive statistics.</div></div><div><h3>Results</h3><div>Among 180 neonates, median gestational age: 31.2 weeks (IQR: 28–36.1); birth weight: 1420–g (IQR: 1040–2290), 73.3% delivered by cesarean section. Frequent diagnoses included impaired gas exchange (27.2%) and ineffective breathing pattern (15.6%). Main interventions were airway management (15.0%) and oxygen therapy (12.2%). Oxygen desaturation (51.1%) was the most common focal stimulus.</div></div><div><h3>Conclusion</h3><div>Integrating Roy's Adaptation Model and Swanson's Theory of Caring into the NCP framed a structured and family-centered approach to neonatal care standardized taxonomies facilitated decision-making, highlighting the role of nursing judgment in addressing physiological and emotional needs in preterm infants.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 2","pages":"Article 500585"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145957687","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":"Concordancia entre NU-DESC y CAM-ICU para detectar el delirio en entornos hospitalarios de alta complejidad","authors":"César Flores-Galicia RN, MSN ,&nbsp;Gandhy Ponce-Gomez RN, MSN, PhD ,&nbsp;Alejandra Valencia-Cruz MSc, PhD","doi":"10.1016/j.enfi.2025.500587","DOIUrl":"10.1016/j.enfi.2025.500587","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the agreement between NU-DESC and CAM-ICU scales in detecting hyperactive and hypoactive delirium in adult patients at a tertiary hospital, testing the alternative hypothesis (HA) of significant concordance.</div></div><div><h3>Method</h3><div>Cross-sectional study of 105 patients (18-85 years) under moderate sedation and ventilatory weaning, assessed with NU-DESC and CAM-ICU at three time points after staff training. Concordance was evaluated using the Kappa index.</div></div><div><h3>Results</h3><div>Mean age: 45 years (52% male, 48% female). Initial agreement: Kappa<!--> <!-->=<!--> <!-->0.758 (good, p<!--> <!-->&lt;<!--> <!-->0.001); second measurement: Kappa<!--> <!-->=<!--> <!-->0.448 (moderate, p<!--> <!-->&lt;<!--> <!-->0.001); third measurement: Kappa<!--> <!-->=<!--> <!-->0.848 (very good, p<!--> <!-->&lt;<!--> <!-->0.001). Variability reflects differences in sensitivity across delirium phases.</div></div><div><h3>Discussion</h3><div>NU-DESC was optimal for initial screening (speed), while CAM-ICU showed higher accuracy in advanced stages. Their combined use captures dynamic delirium manifestations.</div></div><div><h3>Conclusion</h3><div>HA was confirmed, proving that integrating NU-DESC and CAM-ICU enhances delirium detection and management in critically ill patients, adapting to their evolving clinical needs.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 2","pages":"Article 500587"},"PeriodicalIF":1.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146039374","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":"Experiencias percibidas por las madres y padres sobre la lactancia materna de un recién nacido prematuro en una unidad de cuidados intensivos neonatales","authors":"Èlia Santiveri-Camacho RN, MSc ,&nbsp;Alejandro Bosch-Alcaraz RN, PNP, MSc, PhD ,&nbsp;Mariela Patricia Aguayo-González RN, MSc, PhD ,&nbsp;M. Ángeles Saz-Roy RN, PNP, MSc, PhD","doi":"10.1016/j.enfi.2025.500571","DOIUrl":"10.1016/j.enfi.2025.500571","url":null,"abstract":"<div><h3>Introduction</h3><div>A premature birth involves stress derived from the context of the NICU where the baby is cared for. In addition, the separation between mother and father/couple and child involves an interruption of the biological process of breastfeeding. The experiences lived in this process between mother and father/couple are unequal, which entails different care needs to be covered by the health professional through informative and educational activities.</div></div><div><h3>Objective</h3><div>To explore the experiences of mothers and fathers/couple breastfeeding PTNB during their stay in the NICU.</div></div><div><h3>Design and methods</h3><div>A qualitative phenomenological study was carried out. The population studied were mothers and fathers/couple of PTNB in a neonatal unit who were breastfeeding. Using purposive convenience sampling and the principle of information saturation, the participants were 5 mothers and 4 fathers. Semi-structured interviews were conducted and organized into the following thematic areas: knowledge, environment, feelings, coping strategies and challenges.</div></div><div><h3>Results</h3><div>The mothers’ and fathers’/couples’ experiences are grouped into four themes: previous lack of knowledge about the breastfeeding process, BF as a personal challenge, barriers and facilitators during the process of breastfeeding a PTNB, and the feelings of the families.</div></div><div><h3>Conclusions</h3><div>From the perceptions and feelings reported by breastfeeding mothers and fathers/couples of PTNB, changes can be made to improve nursing care in the NICU. Improving early expressing within the first hour, developing specific protocols for breastfeeding in PTNB and updated training for nursing staff are aspects that emerge from the study and could help to priorities and meet the expressed needs for breastfeeding support in the NICU.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500571"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624830","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":"Risk factors and preventive measures for corneal injury in the intensive care unit: Scoping review","authors":"Felicialle Pereira-da-Silva RN, PhD ,&nbsp;Joana Estefanny de França-Oliveira RN ,&nbsp;Raphael Alves da-Silva RN ,&nbsp;Emanuela Batista Ferreira-e-Pereira RN, PhD ,&nbsp;Maria Eduarda Ximenes-do-Rego RN ,&nbsp;Yure Rodrigues-Silva RN ,&nbsp;Beatriz Mendonça Morais-Alves RN ,&nbsp;Camilla Ribeiro Lima-de-Farias RN, PhD ,&nbsp;Isabel Cristina Ramos Vieira-Santos RN, PhD","doi":"10.1016/j.enfi.2025.500580","DOIUrl":"10.1016/j.enfi.2025.500580","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the risk factors and the main preventive measures in scientific literature related to the development of corneal injury in critically ill patients.</div></div><div><h3>Methods</h3><div>This is a scoping review, with a protocol previously registered on the Open Science Framework platform. The study was guided by the methodological guidelines of the Joanna Briggs Institute and followed the PRISMA-ScR framework. The research question was developed based on the PCC strategy. The search was conducted in the LILACS, PubMed, and SciELO databases, and in the gray literature via the CAPES Periodicals portal, with no language or time restrictions. The following descriptors were used: Corneal Injuries, Patient Care, Nursing, and Intensive Care Units. Two independent reviewers, with a third reviewer involved in case of disagreements, performed Screening and selection of studies. The steps followed the methodological recommendations for scoping reviews, aiming to map evidence on risk factors and preventive measures for corneal injuries in patients hospitalized in intensive care units.</div></div><div><h3>Results</h3><div>The studies analyzed indicate that the main risk factors for the development of ophthalmological injuries are higher among critically ill patients on mechanical ventilation, those under sedation and those with a decreased level of consciousness. Simple, effective nursing interventions are essential to the prevention of corneal injuries, contributing to the maintenance of ocular integrity of the patient.</div></div><div><h3>Conclusion</h3><div>Increasing the knowledge and training of nurses concerning ophthalmological care can contribute to greater awareness of the relevance of corneal injuries in critically ill patients, which is a crucial aspect of nursing care.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500580"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624829","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":"Effect of mobility at ICU discharge on mortality and length of post-ICU stay: A retrospective analysis","authors":"Roberto Gonçalves-Mendes MSN ,&nbsp;André Pinto-Novo PhD ,&nbsp;Manuel Lourenço-Nunes PhD ,&nbsp;Miguel Castelo-Branco PhD","doi":"10.1016/j.enfi.2025.500572","DOIUrl":"10.1016/j.enfi.2025.500572","url":null,"abstract":"<div><h3>Background</h3><div>Admission to intensive care can be accompanied by significant adverse effects for patients, which last beyond their stay in the unit. Early mobilisation is part of a set of a bundle to minimise these effects and is now unanimously considered to be safe and beneficial. It is therefore important to understand how it is being implemented in practice and what its real benefits are.</div></div><div><h3>Aim/Objective</h3><div>To characterise mobility in the ICU and correlate the level of mobility at discharge from the ICU with the results of post-intensive care, namely: length of stay after intensive care and hospital mortality.</div></div><div><h3>Methods</h3><div>This was an observational, retrospective study carried out in the Intensive Care Department of a Local Health Unit located in the Portuguese countryside. A quantitative research methodology was used.</div></div><div><h3>Results</h3><div>Of the 244 patients included in the sample, 54.5% achieved orthostatism during the ICU stay and 36.5% achieved deambulation. The average length of stay between leaving the ICU and hospital discharge was 8.0<!--> <!-->±<!--> <!-->7.5 days. Patients who remained at bed rest at discharge had longer hospital stays than patients who were ambulating (<em>p</em> <!-->=<!--> <!-->0.014); and patients who performed activities in bed also had longer hospital stays than those who were orthostatic or ambulating (<em>p</em> <!-->=<!--> <!-->0.026 and 0.002 respectively). Post-ICU mortality was 5.7%, and there was a strong correlation with mobility on discharge from the ICU (<em>p</em> <!-->&lt;<!--> <!-->0.001), with less mobile patients having a higher mortality rate than expected (odds ratio<!--> <!-->=<!--> <!-->5.13).</div></div><div><h3>Conclusions</h3><div>The mobility levels founded in this study are in line with international reality. Patients who achieve higher levels of mobility during their stay in intensive care have shorter hospital stays and lower mortality.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500572"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747393","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":"Lung collapse during postural repositioning in a mechanically ventilated patient, could it have been avoided? A case report","authors":"María Dolores Rodríguez-Huerta RN, MSc ,&nbsp;Ana Díez-Fernández RN, MSc, PhD ,&nbsp;María Jesús Rodríguez-Alonso RN ,&nbsp;María Martín-Rodríguez RN ,&nbsp;Mario Fernández-Izquierdo RN","doi":"10.1016/j.enfi.2025.500583","DOIUrl":"10.1016/j.enfi.2025.500583","url":null,"abstract":"<div><h3>Objective</h3><div>To analyse through a clinical case the need for comprehensive management of bronchial secretions by nurses, with a proactive and preventive character to improve mechanically ventilated patients’ safety.</div></div><div><h3>Clinical case presentation</h3><div>A 76-year-old man under invasive mechanical ventilation admitted to the ICU due to pulmonary infection, who presented subtotal left lung collapse during routine postural changes. Trying to recover the left lung ventilation, the patient was repositioned, an endotracheal suctioning and two recruitment manoeuvres were made without any ventilation improvement. The previous level of left ventilation was not achieved until secretions were completely eliminated after three more suctioning manoeuvres.</div></div><div><h3>Discussion and implications for practice</h3><div>Critically ill patient care is complex, requiring general basic attention and monitoring, including the assessment of the risks that certain interventions and nursing care may entail for each individual patient. Both, postural repositioning and endotracheal suctioning constitutes tow integral parts of routine care for all mechanically ventilated patients. This case shows how the presence of deep secretions during postural repositioning can greatly affect the respiratory function, with no significant immediate or short-term changes observed on routine monitoring, as electrical impedance monitoring is not standard practice, so the changes described in this case would not have been observed in short term.</div></div><div><h3>Conclusions</h3><div>The implementation of a nursing integral care protocol for the management of secretions in mechanically ventilated patients, could be very useful in preventing adverse events, ineffective multiple endotracheal suctioning, which are not free of potential complications, and in reducing the need for deep airway clearance by fibrobronchoscopy.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500583"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747396","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":"Experiencia de cuidado de cuidadores y niños entre 12 y 17 años brindado por personal de salud durante la hospitalización en cuidado intensivo pediátrico","authors":"Herly Ruth Alvarado-Romero RN, MSc ,&nbsp;Carlos Yecid Bernal-Cárdenas RN, PhD ,&nbsp;Diana Norella Córdoba-Rojas RN, MSc ,&nbsp;Alba Deyanira Quiñonez-López MD ,&nbsp;Camila Yesenia Ruiz-Matore RN ,&nbsp;Paola Torres-Giraldo RN, MSN","doi":"10.1016/j.enfi.2025.500582","DOIUrl":"10.1016/j.enfi.2025.500582","url":null,"abstract":"<div><h3>Introduction</h3><div>Caring for children hospitalized in Pediatric Intensive Care Units is a complex and multidimensional process. This process includes specialized care, as well as emotional and psychological support for both patients and their caregivers. These caregivers play an essential role in the hospitalization experience, facing a range of emotions due to the severity of the children's illness and the connotations of being hospitalized.</div></div><div><h3>Objective</h3><div>Describe the caregiving experience of caregivers and children between the ages of 12 and 17 provided by healthcare personnel during hospitalization in the unit at an institution in Bogotá in 2023.</div></div><div><h3>Methodology</h3><div>Qualitative study with a phenomenological design, using in-depth semi-structured interviews with caregivers and children hospitalized in an Intensive Care Unit in Bogotá in 2023.</div></div><div><h3>Results</h3><div>Twenty-seven interviews were conducted to achieve data saturation. Most of the caregivers were women. The predominant socioeconomic status was 3 and the educational level was high school. Four categories and thirteen subcategories were identified: Environment and dynamics, interaction with healthcare personnel, recognition of healthcare personnel, and feelings and experience upon admission to the unit.</div></div><div><h3>Conclusion</h3><div>Nurses working in Pediatric Intensive Care Units play a fundamental role, as they are in constant contact with children and their caregivers, who often experience high levels of anxiety and fear due to the seriousness of the environment. To provide comprehensive and humanized care, it is essential that these professionals have specific scientific knowledge about children's health, as well as disciplinary skills to guide their interventions. In this way, they contribute to the child's recovery and the creation of a more humane care environment, even in a highly technical context.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500582"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747397","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":"Clinical judgment and self-efficacy of nurses in sepsis management: The use of clinical simulation","authors":"Lilian Regina-de-Carvalho RN, MSc, PhD ,&nbsp;Ursula Marcondes-Westin RN, MSc, PhD ,&nbsp;Renata Elizabete-Pagotti-da-Fonseca RN, MSc, PhD ,&nbsp;Rafael Bressani-Lino RN, MSc, PhD ,&nbsp;João Paulo Victorino RN ,&nbsp;Silvia Helena-Zem-Mascarenhas RN, PhD","doi":"10.1016/j.enfi.2025.500577","DOIUrl":"10.1016/j.enfi.2025.500577","url":null,"abstract":"<div><h3>Introduction</h3><div>Sepsis has high mortality and demands prompt intervention. Nurses are key in its management, but knowledge gaps persist. Enhancing clinical judgment and self-efficacy is crucial, and clinical simulation offers a safe, effective strategy for developing these skills, supporting education in healthcare.</div></div><div><h3>Objective</h3><div>To evaluate the responses related to self-efficacy and clinical judgment of nurses in the management of sepsis through high-fidelity clinical simulation.</div></div><div><h3>Methods</h3><div>A quasi-experimental, pre- and post-test study design was adopted. Self-efficacy, clinical judgment, and knowledge were considered dependent variables, while time and participant role (scenario participant/observer) were treated as covariates. The sample consisted of 28 nurses. Data were transcribed into Microsoft Excel® spreadsheets and analyzed using SAS version 9.4 software.</div></div><div><h3>Results</h3><div>After the debriefing session, the mean scores for knowledge, clinical judgment, and self-efficacy increased compared to baseline. Knowledge scores improved from a mean of 9.71 (SD<!--> <!-->=<!--> <!-->2.02) to 12.75 (SD<!--> <!-->=<!--> <!-->1.24). Clinical judgment scores increased from 31.75 (SD<!--> <!-->=<!--> <!-->4.88) to 36.5 (SD<!--> <!-->=<!--> <!-->5.5), and self-efficacy rose from 4.05 (SD<!--> <!-->=<!--> <!-->0.44) to 4.19 (SD<!--> <!-->=<!--> <!-->0.55). Statistically significant differences were found in clinical judgment (<em>p</em> <!-->&lt;<!--> <!-->0.0001) and knowledge (<em>p</em> <!-->&lt;<!--> <!-->0.0001) across time points. Participants who actively engaged in the simulation had significantly higher post-simulation clinical judgment (mean<!--> <!-->=<!--> <!-->39.5 vs. 34.83; <em>p</em> <!-->=<!--> <!-->0.0252) and self-efficacy scores (mean<!--> <!-->=<!--> <!-->4.51 vs. 4.01; <em>p</em> <!-->=<!--> <!-->0.0269) compared to observers. However, there was no significant difference in post-test knowledge scores between the groups (<em>p</em> <!-->=<!--> <!-->0.6012). A strong correlation was identified between self-efficacy and clinical judgment. These findings support the effectiveness of simulation-based education in enhancing both clinical judgment and self-efficacy among nurses.</div></div><div><h3>Conclusions</h3><div>High-fidelity clinical simulation contributed to the development of nurses’ clinical judgment, self-efficacy, and knowledge regarding sepsis management.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500577"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747395","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":"Relación entre estrés percibido, apoyo social percibido y satisfacción familiar en familiares de una unidad de cuidados intensivos adulto","authors":"Valentina Nilo-González RN, MSN,&nbsp;Noelia Rojas-Silva RN, MSN,&nbsp;Cristóbal Padilla-Fortunatti RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500573","DOIUrl":"10.1016/j.enfi.2025.500573","url":null,"abstract":"<div><h3>Introduction</h3><div>In intensive care units (ICU), stress experienced by family members can negatively impact their family satisfaction. The literature describes social support as a stress neutralizer. However, evidence regarding the influence of stress and social support on family satisfaction in ICU is limited.</div></div><div><h3>Objective</h3><div>To explore the relationship between perceived stress, social support, and family satisfaction in family members of ICU patients.</div></div><div><h3>Methods</h3><div>Descriptive correlational study conducted in an ICU of a private hospital in Santiago, Chile. Family members of patients with a stay of ≥48<!--> <!-->hours were included. Family participants completed three questionnaires to assess perceived stress, perceived social support, and family satisfaction. Sociodemographic and clinical data were also collected from the patients. The association between perceived stress, perceived social support, and family satisfaction was explored using Spearman's rho correlations.</div></div><div><h3>Results</h3><div>Fifty family members were included, 70% of whom were women. Perceived stress was (<em>r</em> <!-->=<!--> <!-->–.41; <em>P</em>&lt;.05), satisfaction with patient and family care (<em>r</em> <!-->=<!--> <!-->–.39; <em>P</em>&lt;.01), and satisfaction with communication (<em>r</em> <!-->=<!--> <!-->–.34; <em>P</em>=.02), while with satisfaction with decision making, the association was not significant (<em>P</em>&gt;.05). No significant association was observed between social support and family satisfaction (<em>P</em>&gt;.05).</div></div><div><h3>Conclusions</h3><div>Findings of this study add to the evidence on the negative impact of stress on family satisfaction and its dimensions in family members of ICU patients. Further studies are needed to explore the role of social support in family members of ICU patients and its possible influence on family satisfaction.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500573"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145546702","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}