Enfermeria Intensiva最新文献

{"title":"Associations between ICU nursing care and functional outcomes in survivors of critical COVID-19: Longitudinal study","authors":"Raví P. Pereira RN, MSN ,&nbsp;Vanessa F. Bonatto RN, MSN ,&nbsp;Luísa B. Santana RN ,&nbsp;Isis M. Severo RN, PhD ,&nbsp;Michele D. Santarem RN, PhD ,&nbsp;Augusto Savi PT, PhD ,&nbsp;Cassiano Teixeira MD, PhD ,&nbsp;Karina de O. Azzolin RN, PhD","doi":"10.1016/j.enfi.2025.500579","DOIUrl":"10.1016/j.enfi.2025.500579","url":null,"abstract":"<div><h3>Introduction</h3><div>The evaluation of long-term functional disabilities and factors associated with decline following COVID-19-related critical illness in low- and middle-income countries remains underexplored in current literature. Addressing this gap is essential for healthcare professionals, particularly nurses, to develop targeted interventions aimed at reducing the risk of functional decline after critical illness during pandemics.</div></div><div><h3>Objectives</h3><div>To analyze ICU nursing care factors associated with functional outcomes in survivors of critical illness due to COVID-19, six months after ICU discharge.</div></div><div><h3>Methods</h3><div>A prospective longitudinal study was conducted. Adults (≥18 years) discharged from the ICU after viral pneumonia, confirmed by RT-PCR for SARS-CoV-2, with a minimum ICU stay of 72<!--> <!-->h, were included. Follow-up was conducted via telephone interviews at one, three, and six months to collect sociodemographic data and assess functional status using the Barthel Index. Data were analyzed using Generalized Estimating Equations.</div></div><div><h3>Results</h3><div>The study included 400 participants (mean age: 52.41<!--> <!-->±<!--> <!-->13.680 years; median ICU stay: 15.0 days, IQR: 8.0–26.0). Functional decline was observed in 43% of patients at one month, 28.4% at three months, and 20.4% at six months. Delirium and skin ulcers during ICU stay were modifiable factors associated with post-critical care functional disability.</div></div><div><h3>Conclusions</h3><div>Exploring targeted nursing interventions, such as delirium and pressure ulcer prevention, is essential to promote recovery and prevent long-term disability after critical illness.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500579"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145691377","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":"¿Podemos reducir los errores de medicación en urgencias? Una mirada interprofesional hacia una práctica segura","authors":"Mariam Hijazi-Vega BPharm ,&nbsp;Juan Luque-Galán MD, MsC ,&nbsp;Rocío Vázquez-Sánchez BPharm, PhD ,&nbsp;Javier Sánchez Rubio-Ferrández BPharm, PhD ,&nbsp;Ana Isabel Sacristán-Vaquerizo RN ,&nbsp;Francisco José Salas-Álvarez del Valle MD, MsC ,&nbsp;Teresa Molina-García BPharm","doi":"10.1016/j.enfi.2026.500594","DOIUrl":"10.1016/j.enfi.2026.500594","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500594"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188185","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":"Management of the environment and patient care using extracorporeal membrane oxygenation: A scoping review","authors":"Camila Medeiros-dos-Santos-de-Cerqueira MsC ,&nbsp;Christiany Moçali-Gonzalez MsC ,&nbsp;Marluci Andrade-Conceição-Stipp PhD ,&nbsp;Aurean Deca-Junior PhD ,&nbsp;Graciele Oroski-Paes PhD","doi":"10.1016/j.enfi.2025.500581","DOIUrl":"10.1016/j.enfi.2025.500581","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of strategies planned for the environment and care of adult patients undergoing extracorporeal membrane oxygenation allows for better assistance from the multidisciplinary team to this individual in the Intensive Care Unit.</div></div><div><h3>Objective</h3><div>The objective is to map strategies for planning the environment and care of adult patients in extracorporeal membrane oxygenation in intensive care.</div></div><div><h3>Methodology</h3><div>This scoping review follows the Joanna Briggs Institute methodology and adheres to the extension PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews). Eligible studies included those that answered the guiding question: “what are the strategies for planning the environment and care of adult patients undergoing extracorporeal membrane oxygenation in intensive care?”, no time or language restriction. The search and selection were carried out by two double-blind researchers between February and April 2024, using Rayyan software for data extraction and analysis. The collection took place in 10 databases, with selection of articles and gray literature.</div></div><div><h3>Results</h3><div>Six thousand nine hundred ninety-six sources of evidence were identified, of which 39 composed the final sample. The strategies cited by the publications were: management of the environment (family preparation; team preparation; ethical issues; human and material resources); and care management (monitoring; systematization of nursing care; nutritional management; early mobilization).</div></div><div><h3>Conclusions</h3><div>The complexity of ECMO management was highlighted, reinforcing the need for adequate infrastructure, a multidisciplinary team and more robust studies, especially in underdeveloped countries, to improve practical application and clinical outcomes.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500581"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076782","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":"Occurrence of adverse events with arterial catheters and their contributing factors: A cross-sectional study","authors":"Patriny Marcelle Mariano-Gomes ,&nbsp;Adriana Ouverney-Braz RN, PhD ,&nbsp;Graciele Oroski-Paes RN, PhD","doi":"10.1016/j.enfi.2025.500575","DOIUrl":"10.1016/j.enfi.2025.500575","url":null,"abstract":"<div><h3>Introduction</h3><div>The insertion of an arterial line is one of the most important invasive procedures in intensive care, but it may still pose risks to patients.</div></div><div><h3>Objectives</h3><div>To determine the prevalence and analyze the association of contributing factors with the occurrence of adverse events related to the use of arterial catheters.</div></div><div><h3>Method</h3><div>Cross-sectional, retrospective, analytical and quantitative study. The sample included all reports of adverse events involving arterial catheters over the past five years. The hospital's electronic and physical medical records were used to supplement the patients’ clinical data. Descriptive and inferential analysis was carried out using frequency calculations and association tests, including Chi-square and Fisher's exact test. A significance level of up to 10% (<em>p</em>-value<!--> <!-->&lt;<!--> <!-->0.1) was used for all analyses. The study adhered to the STROBE Checklist guidelines (a checklist of items recommended for reports of cross-sectional studies).</div></div><div><h3>Results</h3><div>Between 2019 and 2023, 3104 arterial catheters were inserted in the hospital's intensive care units. 39 reports of adverse events with these catheters were included, with an occurrence rate of 1.25% (95% confidence interval). The most prevalent incident was inadvertent loss (41%), followed by pseudoaneurysm and/or hematoma formation (25.6%), and obstruction (20.51%). Human resources (<em>p</em>-value 0.069), need for sedation (<em>p</em>-value 0.011) and insertion site (<em>p</em>-value 0.074) were factors that were associated with accidental device loss. Factors related to the patient (<em>p</em>-value 0.079) and the puncture method (<em>p</em>-value 0.079) were related to the formation of pseudoaneurysms and hematomas. Human resources (<em>p</em>-value 0.001), the use of vasoactive amines (<em>p</em>-value 0.032) and the insertion site (<em>p</em>-value 0.012) were associated with system obstruction.</div></div><div><h3>Conclusion</h3><div>The results elucidated potential weaknesses that could compromise the safety of critically ill patients using blood pressure monitoring, such as the method of puncture, circuit management and the clinical characteristics of the patients. In addition to the negative impact on patients and costs, litigation can also result from failures in healthcare safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500575"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624815","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":"Exploring patients’ experiences in intensive care units (ICU): A cross-sectional study in Pakistan","authors":"Tawseef Ahmad MS, Pharm-D ,&nbsp;Sirima Sitaruno Pharm-D, BCPS ,&nbsp;Sutthiporn Pattharachayakul Pharm-D, BCPS ,&nbsp;Faiz Ullah Khan Pharm-D, PhD ,&nbsp;Muhammad Kiddeer Pharm-D, M.Phil. ,&nbsp;Shujaat Ali Khan Pharm-D, PhD","doi":"10.1016/j.enfi.2025.500578","DOIUrl":"10.1016/j.enfi.2025.500578","url":null,"abstract":"<div><h3>Background</h3><div>Intensive care unit (ICU) stays are often traumatic, impacting patients psychologically, physically, and emotionally. However, patient experiences in ICU settings remain underexplored, particularly in developing countries like Pakistan.</div></div><div><h3>Objective</h3><div>This study aimed to assess the experiences of ICU patients in a tertiary care hospital in Pakistan, with a focus on psychological distress, emotional responses, and perceived quality of care.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study was conducted at Ayub Teaching Hospital, Abbottabad. A total of 102 post-ICU patients meeting the inclusion criteria were interviewed within 72 hours of transfer to medical wards. Data were collected using the validated Intensive Care Experience Questionnaire (ICEQ), and analyzed to evaluate patient perceptions and associated factors.</div></div><div><h3>Results</h3><div>Of the participants, 93.13% expressed relief upon discharge from the ICU, while 42.15% reported experiencing blurred memories during their stay. Despite this, 77.45% expressed satisfaction with the care received. Notably, only 23.52% of patients felt involved in decision-making processes regarding their care, indicating a communication gap. Statistical analysis revealed a significant negative correlation between patient age and satisfaction with care (<em>r</em> <!-->=<!--> <!-->−0.199, <em>p</em> <!-->&lt;<!--> <!-->0.05), suggesting older patients experienced reduced satisfaction. Gender also negatively correlated with memory of experience (<em>r</em> <!-->=<!--> <!-->−0.236, <em>p</em> <!-->&lt;<!--> <!-->0.05) and satisfaction with care (<em>r</em> <!-->=<!--> <!-->−0.208, <em>p</em> <!-->&lt;<!--> <!-->0.05), with women reporting more negative experiences. Length of ICU stay was significantly associated with reduced environmental awareness (<em>r</em> <!-->=<!--> <!-->−0.230, <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>The findings highlight significant psychological and emotional challenges faced by ICU patients in Pakistan. Enhanced patient-centered communication, psychological support, and greater involvement in care decisions are critical to improving ICU experiences. Nursing staff play a pivotal role in creating a supportive and therapeutic ICU environment that fosters trust and improves patient outcomes.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500578"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145796787","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":"Prevalence, characteristics, and associated factors of dyskalemia in Moroccan intensive care units over a 28-month period: A cross-sectional correlational study","authors":"Kamal Takhdat RAN, PhD ,&nbsp;Salma El Hamdou REN, BSN ,&nbsp;Houda El Bannaoui REN, BSN ,&nbsp;Ahmed Rhassane El Adib MD","doi":"10.1016/j.enfi.2025.500570","DOIUrl":"10.1016/j.enfi.2025.500570","url":null,"abstract":"<div><h3>Introduction</h3><div>Dyskalemia disturbs electrophysiological homeostasis and even cause several life-threatening conditions. Improved understanding of dyskalemia risk factors is clinically relevant for prompt and effective dyskalemia treatment. This study aims to analyze dyskalemia prevalence and risk factors in two adult medical and surgical intensive care units (ICUs) in a Moroccan university hospital.</div></div><div><h3>Methods</h3><div>A retrospective cross-sectional study was conducted from January 1st 2022 to April 30, 2024. A total of 1274 patients’ medical records were examined, yielding for 549 dyskalemic patients. Single-factor and multi-factor logistic regression analyses were conducted to investigate associations between dyskalemia and the risk factors related to patients’ characteristics, comorbidities, and therapeutic agents.</div></div><div><h3>Results</h3><div>The prevalence of dyskalemia was found at 43%, with a dyskalemic patients’ mean age of 48.3 (±18.6). Over 62% of them developed dyskalemia during ICU stay. Multivariable analyses showed that the risk of hypokalemia was associated to female gender, diabetic ketoacidosis, anticancer drugs, heparin (LMWH), and insulin. However, the risk of hyperkalemia was associated with male gender, chronic kidney failure, metabolic acidosis, burns, blood transfusion, and propofol as a sedative agent.</div></div><div><h3>Conclusion</h3><div>Several associated factors of the risk of dyskalemia were identified. Critical care nurses should pay particular attention to high-risk patients of dyskalemia and be proactive in identifying early signs of dyskalemia in order to achieve targeted risk assessment, improve early diagnosis, and management of the patients’ conditions.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500570"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145747394","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":"Factores clínicos asociados a la adecuación del esfuerzo terapéutico en pacientes críticos: un estudio descriptivo","authors":"Juan Carlos Muñoz-Camargo RN, MSc, PhD,&nbsp;Sandra Martínez-Rodríguez RN, MSc,&nbsp;Alberto José Cerrillo-Urbina RN, MSc, PhD,&nbsp;Raúl Expósito-González RN, MSc, PhD,&nbsp;Alberto Bermejo-Cantarero RN, MSc, PhD,&nbsp;Julián Rodríguez-Almagro RN, MSc, PhD","doi":"10.1016/j.enfi.2025.500576","DOIUrl":"10.1016/j.enfi.2025.500576","url":null,"abstract":"<div><h3>Objective</h3><div>To analyze the decisions regarding the limitation of therapeutic effort (LTE) adopted in an adult intensive care unit (ICU)</div></div><div><h3>Material and methods</h3><div>Observational, descriptive, and cross-sectional study conducted in the adult ICU of a university hospital, equipped with 21 beds and an average of 1,000 annual medical and surgical admissions. All TEL decisions documented during the study period were included; patients diagnosed with brain death were excluded. Clinical, functional, and prognostic variables were collected using validated scales such as APACHE II, Charlson, Karnofsky, Barthel, PAEEC, MPM II, and ODIN.</div></div><div><h3>Results</h3><div>A total of 1,012 admissions were analyzed, with an intra-ICU mortality rate of 12.9%. Fifty-four cases of TEL were identified (5.3% of all admissions and 42.8% of deaths). The main reason was clinical irreversibility (71%), followed by therapeutic futility (29%). Seventy-two percent of patients were male, with a mean age of 70.5<!--> <!-->±<!--> <!-->10.9 years. The median Charlson comorbidity index was 6. Altered baseline quality of life was observed in 68.5% of patients, with moderate to severe impairment in 24.1%. The mean APACHE II score at admission was 22.6<!--> <!-->±<!--> <!-->8.6, with an estimated mortality probability of 44.7%.</div></div><div><h3>Conclusions</h3><div>TEL is a common practice in elderly patients with significant comorbidities and prior functional decline, highlighting the need to establish clear clinical criteria and standardized protocols for its implementation in adult ICUs.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500576"},"PeriodicalIF":1.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145977025","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":"Association between pediatric simulation-based education and anxiety, stress, self-confidence in learning, and satisfaction in master nursing students","authors":"M.ª Ángeles Saz-Roy PhD, PNP, RN, MSc ,&nbsp;Núria Herranz-Rubia PNP, RN, MSc ,&nbsp;Marta Tamame-San Antonio PNP, RN, MSc ,&nbsp;Elvira García-Carulla PNP, RN ,&nbsp;Miguel Ángel Hidalgo-Blanco PhD, RN, MSc ,&nbsp;José Antonio Sarria-Guerrero PhD, RN, MSc ,&nbsp;Esther Crespo-Mirasol PhD, RN, MSc ,&nbsp;Alejandro Bosch-Alcaraz PhD, PNP, RN, MSc","doi":"10.1016/j.enfi.2025.500566","DOIUrl":"10.1016/j.enfi.2025.500566","url":null,"abstract":"<div><h3>Aim</h3><div>To analyze the relationship between high-fidelity clinical simulation and levels of anxiety, stress and self-perceived competence in masters level nursing students.</div></div><div><h3>Methods</h3><div>We conducted a quasi-experimental pre–post study from June 2021 to December 2022 at the Faculty of Nursing. 190 Masters students took part in the study. Students were alphabetically divided into four sections of about 20 students and these sections were in turn divided into subgroups of three to four people. Seven clinical scenarios were designed, coinciding with frequent problems in critically ill children and each group of students was assigned one of them. Before and after resolving clinical scenarios students assessed their level of anxiety using the State-Trait Anxiety Inventory (STAI), the Self-Confidence in Learning Scale (SCLS), stress and the Nursing Student Satisfaction.</div></div><div><h3>Results</h3><div>The overall median score for anxiety was 8 (5–10) pre-CS versus 5 (3–7) post-CS, with a statistically significant relationship (<em>p</em> <!-->&lt;<!--> <!-->0.001). As for stress, we observed scores of 3.0 (2–4) points pre-CS vs. 2.0 (1–3) post-CS, also with statistical significance (<em>p</em> <!-->&lt;<!--> <!-->0.001). An overall self-confidence in learning score of 25.0 (22–28) points was obtained. Previous experience in CS was independently related to a lower level of stress after performing the CS, and the older the age, the higher the level of self-confidence in learning.</div></div><div><h3>Conclusion</h3><div>When designing scenarios that focus on the attention of critically ill pediatric patients, professionals should consider the relevant sociodemographic and professional variables in order to reduce anxiety and stress.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500566"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917880","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":"Cultura organizacional y seguridad del paciente en cuidados intensivos","authors":"Judith Guerra-Turco RN ,&nbsp;Esther Chávez-Cachay RN ,&nbsp;Esther Isabel Camacho-Palomino RN ,&nbsp;Joel Almonte-Burgos RN ,&nbsp;Emilio Flores-Mamani RN","doi":"10.1016/j.enfi.2025.500565","DOIUrl":"10.1016/j.enfi.2025.500565","url":null,"abstract":"<div><h3>Objective</h3><div>Establish the relationship between organizational culture and patient safety in nursing in Intensive Care of a Health Institute.</div></div><div><h3>Method</h3><div>Quantitative, non-experimental, cross-sectional and correlational study, carried out with 96 healthcare nurses from a Health Institute in Lima, Peru. The survey technique and two questionnaires were used, one created by Nizama (2012) and validated by the Health Ministry; the other prepared by the Agency for Healthcare Research and Quality (AHRQ), using the version adapted to Spanish by Alvarado (2014). The results were processed by SPSS version 25, presented in statistical tables. The relationship between the variables was established with Spearman's Rho test (<em>P</em>&lt;.001).</div></div><div><h3>Results</h3><div>A moderate level of the dimensions of the organizational culture and patient safety variables is shown; a significant relationship between the dimensions visible artifacts, business environment, communication system, management system, belief value system, and patient safety, with a Spearman's Rho value equal to 0.682, 0.659, 0.650, 0.602 and 0.665 (<em>P</em>&lt;.001), respectively. The relationship between organizational culture and patient safety had a Spearman's Rho value of 0.752 (<em>P</em>&lt;.001).</div></div><div><h3>Conclusion</h3><div>There is a significant relationship between organizational culture and patient safety, with a moderate level predominating in its dimensions, especially visible artifacts, the communication system and the system of values and beliefs</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500565"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157226","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":"Advanced Cardiovascular Life Support simulated practice in nursing: A prospective cohort study","authors":"Sónia Ferreira-Sousa RN ,&nbsp;Ana Silva-Poeira PhD ,&nbsp;Guida Silva-Amaral PhD","doi":"10.1016/j.enfi.2025.500567","DOIUrl":"10.1016/j.enfi.2025.500567","url":null,"abstract":"<div><h3>Background</h3><div>Simulation is a pedagogical methodology that promotes the development of technical, scientific, communicational, relational, and leadership skills without compromising people's safety. This study aimed to analyze the association between Advanced Cardiovascular Life Support simulation practice and Internal Medical Emergency Teams nurses’ self-perceived competence and assess changes in their self-perception before, immediately after, and three months post-training.</div></div><div><h3>Methods</h3><div>A prospective cohort study with intervention, consisting of Advanced Cardiovascular Life Support simulation practice and assessment, was carried out before the course, immediately after the course, and three months after the course regarding self-perception of nurse's skills. The sample consists of 26 nurses. The simulation practices were conducted in teams of 4–6 nurses per instructor, and nurses were randomly assigned to the simulated practice teams.</div></div><div><h3>Results</h3><div>Non-parametric analysis was carried out using the Wilcoxon test. Significance was measured. There was a trend of improvement in Advanced Cardiovascular Life Support skills perception, particularly immediately after the course and continued over time. The simulation training was effective and essential to improve the professionals’ skills and perception of their performance, and it lasted for three months to improve the professionals’ skills and performance perceptions.</div></div><div><h3>Conclusions</h3><div>Self-perception skills seem to influence comfort and confidence in acting, and it is possible to affirm that simulated practices contributed to improving nurse's self-assessment of their ability to act.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500567"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913357","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}