Enfermeria Intensiva最新文献

{"title":"Nurses’ perceptions of pain management in non-communicative critically ill patients: A phenomenological study","authors":"Gemma Robleda RN, MSc, PhD ,&nbsp;Marta Benet PT, MPH, PhD ,&nbsp;Helena Cebrià-Fondevila MD ,&nbsp;Xavier Robleda-Font BA, MSc ,&nbsp;Olga Canet-Vélez RN, MSc, PhD ,&nbsp;Josep-Eladi Baños MD, PhD","doi":"10.1016/j.enfi.2025.500560","DOIUrl":"10.1016/j.enfi.2025.500560","url":null,"abstract":"<div><h3>Background</h3><div>Despite ethical principles and standards of care aiming to ensure proper pain management, inadequate pain treatment is common.</div></div><div><h3>Aim</h3><div>To explore ICU nurses’ beliefs, attitudes, and ethical perspectives regarding pain management in non-communicative critically ill patients, focusing on applying the bioethical principles of beneficence, non-maleficence, autonomy, and justice.</div></div><div><h3>Methods</h3><div>This qualitative study used descriptive phenomenology. We conducted semi-structured interviews with 11 nurses with ≥3 years’ ICU experience selected through purposive sampling. Thematic and content elements were combined for the analysis. Our hospital's ethics committee approved the study, and all participants provided written informed consent.</div></div><div><h3>Findings</h3><div>Nurses’ beliefs, attitudes, and ethical perspectives regarding pain management in non-communicative patients into 15 categories. Inequities in managing communicative and non-communicative patients arose mainly from professionals’ inadequate sensitivity, challenges of managing non-communicative patients, and personal beliefs. Nurses reported significant ethical dilemmas in managing pain of non-communicative patients, highlighting challenges in adequately applying principles of beneficence, non-maleficence, and justice. Findings indicate pain is often under-assessed and undertreated, partly due to misconceptions, high workload, and variability in pain assessment tools. Participants also expressed autonomy is frequently overlooked, as decisions are often made without patient or family input. Institutional factors like insufficient time and heavy workload, were identified as barriers to equitable pain management, limiting the consistent application of bioethical principles.</div></div><div><h3>Conclusions</h3><div>Results underscore the need for standardized ICU pain assessment protocols incorporating validated non-verbal tools, alongside ongoing ethical decision-making training and pain management. Better institutional support, including clearer guidelines and improved resource allocation, could help ICU nurses deliver more consistent, ethical, and patient-centered care, addressing bioethical principles of justice, beneficence, non-maleficence, and autonomy.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500560"},"PeriodicalIF":1.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536049","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 skills in therapeutic plasmapheresis in intensive care: A scoping review","authors":"Pedro Ramos-Figueiras MSc ,&nbsp;Maria Pinto-Marques PhD ,&nbsp;Margarida Palma-Goes PhD ,&nbsp;Henrique Oliveira PhD","doi":"10.1016/j.enfi.2025.500556","DOIUrl":"10.1016/j.enfi.2025.500556","url":null,"abstract":"<div><h3>Background</h3><div>Therapeutic plasmapheresis is a procedure primarily focused on modulating the immune system by removing specific antibodies and albumin-bound toxins implicated in the development of serious pathologies, and it is being used more frequently in intensive care units. In this therapeutic intervention, nursing teams mostly use the knowledge and skills acquired through experience with continuous dialysis techniques. However, the procedure is complex and advanced, requiring the development of specific skills.</div></div><div><h3>Aim</h3><div>To map the nursing interventions that facilitate the development of specific clinical skills for therapeutic plasmapheresis.</div></div><div><h3>Methodology</h3><div>The methodology adopted was based on a scoping review. The Population, Concept, Context methodology was used to formulate the review question and to select the articles. The search was carried out in the scientific databases CINAHL, MEDLINE, COCHRANE, Virtual Health Library and international journals specializing in apheresis techniques knowledge, with the inclusion criteria “nursing care”, “peer-reviewed articles” and the exclusion criteria “no full text” and “date less than 2017” applied. In addition, the most recent international guidelines on therapeutic plasmapheresis were included.</div></div><div><h3>Results</h3><div>A total of 11 articles were identified, of which 7 are textual evidence articles, based on expert opinions and database searches, and 4 are quantitative studies; in addition to 5 guidelines related to the subject under analysis. These reflect the importance of developing skills in therapeutic plasmapheresis, categorized into general, technical, management and communication domains. Nursing interventions are based on the principle of clinical reasoning, promoting evidence-based practice. The relevance of certifying these skills through training is also highlighted, emphasizing the need for structured programs for an adequate approach to highly complex therapeutic interventions.</div></div><div><h3>Conclusion</h3><div>Therapeutic plasmapheresis plays an essential role in intensive care settings, covering various clinical scenarios, which requires an individualized approach and careful consideration of the person's specific clinical condition.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500556"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322397","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":"Eficacia del acompañamiento familiar y de medidas ambientales para reducir la incidencia de delirio en una unidad de agudos cardiovasculares: un estudio cuasi-experimental. Reducir el delirio sin fármacos es posible, es mejor","authors":"Luis Guerra-Sánchez PhD ,&nbsp;Sara González-Alfonso RN ,&nbsp;Pablo Lerma-Lara RN ,&nbsp;Miguel Bernardino-Santos RN ,&nbsp;Rosario Cortijo-González RN ,&nbsp;Soraya Bustamante-González RN","doi":"10.1016/j.enfi.2025.500546","DOIUrl":"10.1016/j.enfi.2025.500546","url":null,"abstract":"<div><h3>Introduction</h3><div>The occurrence of delirium casts a shadow over the prognosis of patients, especially the critically ill. Prevention and treatment of delirium is more effective and with fewer adverse effects with multicomponent interventions than with pharmacological measures alone. The objective was to assess whether a non-pharmacological care-related intervention can reduce the incidence of delirium in an acute cardiovascular care unit.</div></div><div><h3>Methods</h3><div>Quasi-experimental study (before/after). ‘Before’: From November 2018 to March 2019, 190 patients aged 18 years and older, admitted to an acute cardiovascular care unit, were assessed using the Confusion Assessment Method for the ICU. From April to November 2019, a series of actions related to the physical environment and accompaniment were implemented. The ‘after’ started in November 2019 and 189 patients were assessed until early March 2020.</div></div><div><h3>Results</h3><div>The incidence of delirium before introducing the actions was 11,6%, which fell to 4,2% (p<!--> <!-->=<!--> <!-->0,012) after the actions.</div></div><div><h3>Discussion</h3><div>Management of delirium includes effective diagnosis, delirium prevention activities and treatment, which ideally should be free of side effects.</div></div><div><h3>Conclusions</h3><div>The implementation of a bundle of measures related to environmental changes and involving the family, significantly reduced the incidence of delirium, to less than half.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500546"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777259","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":"Impacto de la vacunación frente al COVID-19 en los costos hospitalarios en los enfermos ingresados en una unidad de cuidados intensivos durante la cuarta, quinta y sexta oleada de la pandemia","authors":"Alejandro González-Castro MD, pHD ,&nbsp;David Iglesias MD ,&nbsp;Yhivian Peñasco MD, pHD ,&nbsp;Carmen Huertas Marín MD ,&nbsp;Elena Cuenca-Fito MD ,&nbsp;Trinidad Dierssen-Soto MD, pHD ,&nbsp;Reinhard Wallmann MD ,&nbsp;Raquel Ferrero-Franco RN ,&nbsp;Camilo González MD ,&nbsp;Juan Carlos Rodríguez-Borregán MD","doi":"10.1016/j.enfi.2025.500551","DOIUrl":"10.1016/j.enfi.2025.500551","url":null,"abstract":"<div><h3>Background and objective</h3><div>COVID-19 vaccination may alter the course of severe disease and influence hospital discharge costs. This study compares hospital discharge costs among ICU-admitted COVID-19 patients based on vaccination status, adjusted for All Patient Refined Diagnosis Related Groups (APR-DRG) and severity.</div></div><div><h3>Patients and methods</h3><div>A retrospective study (March 2020-March 2022) was conducted in an ICU, categorizing patients into three groups: unvaccinated, fully vaccinated, and partially vaccinated. Full vaccination included all required doses and boosters per the vaccination schedule. Disease severity was classified as mild, moderate, severe, and critical. Direct hospital costs, including ICU stay, medical procedures, medications, and life support, were analyzed using data from Order SAN/35/2017, adjusted for inflation. Chi-square and Kruskal-Wallis tests with Bonferroni correction were used for comparisons.</div></div><div><h3>Results</h3><div>A total of 456 patients were included: 262 (57%) unvaccinated, 32 (7%) partially vaccinated, and 162 (35%) fully vaccinated. Median costs were:<ul><li><span>•</span><span><div>Unvaccinated: €10,653 (IQR: €6,160-€18,274)</div></span></li><li><span>•</span><span><div>Partially vaccinated: €17,360 (IQR: €5,061-€26,085)</div></span></li><li><span>•</span><span><div>Fully vaccinated: €10,653 (IQR: €6,160-€26,085)</div></span></li></ul></div><div>Cost differences were not statistically significant (<em>P</em>=.28). Critical severity patients had the highest costs, while mild cases had the lowest (<em>P</em>&lt;.05). No significant cost differences were found within each severity level or in APR-DRG relative weight (<em>P</em>=.38).</div></div><div><h3>Conclusions</h3><div>No significant differences in hospital discharge costs by APR-DRG were found based on vaccination status. However, vaccination may reduce disease severity and the need for intensive resources, with potential economic and clinical implications for future research.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500551"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144105769","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":"Validez y sensibilidad al cambio de la Clinical Frailty Scale-España en pacientes ingresados en cuidados intensivos","authors":"Susana Arias-Rivera RN, MSN ,&nbsp;Marta Raurell-Torredà RN, PhD ,&nbsp;María Nieves Moro-Tejedor RN, PhD ,&nbsp;Israel John Thuissard-Vasallo PhD ,&nbsp;Cristina Andreu-Vázquez MVD, MsC, PhD ,&nbsp;Fernando Frutos-Vivar MD, PhD ,&nbsp;grupo CFS-Es-UCI","doi":"10.1016/j.enfi.2025.500558","DOIUrl":"10.1016/j.enfi.2025.500558","url":null,"abstract":"<div><h3>Introduction</h3><div>Frailty scales, developed to assess elderly patients, are being implemented in critically ill patients. One of the most widely used is Clinical Frailty Scale, wrecently adapted to Spanish (CFS-Spain).</div></div><div><h3>Objective</h3><div>To evaluate the validity and sensitivity to change of the CFS-España in a cohort of critically ill patients aged ≥18 years.</div></div><div><h3>Methodology</h3><div>A prospective, multicenter, observational, metric-based study was conducted between January-2020 and July-2024. Adult patients with ICU stays<!--> <!-->&gt;48<!--> <!-->hours were included. Follow-up was performed during the stay and up to one year after discharge. Variables: frailty, sociodemographic characteristics, quality of life, comorbidities, severity (SAPS3), ICU outcome variables, length of stay, and discharge destination. Statistical analysis: exploratory, bivariate regression to assess the relationship between frailty and the recorded variables; multivariate regression of significant variables in bivariate. Spearman correlation of CFS-Spain with quantitative variables. Comparison of means with Student's t-test for sensitivity to change.</div></div><div><h3>Results</h3><div>A total of 493 patients were included, 17.4% of whom were frail (CFS-Spain<!--> <!-->=<!--> <!-->5-9). Age, being female, and being dependent increased the risk of frailty, as did previous hospitalizations, comorbidities, poorer physical quality of life, low academic level, and low annual income. Frailty predicts muscle weakness, hypoglycemia, the need for extrarenal blood pressure, invasive mechanical ventilation, vasoactive drugs, cardiopulmonary resuscitation, or limitation of life-sustaining treatment, and is associated with mortality. Frailty was not associated with mental quality of life, SAPS3, SOFA or ICU/hospital stay. The greatest change observed was between admission and 3 months after discharge. The effect size for changes in CFS-Es between admission, midpoints, and discharge was high (<em>d</em> <!-->=<!--> <!-->0.832).</div></div><div><h3>Conclusions</h3><div>The CFS-Spain shows good convergent validity with age, women, dependency, poorer physical quality of life, days of previous hospitalization, academic level and low annual income. Good predictive validity for the level of vital support in ICU, mortality and destination at hospital discharge.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500558"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330788","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":"Monitorización de intervenciones enfermeras nocturnas en las unidades de cuidados críticos pediátricos españolas","authors":"Alicia Gomez-Merino RN, MSc ,&nbsp;Patricia Luna-Castaño PhD, RN, MSc ,&nbsp;Marta Martín-Velasco RN ,&nbsp;Natalia González-Martínez RN, MSc ,&nbsp;Pedro Piqueras-Rodríguez RN, MSc ,&nbsp;Irina Marcos-Blázquez RN, MSc ,&nbsp;Sara Álvarez-Blanco RN ,&nbsp;Lucía Gutiérrez-Horrillo RN, MSc ,&nbsp;Elia Mas-Company RN ,&nbsp;Enara Otero-Arbella RN ,&nbsp;Elena Martín-Camacho RN, MSc ,&nbsp;María Teresa Arias-Latorre RN, MSc ,&nbsp;Sara Rodríguez-Flórez RN, MSc ,&nbsp;María de los Ángeles Morán-Barrio RN ,&nbsp;María Teresa Moreno-Casbas RN, PhD, FEAN, FAAN","doi":"10.1016/j.enfi.2025.500555","DOIUrl":"10.1016/j.enfi.2025.500555","url":null,"abstract":"<div><h3>Introduction</h3><div>The hostile environment in paediatric intensive care units (PICU) favours sleep-wake biorhythm dysregulation. Sleep disorders have detrimental impact on the immune, neurological and cardiovascular systems, in addition to increasing morbidity and mortality rates. Sleep plays a crucial role in brain development, rendering paediatric patients particularly vulnerable to the adverse effects of sleep disorders due to their ongoing neurological growth. The factors that affect rest include, among others, noise, lighting, treatment, and nocturnal nursing interventions, although the evidence for the latter is still scarce.</div></div><div><h3>Objective</h3><div>To identify the nocturnal nursing interventions, following the NIC taxonomy, carried out in PICU.</div></div><div><h3>Method</h3><div>A multicentre, cross-sectional, descriptive study was performed using an <em>ad hoc</em> survey to identify nocturnal nursing interventions in the PICU. The collected variables were characteristics of the participating PICU and those derived from the nursing interventions. During the analysis, mean and standard deviation of quantitative variables, and frequency tables and percentages were generated for qualitative variables. The variables were operationalized and Student's t-test and ANOVA were calculated for comparison between variables.</div></div><div><h3>Results</h3><div>One hundred records were obtained, encompassing 5017 interventions, with the most repeated intervention being “vital signs monitoring”. The mean number of different interventions identified was 23<!--> <!-->±<!--> <!-->7.66 and the mean frequency of these was 50.17<!--> <!-->±<!--> <!-->19.28. There were significant differences between the hospital variable and the number and frequency of interventions performed (p<!--> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Discussion</h3><div>We agreed with other studies in identifying “vital signs monitoring” as the most frequent intervention. “Improving sleep” was one of the most frequently reported, in contrast to other studies where interventions related to rest were not documented.</div></div><div><h3>Conclusions</h3><div>The most frequently performed interventions in the PICU were identified. In most of the registers some intervention on improving rest was identified, which could indicate the latent concern of the health care professionals for the sleep of the critical child.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500555"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144254741","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":"Estudio descriptivo sobre el afrontamiento de las enfermeras ante la muerte de un paciente pediátrico","authors":"Leire Legorburu-Brezmes RN","doi":"10.1016/j.enfi.2025.500547","DOIUrl":"10.1016/j.enfi.2025.500547","url":null,"abstract":"<div><h3>Introduction</h3><div>According to several studies, nurses feel that they are not prepared to face the death of a patient, especially when the patient is pediatric.</div></div><div><h3>Objective</h3><div>To describe the level of coping of nurses in various departments of a pediatric monographic hospital when faced with the death of a patient.</div></div><div><h3>Method</h3><div>A quantitative, descriptive, cross-sectional, observational, case series study was carried out from February to April 2024 with nurses from the Pediatric Palliative Care, the Pediatric Intensive Care Unit and the Pediatric Oncohematology Unit of a monographic pediatric hospital in the Community of Madrid. Several sociodemographic variables were determined and the Bugen Death Coping Scale was used as the main instrument, followed by a descriptive analysis of the data.</div></div><div><h3>Results</h3><div>In the present study, 69% had neutral coping with death, 19% had optimal coping and 11,9% had inadequate coping. It has been observed that nurses who work in Pediatric Palliative Care, have a fixed shift, have suffered the death of a family member in the last 3 years and have previous training, have a better coping with death. Likewise, it could be seen that older age and greater work experience, male sex and having children may be factors that favor optimal coping in the face of death.</div></div><div><h3>Conclusions</h3><div>Knowing these data helps to establish strategies for improvement, since it has been seen that greater preparation of professionals decreases anxiety in the face of death and improves patient care.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500547"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143747648","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":"Efecto de una intervención de musicoterapia en el estado de ánimo del enfermo crítico","authors":"M. del Mar Vega Castosa MSN,&nbsp;M. del Carmen Jover Sancho MSN, PhD,&nbsp;Joan Trujols Albet PhD","doi":"10.1016/j.enfi.2025.500549","DOIUrl":"10.1016/j.enfi.2025.500549","url":null,"abstract":"<div><h3>Introduction</h3><div>The critically ill patient is in a state of fragility, helplessness, and vulnerability that hinders the communication of their emotions and feelings. Music therapy could be a valid tool to improve mood. The main objective was to evaluate the effect on mood of an individualized music therapy intervention compared to standard care and analyze the impact on pain and hemodynamic variables.</div></div><div><h3>Methodology</h3><div>Randomized, parallel, and open clinical trial. Patients were randomized into the experimental group, receiving combined music therapy and standard care, or the control group, receiving standard care only. The study population consisted of patients admitted to the Intensive Care Unit with a Glasgow 15-11<!--> <!-->T score, excluding those with confusion, agitation, and significant cognitive deficits. The primary variable was mood, assessed using the Profile of Mood States questionnaire. Secondary variables included pain, heart rate, blood pressure, respiratory rate, and oxygen saturation.</div></div><div><h3>Results</h3><div>A total of 151 patients were included, randomly distributed into the experimental group (n<!--> <!-->=<!--> <!-->75) and the control group (n<!--> <!-->=<!--> <!-->76). Mood improvement was significant in all 6 subscales of the Profile of Mood States questionnaire, in the time effect between pre- and post-intervention assessment, and in the time effect by group interaction for Anger (p<!--> <!-->=<!--> <!-->0.020), Fatigue (p<!--> <!-->=<!--> <!-->0.002), Vigor (p<!--> <!-->=<!--> <!-->0.029), and Tension (p<!--> <!-->=<!--> <!-->0.042), indicating that the improvement was related to the music therapy intervention in the experimental group. Following the music therapy intervention, a decrease in pain (p<!--> <!-->=<!--> <!-->0.024) and heart rate (p<!--> <!-->=<!--> <!-->0.017) was observed in the time effect, and an increase in systolic blood pressure (p<!--> <!-->=<!--> <!-->0.004) was related to the music therapy intervention.</div></div><div><h3>Discussion</h3><div>This clinical trial demonstrates that music therapy, with a personalized music intervention, has a positive effect on the mood of critically ill patients. Further lines of research are needed to continue advancing scientific knowledge and develop news forms of assistance to improve mood.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500549"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838503","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":"The use of continuous glucose monitoring: A scoping review of accuracy, feasibility and nursing workload reduction in intensive care setting","authors":"Marc Pañero-Moreno RN, MSc ,&nbsp;Meritxell Muxella-Roson RN ,&nbsp;Gemma Dubè-Llobet RN ,&nbsp;Marta Cabrerizo-Jimenez RN ,&nbsp;Eva Maria Guix-Comellas RN, MSN, PhD ,&nbsp;Alberto Villamor-Ordozgoiti RN, MSN, PhD ,&nbsp;Natalia Marsà-Perez RN","doi":"10.1016/j.enfi.2025.500534","DOIUrl":"10.1016/j.enfi.2025.500534","url":null,"abstract":"<div><h3>Background</h3><div>Hyperglycemia is prevalent in intensive care units (ICUs), associated with increased mortality. Management involves frequent point-of-care glucose (POC-G), but continuous glucose monitoring (CGM) shows promise in improving glycemic control.</div></div><div><h3>Aims</h3><div>To explore the knowledge in the literature about the impact and accuracy of CGM in ICUs.</div></div><div><h3>Design</h3><div>A scoping review was conducted; PubMed, Web of Science, CINAHL, Scopus databases and Gray Literature covering the period from September 2018 to September 2024.</div></div><div><h3>Methods</h3><div>Data abstraction, quality appraisal, and narrative synthesis were carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.</div></div><div><h3>Results</h3><div>Of the 952 titles reviewed, 20 articles were included. Clinical outcomes were mean absolute relative difference (MARD), ranged from 9.3% to 20.6%. Additionally, there was a 30–71% reduction of POC-G measurements. Time in range (TIR) varied from 46.1% to 100%. Clarke Error Grid (CEG) analysis demonstrated that over 98% of the glucose values fell within zones A and B.</div></div><div><h3>Conclusions</h3><div>CGM in the ICU reduces nursing workload, enhances patient safety, and facilitates early intervention for abnormal glucose levels, demonstrating its feasibility, accuracy and effectiveness in critical care settings. Additional clinical trials are needed to validate these findings and establish optimal usage parameters.</div></div><div><h3>Relevance to clinical practice</h3><div>CGM came to stay in ICU. Therefore, it is crucial to start training critical care nurses in the use of CGM. This will enable us to maximize their benefits in terms of reducing nursing workload and enhancing patient safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500534"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843718","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 commentary on “Development of burnout and moral distress in intensive care nurses: An integrative literature review” (Salas-Bergüés et al., 2024)","authors":"Paula Samanta-Pereira RN ,&nbsp;Ana Carolina-Monteiro MSc ,&nbsp;Matilde Fernandes MSc","doi":"10.1016/j.enfi.2025.500559","DOIUrl":"10.1016/j.enfi.2025.500559","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500559"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536221","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}