Enfermeria Intensiva最新文献

{"title":"Bacteriemia asociada a catéter venoso central en el paciente crítico: epidemiología y factores de riesgo","authors":"Esther Mancheño-Maciá PhD ,&nbsp;Beatriz Muñoz-Sánchez RN ,&nbsp;Inés González-Sánchez PhD ,&nbsp;Marina Leal-Clavel RN MsN ,&nbsp;Vanesa Escudero-Ortiz PhD","doi":"10.1016/j.enfi.2025.500538","DOIUrl":"10.1016/j.enfi.2025.500538","url":null,"abstract":"<div><h3>Introduction</h3><div>Central venous catheter-related bacteremia is a common nosocomial infection in intensive care units (ICU), the prevalence is worrying. In recent years, due to Covid-19, the number of central venous catether's patients, treated with immunosuppressive drugs, has been increased. Our objective was to determine the prevalence of central catheter bacteremia in ICU, during 2022, as well as to determine associated risk factors.</div></div><div><h3>Method</h3><div>Descriptive cross-sectional study in ICU of hospita (HGU Dr. Balmis Hospital Alicante, Spain). Were included 466 patients admitted to ICU in 2022. Sociodemographic, clinical, catheter-related data and APACHE-II and q-SOFA scale scores were collected.</div></div><div><h3>Results</h3><div>The prevalence of bacteriemia was 3.65%. Significant factors associated with bacteriemia were the number of catheters inserted in each patient (p<!--> <!-->&lt;<!--> <!-->0.001) and the use of immunosuppressive drugs (p<!--> <!-->=<!--> <!-->0.002). Patients who had a peripherally inserted catheter (PICC) had a lower probability of develop bacteriemia and patients with conventional catheter and PICC had a higher probability. The rest of the variables, including Covid-19, without significant differences.</div></div><div><h3>Discussion and conclusions</h3><div>In line with other authors, we can affirm that the administration of immunosuppressive drugs is a risk factor of central venous catheter-related bacteremia; A correct risk-benefit assessment is recommended when prescribing these drugs, in Covid's patients the biological drug tocilizumab could be the recommended one. An increase by one unit in the number of catheters inserted causes a 5-fold increase in probability of developing bacteremia (Odds ratio: 4.984, 95% confidence interval 2.984-9.136). Covid-19, sex, age, comorbidities and q-SOFA and APACHE-II scores do not seem to show a relationship whith bacteremia and PICCs devices do seem to be safer <em>versus</em> conventional CVCs.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500538"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777260","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":"Infarto de miocardio alérgico por picadura de abeja","authors":"Beatriz Gómez-Martín RN, MSN","doi":"10.1016/j.enfi.2025.500550","DOIUrl":"10.1016/j.enfi.2025.500550","url":null,"abstract":"<div><h3>Introduction and case presentation</h3><div>Kounis Syndrome is the association of acute coronary syndrome (ACS) in the context of a hypersensitivity reaction whose prevalence is difficult to identify and its etiology is multifactorial, which makes its early detection difficult. The unusual case of a woman who suffers an acute myocardial infarction (AMI) with cardiorespiratory arrest (CPA) secondary to the accidental sting of a bee is presented. The objective is, regarding the case, to define the nursing interventions and the individualized care plan.</div></div><div><h3>Assessment</h3><div>Based on Virginia Henderson's care model, the assessment of the nursing care process was carried out.</div></div><div><h3>Diagnosis and planning</h3><div>According to the NANDA taxonomy, the nursing diagnoses and potential problems that developed during their stay in the unit were described. Standardized language was used establishing NOC objectives and NIC interventions.</div></div><div><h3>Discussion and conclusions</h3><div>The combination of both pathologies in a single entity can make the management of this syndrome in the acute phase difficult, which modifies the conventional scenario of a CPA. Defining a standardized care plan is a fundamental axis to provide optimal quality of care based on evidence in the absence of standardized algorithms in the literature.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500550"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143902603","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 el uso de la tabla de parada cardiaca y la calidad de las compresiones torácicas","authors":"Ana María Ezquerra-García RN ,&nbsp;María de la O. Casamayor-Lerena RN","doi":"10.1016/j.enfi.2025.500542","DOIUrl":"10.1016/j.enfi.2025.500542","url":null,"abstract":"<div><div>The effectiveness of the backboard in cardiopulmonary resuscitation has not been established although it is recommended to perform compressions on a firm surface.</div></div><div><h3>Objectives</h3><div>To determine the relationship between the use of the backboard and the depth of chest compressions. To know the preference of rescuers when performing chest compressions without or with backboard.</div></div><div><h3>Methodology</h3><div>Single-blind, experimental study with paired data. All staff of healthcare workers in the Intensive Care Unit performed 2<!--> <!-->one-minute simulations of uninterrupted chest compressions, one without and one with a backboard. The quality of the chest compressions was valued: Rate, depth, complete chest release and compression, performed with and without backboard. The placement of the backboard was simply randomized at the first measurement. The subjects were unaware of the difference between the 2<!--> <!-->scenarios. Participation was voluntary. Two analyzes were performed with paired Student's t-test: one analyzing the order of measurement and the other in relation to the presence or absence of the backboard.</div></div><div><h3>Results</h3><div>Seventy-one workers (87.6%) of the staff participated. The presence of the backboard was associated with an increase in the average depth (47.99<!--> <!-->mm vs. 48.99<!--> <!-->mm, P<!--> <!-->=<!--> <!-->0.008 and the percentage of compression<!--> <!-->&gt; 50<!--> <!-->mm (63.65 vs. 76.17, P<!--> <!-->=<!--> <!-->0.002. When analyzing the simulation order, an increase in the frequency of chest compressions was observed in the second measurement (131.14 vs. 135.03, P<!--> <!-->=<!--> <!-->0.009). Participants had no preference between the 2<!--> <!-->simulations (P<!--> <!-->=<!--> <!-->0.749).</div></div><div><h3>Conclusions</h3><div>The backboard as a hard plane increases the mean depth and percentage of chest compression during cardiopulmonary resuscitation on hospital mattress without affecting complete chest release or rate. The rescuers do not perceive the presence of the backboard, and there is not preference in its execution without or with a backboard.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500542"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143777261","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":"Enfermeras de unidades de cuidados intensivos y formación en donación y trasplantes a adolescentes. Revisión de alcance","authors":"Meritxell Comas-Carrillo RN, MSN, PhDc ,&nbsp;Ignacio Zaragoza-García RN, MSN, PhD ,&nbsp;Concepción Campos-Asensio BPharm, MLS ,&nbsp;Marta Raurell-Torredà RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500532","DOIUrl":"10.1016/j.enfi.2025.500532","url":null,"abstract":"<div><h3>Background</h3><div>The attitude and practice of intensive care unit nurses are crucial for organ donation and transplantation (OTD), for the time and communication they share with family members. Therefore, they can be excellent educators of adolescents, contributing to encourage the authorization of donation among those who represent the future of the community.</div></div><div><h3>Objective</h3><div>To describe teaching methodologies in DTO for adolescents and analyze their influence on attitudes, beliefs, knowledge and predisposition towards donation.</div></div><div><h3>Methods</h3><div>Scoping review using Medline, Cochrane Library, Embase, CINAHL, and ERIC, between January 2022 and June 2023. No time or language limits were applied. Two independent investigators reviewed titles, abstracts, and full text according to inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>We analyzed 829 abstracts from databases and 50 from citation searches, gray literature and the National Transplant Organization website. A total of 16 articles were selected. The pre-intervention educational knowledge questionnaires showed no significant differences between groups in terms of knowledge and opinions on OTD, but post-intervention, different authors agreed on an improvement in knowledge, linked to less rejection of OTD and promoting a favorable attitude towards donation. None of the experts who gave the training were ICU nurses; only one was a transplant coordinator, but she did not indicate a care unit. In the interventions that had used some technological support (video, presentation, web, etc.), the results seem more favorable compared to traditional educational programs (50 vs. 14%).</div></div><div><h3>Conclusions</h3><div>Fifteen teaching programmes have been found to have favourable results on attitudes, beliefs, knowledge and willingness to donate. However, no validated instrument was used to measure these changes. The use of technology is related to better outcomes. No ICU nurses have been identified as trainers.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500532"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529489","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":"Consideraciones ético-legales y recomendaciones de actuación en el uso de contenciones mecánicas en pacientes críticos","authors":"M. Acevedo-Nuevo RN, MsC, PhD ,&nbsp;T. Velasco-Sanz RN, MsC, PhD ,&nbsp;B. Del Olmo-Somolinos RN, MsC ,&nbsp;G. Via-Clavero RN, MsC, PhD","doi":"10.1016/j.enfi.2024.05.002","DOIUrl":"10.1016/j.enfi.2024.05.002","url":null,"abstract":"<div><div>Physical restraint use is a common practice in Intensive Care Units. However, despite this high prevalence, it is a practice full of adverse effects, with uncertain effectiveness in preventing self-removal devices and that raises numerous ethical conflicts. Current recommendations suggest restraints should be a last resort measure, they should not be prolonged beyond what is strictly necessary and that they should only be used if, in the interprofessional assessment of benefits-risks for the patient, benefits greatly outweigh harms. This manuscript aims to serve as a guide for decision-making from an ethical perspective on the use or non-use of physical restraints in critically ill patients. Likewise, a review of the legal and deontological framework that governs restraint use in our country is proposed. Finally, recommendations for practice are offered, both for healthcare professionals and healthcare managers, upon the construction of restraints-free Intensive Care Units and good practices in the exceptional cases they are necessary.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 100497"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403046","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 asociados a la readmisión temprana en Unidades de Cuidados Intensivos: una revisión sistemática","authors":"V. Badilla-Morales RN, MSN ,&nbsp;R.M.C. Sousa RN, PhD ,&nbsp;V. Nasabun-Flores RN, MSc ,&nbsp;C. González-Nahuelquin RN, MSN","doi":"10.1016/j.enfi.2024.05.003","DOIUrl":"10.1016/j.enfi.2024.05.003","url":null,"abstract":"<div><h3>Introduction</h3><div>Readmission to the Intensive Care Unit (ICU) determines worse outcomes such as higher mortality, increased hospital and ICU stay, as well as higher economic costs. When deciding which patient is suitable for transfer from the ICU, factors associated with readmission must be considered to avoid it. Knowledge of these factors helps professionals identify those patients with a higher probability of readmission, prioritizing their care, establishing and preparing interventions that seek to reduce the risk of readmission.</div></div><div><h3>Objective</h3><div>Determine factors associated with early readmission in patients transferred from the ICU to general hospitalization wards of the same hospital.</div></div><div><h3>Method</h3><div>Studies were retrieved from databases: CINAHL, EMBASE, BVS, PubMed, SCOPUS and WOS identifying original studies on adult patients readmitted early to the ICU during the same hospitalization, in any language and without time limit. Studies of patient readmission after seven days, review articles, editorials, protocols, clinical guidelines, qualitative studies and opinion surveys were excluded.</div></div><div><h3>Results</h3><div>Of 755 files found, 28 articles made up the review. The most analyzed factors were age, sex, severity of the disease, comorbidity, length of stay in the ICU, mechanical ventilation and nocturnal discharge. Those most frequently associated with readmission were age, severity of illness, comorbidity, and length of ICU stay. NEWS, MEWS, and SWIFT scores were also factors associated with readmission.</div></div><div><h3>Conclusion</h3><div>More research is needed to identify those modifiable factors that can decrease readmission rates. Using readmission prediction instruments at the time of discharge could support the decision of which patient is most prepared for it.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 100498"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143403045","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":"Desarrollo y validación psicométrica de la Escala de Conductas Indicadoras de Dolor-Daño Cerebral (ESCID-DC) para la evaluación del dolor en pacientes críticos con daño cerebral adquirido, incapaces de autoinformar y con vía aérea artificial","authors":"Candelas López-López RN, MSc, PhD ,&nbsp;Gemma Robleda-Font RN, MSc, PhD ,&nbsp;Antonio Arranz-Esteban RN ,&nbsp;Teresa Pérez-Pérez PhD ,&nbsp;Montserrat Solís-Muñoz RN, MSc, PhD ,&nbsp;María Carmen Sarabia-Cobo RN, MSc, PhD ,&nbsp;María Jesús Frade-Mera RN, MSc, PhD ,&nbsp;Susana Temprano-Vázquez MD ,&nbsp;Francisco Paredes-Garza RN, MSc, PhDcandidate ,&nbsp;Aaron Castanera-Duro RN, MSc, PhD ,&nbsp;Mónica Bragado-León RN ,&nbsp;Emilia Romero de-San-Pío RN, MSc ,&nbsp;Isabel Gil-Saaf RN ,&nbsp;David Alonso-Crespo RN, MSc, PhDcandidate ,&nbsp;Carolina Rojas-Ballines RN ,&nbsp;Ignacio Latorre-Marco RN ,&nbsp;Grupo ESCID-DC","doi":"10.1016/j.enfi.2025.500523","DOIUrl":"10.1016/j.enfi.2025.500523","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to develop and validate the adaptation of the behavioral indicators of pain scale (ESCID) for patients with acquired brain injury (ESCID-DC), unable to self-report and with artificial airway.</div></div><div><h3>Methods</h3><div>Multicenter study conducted in two phases: scale development and evaluation of psychometric properties. Two blinded observers simultaneously assessed pain behaviors with two scales: ESCID-DC and Nociception Coma Scale-Revised version-adapted for Intubated patients (NCS-R-I). Assessments were performed at 3 time points: 5<!--> <!-->minutes before, during and 15<!--> <!-->minutes after the application of the painfull procedures (tracheal suction and application of pressure to the right and left nail bed) and a non-painful procedure (rubbing with gauze). On the day of measurement, the Glasgow Coma Score (GCS) and the Richmond Agitation Sedation Scale (RASS) were evaluated. A descriptive and psychometric analysis was performed.</div></div><div><h3>Results</h3><div>A total of 4,152 pain evaluations were performed in 346 patients, 70% men with a mean age of 56<!--> <!-->years (SD<!--> <!-->=<!--> <!-->16.4). The most frequent etiologies of brain damage were vascular 155 (44.8%) and traumatic 144 (41.6%). The median GCS and RASS on the day of evaluation were 8.50 (IQR<!--> <!-->=<!--> <!-->7 to 9) and −2 (RIQ<!--> <!-->=<!--> <!-->−3 to −2) respectively. In ESCID-DC the median score was 6 (IQR<!--> <!-->=<!--> <!-->4 to 7) during suction, 3 (RIQ<!--> <!-->=<!--> <!-->1 to 4) for right pressure and 3 (RIQ<!--> <!-->=<!--> <!-->1 to 5) for left pressure. During the non-painful procedure it was 0. The ESCID-DC showed a high discrimination capacity between painful and non-painful procedures (AUC<!--> <!-->&gt;<!--> <!-->0.83) and is sensitive to change depending on the time of application of the scale. High interobserver agreement (Kappa<!--> <!-->&gt;<!--> <!-->0.87), good internal consistency during procedures (α-Cronbach<!--> <!-->≥<!--> <!-->0.80) and a high correlation between the ESCID-DC and the NCS-R-I (r<!--> <!-->≥<!--> <!-->0.75) were obtained.</div></div><div><h3>Conclusions</h3><div>The results of this study demonstrate that the ESCID-DC is a valid and reliable tool for assessing pain in patients with acquired brain injury, unable to self-report and with artificial airway.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500523"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Manejo del paciente crítico con sedación difícil: actualización y estrategias clínicas","authors":"Diana Gil-Castillejos RN, MSN, PhD ,&nbsp;Aaron Castanera-Duro RN, MSN, PhD ,&nbsp;Gemma Via-Clavero RN, MSN, PhD ,&nbsp;Alberto Sandiumenge-Camps MD, PhD","doi":"10.1016/j.enfi.2024.05.005","DOIUrl":"10.1016/j.enfi.2024.05.005","url":null,"abstract":"<div><div>One in every three critically ill patients who receive prolonged analgosedation may experience difficult sedation, negatively influencing their evolution and prognosis. Difficult sedation includes situations of therapeutic failure, tolerance or deprivation of analgesic and sedative drugs. Its origin is multifactorial and depends on the patient's characteristics, history of drug consumption, critical condition and the administration of drugs that alter the pharmacokinetics of the sedatives used. This update aims to describe the definition of difficult sedation, identify the group of critically ill sedated patients who can develop it, its etiology, and how it should be treated and managed. The difficulty in achieving an adequate level of sedation, increasing the dose of sedatives or adding new agents represents a challenge in daily practice in critical care units since it can increase the risks of toxicity and related complications. Prevention and early identification of difficult sedation situations are essential strategies to minimize their impact; hence nurses’ autonomy in the management of analgosedation represents a primary intervention.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 100500"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444954","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":"Intervención interprofesional en la prevención de PICS y PICS-F","authors":"Beatriz Lobo-Valbuena MD, PhD, MBE ,&nbsp;María Dolores Sánchez-Roca RN ,&nbsp;María Pilar Regalón-Martín RN ,&nbsp;Julia Torres-Morales RN ,&nbsp;Victoria Enciso-Calderón MD","doi":"10.1016/j.enfi.2025.500528","DOIUrl":"10.1016/j.enfi.2025.500528","url":null,"abstract":"<div><div>The follow-up of the critically ill patient at discharge is an essential process to ensure continuity of care and prevent complications after the stay in an intensive care unit (ICU). The nurse's role as coordinator of this follow-up is crucial because of her experience in managing complex care and her ability to act as a liaison between the patient, her family and the interprofessional health care team. The article highlights that the transition of the critically ill patient from the ICU to other inpatient units or home represents a vulnerable period, where the risk of readmission and complications is high. The nurse plays a central role in planning and executing a comprehensive discharge plan, which includes educating the patient and family about continuing care, communicating with other healthcare professionals, and recognising warning signs that require immediate medical attention. In addition, she addresses the emotional and psychological needs of the patient and family, providing support and resources to adjust to life post-ICU. The nurse acts as an advocate for the patient, ensuring that person-centred care is maintained, respecting the patient's preferences and values.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500528"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509042","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":"Satisfacción laboral e intención de abandono de la unidad de cuidados intensivos de las enfermeras","authors":"Marta Santana-Martín RN ,&nbsp;José Manuel López-Álvarez MD, PhD ,&nbsp;Yeray Gabriel Santana-Padilla RN, MSN, PhD ,&nbsp;Luciano Santana-Cabrera MD, PhD ,&nbsp;Borja Nicolás Santana-López RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500537","DOIUrl":"10.1016/j.enfi.2025.500537","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurse turnover increases the shortfall in coverage of different health services. Research studies have found high quitting intention rates related to low levels of job satisfaction among nurses in different areas, including intensive care units (ICU). The aim of this study was to compare the level of job satisfaction of ICU nurses according to the population of critically ill patients they care for (paediatric vs. adult) and their intention to leave the ICU.</div></div><div><h3>Method</h3><div>A cross-sectional descriptive study in which nurses from public ICUs on the island of Gran Canaria, 2 adult units and one paediatric unit, participated. An electronic questionnaire was sent out, which included questions on socio-demographic and occupational variables, the validated Font Roja job satisfaction survey and a final question on the participant's own intention to leave. Comparative analysis was performed using Chi-square for qualitative variables and Mann-Whitney U for quantitative variables.</div></div><div><h3>Results</h3><div>A total of 152 nurses were recruited, 55.9% of whom expressed their intention to leave the ICU. Although both types of units had a higher number of nurses who wanted to leave the ICU, there was a higher proportion in the paediatric ICU who had this intention in the short period of time (30.4 vs. 7.0%) (χ² <!-->=<!--> <!-->11.691; p<!--> <!-->=<!--> <!-->0.003). Job satisfaction was generally good (3.37/5), being lower among those who did intend to leave (3.97 vs. 2.91; p<!--> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>There is a high intention to leave among the professionals consulted. Paediatric ICU nurses had the highest intention to leave the ICU in the short term (&lt;<!--> <!-->6 months). An inverse relationship was found between intention to leave and job satisfaction.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500537"},"PeriodicalIF":1.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680621","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}