Nursing in Critical Care最新文献

{"title":"Development and evaluation of a simulation-based early-mobility curriculum for paediatric intensive care nurses.","authors":"Jessica M LaRosa, Hallie Lenker, Razvan Azamfirei, Stephanie Morgenstern, Krista Hajnik, Colleen Mennie, Beth Wieczorek, Kristen M Brown, Nicole Shilkofski, Sapna R Kudchadkar","doi":"10.1111/nicc.13215","DOIUrl":"10.1111/nicc.13215","url":null,"abstract":"<p><strong>Background: </strong>Early mobility is one strategy to reduce the harm from immobility that children experience in the paediatric intensive care unit (PICU). Early-mobility programmes rely on nurses, who currently perceive insufficient training as a barrier to mobilizing critically ill children. Nurses have identified simulation as a strategy to improve implementation of early-mobility protocols.</p><p><strong>Aim: </strong>To use adult learning theory to develop an early-mobility simulation curriculum for nurses and to evaluate if the curriculum improves nursing self-efficacy, knowledge and skills in mobilizing critically ill children.</p><p><strong>Study design: </strong>Using a curriculum development framework, an interprofessional team created a simulation curriculum. The educational strategies included group simulations, debriefing sessions and didactic sessions. The curriculum evaluation was conducted as quality improvement initiative using a pre-post quasi-experimental design to evaluate nurses' mobility self-efficacy, knowledge and clinical skills.</p><p><strong>Results: </strong>Eleven PICU nurses participated in the simulation-based early mobility curriculum. Before participation in the curriculum, 73% of nurses felt fairly confident and no nurses felt confident mobilizing a PICU patient. After participation, 100% of nurses felt at least fairly confident mobilizing a PICU patient (p = .031). Knowledge scores improved from a median of 14 (IQR, 12-16) questions correct to 17 (IQR, 16-18) questions correct (p = .001). Nurses completed more required clinical tasks during the Observed Structured Clinical Examination, with improvement from a median of 15 items correct (IQR, 14-16) to 19 items correct (IQR, 15-20; p = .0037).</p><p><strong>Conclusions: </strong>Developing a simulation-based early-mobility curriculum for PICU nurses is feasible. Nurses who completed the curriculum had improved self-efficacy, knowledge and clinical skills in mobilizing critically ill children.</p><p><strong>Relevance to clinical practice: </strong>The findings of this study demonstrate that simulation is a potentially useful educational tool to teach nurses to safely and effectively mobilize critically ill children. The strategy should be evaluated further to determine if it impacts physical rehabilitation at the bedside.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e13215"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring ICU Nurses' Perceptions of Tele-ICU Practice: Opportunities, Challenges and Recommendations for Implementation in Saudi Arabia.","authors":"Ahmad Rajeh Saifan, Anas Ababneh, Mariam Kawafha, Mohammad Sameer Odeh, Hekmat Yousef Al-Akash, Osama A Al-Kouri, Nour Ali Alrida, Mohammad Abuadas","doi":"10.1111/nicc.70065","DOIUrl":"https://doi.org/10.1111/nicc.70065","url":null,"abstract":"<p><strong>Background: </strong>Tele-ICU has emerged as a vital component of modern health care, enabling remote monitoring and management of critically ill patients. Even though its use is expanding internationally, there are still issues with acceptance, infrastructure and training, especially in developing health care systems such as Saudi Arabia.</p><p><strong>Aim: </strong>This study explores intensive care unit (ICU) nurses' perceptions of Tele-ICU practice in Saudi Arabia, focusing on their qualifications, experiences and the challenges and opportunities of this evolving model of care.</p><p><strong>Study design: </strong>A qualitative exploratory design was used. Semi-structured interviews were conducted with 22 ICU nurses working in a prominent health care network in Saudi Arabia. Thematic analysis was performed to identify key themes and subthemes related to Tele-ICU nursing practice.</p><p><strong>Results: </strong>Participants highlighted several factors impacting Tele-ICU practice, including a lack of standardized training, technological challenges and financial constraints. Despite these challenges, many participants viewed Tele-ICU as a less physically demanding alternative to bedside ICU nursing. They emphasized the need for formal Tele-ICU certifications, improved technological infrastructure and organizational support. Concerns regarding role clarity, career progression and legal accountability were also noted.</p><p><strong>Conclusions: </strong>Nurses in Saudi Arabia demonstrated a variety of factors that could impact adopting Tele-ICU as a standard practice. Addressing gaps in training, infrastructure and policy could improve its adoption and sustainability, ultimately benefiting patient outcomes and nurse satisfaction.</p><p><strong>Relevance to clinical practice: </strong>Tele-ICU offers significant potential to enhance critical care delivery in Saudi Arabia.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70065"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of Music Therapy on Patients in the Critical Care Unit: A Qualitative Study.","authors":"Verónica Saldaña-Ortiz, Ana Recio-Rivas, José Miguel Mansilla-Domínguez, Esther Martínez-Miguel","doi":"10.1111/nicc.70099","DOIUrl":"10.1111/nicc.70099","url":null,"abstract":"<p><strong>Background: </strong>Music therapy is the use of music by a trained professional to help people improve their health, emotions or well-being. It can involve listening to music, playing instruments, singing or writing songs as part of therapy. In intensive care settings, music therapy plays a pivotal role in patient-centred care. This study delves into the experiences of critically ill patients, underscoring music's capacity to evoke emotions and transcend linguistic barriers. This study delves into music therapy as a promising intervention that alleviates stress, fosters emotional expression and enhances patients' quality of life.</p><p><strong>Aim: </strong>The aim of this study is to find out what the intensive care patient's experience is like during a music therapy session and their perception of its influence on their disease process and subsequent recovery.</p><p><strong>Study design: </strong>This study employed a descriptive qualitative approach. A qualified music therapist conducted a 20-min music therapy session with a sample of 14 patients in the Critical Care Unit. Data were collected through semi-structured interviews.</p><p><strong>Results: </strong>After analysis of the results, three main themes have emerged: (1) humanising and accompanying the critical care experience; (2) music therapy as a form of relaxation; and (3) relief and recovery through music therapy.</p><p><strong>Conclusions: </strong>Patients in the intensive care unit (ICU) often feel stressed, vulnerable and isolated from their everyday environment. Music therapy offers a temporary escape, providing comfort and emotional connection and helping to reduce stress and anxiety. This therapy can awaken memories and emotions, stimulating cognition and facilitating emotional expression, which is crucial for patients with confusion or cognitive difficulties. In addition, it acts as an effective distraction from pain, improving mood and response to treatments, thus benefiting emotional recovery and coping.</p><p><strong>Relevance to clinical practice: </strong>This study advocates for the integration of music therapy programmes in the ICU, emphasising their benefits in reducing stress, alleviating pain and enhancing emotional well-being. The findings contribute to the development of protocols with specific recommendations for its effective implementation. Furthermore, the study highlights the crucial role of nurses as key facilitators in enabling the incorporation of music therapists into the healthcare team through an interdisciplinary approach. Their involvement promotes collaboration among professionals and encourages the use of non-pharmacological interventions. Additionally, it underscores the importance of nurse participation in the creation of protocols to ensure their applicability and effectiveness in clinical practice. The research supports music therapy as a valuable complementary approach in intensive care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70099"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multisensory stimulation to reduce procedural pain in retinopathy of prematurity: A randomized controlled trial.","authors":"Halil Ibrahim Tasdemir","doi":"10.1111/nicc.13200","DOIUrl":"10.1111/nicc.13200","url":null,"abstract":"<p><strong>Background: </strong>Retinopathy is frequently seen in the neonatal intensive care unit (NICU), and its examination is a painful procedure for infants.</p><p><strong>Aim: </strong>This randomized active-controlled trial aimed to investigate the impact of multisensory stimulation (MSS) on neonatal pain during retinopathy of prematurity (ROP) examinations, in comparison with a white noise (WN) and control group receiving standard care.</p><p><strong>Study design: </strong>Conducted as a three-arm, randomized controlled trial, the study was implemented in the NICU of a local university hospital. Recruitment spanned from July 2023 to November 2023, with preterm infants (gestational age < 37 weeks) randomly assigned to either a MSS, WN or a control group. MSS components included visual, auditory, tactile, olfactory and gustatory stimuli, all designed to create a synergistic, comforting environment for the infant during the procedure. Procedural pain, heart rate and oxygen saturation were assessed at various stages before and after ROP examinations.</p><p><strong>Results: </strong>Analysis of 90 participants revealed that the MSS group exhibited lower Premature Infant Pain Profile (PIPP) scores than the WN and control groups (mean difference: -2.12, 95% confidence interval [CI]: -2.62 to -1.62; odds ratio [OR]: 0.004, 95% CI [0.001, 0.012], p < 0.001). Additionally, heart rates were significantly lower in the MSS group (mean difference: -15.3 beats/min, 95% CI: -20.5 to -10.1; OR: 0.025, 95% CI [0.008, 0.073], p < .001) and oxygen saturation levels were higher (mean difference: 3.2%, 95% CI: 1.8% to 4.6%; OR: 1.12, 95% CI [1.05, 1.20], p < .001) than in the other groups.</p><p><strong>Conclusions: </strong>MSS emerges as a favourable, safe and non-pharmacological intervention for pain management in ROP and similar procedures.</p><p><strong>Relevance to clinical practice: </strong>Multisensory stimulation can be effectively integrated into the routine care provided by critical care nurses during retinopathy of prematurity examinations in preterm infants. This non-pharmacological intervention offers a practical approach for critical care nurses to reduce procedural pain and improve physiological stability in this vulnerable population.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13200"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring Video Calls and PTSD Symptoms in Family Members of Severe COVID-19 Patients Post-ICU Discharge: A Mixed-Methods Study.","authors":"Ayako Noguchi, Nobuyuki Nosaka, Akiko Mizoe, Takashi Takeuchi, Kenji Wakabayashi","doi":"10.1111/nicc.70114","DOIUrl":"10.1111/nicc.70114","url":null,"abstract":"<p><strong>Background: </strong>Preventing post-traumatic stress disorder (PTSD) symptoms in family members of intensive care unit (ICU) patients underscores the importance of patient-family interactions. The COVID-19 pandemic restricted direct visits, prompting video calls as an alternative.</p><p><strong>Aim: </strong>To examine the association between video calls and the development of PTSD symptoms in family members of patients admitted to a COVID-19 ICU.</p><p><strong>Study design: </strong>This mixed-methods study was conducted at a single facility in Tokyo. Video calls were introduced in August 2020 and were used based on family preferences. Using quantitative data obtained from a questionnaire postal survey and the qualitative analysis of free-text responses, family members of severe COVID-19 ICU patients from July 2020 to June 2022 completed self-administered questionnaires, including the Impact of Event Scale-Revised (IES-R) and open-ended questions regarding the patient's ICU stay. Multivariate logistic regression analysis assessed the association between video calls and PTSD symptoms (IES-R > 24). Free-text responses were analysed using text mining techniques.</p><p><strong>Results: </strong>Out of the 97 eligible families, 68 participated. Video calls were not significantly associated with a reduction in PTSD symptoms. Among those who experienced video calls, text analysis showed that participants with PTSD symptoms more frequently used words related to \"doctors,\" whereas those without symptoms more often mentioned \"nurses.\"</p><p><strong>Conclusion: </strong>Video calls did not significantly reduce PTSD symptoms in family members of ICU patients with severe COVID-19. However, the presence of bedside nurses during video calls may help foster a sense of connection and support.</p><p><strong>Relevance to clinical practice: </strong>When implementing video calls (i.e., virtual visitation), active involvement and compassionate presence of bedside nurses may enhance the emotional quality of communication. Structured approaches that support nurse-family interaction may contribute to better psychological outcomes for families.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70114"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610273","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Open Visiting Policies on Patient, Family and Nursing Care: Nurses' Perceptions in Saudi Intensive Care Units.","authors":"Rawia Ahmad Abdalla, Samer Nabil Alhalabi, Shabab Shail Alotaibi, Maryam Omar Omran, Tareq Jamal Abdulbari, Ramona Raymond Faddoul, Iman Bachir Elkouwatly","doi":"10.1111/nicc.70110","DOIUrl":"https://doi.org/10.1111/nicc.70110","url":null,"abstract":"<p><strong>Background: </strong>Family involvement in intensive care unit (ICU) and coronary care unit (CCU) care, supported by open visitation policies, is beneficial for patient outcomes. However, concerns about the impact on nursing care, patient safety and workflow lead to varying beliefs and attitudes among nurses.</p><p><strong>Aim: </strong>This study aimed to assess nurses' beliefs and attitudes towards visitation in ICUs and CCUs and identify demographic factors associated with these attitudes.</p><p><strong>Study design: </strong>A cross-sectional study was conducted in a Saudi healthcare system, involving eight hospitals. Between July and August 2023, a convenience sample of nurses completed the Beliefs and Attitudes towards Visitation in ICU Questionnaire (BAVIQ). Descriptive statistics were used to describe demographic factors, and Pearson's correlations and multivariable linear regression analyses examined associations between demographic variables and nurses' beliefs and attitudes.</p><p><strong>Results: </strong>A total of 265 nurses participated (66% response rate). The mean scores for nurses' beliefs and attitudes were 1.86 (SD = 0.44) and 1.99 (SD = 0.61), respectively, on a 5-point Likert scale (0-4). Regression analysis showed a significant positive association between beliefs and attitudes (β = 0.310, 95% CI: 0.143 to 0.477, p < 0.001). Working in ICU or CCU (β = -0.206, 95% CI: -0.334 to -0.079, p = 0.002) and nationality (β = 0.157, 95% CI: 0.014 to 0.299, p = 0.032) were associated with nurses' beliefs, while higher educational levels (β = -0.169, 95% CI: -0.335 to -0.003, p = 0.046) were negatively associated with nurses' attitudes.</p><p><strong>Conclusion: </strong>Nurses held low to moderate levels of belief and attitudes towards open visitation in ICUs. Factors like ICU or CCU experience and education level were negatively associated with these beliefs and attitudes. Interventions to increase nurses' understanding of open visitation's benefits are recommended to improve the acceptance of such policies.</p><p><strong>Relevance to clinical practice: </strong>This study highlights the need to address nurses' concerns about open visitation policies in ICUs and CCUs, focusing on the impact on nursing care, patients' privacy and workflow efficiency.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70110"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Preoperative anxiety and depressive symptoms predicted higher incidence of delirium post coronary artery bypass graft surgery.","authors":"Mohannad Eid Aburuz, Haya Ibrahim Ali Abu Maloh, Fatma Refaat Ahmed","doi":"10.1111/nicc.13204","DOIUrl":"10.1111/nicc.13204","url":null,"abstract":"<p><strong>Background: </strong>Anxiety, depressive symptoms and delirium are common among patients undergoing coronary artery bypass graft surgery (CABG). Postoperative delirium is associated with diverse negative outcomes among those patients, including delayed extubation and prolonged length of stay (LoS). Existing literature has recorded the incidence and associated risk factors with delirium among patients undergoing CABG, but limited studies have checked the particular impacts of preoperative anxiety and depressive symptoms (ADS) on the incidence of postoperative delirium.</p><p><strong>Aim: </strong>To determine the impact of ADS on the incidence of postoperative delirium among patient undergoing elective CABG.</p><p><strong>Study design: </strong>This was a prospective cohort study among 400 patients, 220 (55%) males and 180 (45%) females, who underwent elective CABG. The sample was recruited from six major hospitals in Jordan. ADS were measured prior to the operation using the Hospital Anxiety and Depression Scale. Delirium was screened using the Confusion Assessment Method for the Intensive Care Unit by trained research assistants twice daily from the second to the fifth day postoperatively. Data were analysed using logistic and multiple regression analyses.</p><p><strong>Results: </strong>160 patients (40%) developed delirium postoperatively. Regression analysis showed that older age, female sex, duration of surgery ≥7 h, depressed, anxious, and anxious and depressed categories were independent predictors for higher incidence rates of delirium. Additionally, the occurrence of delirium was an independent predictor for longer hospital/ICU LoS.</p><p><strong>Conclusions: </strong>CABG patients may experience delirium more frequently and require a longer hospital stay if they have prior anxiety or depression. Controlling ADS might decrease delirium incidence and shorten the LoS.</p><p><strong>Relevance to clinical practice: </strong>Our findings underscore the critical role nurses play in identifying and addressing psychological issues before CABG. By recognising and managing preoperative ADS, nurses can potentially reduce the risk of delirium following CABG.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13204"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"'Paediatric Emergency Course' for nursing continuing professional development programme evaluation: ARCS Motivational Design Model.","authors":"Aysel Başer, Murat Anil","doi":"10.1111/nicc.13238","DOIUrl":"10.1111/nicc.13238","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Paediatric emergency and critical care require skilled nurses, but they often face a lack of motivation during continuing professional development. Motivation-based, engaging activities in training programmes are essential to sustain interest and improve learning outcomes in these high-stress environments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;This study aims to develop, implement and evaluate the effectiveness of a Paediatric Emergency Course (PEC) using the ARCS (Attention, Relevance, Confidence, Satisfaction) Motivational Design Model to equip nurses with the knowledge and skills needed to manage paediatric patients in emergency and critical care settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;The study employed a quasi-experimental pretest/post-test design. The PEC was conducted from 1 June to 31 December 2023, with the participation of 57 nurses working in emergency and critical care units. To evaluate the programme's effectiveness, a paired t-test was used for pre-test and post-test comparisons, and logistic regression analysis was conducted to determine the factors affecting course success (lecture test activities and motivational tactics).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Pre-lecture assessments averaged 9.55, significantly increasing to 16.88 post-lecture (out of 22), indicating a substantial improvement in knowledge after the lecture series (t = -20.26, df = 55, p &lt; .001; 95% CI [-8.05, -6.60]). Similarly, pre-course scores rose from 7.21 to 17.14 post-course (out of 25), reflecting significant gains in overall understanding and competency (t = -20.83, df = 56, p &lt; .001; 95% CI [-10.89, -8.97]). Logistic regression analysis demonstrated that a one-unit increase in post-lecture test scores increased the likelihood of course success by 22.5%, with an odds ratio of 1.225 (B = .203, SE = 0.092, p = .028; 95% CI [1.023, 1.468]). Additionally, motivational design significantly influenced course success, increasing the likelihood by 433.3%, with an odds ratio of 5.333 (B = 1.674, SE = 0.363, p &lt; .001; 95% CI [3.134, 9.074]).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;The PEC continuing education programme, developed using the ARCS Motivational Design Model to support the professional development of nurses in emergency and critical care, was successfully implemented. These results suggest that both knowledge acquisition and motivational factors play a substantial role in enhancing course success among participants. Significant improvements in pre- and post-test results, along with high scores on the motivational design scale, demonstrated the effectiveness of the programme.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;The use of motivation-enhancing tactics and strategies in training has led to successful outcomes, demonstrating that structured programmes designed with these methods can significantly improve the clinical competencies, expertise, decision-making and patient safety of nurses working in paediatric emergency a","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e13238"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"More self-efficacy is associated with longitudinally higher health-related quality of life in mechanically ventilated COVID-19 ICU survivors: The prospective MaastrICCht cohort.","authors":"Laura M Tiels, Marieke S J N Wintjens, Sophie Waardenburg, Frank van Rosmalen, Sander M J van Kuijk, Iwan C C van der Horst, Regien Luiten, Bas C T van Bussel, Walther N K A van Mook, Bea Hemmen, Susanne van Santen","doi":"10.1111/nicc.13241","DOIUrl":"10.1111/nicc.13241","url":null,"abstract":"<p><strong>Background: </strong>More self-efficacy leads to greater confidence in one's ability to perform actions to achieve treatment goals. Therefore, self-efficacy may affect patient recovery and health-related quality of life (HRQoL) after ICU discharge.</p><p><strong>Aim: </strong>In a cohort of mechanically ventilated COVID-19 survivors, we examined the associations between self-efficacy at 3 months and HRQoL at 3, 12 and 24 months after discharge.</p><p><strong>Study design: </strong>Mechanically ventilated survivors of the MaastrICCht cohort that completed a self-efficacy assessment with the General Self-Efficacy Scale (GSES) were included. HRQoL was measured using the EuroQol 5 Dimensions 5 Levels (EQ-5D-5L), subdivided into a health utility score (EQ-HUS) and visual analogue scale (EQ-VAS). Linear regression models were used to investigate associations between self-efficacy and HRQoL and were adjusted for age, sex, body mass index (BMI), Acute Physiology and Chronic Health Evaluation II (APACHE II) score, ICU length of stay and hospital discharge location.</p><p><strong>Results: </strong>In 87 ICU survivors, more self-efficacy at 3 months after ICU discharge was associated with longitudinally higher EQ-HUS (β = 0.01; 95% CI: 0.01-0.02; p < 0.001) and higher EQ-VAS (β = 1.00; 95% CI: 0.66-1.35; p < 0.001) up to 2 years after ICU discharge. After adjustment for age, sex, BMI, APACHE II score, ICU length of stay, and hospital discharge location, associations were similar.</p><p><strong>Conclusions: </strong>More self-efficacy at 3 months after ICU discharge was associated with longitudinally higher HRQoL up to 2 years after ICU discharge in mechanically ventilated COVID-19 survivors.</p><p><strong>Relevance to clinical practice: </strong>Screening for self-efficacy in patients post-ICU as well as developing interventions to improve self-efficacy are a target post-ICU to enhance HRQoL over the long term.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13241"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12222044/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Alarm Fatigue and Stress Among Critical Care Nurses in Saudi Arabia: A Cross-Sectional Study.","authors":"Nouf Almal Abdullah Alnaimi, Fayza Ahmed Komsan, Rana Alameri, Afnan Alsoyan","doi":"10.1111/nicc.70108","DOIUrl":"https://doi.org/10.1111/nicc.70108","url":null,"abstract":"<p><strong>Background: </strong>Alarm fatigue and stress among critical care nurses (CCNs) are critical issues that can adversely affect both nurse well-being and patient care.</p><p><strong>Aim: </strong>This study aimed to assess alarm fatigue and stress levels among CCNs in Eastern Saudi Arabia, explore the relationship between these factors and identify significant demographic predictors.</p><p><strong>Study design: </strong>A descriptive cross-sectional design was employed. The study involved 205 CCNs. Data were collected using a self-administered online questionnaire that included the Alarm Fatigue Scale (AFS) and the Perceived Stress Scale (PSS).</p><p><strong>Results: </strong>The mean overall AFS score was 24.68 (standard deviation, SD = 6.79) out of 52, indicating a moderate level of alarm fatigue. Approximately 58.5% of nurses experienced average alarm fatigue, while 11.7% reported high alarm fatigue. The mean overall PSS score was 21.4 (SD = 4.6) out of 40, indicating moderate stress. A total of 84.4% of nurses experiencing moderate stress, while 9.8% reported high stress. A weak, non-significant negative correlation was observed between alarm fatigue and stress (r = -0.131, p = 0.061). Regression analysis revealed that years of experience, age and educational level were significant predictors of alarm fatigue, with nurses aged 40 and above, those with diplomas and those with 1-5 years of experience reporting higher alarm fatigue. Additionally, nurses who reported recent stress and those with lower alarm fatigue levels showed significantly higher perceived stress.</p><p><strong>Conclusion: </strong>The study reveals that moderate to high levels of alarm fatigue and stress are prevalent among CCNs, with key predictors including clinical experience, age, education level and recent exposure to stress.</p><p><strong>Relevance to practice: </strong>The study findings highlight the need for regular training on alarm management and stress reduction, investment in advanced monitoring systems to minimize false alarms and clear institutional protocols for alarm escalation. Stress management programmes, including mental health support and resilience workshops, are recommended to enhance nurse well-being and improve patient care outcomes.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70108"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}