Nursing in Critical Care最新文献

{"title":"The effect of music on pain in mechanically ventilated patients: A Systematic review.","authors":"Abdullah Avcı, Emine Kaplan Serin","doi":"10.1111/nicc.13270","DOIUrl":"10.1111/nicc.13270","url":null,"abstract":"<p><strong>Background: </strong>Mechanical ventilation is one of the most important supportive treatments used in critically patient care. The majority of patients dependent on mechanical ventilation experience pain. There are little data on the effect of music on pain in mechanically ventilated patients.</p><p><strong>Aim: </strong>The aim of this review is to determine the effect of music on pain in patients connected to mechanical ventilation.</p><p><strong>Methods: </strong>The protocol of this systematic review was registered with PROSPERO (CRD42024548456) and PRISMA guidelines were followed in reporting the study. The search was conducted in Pubmed, Web of Science, Scopus and Cochrane Library databases without year limitation. Inclusion and exclusion criteria were created considering the PICOS criteria. The selection of studies and the quality assessment of the studies reviewed were made by two independent researchers. The reviewed articles were analysed with the data extraction form developed by the researchers. The quality of the included studies was evaluated using the Joanna Briggs Institute tool.</p><p><strong>Results: </strong>Ten studies (n = 603) were included in the scope of the review. In the majority of the included studies, it was found that music had positive effects on reducing pain in patients connected to mechanical ventilation. The studies included in the review showed differences in terms of sample size, music duration, type, and evaluation tools. Studies have not found any harmful effects of music application on patients.</p><p><strong>Conclusion: </strong>In the studies included in this systematic review, it was determined that music had a positive effect on reducing pain in patients connected to mechanical ventilation.</p><p><strong>Relevance to clinical practice: </strong>Managing pain in patients receiving mechanical ventilated support is extremely crucial, and considering the study results, it is thought that it is necessary to include music intervention in intensive care. As music intervention is easy, safe and economical, it can be incorporated into nursing care by intensive care nurses.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13270"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494595","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":"A protocol for validation of the Handover Evaluation Scale in multicultural ICUs.","authors":"Abrar AlAmrani, Elsabeth Jensen, Catriona Buick, Danielle Dunwoody","doi":"10.1111/nicc.13273","DOIUrl":"10.1111/nicc.13273","url":null,"abstract":"<p><strong>Background: </strong>Effective handover communication by nurses is essential to ensuring care continuity, care quality and patient safety and minimizing the risk of adverse events. Notably, the increasing globalization of the nursing profession and the resulting rise of multicultural workplaces in health care can affect handover communication. However, no tools have yet been developed to evaluate the current practices and factors contributing to effective handover in multicultural care settings, even though such instruments are deemed necessary to identify communication challenges and opportunities for improvement.</p><p><strong>Aims: </strong>This paper describes the protocol that will be used in a proposed study that aims to adapt and validate an existing instrument for measuring handover quality-namely the Handover Evaluation Scale. The proposed study will also examine the factors contributing to effective handovers in a multicultural critical care context using a sequential exploratory mixed-method and will involve a qualitative and a quantitative phase.</p><p><strong>Study design: </strong>The first phase will explore Saudi Arabian ICU nurses' perceptions of effective shift handovers and the factors influencing handover quality. Data will be collected by recruiting 20 nurses through purposive sampling for semi-structured interviews. Interpretive description will be used to analyse the data to identify items useful for modifying the tool. Next, the tool will be modified based on the qualitative findings. Lastly, a quantitative study will be conducted based on the results of the first phase to assess the instrument's reliability and content validity and determine its internal dimensional structure.</p><p><strong>Results: </strong>This paper describes the study protocol that will be applied to adapt and validate an existing tool to measure the quality of handover in multicultural ICUs, using an exploratory sequential mixed-methods design.</p><p><strong>Relevance to clinical practice: </strong>The protocol described in this paper provides a framework for an adaptation of the Handover Evaluation Scale to measure handover effectiveness and to identify current challenges and factors affecting handover effectiveness in the multicultural critical care context. This version of the scale can be applied in clinical practice to determine best practices for improving handover.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13273"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494575","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":"Learning from patient safety incidents: The Green Cross method.","authors":"Hilde Kristin Jacobsen, Randi Ballangrud, Gørill Helen Birkeli","doi":"10.1111/nicc.13114","DOIUrl":"10.1111/nicc.13114","url":null,"abstract":"<p><strong>Background: </strong>Hospitals can improve how they learn from patient safety incidents. The Green Cross method, a proactive reporting and learning method, is one strategy to meet this challenge. In it, nurses play a key role. However, describing its impact on learning from the users' perspective is important.</p><p><strong>Aim: </strong>This study aimed to describe nurses' experiences of learning from patient safety incidents before and 3 months after implementing the Green Cross method in a postanaesthesia care unit.</p><p><strong>Study design: </strong>A qualitative study with an inductive descriptive design with focus group interviews was conducted before and 3 months after implementing the Green Cross method to assess its impact. The data were analysed using qualitative content analysis. The study was conducted in a postanaesthesia care unit in a Norwegian hospital trust.</p><p><strong>Results: </strong>Before implementing the Green Cross method, participants indicated limited openness and learning, including the subcategories 'Lack of openness hampers learning', 'Adverse events were taken seriously' and 'Insufficient visible improvements'. After implementing the Green Cross method, participants indicated the emergence of a learning environment, including the subcategories 'Transparency increases learning', 'Increased patient safety awareness' and 'Committed to quality improvements'.</p><p><strong>Conclusions: </strong>Implementing the Green Cross method in a postanaesthesia care unit positively impacted openness and nurses' patient safety awareness, which is crucial for learning and improving quality.</p><p><strong>Relevance to clinical practice: </strong>The Green Cross method could be useful for organizational learning and facilitating learning from patient safety incidents through transparency, discussion and involvement of nursing staff.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13114"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460651","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":"Current challenges in the application of Maslow's Hierarchy of Needs for patients in the intensive care unit in terms of artificial intelligence and telemedicine.","authors":"Mohammed Ghalib Qutishat","doi":"10.1111/nicc.13272","DOIUrl":"10.1111/nicc.13272","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13272"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517134","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 smell ability in tracheal intubated patients: An investigation into sniffing proficiency.","authors":"Azza Abd Elrazek Baraka, Alaa Mostafa Mohamed, Shimmaa Mohamed Elsayed, Eman Arafa Hassan","doi":"10.1111/nicc.13307","DOIUrl":"10.1111/nicc.13307","url":null,"abstract":"<p><strong>Background: </strong>Mechanically ventilated patients often experience a loss of smell sensation because of the tubes used in the ventilation process. This can have a significant impact on their overall well-being. As a result, there has been a growing interest in exploring ways to reintroduce and stimulate the sense of smell among these patients.</p><p><strong>Aim: </strong>To explore the smell ability among tracheal intubated patients and identify the factors influencing olfactory function in this population.</p><p><strong>Study design: </strong>A prospective cohort study. Data were collected in four adult intensive care units (ICUs) in two hospitals in Egypt. Patients who were intubated via endotracheal or tracheostomy tube with no prior history of olfactory dysfunction were enrolled. Olfactory function was assessed using the Sniffin' Sticks test, which measured odour threshold, discrimination and identification. The test was validated for the Egyptian population through cultural adaptation and test-retest reliability. Statistical analyses, including multiple linear regression and decision tree regression, were utilized to identify significant predictors of olfactory function. This study adhered to STROBE checklist.</p><p><strong>Results: </strong>A total of 334 adult patients completed the study. Among the patients, 47.0% were classified as anosmic, 48.8% as hyposmic and 4.2% as normosmic. The mean total olfactory score was 17.64 ± 6.01. Older age and the method of oxygen therapy, particularly mechanical ventilation, were significant predictors of reduced olfactory function (p < .001). The decision tree analysis highlighted age as the primary determinant of olfactory performance, followed by the method of oxygen therapy.</p><p><strong>Conclusions: </strong>This study identified a high prevalence of olfactory dysfunction in tracheal intubated patients and demonstrated that age and oxygen therapy methods are critical factors influencing olfactory function.</p><p><strong>Relevance to clinical practice: </strong>Recognizing olfactory dysfunction in tracheal intubated patients, may aid in improving patient care, as early detection can lead to better management strategies and improve overall prognosis.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13307"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517216","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":"Nurse-involved early mobilization in the intensive care unit: A systematic review and meta-analysis.","authors":"Jungmin Lee, Yeonju Kim, Hyun Joo Lee","doi":"10.1111/nicc.13278","DOIUrl":"10.1111/nicc.13278","url":null,"abstract":"<p><strong>Background: </strong>Early mobilization is one proposed strategy for reducing complications and optimizing patient outcomes. Nurses play an essential role in patient monitoring and co-ordination.</p><p><strong>Aims: </strong>To assess the effects of a nurse-involved early mobilization programme on muscle strength and intensive care unit (ICU) length of stay and identify the components of an early mobilization programme.</p><p><strong>Study design: </strong>A systematic review and meta-analysis were conducted. MEDLINE (PubMed), Embase, Cochrane and CINAHL databases were searched. Eligible studies included randomized controlled trials (RCTs) and non-randomized studies of adult ICU patients undergoing early mobilization. The studies were appraised using RoB 2.0 and ROBINS-I tools, and a meta-analysis was performed using Rstudio 2023.06.2.</p><p><strong>Results: </strong>Nine studies were selected from 943 studies. Four studies involved only ICU nurses, while five involved multidisciplinary teams. Concerns about bias were raised in four RCTs, and two non-randomized studies had moderate bias risk. Interventions involved progressive exercise steps, but none detailed the specific role of nurses. Early mobilization significantly decreased ICU length of stay (95% CI: -3.22, -0.11; p = .04), although it did not improve muscle strength (95% CI: -0.86, 0.99; p = .80).</p><p><strong>Conclusions: </strong>Nurse-involved early mobilization was associated with a reduction in ICU stay, although it did not impact muscle strength. The nurses' roles were not specifically defined.</p><p><strong>Relevance to clinical practice: </strong>An analysis of relevant tasks is necessary to clarify the role of nurses in early mobilization and to provide optimal care. Including these roles is crucial in the development of standardized early mobilization.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13278"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891033/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484689","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":"Effect of implementing training programme for nurses about care bundle on prevention of ventilator-associated pneumonia among newborns.","authors":"Basma Ibrahim Khamis Elsaeed, Mohamed Hussein Ramadan Atta, Maha Ebrahim Fouda, Hend Abo Elsoud Ahmed, Doaa El Demerdash, Gehan Abdelslam Mahmoud Elzlbany","doi":"10.1111/nicc.70000","DOIUrl":"https://doi.org/10.1111/nicc.70000","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Ventilator-associated pneumonia (VAP) is a frequent and severe complication among newborns in neonatal intensive care units (NICUs). It is associated with elevated morbidity and mortality rates, more extended hospital stays and increased health care costs. Implementing preventive care bundles and structured sets of evidence-based practices reduces VAP incidence. As primary caregivers, nurses are critical in consistently applying these preventive measures in NICU settings.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To evaluate the impact of a structured training programme on nurses' practices in the prevention of VAP among ventilated newborns in NICUs.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;This prospective, pre- and post-intervention study was conducted with 27 nurses caring for mechanically ventilated newborns. All newborns admitted to the NICU who met inclusion criteria were included in the study (34 newborns pre-intervention, 38 newborns post-intervention and 41 newborns 3 months after the intervention).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The results indicate significantly improved nurses' practices for VAP prevention across the core, equipment-related general measures, with total mean scores increasing from 50.67% (95% CI: 44.30-56.92) pre-programme to 89.26% (95% CI: 85.68-92.84) immediately post-programme and 73.33% (95% CI: 67.79-78.88) after 3 months (p &lt; .001). Before the programme, 85.3% of newborns developed VAP. However, this dropped dramatically to just 10.5% immediately after the programme, with a relative risk of 0.123 (95% CI: 0.046-0.328, p &lt; .001). Even 3 months later, the rates remained much lower at 19.5% than before the programme, with a relative risk of 0.228 (95% CI: 0.117-0.445, p &lt; .001). Multivariate logistic regression showed that only overall nurses' practices remained statistically significant in reducing VAP risk (OR = 0.819, 95% CI: 0.728-0.920, p = .001) after adjusting for confounders. Prolonged ventilation and individual components of nursing practices were not significant in the multivariate model.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;This study demonstrates that a structured educational programme can significantly enhance nurses' adherence to VAP preventive practices and reduce VAP incidence. Regular training initiatives are crucial for sustaining high care standards, thereby improving neonatal patient health care outcomes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;Newborns in the neonatal intensive care unit (NICU) are at a higher risk of developing ventilator-associated pneumonia (VAP) because of their fragile immune systems, the need for mechanical ventilation and prolonged hospital stays. VAP can lead to severe complications, including increased morbidity, mortality and long-term health issues. Training NICU nurses on VAP prevention care bundles is crucial for improving neonatal care, reducing preventable infections and optimizing clinical outcomes in a highly vulnerable neonatal pop","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70000"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617751","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":"Causes and impacts of interrupted enteral nutrition in critically ill patients: A secondary analysis of a cluster-randomized controlled trial.","authors":"Hengyu Zheng, Lina Cai, Pingrong Wang, Lijiang Zheng, Jiajia Lin, Ting Sun, Jiaqi Li, Juntao Zuo, Yuxiu Liu, Xianghong Ye","doi":"10.1111/nicc.70006","DOIUrl":"https://doi.org/10.1111/nicc.70006","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition due to interruption of enteral nutrition remains a prevalent issue in the intensive care unit (ICU).</p><p><strong>Aim: </strong>This study aimed to determine the frequency and causes of enteral nutrition interruption (ENI)and its impact on implementing enteral nutrition.</p><p><strong>Study design: </strong>This is a secondary analysis of a multicentre, cluster-randomized controlled trial (N = 2772). This secondary analysis included patients in the ICU for at least 72 h and receiving total enteral nutrition. The causes of ENI were defined as (1) feeding intolerance, (2) diagnostic and therapeutic procedures and (3) others. Multiple linear regression analyses investigated the association between ENI and nutrition intake.</p><p><strong>Results: </strong>A total of 1331 patients were included for analysis. Approximately 18.63% of the patients experienced at least one episode of ENI. The main cause of ENI was diagnostic and therapeutic procedures. Energy intake was 17.54 ± 6.85 versus 16.64 ± 7.06 (p = .065) among patients with and without ENI, and the protein intake was 0.69 ± 0.27 versus 0.64 ± 0.27 (p = .016). Multiple linear regression analysis revealed that ENI was significantly associated with diminishing energy and protein intake (B = -1.012, 95% CI -1.857 to -0.167, p = .019; B = -0.050, 95% CI -0.083 to -0.017, p = .003, respectively).</p><p><strong>Conclusions: </strong>Based on this multicentre study about ENI, the incidence of interruptions in enteral nutrition was 18.6%, with diagnostic and therapeutic procedures being the leading causes. The occurrence of interruptions in the delivery of enteral nutrition leads to a reduction in the nutritional intake of critically ill patients.</p><p><strong>Relevance to clinical practice: </strong>Critical care nurses should establish comprehensive nutrition support protocols and strengthen the training of department nurses, equipping them with the skills to effectively prevent and manage ENI. This is essential for actively achieving feeding goals and improving the outcomes of ICU patients.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70006"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606057","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":"Risk factors for oral mucosal pressure injury associated with endotracheal tubes in intensive care unit patients: A single-centre longitudinal study with brief follow-up.","authors":"Ecem Ozdemir, Oznur Kavakli","doi":"10.1111/nicc.70009","DOIUrl":"https://doi.org/10.1111/nicc.70009","url":null,"abstract":"<p><strong>Background: </strong>In intensive care units (ICUs), endotracheal tubes (ETTs) cause injury to the oral mucosa through friction and pressure. The incidence and risk factors of oral mucosal pressure injuries (PIs) have gained increasing attention in recent years.</p><p><strong>Aim: </strong>The study aimed to identify risk factors for oral mucosal PIs associated with ETTs.</p><p><strong>Study design: </strong>This was a single-centre brief follow-up longitudinal study conducted from January to May 2022. It recruited 250 patients without oral mucosal PIs who received mechanical ventilation support via ETT and were hospitalized in the ICU of a teaching and research hospital in Turkey. Receiver operating characteristic (ROC) analysis was performed to estimate the onset time of oral mucosal PI using the ETT repositioning time as an independent variable.</p><p><strong>Results: </strong>Oral mucosal PIs associated with ETT developed in 41.6% of patients. Of the 250 endotracheally intubated patients, the mean Acute Physiology and Chronic Health Evaluation (APACHE-II) score was 27.5 (min/max: 18/42), the mean length of stay (LOS) in the ICU was 24 days (min/max: 13/80). The median body mass index (BMI) of patients with oral mucosal PIs was (24.59 [IQR = 3.81] kg/m²), significantly lower than the median BMI of patients without oral mucosal PIs (26.62 [IQR = 5.93] kg/m²) (Z = 4.200; p < .001). The earliest onset of oral mucosal PIs was noted at 16 h after the start of follow-up, and the latest was 208 h after the start of follow-up, with a median of 160 (IQR = 48) h (approximately 6.7 days). Patients whose ETT was repositioned after 10.5 h had a higher risk of developing oral mucosal PIs (OR = 3.77; 95% CI: 2.65-5.37; p < .001). The decision tree (CHAID) method was applied to determine the time required to reposition the ETT to prevent oral mucosal PIs. The decision tree correctly classified the occurrence of oral mucosal PIs by 60.6% and the non-occurrence of oral mucosal PIs by 97.9%. Patients with parenteral nutrition and a low frequency of ETT repositioning time had a higher risk of oral mucosal PIs (p < .001).</p><p><strong>Conclusions: </strong>Parenteral nutrition support and ETT repositioning timing were the primary risk factors for developing oral mucosal PIs. Close monitoring of endotracheally intubated patients receiving parenteral nutrition is essential, with particular attention to forming oral mucosal PIs. Additionally, repositioning the ETT at intervals of no more than 8 h may help reduce the risk of oral mucosal PI development.</p><p><strong>Relevance to clinical practice: </strong>As ICU patients are particularly vulnerable to mucosal membrane PIs, recognizing the associated risk factors is crucial for early detection and prevention. This study highlights the specific risk factors for oral mucosal PIs, equipping nurses with the knowledge to develop targeted interventions to prevent these injuries.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70009"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606414","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":"Ethical considerations for the nursing care of Transgender patients in the Intensive Care Unit.","authors":"John P Gilmore, Marissa Dainton, Natalie L McEvoy","doi":"10.1111/nicc.13048","DOIUrl":"10.1111/nicc.13048","url":null,"abstract":"<p><p>There is more discussion than ever surrounding the health and care needs of Transgender communities. However, there is limited research on the care of Transgender patients in the Intensive Care Unit which can contribute to knowledge gaps, inconsistencies and uncertainties surrounding health care practices. This article is not intended to address all of the specific needs of Transgender patients in ICU, but to explore the ethical considerations for caring for a Transgender woman in the ICU. In doing so, this article will explore some specific considerations around gender affirming care, challenging discrimination, physiological changes, and systems change to enhance care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13048"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914037","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}