Nursing in Critical Care最新文献

{"title":"Between Compassion and Capacity: Intensive Care Units Nurses' Perceptions on Family-Centred Visiting in China.","authors":"Jiaying Xie, Lan Cao, Nina Wang, Guo Chen, Na Wu, Hanyang Su","doi":"10.1111/nicc.70502","DOIUrl":"10.1111/nicc.70502","url":null,"abstract":"<p><strong>Background: </strong>Family-centred visiting (FCV) has become an integral element of humane and holistic intensive care in many Western settings. However, its adoption in Chinese ICUs remains limited, and the perspectives of nurses, who are central to implementing visiting policies, are underexplored.</p><p><strong>Aim: </strong>To explore ICU nurses' attitudes and perceptions towards FCV and identify impact factors influencing its potential implementation in China.</p><p><strong>Study design: </strong>This study employed a descriptive qualitative design. Twenty ICU nurses were recruited through purposive sampling from a tertiary hospital in Hunan Province, China. Semi-structured, face-to-face interviews were conducted between March and June 2024. Data were analysed using Colaizzi's seven-step method. The reporting followed COREQ guidelines.</p><p><strong>Results: </strong>Three overarching themes were identified: (1) balancing compassion and capacity, (2) the Family presence as a double-edged sword for patient care and (3) institutional and cultural constraints on family involvement. While nurses acknowledged FCV's emotional benefits, they expressed concern about increased workload, infection risk and blurred professional boundaries. Their attitudes were strongly shaped by hierarchical institutional norms and Confucian values, which both encourage filial duty and reinforce deference to medical authority.</p><p><strong>Conclusions: </strong>ICU nurses' ambivalence towards FCV reflects a complex interplay of professional, institutional and cultural factors. Culturally sensitive training, policy reform and pilot programmes could support the gradual implementation of flexible visiting practices.</p><p><strong>Relevance to clinical practice: </strong>Findings highlight the need for context-adapted FCV models that balance humanised care with safety and capacity, empowering nurses as key facilitators of family engagement.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70502"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845938","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":"Environmental Sustainability Perspectives Among Critical Care Professionals: A Qualitative Systematic Review and Meta-Synthesis.","authors":"Xingyun Shen, Xu Wen, Chenjing Wang, Fengtian Liu, Xianghong Sun","doi":"10.1111/nicc.70487","DOIUrl":"10.1111/nicc.70487","url":null,"abstract":"<p><strong>Background: </strong>Intensive care units (ICUs) generate substantial emissions and waste, yet qualitative evidence on ICU professionals' perspectives on environmental sustainability remains limited.</p><p><strong>Aims: </strong>To examine and synthesise qualitative evidence on intensive care professionals' perspectives and views regarding environmental sustainability.</p><p><strong>Study design: </strong>A qualitative meta-synthesis. A systematic search of English and Chinese databases (PubMed, Web of Science, CINAHL, Embase, Cochrane Library, Scopus, CNKI, Wanfang Data, VIP Information and CBM) was conducted from inception to 15 October 2025. Methodological quality was appraised using the Joanna Briggs Institute (JBI) Critical Appraisal Checklist for Qualitative Research. Qualitative findings were extracted and synthesised using meta-aggregation.</p><p><strong>Findings: </strong>Seven studies met the inclusion criteria. Three themes were identified: (a) the inherent characteristics of the ICU setting, (b) barriers to implementing sustainable practices in intensive care units and (c) strategies for implementing sustainable practices in intensive care units.</p><p><strong>Conclusion: </strong>The ICU environment presents distinctive challenges to advancing sustainable critical care, and professionals face multiple, interrelated barriers in everyday practice. Targeted, systematic and context-sensitive strategies are needed to reduce the environmental impact of ICUs while supporting safe, sustainable ('green') intensive care.</p><p><strong>Relevance to clinical practice: </strong>This review supports integrating sustainability into ICU education and routine workflows, strengthening multidisciplinary collaboration and implementing practical unit-level protocols (e.g., greener procurement and standardised waste segregation) to advance a 'green ICU' without compromising patient safety.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70487"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730472","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":"The Impact of Mindfulness Interventions on the Well-Being of Intensive Care, Emergency Department and Anaesthesia Staff: A Systematic Review.","authors":"Amanda Zahumensky, Varinporn Amporndanai, Jane Orbell-Smith, Yogesh Apte, Dylan Flaws","doi":"10.1111/nicc.70427","DOIUrl":"10.1111/nicc.70427","url":null,"abstract":"<p><strong>Background: </strong>Critical care staff face unique stressors, including high patient acuity and intense work environments, leading to high rates of burnout and emotional fatigue. While mindfulness-based interventions (MBIs) are increasingly recognised for reducing stress among healthcare workers, no prior review has specifically examined their impact within critical care settings.</p><p><strong>Aim: </strong>To evaluate the effectiveness of individual and workplace-delivered MBIs on improving well-being and reducing stress and burnout among critical care staff.</p><p><strong>Study design: </strong>This systematic review was conducted starting with a literature search using MeSH terms across EBSCOhost platforms. Studies involving doctors, nurses and allied health professionals working in ICUs, EDs, CCUs and perioperative units were assessed. Clinical and non-clinical trials were included if they reported outcome data on burnout, stress, job satisfaction or overall well-being. Studies were assessed for bias using validated tools (RoB2, ROBINS-I, JMI, MMAT).</p><p><strong>Results: </strong>The thirty studies included in this review indicate meditation-based interventions, particularly those combining in-person and app-guided formats, showed the most consistent benefits across measured data. Yoga and aromatherapy demonstrated improvements, though feasibility was often limited by space and schedule. Studies employing multiple modalities often resulted in the strongest outcomes. Qualitative findings supported improved emotional regulation and workplace satisfaction but highlighted participation barriers such as work guilt and time constraints.</p><p><strong>Conclusion: </strong>This review highlights the potential of MBIs in enhancing resilience and well-being among critical care staff, offering a targeted synthesis not previously available.</p><p><strong>Relevance to clinical practice: </strong>Implementing flexible, scalable MBIs in critical care environments may help mitigate burnout and support workforce sustainability. Future high-quality trials are needed to validate and optimise these interventions.</p><p><strong>Review registration: </strong>This review was prospectively registered on PROSPERO (CRD42022323286).</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70427"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147488314","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":"The Effects of Nursing Care Applied in the Intensive Care Unit on a Case of Toxic Epidermal Necrolysis: A Case Report.","authors":"Zuhal Gulsoy, İclal Özdemir Kol","doi":"10.1111/nicc.70513","DOIUrl":"10.1111/nicc.70513","url":null,"abstract":"<p><p>Stevens-Johnson syndrome and toxic epidermal necrolysis are rare mucocutaneous diseases characterized by widespread epidermal necrosis and a high mortality rate. These conditions are often associated with drug exposure and require complex treatment and nursing care because they cause diverse symptoms in patients. Meticulous implementation of nursing protocols, particularly minimizing wound infections and bedsores that can lead to sepsis, is crucial to reducing mortality by reducing complications. This study aimed to emphasize the importance of nursing care by drawing attention to the treatment and care services provided to patients with a diagnosis of toxic epidermal necrolysis in collaboration with multidisciplinary healthcare professionals. We present a case of toxic epidermal necrolysis following ciprofloxacin treatment in a 32-year-old male patient. The patient, who had a high mortality risk, had 100% involvement. The patient had bullous lesions in the mouth, nose, perineum, scalp and entire body. The patient was admitted to the intensive care unit and presented with agitation, pain, burning sensation, tachycardia and hyperthermia. Thanks to multidisciplinary collaboration and nursing care, the patient recovered and was transferred to the internal medicine ward. Multidisciplinary collaboration and nursing care reduce the development of complications in patients with toxic epidermal necrolysis, thus decreasing mortality and increasing survival. The most important approaches in the care of these patients are infection prevention, wound care and the implementation of supportive care strategies to prevent long-term complications. In this case, early admission of the patient to the intensive care unit and meticulous implementation of nursing care with a specially prepared sterile care bundle were crucial for reducing complications, ensuring wound healing and improving survival. Hospitals should develop standard care protocols that include rapid triage and specialized care requirements for patients diagnosed with toxic epidermal necrolysis.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70513"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13173495/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943721","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":"Not Just Visitors: A Sibling's Story.","authors":"Jessica Smith","doi":"10.1111/nicc.70498","DOIUrl":"10.1111/nicc.70498","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70498"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788534","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":"The 'Child' in Family-Centred Care Delivery in the Paediatric Intensive Care-An Evolving Philosophy.","authors":"Kate Masterson, Sarah E Seaton, Ashleigh E Butler","doi":"10.1111/nicc.70518","DOIUrl":"10.1111/nicc.70518","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70518"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943702","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":"The Correlation of Nursing Informatics Competency and Demographic Characteristics With Evidence-Based Practice Competency Among Palestinian Intensive Care Nurses in the West Bank.","authors":"Ahmad Ayed, Malakeh Z Malak, Khitam Mohammad, Alaa Alanazi, Moath Abu Ejheisheh, Ahmad Batran, Mohammad Allafi, Khaldoon M Obiedate","doi":"10.1111/nicc.70497","DOIUrl":"10.1111/nicc.70497","url":null,"abstract":"<p><strong>Background: </strong>Evidence-based practice (EBP) refers to the combination of clinical expertise, the best available research and individual patient preferences. It is a fundamental aspect of contemporary nursing, designed to enhance patient outcomes through thoughtful and informed clinical decision-making. The specific correlation between nursing informatics competency, demographic characteristics and EBP competency, particularly in intensive care units (ICUs), remains largely unexplored in Palestine.</p><p><strong>Aim: </strong>This study aimed to assess the relationship between nursing informatics competency and EBP competency among ICU nurses in the West Bank.</p><p><strong>Study design: </strong>A cross-sectional, descriptive correlational design with a convenience sampling method was employed to recruit 250 nurses in intensive care units in 18 governmental hospitals across the West Bank during the period from April 10 to June 15. Data were collected using a self-reported survey consisting of the Self-Assessment of Nursing Informatics Competencies Scale (SANICS), the Evidence-Based Practice Competency Questionnaire and socio-demographic variables. Data were analysed using descriptive statistics, Pearson and point-biserial correlations and multiple linear regression.</p><p><strong>Results: </strong>A total of 227 participants responded and reported levels of moderate nursing informatics competency (M = 3.1, SD = 0.2) and moderately high evidence-based practice competency (M = 79.0, SD = 12.8). A strong positive correlation was found between EBP competency and nursing informatics competency (r = 0.890, p < 0.001) and the number of hours spent using EMRs/shift (r = 0.748, p < 0.001). A positive correlation existed between EBP competency and the number of research articles read monthly (r = 0.356, p < 0.001). Age (r = -0.456, p < 0.001) and years of nursing experience (r = -0.447, p < 0.001) were negatively correlated with EBP competency. Additionally, previous EBP training (p.b.r = 0.482, p < 0.001) and holding higher education (p.b.r = 0.410, p < 0.001) were associated with EBP competency. Nursing informatics competency, number of articles read monthly, number of hours spent on EMR/shift, educational level and previous training in EBP were significant predictors of EBP.</p><p><strong>Conclusion: </strong>These results highlight the essential contribution of nursing informatics competency, ongoing professional growth and regular engagement with research to the development of EBP competency.</p><p><strong>Relevance to clinical practice: </strong>To further strengthen EBP capabilities among nurses, it is important to design initiatives that enhance informatics training, expand access to research materials and cultivate educational environments that promote evidence-based care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70497"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678443","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":"ICU Nurses' Perspectives on Artificial Intelligence in Adult Intensive Care Units: Knowledge, Attitudes and Job-Security Concerns.","authors":"Zahra Ahmed Sayed, Rafi Alnjadat, Alia Khwaldeh, Laith Mahmoud Mohammad Alqudah","doi":"10.1111/nicc.70477","DOIUrl":"10.1111/nicc.70477","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is increasingly integrated into healthcare, particularly in adult intensive care units (ICUs), yet nurses' knowledge, attitudes and concerns regarding AI remain insufficiently examined. This study aimed to assess ICU nurses' AI-related knowledge, attitudes and job-related concerns, and to explore associations among these variables.</p><p><strong>Aim: </strong>To assess ICU nurses' knowledge of artificial intelligence, attitudes towards its use in healthcare and job-related concerns, and to examine the relationships among these variables.</p><p><strong>Study design: </strong>A descriptive cross-sectional study was conducted among adult ICU nurses recruited through convenience sampling from five hospitals in Irbid, Jordan, between February and April 2025.</p><p><strong>Results: </strong>Of the 105 eligible nurses invited, 91 completed the questionnaire and were included in the analysis. AI knowledge ranged from limited to moderate (mean 4.18 ± 1.50). Attitudes towards AI were moderately positive (57.95 ± 11.45), while job security concerns were moderate (18.1 ± 4.5; 95% CI: 17.2-19.0). Greater factual knowledge of AI concepts was significantly associated with more positive attitudes (r = 0.366, p < 0.001) and lower job security concerns (r = -0.302, p = 0.004). Attitudes were inversely associated with job security concerns (r = -0.275, p = 0.008).</p><p><strong>Conclusions: </strong>ICU nurses showed positive attitudes towards AI despite limited technical knowledge. Associations with job-related concerns highlight the need for targeted education and further multisite research on AI readiness in critical care.</p><p><strong>Relevance to clinical practice: </strong>Structured AI literacy programmes, ethical governance frameworks and nurse involvement in AI implementation planning are essential to promote safe and balanced AI integration in adult critical care settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70477"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147647358","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":"Assessment Tools for Cognitive Impairment in Critically Ill Patients Post-ICU Transfer: A Comparative Study.","authors":"Li Yao, Qinqin Li, Wenting Yang, Weigang Yue, Liping Yang, Tingrui Wang, Yan Liu, Zhigang Zhang, Yinhua Wang","doi":"10.1111/nicc.70455","DOIUrl":"10.1111/nicc.70455","url":null,"abstract":"<p><strong>Background: </strong>Although the survival rates of patients in the Intensive Care Unit (ICU) have improved, cognitive impairments following ICU discharge continue to be a significant concern, directly impacting long-term rehabilitation and quality of life. Consequently, the research and implementation of effective assessment tools for these cognitive impairments are particularly critical.</p><p><strong>Aim: </strong>The aim of this study was to evaluate the comparative effectiveness of the Montreal Cognitive Assessment (MoCA) and the Telephone Interview for Cognitive Status-modified (TICS-m) for assessing cognitive impairment in critically ill individuals after leaving the ICU.</p><p><strong>Study design: </strong>Using convenience sampling, we recruited ICU patients admitted from January 2021 to November 2022 at a hospital in China. We assessed their cognitive status using the MoCA and TICS-m scales on the day of hospital discharge, comparing the efficacy of the two scales in identifying cognitive impairment after ICU and analysing their correlation.</p><p><strong>Results: </strong>A total of 396 patients were recruited for the study. The total scores of MoCA and TICS-m scales were 24.73 ± 4.64 and 33.20 ± 8.38, respectively, showing a correlation of r = 0.570 (p < 0.001). The incidence of cognitive impairment as assessed by the MoCA was 41.4%, compared to 44.2% for the TICS-m, with no significant difference between the two (χ² = 1.571, p = 0.152). 51.01% of ICU patients were assessed with normal cognitive function on both MoCA and TICS-m scales, whereas 36.62% were assessed with cognitive impairment on both MoCA and TICS-m scales. The Kappa consistency test results showed a value of 0.747, p < 0.001. The sensitivity of the TICS-m scale compared to the MoCA scale is 0.884, specificity is 0.871, positive predictive value is 0.829, and negative predictive value is 0.914.</p><p><strong>Conclusions: </strong>Both the MoCA and TICS-m scales demonstrated strong consistency and reliability in assessing cognitive impairment among ICU patients. The TICS-m scale, with its telephone questionnaire format, enables effective follow-up on patients' cognitive status post-ICU.</p><p><strong>Relevance to clinical practice: </strong>Given the efficacy of the TICS-m scale in detecting cognitive dysfunction among critically ill patients post-discharge, it is recommended that healthcare professionals incorporate its use for the ongoing assessment of cognitive function in patients following their discharge from the ICU. Future research could assess the scale's predictive value across different clinical settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70455"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576534","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":"Effectiveness of Nursing Interventions for the Management of Critically Ill Patients With Severe Respiratory Conditions: A Systematic Review and Meta-Analysis.","authors":"Yangai Li, Hui Lyu, Chaowang Chen, Yanfang Zhang","doi":"10.1111/nicc.70520","DOIUrl":"10.1111/nicc.70520","url":null,"abstract":"<p><strong>Background: </strong>Critically ill patients with severe respiratory conditions frequently require prolonged mechanical ventilation and intensive care, with high risks of complications and death. Nursing interventions may optimise ventilatory care, reduce ICU complications and improve patient outcomes.</p><p><strong>Aim: </strong>We synthesised the effectiveness of nursing interventions for managing severe respiratory conditions in ICU settings.</p><p><strong>Study design: </strong>We conducted a systematic review and meta-analysis following PRISMA 2020. Studies evaluating nursing interventions among critically ill adults with severe respiratory conditions in ICUs were included. Outcomes were duration of mechanical ventilation, length of ICU stay, mortality, adverse events and weaning success. Random effects inverse-variance meta-analyses were performed (standardised mean differences [SMD] for continuous outcomes; odds ratios [OR] for binary outcomes).</p><p><strong>Results: </strong>Fourteen studies were included. Nursing interventions reduced duration of mechanical ventilation (11 studies; SMD = -1.63, 95% CI -2.29 to -0.96; substantial heterogeneity) and ICU length of stay (10 studies; SMD = -1.25, 95% CI -1.79 to -0.72). Mortality was lower with nursing interventions (5 studies; OR = 0.35, 95% CI 0.21-0.61; I² = 0%). Adverse events were reduced (9 studies; OR = 0.31, 95% CI 0.22-0.43; low heterogeneity), and weaning success improved (6 studies; OR = 3.17, 95% CI 2.20-4.58; I² = 0%). Egger's test suggested small-study effects for ventilation duration but not ICU length of stay.</p><p><strong>Conclusion: </strong>Nursing interventions in ICU respiratory care improve weaning success and reduce adverse events, mortality, ventilator duration and ICU stay, although effect sizes vary and publication bias is possible for ventilation duration.</p><p><strong>Relevance to clinical practice: </strong>This review supports the adoption of structured, protocolised nursing interventions, particularly multi-component bundles and targeted nursing plans within respiratory-critical care pathways.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70520"},"PeriodicalIF":2.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977159","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}