Nursing in Critical Care最新文献

{"title":"Geriatric Nutritional Risk Index as a Predictor of Delirium and Pressure Injuries in Critically Ill Older Patients With Ischaemic Stroke: An Observational Cohort Study.","authors":"Dong Wang, Ankang Liu, Xiaoru Liang, Hanyuan Fan, Biyuan Han, Liming He, Yingying Hong, Qianfeng Li","doi":"10.1111/nicc.70059","DOIUrl":"10.1111/nicc.70059","url":null,"abstract":"<p><strong>Background: </strong>Malnutrition is a prevalent phenomenon among patients with ischaemic stroke, and it is associated with a multitude of adverse health outcomes.</p><p><strong>Aim: </strong>To evaluate the Geriatric Nutritional Risk Index (GNRI) as a predictor of both delirium and pressure injuries in critically ill older adults with ischaemic stroke.</p><p><strong>Study design: </strong>An observational cohort study of 969 patients with ischaemic stroke conducted at a tertiary academic medical centre in the United States, divided into two groups based on GNRI scores: at risk of malnutrition (GNRI ≤ 98) and not at risk (GNRI > 98). Delirium was assessed via the Confusion Assessment Method for the Intensive Care Unit and nursing notes; pressure injuries were identified through direct clinical observation using the International Pressure Injury Staging System. Multivariable logistic regression, propensity score matching, and inverse probability of treatment weighting were used for analysis.</p><p><strong>Results: </strong>Patients at risk for malnutrition had a significantly higher prevalence of delirium and pressure injuries compared with those not at risk (66.4% vs. 46.4% for delirium and 30.3% vs. 9.7% for pressure injuries, both p < 0.001). Multivariable analysis showed that lower GNRI scores were significantly associated with increased risks of both delirium (OR: 1.75, 95% CI: 1.28-2.40, p < 0.001) and pressure injuries (OR: 2.70, 95% CI: 1.79-4.09, p < 0.001). The results remained consistent even after propensity score matching and inverse probability of treatment weighting analyses.</p><p><strong>Conclusions: </strong>The study shows that the GNRI is an effective predictor of the risk of pressure injury and delirium in older adults with ischaemic stroke.</p><p><strong>Relevance to clinical practice: </strong>The assessment and management of nutritional status using GNRI in clinical practice has the potential to facilitate the early detection of high-risk patients and the implementation of targeted nutritional interventions.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70059"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144151","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":"Parents' experiences of psychotherapeutic support on the neonatal unit: A mixed methods systematic review to inform intervention development for a multicultural population.","authors":"Kirsty Jane, Dean Wood, Katie Gallagher, Polly Livermore, Helen Shoemark, Glenn Robert","doi":"10.1111/nicc.13194","DOIUrl":"10.1111/nicc.13194","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Parents of infants admitted to neonatal intensive care require support to minimize the impact on their mental health and to encourage engagement with their infants to support infant neurodevelopment. Many interventions aim to address this need, but there is a lack of research considering the accessibility of these for a multicultural population.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To systematically identify sources of psychotherapeutic support available for parents with infants admitted to neonatal care (NNU, neonatal intensive care unit [NICU] and special care units), assess their accessibility and acceptability and identify challenges and facilitators.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Six electronic databases with no restrictions on language or date were used to identify relevant studies following Preferred Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines. Publications were included in the review if they reviewed parent experience of an intervention actively in place to support parent experience during the neonatal unit stay. Any studies where the intervention's primary aim was infant focused, such as developmental care, were excluded. All publications were quality-assessed using quality appraisal tools appropriate for their design type. Data were extracted line by line using Sekhon et al.'s theoretical acceptability framework and questionnaire.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 3309 studies were found, of which 36 studies met the inclusion criteria. Included studies were published worldwide between 2000 and 2023 and explored 15 different interventions. Challenges for parental engagement were due to preconceived ideas about intervention requirements and parents' ability to participate in them. Timely information and providers' experience in delivering the intervention were reported to support engagement and as being valuable for enhancing participant knowledge. The emotional content of interventions was found to be challenging by parents across most studies. This was prominent in interventions designed to be carried out in a group format and where keepsakes were created. However, the value of these interventions was in reducing parents' feelings of isolation through increased social support and providing a starting point for conversations with wider family and friends about the family's neonatal experience. Participant demographics were poorly reported, with only two studies taking into consideration the ethicality of the intervention.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Poor reporting of participant demographics, and a focus on mothers as participants, means findings are not transferrable to the wider population of parents in neonatal units. Future studies should consider how to ensure that research and interventions are accessible to multicultural populations to improve the understanding of the acceptability of interventions. Better knowledge of neonates and the NNU setting amongst interve","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13194"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096267/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523645","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":"Comment on \"Delirium prevalence in emergency department patients: A systematic review and meta-analysis\".","authors":"Ganesh Bushi, Muhammed Shabil, Sanjit Sah","doi":"10.1111/nicc.13205","DOIUrl":"10.1111/nicc.13205","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13205"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142548772","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":"Clinical alarm management in intensive care units: A scoping review.","authors":"Chunqing Yang, Ping Gao, Hanlin Ji, Duolin Luo, Hao Chen, Qingwen Hu, Xiaoqun Xu","doi":"10.1111/nicc.70042","DOIUrl":"10.1111/nicc.70042","url":null,"abstract":"<p><strong>Background: </strong>Clinical alarms are highly prevalent in intensive care units (ICUs), serving to alert health care providers when patients' physiological parameters exceed preset thresholds or when medical devices malfunction. However, clinical alarms also introduce new challenges that threaten patient safety. Therefore, enhancing the management of clinical alarms is of critical importance. ICU nurses are the first responders to clinical alarms, and their ability to manage alarms is closely linked to patient safety. Although many studies have investigated ICU nurse-led strategies for managing clinical alarms, a comprehensive overview of the methods and indicators for alarm management in these settings is still lacking.</p><p><strong>Aim: </strong>To identify and map management approaches, interventions and evaluation metrics for clinical alarms in ICUs.</p><p><strong>Study design: </strong>A systematic search was conducted in PubMed, The Cochrane Library, Web of Science, CINAHL, EMBASE, CNKI, SinoMed and Wan Fang Data databases to include studies related to the management of clinical alarms in ICUs.</p><p><strong>Results: </strong>The included studies (n = 23), guided by various approaches and frameworks, implemented different strategies for managing clinical alarms in ICUs. The primary management measures can be summarized as follows: tailoring alarm parameters, providing education and training on alarm management, standardizing the operation of medical devices, developing and applying assistive tools and technologies and establishing standardized alarm response procedures and protocols. Evaluation metrics addressed three levels: the alarm system, health care professionals and patients.</p><p><strong>Conclusions: </strong>The management of clinical alarms in ICUs remains an area of ongoing exploration, with a primary focus on the management of monitor alarms. Although some progress has been made, more comprehensive and systematic studies are still needed.</p><p><strong>Relevance to clinical practice: </strong>This review summarizes and consolidates studies on the management of clinical alarms in ICUs, highlighting the importance of multidisciplinary collaboration and the implementation of intelligent alarm management systems. Future research should focus on strengthening interdepartmental collaboration, conducting more specialized studies based on the differences between various ICU specialties, enhancing ICU nurses' alarm management capabilities and further ensuring patient safety.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70042"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025019","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 the experience of cardiothoracic ICU clinicians during the COVID-19 pandemic: A grounded theory study.","authors":"Leah Hughes, Benjamin Shelley, Joanne McPeake","doi":"10.1111/nicc.13186","DOIUrl":"10.1111/nicc.13186","url":null,"abstract":"<p><strong>Background: </strong>Prior to the COVID-19 pandemic a flexible approach to visiting was adopted by many Intensive Care Units in the United Kingdom. Due to the rapid spread globally of COVID-19, significant policy changes were put in place, including the restriction on visitors to patients in hospital. Evidence has emerged demonstrating the negative impact of these restrictions on patients with COVID-19, their families and the staff caring for them. However, there is limited data about the impact of these restrictions in the non-COVID ICU environment.</p><p><strong>Aim: </strong>This study aimed to explore the experiences of staff caring for non-COVID-19 patients in a cardiothoracic critical care unit during the COVID-19 pandemic.</p><p><strong>Study design: </strong>This qualitative research study adopted a grounded theory methodological approach. This methodology was used due to the unique situation, with no prior research available. We recruited healthcare staff that worked in a cardiothoracic critical care unit during the COVID-19 pandemic. Semi structured interviews were carried out, transcribed, and analysed. Using the data collected, a theory was constructed.</p><p><strong>Results: </strong>Interviews were carried out with 20 healthcare staff from a range of professions including nurses, doctors, and allied health professionals. Following data analysis four main categories emerged from the data: impact and implementation of visiting restrictions; the dehumanisation of patients; end-of-life care and witnessing distress. From these four categories, a theory has emerged suggesting that healthcare staff in a non-covid ICU were regularly exposed to potentially moral injurious events, despite being shielded from caring for patients with COVID-19.</p><p><strong>Conclusions: </strong>This study provides a theory that healthcare staff caring for non-COVID-19 critical care patients during the period of visiting restrictions were exposed to potentially morally injurious events.</p><p><strong>Relevance to clinical practice: </strong>Repeated exposure to potentially morally injurious events can lead to the development of moral injury and its adverse consequences. This study highlights the need to support all staff in the post COVID era, including those who worked in a non-COVID environment.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13186"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512661","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":"Correction to \"Investigating key factors of feeding intolerance in sepsis: A scoping review\".","authors":"","doi":"10.1111/nicc.70076","DOIUrl":"https://doi.org/10.1111/nicc.70076","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70076"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175610","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 spiritual care interventions among patients in the intensive care unit: A systematic review and meta-analysis.","authors":"Lingling Li, Meng Chen, Ningning Yu, Qixia Zhang","doi":"10.1111/nicc.13202","DOIUrl":"10.1111/nicc.13202","url":null,"abstract":"<p><strong>Background: </strong>Spiritual care interventions can be an important source of emotional support for patients in the intensive care unit (ICU). However, there is wide variation in the literature and no quantitative assessment to synthesize the results of these studies.</p><p><strong>Aim: </strong>To examine the effectiveness of spiritual care interventions on disease-related physiological parameter and treatment outcomes and psychosocial well-being outcomes among patients in the ICU.</p><p><strong>Study design: </strong>A comprehensive search was conducted across 11 databases from inception to 27 May 2024. Studies involving the implementation of spiritual care interventions for patients in the ICU were included. Cochrane's bias risk tool and JBI Critical Appraisal Checklist were used to examine the methodological quality of included studies. Review Manager 5.3 was used to conduct meta-analyses.</p><p><strong>Results: </strong>A total of 18 studies were included. Meta-analysis showed that spiritual care interventions could significantly reduce mean arterial pressure (MAP) (MD: -12.12, 95% CI: [-23.68, -0.56], p = .04), length of stay in the ICU (MD: -5.49, 95% CI: [-8.99, -2.00], p = .002), and improved consciousness (MD: 3.91, 95% CI: [1.42, 6.39], p = .002), anxiety (SMD: -1.78, 95% CI: [-3.06, -0.50], p = .006), spiritual well-being (SMD: 1.57, 95% CI: [0.05, 3.08], p = .04) and comfort (MD: 15.53, 95% CI: [10.81, 20.25], p < .01) among patients in the ICU, but had no significant effects on heart rate (HR), respiratory rate (RR), pulse rate (PR), blood pressure (BP), oxygen saturation (SpO₂), duration of ventilator use and pain.</p><p><strong>Conclusions: </strong>Spiritual care interventions could reduce MAP and length of stay in the ICU; improve consciousness, anxiety, spiritual well-being and comfort among patients in the ICU; and are still inconclusive for HR, RR, PR, BP, SpO₂, duration of ventilator use and pain. Urgent efforts are needed to better integrate spiritual care interventions into clinical care to enhance patient well-being.</p><p><strong>Relevance to clinical practice: </strong>Spiritual care interventions could improve well-being of patients in the ICU.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13202"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523644","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":"Braden score predicts 30-day mortality risk in patients with ischaemic stroke in the ICU: A retrospective analysis based on the MIMIC-IV database.","authors":"Yonglan Tang, Xinya Li, Hongtao Cheng, Shanyuan Tan, Yitong Ling, Wai-Kit Ming, Jun Lyu","doi":"10.1111/nicc.13125","DOIUrl":"10.1111/nicc.13125","url":null,"abstract":"<p><strong>Background: </strong>Ischaemic stroke remains a significant global health challenge, associated with high mortality rates. While the Braden Scale is traditionally employed to assess pressure ulcer risk, its potential to predict mortality among the intensive care unit (ICU) patients with ischaemic stroke has not been thoroughly investigated.</p><p><strong>Aim: </strong>This study evaluates the predictive value of the Braden Scale for 30-day mortality among patients with ischaemic stroke admitted to ICU.</p><p><strong>Study design: </strong>We conducted a retrospective analysis of 4710 adult patients with ischaemic stroke from the Medical Information Mart for Intensive Care (MIMIC)-IV database. The association between the Braden Scale scores and 30-day mortality was assessed using receiver operating characteristic (ROC) curve analysis, Cox regression models and Kaplan-Meier survival estimates.</p><p><strong>Results: </strong>Patients with Braden Scale scores ≤ 15.5 showed significantly higher 30-day mortality rates (p-value < 0.001; hazard ratio (HR): 2.08, 95% confidence interval (CI): 1.71-2.53). The area under the ROC curve (AUC) was 0.71, demonstrating good predictive performance. Multivariate analysis confirmed the Braden Scale as an independent predictor of mortality, after adjusting for age, gender and comorbidities.</p><p><strong>Conclusions: </strong>The Braden Scale effectively identifies high-risk ischaemic stroke patients in ICU settings, endorsing its integration into routine assessments to facilitate early intervention strategies.</p><p><strong>Relevance to clinical practice: </strong>Integrating the Braden Scale into routine ICU evaluations can enhance mortality risk stratification and improve patient care tailoring.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13125"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731563","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":"Prevalence of sleep disturbances among intensive care nurses: A systematic review and meta-analysis.","authors":"Fengxiang Gong, YuChen Mei, Yuting He, Chao Tang","doi":"10.1111/nicc.13151","DOIUrl":"10.1111/nicc.13151","url":null,"abstract":"<p><strong>Background: </strong>Demanding intensive care unit (ICU) work environments may lead to sleep disturbances in nurses, impacting their health and potentially patient safety. Yet, the prevalence remains unclear around the world.</p><p><strong>Aim: </strong>To quantify the prevalence of sleep disturbances in intensive care nurses.</p><p><strong>Study design: </strong>Systematic review and meta-analysis. A database search was conducted in Embase, PubMed, Web of Science, Scopus and CINAHL from their inception to April 2024 for relevant studies. Data from observational studies (cross-sectional or cohort) that reported the prevalence of sleep disturbances, assessed using the Pittsburgh Sleep Quality Index (PSQI > 5), pooled in random-effects meta-analyses. Subgroup analyses were used to investigate variations in the prevalence estimates in terms of available variables. A Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA)-compliant protocol was registered in PROSPERO (CRD42023476428).</p><p><strong>Results: </strong>In total, 24 articles were included in this study published from 1996 to 2023. Included studies were from 15 unique countries. Almost all of the studies were descriptive cross-sectional studies (n = 22; 91.7%). The included studies encompassed a range of intensive care nurses, from 42 to 605, involving a total of 3499 intensive care nurses. The reported proportion of intensive care nurses with sleep disturbances ranged from 20.0% to 100.0%, with a median of 76.7% (interquartile range: 62.9-85.7). The pooled prevalence of sleep disturbances in intensive care nurses was 75.1% (95% confidence interval: 37.2-53.1; 95% prediction interval: 30.5-95.4).</p><p><strong>Conclusions: </strong>Sleep disturbance is a common issue in intensive care nurses. The study results highlight the importance of implementing effective interventions as early as possible to improve ICU sleep quality.</p><p><strong>Relevance to clinical practice: </strong>High prevalence of sleep disturbances among intensive care nurses necessitates global interventions. Gender-neutral approaches that acknowledge comparable risks and stable prevalence over time require long-term strategies. Raising awareness through programmes is vital for implementing evidence-based interventions to promote sleep health in intensive care nurses.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13151"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142001295","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 role of the extracorporeal membrane oxygenation specialists' impact on intensive care unit staff retention.","authors":"Jenelle Sheasby, Suzanne Krais, Aasim Afzal, Timothy J George","doi":"10.1111/nicc.70029","DOIUrl":"10.1111/nicc.70029","url":null,"abstract":"<p><strong>Background: </strong>Little is known about how the role of the extracorporeal membrane oxygenation (ECMO) specialist (ES) impacts intensive care unit (ICU) staff retention. Our facility allows staff ICU registered nurses (RNs) and respiratory therapists (RTs) to dual in the role of ES.</p><p><strong>Aim: </strong>The aim of this project was to identify any contributing factors the role of the ES may have on ICU staff retention.</p><p><strong>Methods: </strong>A retrospective review of Human Resource (HR) records of all ICU RNs and RTs was conducted and compared those who held the concurrent role of ES against those who did not, for length of tenure. We also surveyed 17 qualifying ES to identify any major factors that contribute to their retention.</p><p><strong>Results: </strong>A total of 242 employees, 206 (85.1%) ICU RNs and 36 (14.9%) RTs' records were analysed, 13 (6.3%) were ES ICU RNs, and 193 (93.7%) non-ES ICU RNs. Similarly, 4 (11.1%) were ES RTs, and 32 (88.9%) non-ES RTs. The ES ICU RNs had a significantly longer length of tenure 6.11 [4.49-8.05] compared to non-ES ICU RNS at 2.34 [1.27-4.30] years (p < .001). Likewise, the ES RTs' 13.47 [8.23-21.84] years exceeded the tenure of non-ES RTs at 3.85 [1.37-10.67] years (p = .03). The ES survey identified four key factors of the ES role that positively contribute to staff retention: financial incentives, advanced skill set, team cohesion and the rarity of opportunity.</p><p><strong>Conclusion: </strong>This project found that the role of the ES may uniquely positively impact the retention of ICU RNs and RTs.</p><p><strong>Relevance to clinical practice: </strong>Staff turnover in the ICU is a universal problem for all facilities. Interestingly, this project discovered supporting evidence that the role of the ECMO specialist may positively impact the retention of ICU staff that partakes in this role. Thus, it affects centres that currently have an ECMO programme but could also be used as a decisive tool for those centres that are considering developing one.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70029"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774749","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}