Nursing in Critical Care最新文献

{"title":"Beyond the Monitors: A Patient's Perspective on Humanising Care in a Paediatric Intensive Care Unit.","authors":"Romain Bossy","doi":"10.1111/nicc.70474","DOIUrl":"https://doi.org/10.1111/nicc.70474","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70474"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845878","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":"Expert Consensus on Key Attributes of Nurses in Resuscitation Teams: Findings From a Delphi Study.","authors":"George Kipourgos, Nick Bakalis, Eleni Albani, Nikolaos Stefanopoulos, John Lakoumentas, Anastasios Tzenalis","doi":"10.1111/nicc.70506","DOIUrl":"https://doi.org/10.1111/nicc.70506","url":null,"abstract":"<p><strong>Background: </strong>In-hospital cardiac arrest (IHCA) requires coordinated interdisciplinary action. Nurses are often first responders and essential members of resuscitation teams, yet the attributes that define their effectiveness remain unclear. Although team performance has been widely studied, few works have systematically examined nursing competencies in this context. This is the first Delphi-based study in Greece defining key nursing attributes within in-hospital resuscitation teams.</p><p><strong>Aim: </strong>To achieve expert consensus on the key attributes characterizing effective nursing participation in IHCA teams.</p><p><strong>Study design: </strong>A two-round Delphi study was conducted with experts in resuscitation and critical care. Round one involved thematic analysis of semi-structured interviews. In round two, experts rated attributes on a 10-point Likert scale. Consensus was defined as mean (M) > 8 and coefficient of variation (CV) < 20%. Descriptive statistics and Kendall's W assessed agreement across domains.</p><p><strong>Results: </strong>Thirty-nine attributes were identified and grouped into seven domains: education, experience, physical condition, psychological resilience, technical skills and non-technical skills. Thirty-five attributes met the consensus criteria. Highest agreement was observed for ALS certification, stress resilience, closed-loop communication, adaptability and teamwork. Strongest consensus emerged in non-technical (M = 9.75, CV = 3.79%) and technical (M = 9.61, CV = 5.62%) domains.</p><p><strong>Conclusions: </strong>This study provides an evidence-informed framework of competencies and personal qualities underpinning nurses' effectiveness in resuscitation teams, emphasizing both technical expertise and non-technical skills-especially closed-loop communication, composure and collaboration.</p><p><strong>Relevance to clinical practice: </strong>The framework supports clearer role delineation, structured competency development and enhanced team effectiveness in IHCA management.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70506"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13139511/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845879","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":"Disseminating Your Study Results to Maximise Implementation in Practice: A Practical Framework for Intensive Care Nursing.","authors":"Lyvonne N Tume","doi":"10.1111/nicc.70511","DOIUrl":"https://doi.org/10.1111/nicc.70511","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70511"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845944","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":"Experiences of Family Members Participating in Early Rehabilitation of Cardiac Surgery ICU Patients: A Descriptive Qualitative Study.","authors":"Yan Zhang, Xihan Li, Jing Chen, Bin Luo, Ge Li, Chenxin Pan, Guangming Xu, Xue Wu, Yuhong Chen","doi":"10.1111/nicc.70499","DOIUrl":"https://doi.org/10.1111/nicc.70499","url":null,"abstract":"<p><strong>Background: </strong>Family participation in early rehabilitation in the intensive care unit (ICU) is recommended to improve patient outcomes, but evidence regarding its implementation in cardiac surgery ICUs within a Chinese cultural context remains limited.</p><p><strong>Aim: </strong>To explore the experiences of family members involved in the early rehabilitation of cardiac surgery ICU patients and to provide a theoretical basis for optimising family participation models in ICU rehabilitation.</p><p><strong>Study design: </strong>From January to June 2025, 15 family members who participated in early rehabilitation care were purposively recruited from the cardiac surgery ICU of a tertiary hospital in Nanjing, China. Semi-structured interviews were conducted, and data were analysed using descriptive qualitative methods. This study adhered to the Consolidated Criteria for Reporting Qualitative Research guidelines.</p><p><strong>Findings: </strong>Two primary themes emerged regarding the family members' experiences with early rehabilitation. Facilitators included a recognition of the necessity of involvement and perceived benefits, such as providing psychological support to patients and acquiring professional nursing knowledge. Barriers comprised concerns regarding potential patient harm, a desire for formal training and supervision and practical challenges that exceeded initial expectations.</p><p><strong>Conclusions: </strong>This study concludes that whilst families demonstrate a willingness to participate in early rehabilitation, their involvement is hindered by safety concerns, inadequate preparation and operational challenges that exceed initial expectations. This study recommends a nurse-led, stepwise family participation model incorporating progressive training and multidisciplinary support to facilitate meaningful and safe family engagement in early rehabilitation within the cardiac surgery ICU.</p><p><strong>Relevance to clinical practice: </strong>This study emphasises the necessity of a structured, nurse-led framework to guide family participation in early rehabilitation within the cardiac surgery ICU, offering a theoretical foundation for optimising family engagement models in critical care rehabilitation.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70499"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787943","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":"Effect of Implementing a Nursing-Led SKINCARE Bundle for Preventing Medical Device-Related Pressure Injury in Critical Care Units.","authors":"Amina Hemida Salem Ghattas, Nagwa Ahmed Reda, Lamia Reda Ahmed Elgazzar","doi":"10.1111/nicc.70445","DOIUrl":"10.1111/nicc.70445","url":null,"abstract":"<p><strong>Background: </strong>Medical device-related pressure injuries (MDRPIs) are generally preventable yet increasingly recognised complications in critical care units, contributing to patient harm, prolonged hospitalisation and higher costs. A nursing-led skincare bundle may provide a structured, evidence-based approach to standardising practice for the prevention of MDRPIs.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of implementing the SKINCARE bundle on the prevention of MDRPIs in critically ill patients.</p><p><strong>Study design: </strong>A quasi-experimental study in critical care units evaluating the effect of a SKINCARE bundle, which included skin assessment, repositioning, moisture management, securing medical devices and protecting the skin with special dressings, on preventing MDRPIs.</p><p><strong>Results: </strong>A total of 110 critically ill patients were included and equally allocated to the control (n=55) and intervention (n=55) groups. A higher proportion of patients in the intervention group were free of MDRPIs compared with the control group (n=22 [40%] vs. n=6 [10.9%], p  < 0.001). In contrast, stage II and III injuries were observed only in the control group (23.6% and 10.9%, respectively), while no such injuries occurred in the intervention group. Device-specific analysis showed significantly fewer MDRPIs in the intervention group across all devices (all p  < 0.001).</p><p><strong>Conclusion: </strong>The nursing-led SKINCARE bundle effectively reduced the incidence and severity of medical device-related pressure injuries in critically ill patients. Lower Braden scores, poorer nutritional status and impaired perfusion were associated with higher MDRPI risk, while improved nutrition and oxygenation were protective. These findings support the effectiveness of structured, evidence-based nursing interventions for enhancing skin integrity and patient safety in critical care.</p><p><strong>Relevance to clinical practice: </strong>The nursing-led SKINCARE bundle provides a practical, evidence-based framework and standardised prevention strategy that can be integrated into routine care practice to enhance patient safety, reduce preventable harm and improve outcomes. Its adoption also supports the clinical policy initiatives by reinforcing MDRPI prevention as a core nursing-sensitive quality indicator.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70445"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147629157","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":"Non-Pharmacological Interventions for Cognitive Impairment After Intensive Care: A Scoping Review.","authors":"Yunxian Wang, Yani Tian, Yiying Luo, Liuyue Diao, Chuanchuan Liu, Jie Mi","doi":"10.1111/nicc.70423","DOIUrl":"10.1111/nicc.70423","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Cognitive impairment, a key component of post-intensive care syndrome, is one of the most common complications experienced by survivors discharged from the Intensive Care Unit. Cognitive impairment has become a global public health problem, which imposes a heavy burden on families and society. It is urgent to take measures to curb its occurrence and development. And non-pharmacological interventions for cognitive impairment have a positive effect on it. Therefore, a scoping review exploring the application of non-pharmacological interventions in cognitive impairment after intensive care may contribute to the development of the field of intensive care unit cognitive impairment intervention and provide a theoretical basis for related research.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To explore the types, subjects, duration, frequency and cognitive function assessment tools of non-pharmacological interventions for cognitive impairment after intensive care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;An electronic search was conducted in PubMed (MEDLINE), CINAHL (EBSCO), Web of Science, SinoMed, Scopus, Embase, the Cochrane Library, Wanfang Database and China National Knowledge Infrastructure (CNKI) from database inception to April 2025. The included studies discussed the types, study subjects, duration, frequency and assessment tools of non-pharmacological interventions for cognitive impairment after intensive care.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;This scoping review retrieved a total of 4825 relevant studies from 9 databases. According to the inclusion and exclusion criteria, a total of 24 studies were included in the review. The interventions were categorised into seven distinct yet often overlapping themes targeting cognitive impairment after intensive care: comprehensive care, exercise, cognitive training, virtual reality, environmental change, music therapy and ICU outpatient care. The intervention duration ranged from 5 days to 12 months, with frequencies varying from once daily to four times per week. Outcomes were measured using a battery of neurocognitive assessments.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Non-pharmacological intervention strategies for cognitive impairment after intensive care are diverse but highly heterogeneous, with a wide target population coverage and a lack of standardised assessment tools. Current research in this area has several limitations, including unclear conceptual frameworks, weak evidence and limited outcome evaluation, with many studies primarily focusing on preventive interventions. In future research, remote project-based scales can be used to simplify assessments, while further improving non-pharmacological interventions for cognitive impairment after intensive care, not only limited to prevention, but also focusing on symptomatic interventions for cognitive impairment after intensive care, providing patients with lifelong care services.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;Th","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70423"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596291","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":"Creating a Drug Library for Zero Continuous Infusion Errors in a Paediatric Intensive Care Unit: A Quality Improvement Project.","authors":"Shabaan Osman, Shaima Ibrahim, Jihad Zahraa, Hisham Obeidat, Iman Darwish, Hisham Abdulla, Hassan Bellouni, Reda Elsahy","doi":"10.1111/nicc.70467","DOIUrl":"10.1111/nicc.70467","url":null,"abstract":"<p><strong>Background: </strong>Medication errors, particularly involving continuous infusions in paediatric intensive care units (PICUs), pose significant risks to patient safety. This quality improvement initiative was prompted by a sentinel adverse event where a paediatric patient received a ketamine infusion at mg/kg/min instead of μg/kg/min, resulting in a dose over 1000 times higher than intended for over 16 h.</p><p><strong>Aim: </strong>The study aimed to evaluate a systems-based solution to reduce continuous infusion errors, focusing on improving patient safety through a multidisciplinary approach, enhancing staff compliance and assessing satisfaction and perceived safety improvements.</p><p><strong>Study design: </strong>A multidisciplinary team employed root cause analysis (RCA) and human factors engineering (HFE) principles to implement interventions, including procuring 150 smart infusion pumps with a customized drug library, aligning it with the EPIC electronic medical record (EMR) system, standardizing medication preparations and conducting extensive staff training. Implementation followed a Plan-Do-Check-Act (PDCA) cycle, starting with a pilot and scaling to the full 25-bed PICU. Following implementation, two minor incidents related to medication concentration changes occurred in October 2024. These were effectively addressed through reinforced education, the introduction of double-checking policies and hands-on simulation training. Since then, no further incidents have been reported from October 2024 to 1 January 2026. Outcomes were assessed using surveys conducted at 3- and 6-month post-implementation, along with rounds by the shift in-charge, biomedical engineering and nurse educator, and independent double-checking at initiation of a new infusion, syringe replacements and shift endorsements.</p><p><strong>Results: </strong>The initiative achieved zero incidents from October 2024 to 1 January 2026, with compliance improving markedly. Surveys at 3 and 6 months showed over 95% staff satisfaction and perceived safety improvements. The project expanded to the emergency department and five subspecialty wards, demonstrating scalability.</p><p><strong>Conclusions: </strong>The intervention successfully minimized continuous infusion errors, fostering a high-reliability culture committed to zero harm. To sustain these gains, we recommend ongoing education, adherence to double-checking protocols and EMR enhancements. Future research should include multicentre evaluations and longer-term monitoring.</p><p><strong>Relevance to clinical practice: </strong>This scalable model demonstrates how smart pumps, EMR integration and multidisciplinary training can significantly reduce continuous infusion errors in PICUs, enhancing safety for vulnerable paediatric patients and providing a framework for adoption in other high-risk settings like emergency departments and subspecialty wards.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70467"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147624670","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":"Beyond Pain: An Exploratory Secondary Analysis of Psychological and Physical Discomfort Domains in ICU Patients.","authors":"Sally Halabi Zarka, Shelly Ashkenazy, Freda DeKeyser Ganz","doi":"10.1111/nicc.70510","DOIUrl":"https://doi.org/10.1111/nicc.70510","url":null,"abstract":"<p><strong>Background: </strong>Despite growing recognition that ICU discomfort extends beyond pain, no study has empirically compared the proportion and interrelationships of psychological discomfort, physical discomfort and pain using clinically meaningful thresholds.</p><p><strong>Aim: </strong>The aim of this study was to examine the relationships between psychological discomfort, physical discomfort and pain based on patients' recalled discomfort reported within 24 h after ICU discharge.</p><p><strong>Study design: </strong>Patients completed the Inconforts des Patients de REAnimation (IPREA) questionnaire, a general discomfort visual analogue scale (VAS) and a general pain VAS (0-100 mm) anchored by 'no pain' and 'worst imaginable pain' within 24 h after ICU discharge from surgical, medical and cardiac ICUs of a tertiary hospital. A secondary analysis was conducted on the data, and IPREA items were grouped into three domains: psychological discomfort, physical discomfort without pain and pain. Descriptive and inferential statistics examined relationships between the three domains. The proportion of scores at the moderate threshold (40-69/100) and at or above the severe threshold (≥ 70/100) for pain, psychological and physical discomfort was determined.</p><p><strong>Results: </strong>Eighty patients participated in the study. Median scores were 21.43 (IQR 8.57-39.64) for psychological discomfort, 28.82 (IQR 11.11-44.33) for physical discomfort without pain and 50.00 (IQR 10.00-70.00) for pain. The proportion of discomfort scores at the moderate threshold (40-69/100) was 21.25%, 27.50% and 32.50% for psychological discomfort, physical discomfort without pain and pain, respectively, at or above the severe threshold (≥ 70/100) in 3.75%, 3.75% and 27.50%, respectively. Psychological discomfort correlated moderately with physical discomfort without pain (rs = 0.65, p < 0.001) and weakly with pain (rs = 0.37, p < 0.001). Friedman's test showed significant overall differences (χ²(2) = 16.84, p < 0.001); after Bonferroni correction, psychological discomfort versus pain remained significant.</p><p><strong>Conclusions: </strong>Discomfort in ICU patients extends beyond pain, underscoring the need for multidimensional nursing assessment.</p><p><strong>Relevance to clinical practice: </strong>Routine multidimensional assessment of discomfort can improve patient-centered ICU care and prevent misinterpretation of non-pain discomfort as pain. These findings reinforce the importance of incorporating psychological and physical discomfort assessments into daily ICU practice.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70510"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845854","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":"Greening the Operating Room: A Quality Improvement Initiative to Boost Recycling.","authors":"Janice Wan Lin Lim, Jovenna Wei Ting Chong, Michael Kynoch, Ma Wai Wai Zaw, Monica Pyi Phyo Kywe Tan, June Goh, Shi Wei Tan, Grace Yuk Jin Ting, Dilly Kannan Khalyani, Wendy Wei Ling Phng, Eunice Chu Qing Ng, Sui An Lie","doi":"10.1111/nicc.70504","DOIUrl":"https://doi.org/10.1111/nicc.70504","url":null,"abstract":"<p><strong>Background: </strong>The operating room (OR) produces large volumes of single-use plastic waste due to stringent sterility requirements. Despite the increasing use of recyclable plastics in medical packaging, recycling practices in OR remain limited due to workflow constraints, unclear waste segregation processes and lack of staff. To address this, our quality improvement (QI) initiative aims to increase plastic and paper recycling rates in OR.</p><p><strong>Aim: </strong>Our primary aim is to increase the percentage of waste recycled by 50% from 5% to 7.5% within 6 months in Singapore General Hospital (SGH) ORs. Our secondary aims are to assess changes in staff environmental awareness, the environmental and operational impact of the intervention.</p><p><strong>Study design: </strong>Using the Sustainable Quality Improvement (SusQI) framework, we carried out the following four steps: set recycling goals, study the current existing recycling system, design improvement and measure impact. Our project was conducted in the OR of a tertiary hospital. Success of the interventions were assessed across three key domains: environmental, which is the key measure of primary aim; social and process related outcomes for measurement of secondary aims, using both quantitative (e.g., weight of recyclables, percentage improvement in knowledge) and qualitative (e.g., end-user feedback) measures.</p><p><strong>Results: </strong>Our study was conducted from January 2023 to March 2024. Top causes of low recycling were identified using root-cause analysis. Interventions implemented were duo-bin recycling, recycling posters educating end-users on recyclables and staff engagement through educational talks. After implementation of improvement measures, OR recycling rates doubled from 5% to 10%. Our improvement measures reduced 2024.7 kg CO2eq every month. For social impact, awareness of recyclable materials in the OR increased from 51% to 97.3%.</p><p><strong>Conclusions: </strong>With improved availability of recycling bins, education of recyclables and cultural shift towards recycling, recycling in a busy OR can be a reality.</p><p><strong>Relevance to clinical practice: </strong>This project is a practical model for other healthcare teams seeking to embed sustainability efforts in clinical practice. Useful initiatives that can be replicated in other healthcare locations, contributing to the growing body of work on greener healthcare systems.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70504"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787866","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":"When Synthesis Overcounts Evidence: Why Overlap Matters in Umbrella Reviews-A Commentary.","authors":"Ruvistay Gutierrez-Arias, Maria Jose Oliveros, Pamela Seron","doi":"10.1111/nicc.70431","DOIUrl":"10.1111/nicc.70431","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70431"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147500705","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}