Nursing in Critical Care最新文献

{"title":"Perspectives on Death and the Awareness of Mortality in Relatives of Intensive Care Patients: A Descriptive Study.","authors":"İbrahim Salih Palazoğlu, Zeliha Koç","doi":"10.1111/nicc.70060","DOIUrl":"https://doi.org/10.1111/nicc.70060","url":null,"abstract":"<p><strong>Background: </strong>Various factors, including their psychology, their perspective on the world, their religion, the culture in which they live and their previous experiences, may affect an individual's perception and awareness of mortality.</p><p><strong>Aim: </strong>This study was conducted to determine perspectives on death and awareness of mortality in relatives of patients who were receiving treatment in the intensive care unit of a university hospital in Turkey.</p><p><strong>Study design: </strong>This descriptive and correlational study was conducted at a university hospital in Turkey between July 15, 2022, and May 15, 2024. A total of 305 relatives of intensive care patients participated in the study. Data were collected using a Relatives' Introductory Information Form, the Multidimensional Mortality Awareness Measure (MMAM) and the Death Perspectives Scale (DPS). A structural equation model (SEM) was developed using the maximum likelihood approach to investigate the direct effects on the dependent variable. The impact of the DPS subscale scores on the MMAM scores was analysed through path analysis.</p><p><strong>Results: </strong>The path coefficients between the MMAM and the subscales of the DPS, specifically Afterlife-of-Reward (β = 0.213), Unknown (β = 0.125), Failure (β = 0.156) and Courage (β = 0.145), were found to be statistically significant. This model was found to explain 30.1% of the variation in the MMAM scores.</p><p><strong>Conclusions: </strong>This study found a relationship between the levels of awareness of mortality and death perspective in the relatives of patients.</p><p><strong>Relevance to clinical practice: </strong>Intensive care nurses should provide family-centred care. Death counselling and education should be provided in order to prepare relatives to accept the impending death of the patient.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70060"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144081710","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-led evidence-based quality improvement programme to improve intensive care unit patient sleep quality.","authors":"Weidi Wang, Xinyan Cao, Jiabin Luan, Qi Zhang, Chun Cai, Juan Han","doi":"10.1111/nicc.70028","DOIUrl":"10.1111/nicc.70028","url":null,"abstract":"<p><strong>Background: </strong>Patients in the intensive care unit (ICU) suffer from significant sleep disturbances, which can negatively impact their healing and overall health. Nurses, as the primary caregivers, need to have expertise in sleep management to ensure better patient outcomes. Implementing nurse-led, evidence-based sleep protocols in ICUs is crucial.</p><p><strong>Aim: </strong>This study aimed to improve ICU patients' sleep quality by developing and implementing a nurse-led, evidence-based SLEEP Bundle, including Sleep initiative, Light control, Eye mask and earplugs usage, Environment noise cancellation and Provision of non-pharmacological (aromatherapy and music therapy) and pharmacological (dexmedetomidine and painkillers) support.</p><p><strong>Methods: </strong>The Framework of Evidence-based Continuous Quality Improvement and the Ottawa Model of Research Use framework were used to guide the development, implementation and assessment of the SLEEP Bundle. A quasi-experimental study was conducted in a 12-bed surgical intensive care unit (SICU), assessing patient-perceived sleep quality, nurses' self-report knowledge, attitudes and actions regarding patient sleep conditions and nurses' adherence to the interventions.</p><p><strong>Interventions: </strong>In order to successfully translate evidence into clinical practice, the protocol was crafted with significant nurse involvement, input in sleep promotion materials and a flexible continuing education component, which provided credits to encourage nurse participation. A sleep-aid kit, complete with non-pharmacological tools, and a system of regular quality control and feedback were integral to the clinical application of the protocol.</p><p><strong>Results: </strong>The intervention significantly enhanced ICU patients' sleep quality, as evidenced by a significant increase in Richards-Campbell Sleep Questionnaire scores from 62 (IQR = 48-72) to 70 (IQR = 62-76) (95% CI [-10.000, -6.000], Z = -6.100, p < .001). Nurses demonstrated a 100% agreement in knowledge items and a significant upsurge in action items following the intervention. Concurrently, adherence to practice standards showed notable improvements in sleep management practices, including enhanced sleep quality assessment, daytime functional exercise support and compliance with environmental regulations, along with increased use of earplugs, eye masks and aromatherapy/music therapy.</p><p><strong>Conclusions: </strong>The study highlights the effectiveness and feasibility of a nurse-led sleep management strategy, as demonstrated by improved patient outcomes and increased nurse adherence to sleep promotion interventions.</p><p><strong>Relevance to clinical practice: </strong>The significant improvements in sleep quality as well as the increased adherence to evidence-based interventions by nurses suggest that this SLEEP Bundle could be effectively translated to other clinical settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70028"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143789406","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":"Developing an ultrasound-guided enteral nutrition protocol for critically ill patients based on the Delphi method.","authors":"Zeyu Li, Wei He, Dun Tian, Yang Sun, Qing Yang, Lan Cao","doi":"10.1111/nicc.70023","DOIUrl":"10.1111/nicc.70023","url":null,"abstract":"<p><strong>Background: </strong>Enteral nutrition is widely recommended in intensive care units, but its implementation is accompanied by some problems.</p><p><strong>Aim: </strong>This study aimed to develop a current-evidence-based, operable and repeatable ultrasound-guided enteral nutrition (EN) programme for critically ill patients.</p><p><strong>Study design: </strong>First, based on a literature review, we integrated guidelines, expert consensus, systematic review and clinical experimental studies on critically ill patients. Subsequently, after careful evaluation and selection of relevant EN management data, we formulated a preliminary draft of an ultrasound-guided EN protocol for critically ill patients. Based on feedback from Delphi experts, the protocol was revised, and the final version of the programme was constructed.</p><p><strong>Results: </strong>After two rounds of consultation, the expert opinions reached a consensus. The expert positive coefficient was 1.00, and the expert authority coefficient was 0.935. After the second round of consultation, the coefficient of variation for the importance score ranged from 0.04 to 0.19, and that for the feasibility score ranged from 0.04 to 0.21. The difference in Kendall harmony coefficients was statistically significant (p < .05). The final programme comprised four Level I, 15 Level II and 40 Level III projects.</p><p><strong>Conclusions: </strong>The EN protocol for critically ill patients established in this study is comprehensive and feasible and can provide guidance for clinical practice.</p><p><strong>Relevance to clinical practice: </strong>This study adopted the Delphi method to develop an ultrasound-guided EN programme for critically ill patients, providing a new protocol by which critical care nurses can implement EN. This protocol provides a reliable and comprehensive basis for ensuring the quality and safety of EN management in critically ill patients in the future.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70023"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143796456","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":"Nurses' compliance to ventilator-associated pneumonia prevention bundle and its effect on patient outcomes in intensive care units.","authors":"Fatma Al-Harthi, Huda Al-Noumani, Gerald Amandu Matua, Harith Al-Abri, Annie Joseph","doi":"10.1111/nicc.70043","DOIUrl":"https://doi.org/10.1111/nicc.70043","url":null,"abstract":"<p><strong>Background: </strong>Ventilator-associated pneumonia (VAP) is a significant healthcare-associated infection. Compliance with VAP guidelines reduces infection and leads to better patient outcomes.</p><p><strong>Aim: </strong>The study investigated the VAP rate, nurses' compliance with the VAP bundle and the correlation between nurses' compliance with the VAP bundle and key patient-related outcomes.</p><p><strong>Study design: </strong>This descriptive correlational prospective study was conducted at two tertiary hospitals. All intensive care unit patients on mechanical ventilators who met the inclusion criteria for 48 h or more were recruited. Data were analysed using descriptive statistics, Chi-square, independent t-test and Spearman's rank correlation.</p><p><strong>Results: </strong>Out of the 103 patients recruited, 22.3% of patients developed VAP, with a VAP rate of 5.6 per thousand ventilator days. Nurses' compliance with VAP guidelines in both hospitals was 69% and decreased over the admission period. Compliance with the VAP bundle was linked to less length of stay (rho = -0.260, p < .008), fewer mechanical ventilation days (rho = -0.300, p < .002) and less hospital cost (rho = -0.266, p < .007). The mean compliance with the VAP care bundle was higher in the non-VAP group (M = 72.9, SD = 23.79) than in patients who developed VAP (M = 56.6, SD = 18.96).</p><p><strong>Conclusions: </strong>The findings underscore the critical need for healthcare organizations to prioritize strategies to enhance compliance with VAP guidelines for improved patient outcomes.</p><p><strong>Relevance to clinical practice: </strong>Ongoing quality improvement efforts through regular audits of the VAP bundle implementation are crucial for reducing infections and complications and improving patient outcomes. Future research is recommended to investigate factors that impact nurses' adherence to VAP guidelines to develop interventions to enhance compliance.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70043"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12022936/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007831","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":"Content Validation of the Behavioural Indicators of Pain Scale in Critically Ill Patients With Acquired Brain Injury: A Delphi Study.","authors":"Candelas López-López, Ignacio Latorre-Marco, María Del Mar Sánchez-Sánchez, Carmen María Sarabia-Cobo, Montserrat Solís-Muñoz, Teresa Pérez-Pérez, Juan Roldan-Merino, Gemma Robleda-Font","doi":"10.1111/nicc.70053","DOIUrl":"10.1111/nicc.70053","url":null,"abstract":"<p><strong>Background: </strong>Pain assessment in critically ill patients with acquired brain damage and disorders of consciousness is challenging.</p><p><strong>Aim: </strong>To evaluate the content validity of an adapted version of the Behavioural Indicators of Pain Scale (Spanish: Escala de Conductas Indicadoras de Dolor [ESCID]) in patients with acquired brain damage, disorders of consciousness and an artificial airway.</p><p><strong>Study design: </strong>Modified e-Delphi study. Five rounds of e-Delphi study to assess the content validity of the ESCID were conducted. Ten experienced clinical experts specialized in the area of interest were recruited. The starting point for the e-Delphi study was a questionnaire containing 30 behavioural indicators of pain. The expert panel evaluated the content validity of the 30 items based on four criteria: relevance, pertinence, clarity and usefulness. Each criterion was scored on a Likert-type scale ranging from 1 'strongly disagree' to 5 'strongly agree'. Upon completion of all five e-Delphi rounds, a face validity test was performed.</p><p><strong>Results: </strong>Of the initial 30 behavioural indicators, 10 remained after the final round. These items were defined and categorized and included in the final version of the instrument. The degree of consensus among the experts was high with regard to the content validity of these 10 indicators. In terms of face validity, 70% of the experts considered that the writing and comprehensibility of nine of the 10 items was 'good'.</p><p><strong>Conclusions: </strong>A strong consensus was reached by the expert panel through the e-Delphi technique. The 10 items represent the content of the behavioural response to pain in this population.</p><p><strong>Relevance to clinical practice: </strong>This study is the first step to adapt Behavioural Indicators of Pain Scale for use in this patient population. This adapted scale will provide clinicians with a specific tool to improve pain detection and management.</p><p><strong>Trial registration: </strong>The protocol is registered with ClinicalTrials.gov: NCT04898491, available at: https://classic.</p><p><strong>Clinicaltrials: </strong>gov/ct2/show/NCT04898491.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70053"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144143821","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 to support the cognitive rehabilitation of patients admitted to the intensive care unit: An umbrella review.","authors":"Anna Holm, Linette Thorn, Anette Bjerregaard Alrø, Helene Korvenius Nedergaard, Hanne Irene Jensen, Pia Dreyer","doi":"10.1111/nicc.13190","DOIUrl":"10.1111/nicc.13190","url":null,"abstract":"<p><strong>Background: </strong>Critically ill patients experience cognitive impairment throughout their intensive care unit trajectory, in the acute phase and the long-term alike. Cognitive impairment may negatively impact patients' quality of life and rehabilitation outcomes.</p><p><strong>Aim: </strong>To provide an overall examination of literature concerning non-pharmacological interventions that can enhance cognitive functioning in critically ill patients or facilitate their rehabilitation pathway during and after their intensive care unit stay.</p><p><strong>Study design: </strong>This study was conducted as an umbrella review. A systematic search was conducted in CINAHL, Embase, PubMed and PsychINFO, including all types of peer-reviewed research syntheses published between 2008 and 2023. Eligible studies had to describe interventions capable of improving adult patients' cognitive functioning or supporting their cognitive rehabilitation process throughout the intensive care unit trajectory. All eligible research syntheses were screened systematically; those included were critically appraised.</p><p><strong>Result: </strong>Based on 13 research syntheses, this review summarizes rehabilitative interventions that may be delivered during different phases of critical illness and recovery, in relation to content, delivery and timing. Interventions were: (1) cognitive activities and training, (2) mobilization and physical exercises, (3) emotional, psychological and social support and (4) information.</p><p><strong>Conclusion: </strong>Due to limited evidence, no definitive conclusion can be drawn about which type of intervention is most supportive or effective. Additionally, no recommendations can be made about the optimal timing for intervention delivery.</p><p><strong>Relevance to clinical practice: </strong>Clinicians involved in developing and implementing cognitive rehabilitation measures should consider designing individualized, multicomponent interventions with a focus on content, delivery and timing.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13190"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583650","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":"Delirium prevalence, interventions and barriers in intensive care units in German-speaking countries: A retrospective cross-sectional secondary analysis.","authors":"Matthias Thomas Exl, Sibylle Fischbacher, Heidi Lindroth, Keibun Liu, Magdalena Hoffmann, Marie-Madlen Jeitziner, Peter Nydahl, Rebecca von Haken, Lars Krüger, Florian Schimböck","doi":"10.1111/nicc.70041","DOIUrl":"https://doi.org/10.1111/nicc.70041","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of delirium in intensive care units (ICUs) is high and has a major impact on patient outcomes.</p><p><strong>Aim: </strong>To describe delirium assessment instruments, prevalence, interventions and barriers in delirium management in adult and paediatric ICUs; and to explore the association between delirium prevalence and reported interventions and barriers at unit level.</p><p><strong>Study design: </strong>A secondary analysis of the cross-sectional World Delirium Awareness Day Delirium Survey on 15 March 2023. This was a prospective study to assess the one-day point delirium prevalence, practices and quality improvement efforts across healthcare systems. Data was analysed descriptively and using multiple linear regression.</p><p><strong>Results: </strong>Data of 1612 assessments in 123 ICUs from three German-speaking countries were analysed. The most frequently used delirium assessment instrument was the Intensive Care Delirium Screening Checklist (43.9%, n = 54). The prevalence of delirium at 8 AM was 18.6% and at 8 PM 20.4% from the 94 ICUs included in the regression analyses. Prevalence for adult and paediatric and mixed ICUs are comparable. Main reported over all unit-level interventions were 'pain management' (95.9%, n = 118), 'mobilization' (94.3%, n = 116) and 'verbal re-orientation' (84.6%, n = 104). Main reported over all unit-level barriers were 'shortage of staff' (53.7%, n = 66) and 'patients who are difficult to assess' (44.7%, n = 55). Interventions such as 'avoidance of bladder tubes/catheters' in all ICUs, 'use of ear plugs and/or sleep glasses' in adult ICUs and 'mobilization' in paediatric and mixed ICUs were associated with reduced delirium prevalence. Across all ICUs, as well as in both adult and paediatric ICUs, 'lack of appropriate scores for delirium assessment' was identified as a significant barrier.</p><p><strong>Conclusions: </strong>One fifth of assessed ICU patients suffer from delirium. Several reported unit-level interventions and barriers may have an impact on delirium prevalence, suggesting an approach for future studies and clinical practice.</p><p><strong>Relevance to clinical practice: </strong>In clinical practice, unit-level 'avoidance of bladder tubes/catheters', 'use of ear plugs and/or sleep glasses' and 'mobilization' may be used as delirium prevention and treatment interventions.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70041"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144052153","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 relationship between positive end-expiratory pressure (PEEP) and intra-abdominal pressure (IAP) in mechanically ventilated patients: A prospective observational study.","authors":"Mohammed M Al-Jabri, Ghada H Ahmed, Mostafa M A Ali, Omar Abdelwahab, Sherif Mohamed, Ghada S K Mahran","doi":"10.1111/nicc.13181","DOIUrl":"10.1111/nicc.13181","url":null,"abstract":"<p><strong>Background: </strong>Positive end-expiratory pressure is a crucial mechanical breathing parameter. Intra-abdominal hypertension is well defined as a sustained increase in the intra-abdominal pressure ≥12 mmHg. There are still controversies about mechanical ventilation's effect and use of positive end-expiratory pressure on intra-abdominal pressure.</p><p><strong>Aim: </strong>We aimed to delineate the relationship between positive end-expiratory pressure and intra-abdominal pressure in mechanically ventilated patients admitted to the intensive care units of a large tertiary hospital in Upper Egypt.</p><p><strong>Study design: </strong>This study was a prospective observational study. The study was conducted at a university hospital from October 2023 to February 2024. The enrolled adult patients were allocated into two groups based on their positive end-expiratory pressure: group I, low pressure (<8 cm H₂O) and group II, high pressure (8-10 cm H₂O).</p><p><strong>Results: </strong>A total of 120 patients were enrolled, 60 patients in each group. The most commonly encountered diagnoses were pneumonia (32/120, 26.7%) and acute respiratory distress syndrome (ARDS) (31/120, 25.8%), respectively. There was a significant difference between the intra-abdominal pressure mean values of the two patient groups, 18.9 ± 3.3 versus 24.4 ± 5.9 mmHg in the group of low versus high pressure (correlation value of .454, p < .001), respectively. There were highly significant correlations between intra-abdominal pressure categories and the patient groups (correlation value of .495, p < .001). There were 24 (40%) versus 0 (0%) patients of high pressure versus low pressure within the category IV group of intra-abdominal hypertension (>25 mmHg).</p><p><strong>Conclusions: </strong>We observed a significant relationship between positive end-expiratory pressure and intra-abdominal pressure in mechanically ventilated patients. The patient group with high pressure had higher mean values compared with the group with low pressure. The study highlights the importance of closely monitoring intra-abdominal pressure in mechanically ventilated patients who receive positive end-expiratory pressure. Further studies are warranted.</p><p><strong>Relevance to clinical practice: </strong>The relationship between positive end-expiratory pressure and intra-abdominal pressure is an essential issue in daily critical care nursing clinical practice. Considering the occurrence of multiple organ dysfunction as a result of a non-detected increase in intra-abdominal pressure, critical care nurses should pay attention to measuring this pressure to maintain intra-abdominal pressures that are safe for mechanically ventilated and critically ill intensive care unit patients, thereby preventing these undue effects.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13181"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142373479","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":"Strategies for Providing Research Information to Participants in Multicentre Adult Critical Care Studies: A Survey of Chief Investigators.","authors":"Eleanor Reeves, Keith Couper","doi":"10.1111/nicc.70058","DOIUrl":"https://doi.org/10.1111/nicc.70058","url":null,"abstract":"<p><p>The recruitment of participants in adult critical care studies is often challenging. We surveyed chief investigators of UK multicentre adult critical care studies in this cross-sectional survey to evaluate what strategies they used to provide study information to potential participants. Of 61 eligible responses, we received completed surveys from 35 investigators (response rate 57%). Most chief investigators reported using a written participant information sheet (n = 34, 97%), but the uptake of alternative strategies was limited to 9 studies (26%). Only 6 studies (17%) utilized digital methods. Most chief investigators (63%) reported that they planned to adopt alternative strategies in their next study. RELEVANCE TO CLINICAL PRACTICE: This cross-sectional online survey study explores the strategies currently used by chief investigators for providing research information in critical care and explores how likely chief investigators are to adopt alternative strategies.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70058"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144063238","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":"Analysis of the Prevalence of Missed Nursing Care Using Three Workload Assessment Methods: A Nationwide Cross-Sectional Study Among Intensive Care Nurses.","authors":"Anaëlle Caillet, Jérôme E Dauvergne, Laurent Poiroux, Pierre-Yves Blanchard, Arnaud Bruyneel","doi":"10.1111/nicc.70055","DOIUrl":"https://doi.org/10.1111/nicc.70055","url":null,"abstract":"<p><strong>Background: </strong>Increased workload is associated with a higher prevalence of missed nursing care.</p><p><strong>Aim: </strong>Describe the prevalence of missed care in intensive care units (ICUs) and identify the workload scale most strongly associated with this prevalence.</p><p><strong>Study design: </strong>A cross-sectional survey was combined with a longitudinal study conducted in 2024, between 15 January and 15 April, in France to assess the workload. A total of 1271 nurses working in 61 ICUs completed the questionnaire one time per shift.</p><p><strong>Results: </strong>A total of 72.3% of nurses reported at least one missed care. The Nursing Activities Score provided the strongest association with the prevalence of missed care compared to patient-to-nurse ratio and the Practice Environment Scale of the Nursing Work Index.</p><p><strong>Conclusion: </strong>The prevalence of missed care and nursing workload was high. Nurses tended to focus on direct patient care.</p><p><strong>Relevance to clinical practice: </strong>Continuously assessing the prevalence of missed care can be a valuable tool for managing workload in ICUs.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70055"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095578","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}