Nursing in Critical Care最新文献

{"title":"Knowledge, attitudes, practices and perceived barriers of health professionals in the neonatal intensive care unit towards protecting the sleep of premature infants: A cross-sectional study.","authors":"Fatma Tas Arslan, Sevinc Akkoyun","doi":"10.1111/nicc.13285","DOIUrl":"10.1111/nicc.13285","url":null,"abstract":"<p><strong>Background: </strong>Protecting the sleep of premature infants is crucial, particularly in the neonatal intensive care unit (NICU). Health care professionals in NICUs play a vital role in supporting and ensuring the protection of infants' sleep.</p><p><strong>Aim: </strong>The study aimed to examine the knowledge, attitudes, practices and perceived barriers among NICU health care professionals in Türkiye regarding the protection of premature infants' sleep.</p><p><strong>Study design: </strong>This cross-sectional study was conducted online through social media platforms, involving 104 health care professionals (physicians and nurses). A survey was used to evaluate their knowledge, attitudes, practices and perceived barriers in protecting the sleep of premature infants.</p><p><strong>Results: </strong>The total scores of NICU health care professionals in knowledge, attitude, practice and perceived barriers were as follows: knowledge score, 27.10 ± 2.126; attitude score, 8.65 ± 0.942; practice score, 21.25 ± 2.139; and perceived barriers score, 26.98 ± 2.028. Significant relationships were found between knowledge and attitude (p = .003), knowledge and practices (p = .005), attitude and practices (p < .001), attitude and perceived barriers (p < .001) and practices and perceived barriers (p = .005).</p><p><strong>Conclusion: </strong>NICU health care professionals demonstrated high levels of knowledge, attitude, practice and perceived barriers regarding the protection of premature infants' sleep. A positive relationship was observed between knowledge and attitude, knowledge and practices, and attitude and practices. Conversely, a negative relationship was found between attitude and perceived barriers, as well as practices and perceived barriers.</p><p><strong>Relevance to clinical practice: </strong>It will be easier to protect the sleep of premature infants by determining the knowledge, attitude, practice and perceived barriers of NICU health care professionals. In particular, by examining the knowledge, attitudes and practices of nurses regarding sleep protection and identifying the obstacles to successful sleep management, premature infants' sleep will be of better quality.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13285"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517221","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 alarm fatigue on patient safety climate among nurses: The mediating role of moral courage.","authors":"Özlem Soyer Er, İsa Gül","doi":"10.1111/nicc.70002","DOIUrl":"10.1111/nicc.70002","url":null,"abstract":"<p><strong>Background: </strong>Alarm fatigue negatively impacts nurse well-being and patient safety. Exposure to many alarms causes nurses to become unresponsive to alarms. However, nurses with moral courage are expected to take alarms seriously and maintain patient safety despite challenging circumstances.</p><p><strong>Aim: </strong>This study aimed to determine the mediating role of moral courage in the relationship between alarm fatigue and patient safety climate among surgical ICU and OR nurses.</p><p><strong>Study design: </strong>This was a cross-sectional study. The study sample consisted of 268 nurses who had worked in hospital surgical ICUs and ORs for at least 6 months, volunteered to participate in the study. Data were collected between April and May 2024, using the Alarm Fatigue Questionnaire, the Nurses' Moral Courage Scale, and the Patient Safety Climate Questionnaire. Data were analysed using descriptive statistics, correlation, and mediation analyses. The study adhered to the STROBE checklist.</p><p><strong>Results: </strong>Nurses' alarm fatigue score was 15.45 ± 6.20, moral courage score was 4.11 ± 0.56, and patient safety climate score was 3.69 ± 0.60. Scale scores significantly differed between surgical ICU nurses and OR nurses. Alarm fatigue negatively affected both moral courage and patient safety climate. Moral courage positively affected patient safety climate. The study confirmed the mediating effect of moral courage on the relationship between alarm fatigue and patient safety climate.</p><p><strong>Conclusions: </strong>Alarm fatigue among ICU and OR nurses is a risk factor that threatens the patient safety climate. Moral courage can reduce the negative impact of alarm fatigue on the patient safety climate. This courage makes nursing practice safer and raises the standard of care.</p><p><strong>Relevance to clinical practice: </strong>Moral courage was found to contribute positively to the relationship between alarm fatigue and patient safety climate. It is recommended that nurse managers focus their efforts on reducing alarm fatigue and increasing moral courage at the unit level to improve patient safety climate.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70002"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517234","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 experiences of newly graduated nurses transiting into critical care settings: A descriptive qualitative study.","authors":"Xing Kang, Chia En Lau, En Ting Athena Chan, Norasyikin Hassan","doi":"10.1111/nicc.13262","DOIUrl":"10.1111/nicc.13262","url":null,"abstract":"<p><strong>Background: </strong>The transition of newly graduated nurses (NGNs) into the intensive care unit (ICU) differs from general nursing because of the complexities of critical care management, which includes managing life-threatening conditions. The ICU transition experiences for NGNs can contribute to higher occupational stress and lead to greater turnover intentions. This turnover may exacerbate staffing shortages, increase workloads and potentially compromise care quality. Understanding the new nurses' transition experiences is crucial for providing strategies to support their adaptation and retention in the nursing workforce.</p><p><strong>Aim: </strong>To explore the transition experiences and describe the unique challenges that NGNs face in the ICU.</p><p><strong>Study design: </strong>A descriptive qualitative study design was utilized to explore the NGNs' transition experiences into the ICU in Singapore. A purposive sampling of 15 participants was used, and semi-structured interviews were conducted from November 2023 to February 2024. Interviews were audio-recorded and transcribed verbatim. Thematic analysis was used for data analysis.</p><p><strong>Results: </strong>Three major themes and eight sub-themes emerged from the participants' interviews. The three major themes are: 'Navigating the Unfamiliar Realm of the ICU', 'Traversing Personal Growth Amid Concerns for Independence' and 'Becoming Proficient and Taking More Responsibilities'. Themes were explored through a phased approach that captured the evolving challenges and experiences NGNs face during the transition into ICU.</p><p><strong>Conclusions: </strong>Understanding each phase of NGNs' experiences in the ICU is necessary for raising awareness within organizations or academic institutions. Future research can take a phased approach to address the issues identified, as each phase may present different challenges.</p><p><strong>Relevance to clinical practice: </strong>Identifying and addressing NGNs' transition period and how they learn new critical care skills are essential for safe critical care practice.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13262"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531845","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":"Relationship between second victim syndrome and fear of missing out among nurses in Oman: Implications for nursing practice.","authors":"Mohammed Qutishat","doi":"10.1111/nicc.70011","DOIUrl":"10.1111/nicc.70011","url":null,"abstract":"<p><strong>Background: </strong>Second victim syndrome (SVS) and fear of missing out (FOMO) are two psychological phenomena affecting health care professionals, particularly nurses who are involved in adverse patient events. SVS describes the psychological burden experienced by health care providers involved in patient safety incidents, such as errors or adverse events. Concurrently, FOMO is characterized by an apprehension of missing out on rewarding experiences, often exacerbated by social media, which can lead to further emotional distress. This interplay can intensify feelings of isolation among nurses, especially those in high-stress environments like critical care.</p><p><strong>Aim: </strong>This study examines the relationship between SVS and FOMO among critical care nurses in Oman.</p><p><strong>Study design: </strong>This study used a cross-sectional design with a convenience sampling approach. A total of 189 nurses working in Oman completed the study questionnaires consisting of the fear of missing out scale (FOMO) and the second victim experience and support survey (SVEST). The data were collected between April and June 2024.</p><p><strong>Results: </strong>The findings revealed that most nurses experience moderate SVS and FOMO, with significant differences based on age, marital status and education level. A linear regression analysis indicated a positive association between higher SVS and increased FOMO, suggesting that SVS significantly contributes to the experience of FOMO among critical care nurses in Oman.</p><p><strong>Conclusions: </strong>This study highlights the significant relationship between FOMO and SVS among critical care nurses in Oman. The emotional strain from SVS, characterized by guilt and self-blame, is intensified by FOMO related to professional growth and social comparison. To enhance nurses' well-being, health care institutions must implement supportive measures and mental health resources. Addressing these challenges will ultimately improve both nurse satisfaction and patient care outcomes.</p><p><strong>Relevance to clinical practice: </strong>Understanding the interplay between FOMO and SVS among critical care nurses has significant implications for clinical practice worldwide. This research can inform evidence-based strategies to enhance nurses' well-being, leading to improved patient care outcomes and reduced burnout rates. Additionally, the findings can help develop targeted interventions to mitigate the effects of FOMO and SVS, fostering a healthier work environment and promoting resilience in critical care nursing. By exploring these relationships, this research aims to provide insights into the factors contributing to FOMO and SVS, facilitating the development of effective support systems to promote nurses' well-being across diverse health care settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70011"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558751","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ethical considerations for the nursing care of Transgender patients in the Intensive Care Unit.","authors":"John P Gilmore, Marissa Dainton, Natalie L McEvoy","doi":"10.1111/nicc.13048","DOIUrl":"10.1111/nicc.13048","url":null,"abstract":"<p><p>There is more discussion than ever surrounding the health and care needs of Transgender communities. However, there is limited research on the care of Transgender patients in the Intensive Care Unit which can contribute to knowledge gaps, inconsistencies and uncertainties surrounding health care practices. This article is not intended to address all of the specific needs of Transgender patients in ICU, but to explore the ethical considerations for caring for a Transgender woman in the ICU. In doing so, this article will explore some specific considerations around gender affirming care, challenging discrimination, physiological changes, and systems change to enhance care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13048"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11862866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139914037","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of breast milk in the healing of medical adhesive-related skin injuries in peripheral intravenous catheter securement: A randomized controlled trial.","authors":"Vildan Apaydin Cirik, Ayse Sonay Turkmen, Dudu Beren Alirkiliçarslan","doi":"10.1111/nicc.13113","DOIUrl":"10.1111/nicc.13113","url":null,"abstract":"<p><strong>Background: </strong>Skin injuries, which are more prevalent among premature infants, can prolong the hospital stay of preterms in neonatal intensive care units.</p><p><strong>Aim: </strong>This study aimed to assess the effectiveness of breast milk in reducing the healing time of skin injuries caused using medical adhesive for securing peripheral intravenous catheters (PIVCs) in late preterm infants, which was evaluated using the Neonatal Skin Condition Scale (NSCS). A randomized controlled trial was conducted with two parallel groups in a 1:1 allocation ratio.</p><p><strong>Study design: </strong>It was conducted in the Neonatal Intensive Care Unit of a hospital in Karaman, Turkey between August and November 2022 with 72 preterm infants born at 35-36 weeks with stable health status and having intravenous catheter securement to the skin with medical adhesive tapes, with the tapes remaining on the skin for a minimum of 24 h and a maximum of 32 h. Preterm infants were randomly assigned to breast milk or routine care groups. The site of the skin injuries was evaluated by two independent observers using the NSCS once every 60 min until the injury was completely healed. A one-way ANOVA and repeated measures analysis of variance was used to analyse the data.</p><p><strong>Results: </strong>The average postnatal age was 3.32 ± 0.99 days, and the total duration of medical adhesive tape on the skin was 28.21 ± 2.59 h. A significant difference was found between the mean skin condition scale scores of the infants in the breast milk group (F = 117.219, p < .001) and the routine care group (F = 122.247, p < .001) according to time within the group. The skin injuries of preterm infants in the breast milk group decreased significantly in the first 3 h after the procedure.</p><p><strong>Conclusion: </strong>Breast milk application was more effective than routine care in reducing the healing time of skin injuries.</p><p><strong>Relevance to clinical practice: </strong>It can be recommended to use breast milk to heal skin injuries in preterm infants.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13113"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460649","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":"Actual versus perceived noise levels among critical care nurses and their related adverse effects: A cross-sectional study.","authors":"Tamer Abdullah Taleb Dwairi, Eman Arafa Hassan, Bassem Nashaat Beshay, Amal Kadry Nicola Attia","doi":"10.1111/nicc.13095","DOIUrl":"10.1111/nicc.13095","url":null,"abstract":"<p><strong>Background: </strong>Critical care nurses should help in reducing noise to improve the well-being of patients and health care providers.</p><p><strong>Aim: </strong>To measure actual noise levels in intensive care units, identify nurses' perceived irritation levels of noise sources and examine the impact of noise on nurses' work performance and well-being.</p><p><strong>Study design: </strong>This cross-sectional study was conducted from January to April 2023 at a teaching hospital's six intensive care units. It involved three phases: mapping locations for noise measurement, actual noise measurements in decibels and a cross-sectional survey to identify nurses' perceptions and the adverse effects of noise. Actual noise was measured between patients' beds, nursing stations and beside 16 noise sources for 7 days 24 h a day. For nurse perceptions, the mean of perceived irritation levels by a Likert scale for each noise source was calculated to present perceived noise levels. Ranking of noise sources according to the actual measured and perceived irritation by nurses was done based on mean values. Curve estimation regression test was used to predict the relationship between actual and perceived noise and stepwise multiple linear regression identified factors associated with noise adverse effects.</p><p><strong>Results: </strong>The mean noise level in the intensive care units was 65.55 dB. Nurses perceived mechanical ventilator alarms as the most irritating noise. However, the mean noise measurements showed that conversations among colleagues were the primary source of noise. There was no significant predictive relationship between the actual and perceived noise. Nurses reported feeling distressed, irritable, fatigued and less productive due to noise.</p><p><strong>Conclusions: </strong>There was a discrepancy between actual and perceived noise levels by nurses. Perceived noise levels had more impact on nurses than actual noise.</p><p><strong>Relevance to clinical practice: </strong>By incorporating both objective measurements and subjective perceptions into efforts aimed at reducing noise, health care providers can create quieter intensive care units.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13095"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141176075","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":"Guiding novice nurses through resuscitations in the intensive care units: A qualitative descriptive study.","authors":"Yongxing Patrick Lin, Le Yi Cynthia Chan, Ee-Yuee Chan","doi":"10.1111/nicc.13301","DOIUrl":"https://doi.org/10.1111/nicc.13301","url":null,"abstract":"<p><strong>Background: </strong>Resuscitation in the ICU represents a critical juncture where both junior and experienced nurses are expected to respond effectively. As junior nurses may lack the clinical expertise to contribute optimally in a resuscitation, senior nurses may then be required to guide them while managing the intricacies of a resuscitation. Understanding such clinical teaching experiences is essential to strengthening the intra-professional nursing response to resuscitations.</p><p><strong>Aim: </strong>The aim of this study was to explore junior and senior nurses' experience of guiding and being guided during resuscitations in the ICUs.</p><p><strong>Study design: </strong>A qualitative descriptive study was conducted in four ICUs of a tertiary hospital. Ten ICU nurses who have experience with guiding junior nurses or being guided during resuscitations were recruited and interviewed using semi-structured interviews. Interviews were transcribed verbatim and thematically analysed.</p><p><strong>Results: </strong>Three main themes emerged from the data. First, \"Under siege from all sides\" highlights the limitations and challenges faced by junior nurses, as observed by senior nurses. Particularly, competency gaps in executing resuscitative procedures resulted in them being under-performing team members during resuscitations. Second, \"Acts of guiding\" depicted how senior nurses guided junior nurses through passive observation or active participation, with either approach facilitating the junior nurse into the functional roles of a resuscitation. Lastly, \"Shouldering guiding responsibilities\" espoused the moral quagmire that senior nurses experience when they must manage the complexity of a resuscitation while simultaneously guiding the junior nurse.</p><p><strong>Conclusions: </strong>This study provides insights on the intra-professional experiences of nurses guiding and being guided during ICU resuscitations. Findings illuminate the need for leadership and clinical teaching capability building among senior nurses to create opportunistic learning during resuscitations for junior nurses.</p><p><strong>Relevance to clinical practice: </strong>More support is required for junior and senior nurses as they mount an attempt to revive the patient during resuscitations.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13301"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588066","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":"Incidence, characteristics and influencing factors of medical adhesive-related skin injury in the indwelling urinary catheter attachment region in critically ill patients: A longitudinal study.","authors":"Oleci P Frota, Fabiana M Paula, Danielle N Ferreira, Marcos A Ferreira-Júnior, Elaine A R Domingues, Juliana Silva Ruiz, Fernanda Carvalho do Nascimento Gonçalves","doi":"10.1111/nicc.13253","DOIUrl":"https://doi.org/10.1111/nicc.13253","url":null,"abstract":"<p><strong>Background: </strong>Medical adhesives are potentially harmful to the skin, depending on the patient's condition, the adhesive agent and the adhesive application and removal technique.</p><p><strong>Aim: </strong>The objective of the study was to determine the incidence, characteristics and influencing factors of medical adhesive-related skin injury from the indwelling urinary catheter attachment in critically ill patients.</p><p><strong>Study design: </strong>This is a longitudinal study. Data were collected in an adult intensive care unit of a university hospital, a sample size of 132. The socio-demographic and clinical data were obtained from the medical records. Skin exposed to indwelling urinary catheter adhesive tapes was examined daily by trained field researchers. The association between independent variables and medical adhesive-related skin injury was investigated by bivariate statistical analysis and multiple logistic regression.</p><p><strong>Results: </strong>The medical adhesive-related skin injury incidence was 28%. The association between independent variables and medical adhesive-related skin injury was mechanical (91.8%): skin peeling (56.7%), skin breakdown (18.9%) and tension injury or blister (16.2%); followed by irritant contact dermatitis (21.6%), with no statistical difference between the groups. More than one type of medical adhesive-related skin injury was concomitantly located in 16% of patients, with skin peeling present in all of these cases. The length of stay in the intensive care unit was an independent risk factor for medical adhesive-related skin injury (odds ratio [OR]: 1.072; 95% confidence interval [2.1-12.5]) and the Braden Scale score was a predictive factor (OR: 0.711; 95% CI: 0.3-49.3), with higher scores indicating lower risk.</p><p><strong>Conclusions: </strong>Medical adhesive-related skin injury at the indwelling urinary catheter fixation site is a relevant problem, its mechanical aetiology is predominant and most of the risk factors are modifiable.</p><p><strong>Relevance to clinical practice: </strong>This evidence contributes to the epidemiological and clinical knowledge of medical adhesive-related skin injury at the indwelling urinary catheter attachment site, as well as to recognizing the problem as relevant and implementing preventive care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13253"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606406","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":"Relationship between workplace violence and occupational health in emergency nurses: The mediating role of dyssomnia.","authors":"Hao Zhang, Jing Zhou, Luying Zhong, Ling Zhu, Xiaoli Chen","doi":"10.1111/nicc.70008","DOIUrl":"https://doi.org/10.1111/nicc.70008","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Violence in the workplace is a common concern within the health care field, particularly in the high-intensity, high-risk and high-stress environment of the emergency and critical care department. Workplace violence poses significant risks to their physical, psychological and sleep quality. Therefore, it is essential to explore the mechanisms through which workplace violence impacts the occupational health of emergency and critical care nurses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To explore how dyssomnia affects the relationship between workplace violence and emergency and critical care nurses' health, as well as to determine the degree of interaction between workplace violence, dyssomnia and somatic symptoms.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;This cross-sectional survey study included 1540 emergency and critical care nurses from 30 tertiary hospitals across 20 provinces and autonomous regions in mainland China, conducted between 26 December 2023 and 18 January 2024. Spearman correlation analysis was employed to evaluate the relationship among workplace violence, sleep disorders and somatic symptoms. A mediated structural equation model analysis was performed utilizing the Latent Moderated Structural Equations (LMS) method. In this manuscript, we adhered to the STROBE checklist.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;In total, 85.0% (1309) of emergency and critical care nurses had experienced workplace violence in the preceding year, and 59.3% (913) had developed dyssomnia. Significant path coefficients were found for workplace violence on sleep (β = 0.333, 95% confidence interval = [0.276, 0.388], p &lt; .01), sleep on somatization symptoms (β = 0.572, p &lt; .01) and workplace violence on symptoms (β = 0.307, 95% confidence interval = [0.254, 0.359], p &lt; .01). The mediating effect of dyssomnia between workplace violence and somatization symptoms in emergency and critical care nurses accounted for 38% of the total effect, indicating a significant mediating effect.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Sleep disorders were found to mediate the link between workplace violence and somatic symptoms, suggesting that measures other than sleep-specific interventions are required to reduce the risk of somatization symptoms developing in emergency and critical care nurses. In addition, the conjunction effect of workplace violence and sleep highlighted the benefits of simultaneous and integrated interventions to mitigate health risks for nurses.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;The study's findings stress the importance of physical and mental health and sleep quality interventions for emergency and critical care nurses, given the strong connection between sleep disorders and workplace violence. Nursing administrators are encouraged to explore interventions such as individual counselling, a reasonable shift system and adequate time off for emergency and critical care nurses to alleviate sleep disorders, ultimately enhancing","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70008"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617752","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}