Nursing in Critical Care最新文献

{"title":"Critical Care Nursing Workforce Retention From an Irish Perspective: A National Survey.","authors":"Natalie L McEvoy, Nicki Credland, Derek Cribbin, Gerard F Curley, Niamh Humphries","doi":"10.1111/nicc.70094","DOIUrl":"10.1111/nicc.70094","url":null,"abstract":"<p><strong>Background: </strong>Retention of critical care nurses has been identified as a growing international concern for a multitude of reasons. There is a dearth of evidence in the literature on this topic from an Irish perspective.</p><p><strong>Aim: </strong>The aim of the survey is to explore the factors influencing workforce retention among adult critical care nurses in Ireland.</p><p><strong>Study design: </strong>A cross-sectional, electronic survey of adult critical care nurses working in the Republic of Ireland was undertaken between May and July 2024. This survey is a modified version of the Critical Care Network Leads (CC3N) National Adult Critical Care Nursing Workforce Retention Survey. Anonymous quantitative and qualitative data were collected.</p><p><strong>Results: </strong>In total, 257 participant responses were recorded. 58% (n = 149/237) of participants who responded to this question stated they plan to leave their current role. 36% (n = 88/245) of respondents indicated that inadequate staffing was the main reason driving their intention to leave their current job, followed by lack of pay recognition. Participants described what they enjoy about their roles, factors that would encourage them to stay despite intending to leave, and any unmet needs in their current position. Three main qualitative themes were identified: Enjoyment at Work; Encouragement at Work; and Engagement at Work.</p><p><strong>Conclusion: </strong>This study clearly highlights the issues that impact on intention to leave decisions. An understanding of these issues is key to ensuring the critical care nursing workforce plan in Ireland is designed with nurses as key stakeholders. This is essential to ensure that the Irish healthcare system has the right nurses with the right skills in the right place at the right time to deliver safe, high-quality, expert care.</p><p><strong>Relevance to clinical practice: </strong>This study provides valuable insights into the factors influencing the retention of adult critical care nurses in Ireland, a workforce vital to the delivery of high-quality, specialist care. The findings underscore the urgent need for healthcare leaders and policymakers to address modifiable workplace issues such as staffing levels, recognition of pay and support structures. By highlighting what nurses value in their roles and what might motivate them to stay, this research informs targeted, evidence-based strategies for improving job satisfaction and workforce stability.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70094"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232119/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561857","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":"Family Members' Recollections of the Care of ECMO Patients Transferred From a Spoke Hospital to a Hub Hospital: A Qualitative Study.","authors":"Marta Villa, Davide Ausili, Flavia Pegoraro, Giancarla Nava, Martina Giulia Bassi, Sabrina Bramati, Cavaliere Manuela, Giannella Simone, Roberto Rona, Marco Giani, Alberto Lucchini","doi":"10.1111/nicc.70105","DOIUrl":"https://doi.org/10.1111/nicc.70105","url":null,"abstract":"<p><strong>Background: </strong>Patients with severe hypoxaemia due to Adult Respiratory Distress Syndrome may require extracorporeal membrane oxygenation (ECMO). ECMO centres, known as 'hub hospitals', provide mobile teams that can initiate ECMO treatment at local 'spoke' hospitals before transferring patients to hub facilities. This hub-and-spoke system is operational throughout northern Italy.</p><p><strong>Aim: </strong>To explore the experiences and perceptions of family members when their loved ones received ECMO treatment and were subsequently relocated from a spoke hospital to a hub hospital.</p><p><strong>Study design: </strong>Semi-structured phone interviews with thematic analysis. Family members of patients transferred with ECMO from a spoke to a hub hospital were recruited for this study. Data analysis followed the principles of thematic synthesis.</p><p><strong>Results: </strong>Six phone interviews were conducted with family members eligible for the study. Three main themes and nine subthemes were generated from interview data: (1) The 'Wait' (subthemes: Fear, despair and anguish; Disbelief; Confusion and disorientation; Daily clinical news), (2) The 'Trust' (Trust in healthcare professionals; Hope and optimism; Technology), and (3) The 'Gratitude' (Fortune and awareness; Commitment, humanity and to take care of). Each relative's experience was unique; however, several common behaviours and emotional patterns emerged during the interviews. The ECMO process was perceived as a collaborative experience involving the interplay between patients, their family members and healthcare providers.</p><p><strong>Conclusions: </strong>Family members' experience with ECMO patients indicates that ECMO is perceived as a crisis-focused intervention that provides last-minute hope. Despite the dire circumstances, the narratives shared by the interviewees provided the ability to reflect on their ICU experiences.</p><p><strong>Relevance to clinical practice: </strong>The findings of this small, single-location study indicate that including the viewpoints of patients' families in future qualitative research and follow-up initiatives for former ICU patients could provide further understanding of how family members perceive the experience of a patient undergoing ECMO. The involvement of family members is crucial when providing care to critically ill patients. This is particularly relevant for critical care nurses who play a key role in supporting families during ECMO.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70105"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610274","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":"Trajectory and determinants of intensive care unit-acquired weakness in critical illness: A multicentre, prospective, longitudinal study.","authors":"Xue-Xian Chen, Jing Xiong, Jin-Xia Chen, Chen-Juan Luo, Yao-Ning Zhuang, Mei-Lian Xu, Hong Li, Ting-Ting Wu","doi":"10.1111/nicc.13209","DOIUrl":"10.1111/nicc.13209","url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit-acquired weakness (ICU-AW) is prevalent and adversely affects patient outcomes. Muscle strength progression and response to rehabilitation differ across ICU populations. However, the trajectories, determinants and prognoses of muscle strength changes remain unclear.</p><p><strong>Aim: </strong>This study aimed to investigate the trajectory and determinants of ICU-AW in critical illness and its impact on 60-day postadmission mortality.</p><p><strong>Study design: </strong>A multicentre prospective cohort study was conducted, involving critically ill patients from 10 ICUs across five tertiary hospitals in Fujian Province, China. Patients were evaluated using the Medical Research Council (MRC) scale at three time points: within 48 h of ICU admission or within 24 h of regaining consciousness (T1), within 24 h of ICU discharge (T2) and at the time of hospital discharge (T3). The latent class growth mixed model was utilized for data analysis, and multivariable logistic regression was employed to examine the determinants of muscle strength trajectories.</p><p><strong>Results: </strong>This study encompassed 343 patients from five tertiary hospitals. Three latent trajectory groups were identified: a low-level decline group (5.83%), a medium-level stability group (25.36%) and a high-level recovery group (68.81%). Multivariable logistic regression revealed that Charlson comorbidity index (CCI) and alcohol consumption significantly influenced the trajectory of muscle strength development in ICU patients (p < .05). The mortality rate at 60 days was significantly higher in both the low-level decline and medium-level stability groups compared with the high-level recovery groups (p < .05).</p><p><strong>Conclusions: </strong>This study identified three muscle strength trajectories in ICU patients: low-level decline, medium-level stability and high-level recovery. CCI and alcohol consumption significantly influenced these trajectories. The lower 60-day mortality rate in the high-level recovery group underscores the need for early intervention and tailored care.</p><p><strong>Relevance to clinical practice: </strong>Developing targeted rehabilitation strategies for those at risk of low-level decline or medium-level stability group is challenging and may potentially improve recovery and outcomes.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13209"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781684","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":"Interaction Experiences of Family Members With Their Unconscious Relatives on Mechanical Ventilation in the Intensive Care Unit: A Phenomenological Qualitative Study.","authors":"Hülya Koçyiğit Kavak, Suna Demirci","doi":"10.1111/nicc.70115","DOIUrl":"https://doi.org/10.1111/nicc.70115","url":null,"abstract":"<p><strong>Background: </strong>Mechanical ventilation is a life-saving intervention for critically ill patients in intensive care units, often leading to unconsciousness due to sedation, neurological impairment or metabolic dysfunction. Family members of unconscious patients face significant emotional and psychological challenges, including uncertainty, anxiety and helplessness. Understanding their interaction experiences is crucial for improving support strategies.</p><p><strong>Aim: </strong>This study aims to explore the interaction experiences of family members with their unconscious relatives on mechanical ventilation in the intensive care unit.</p><p><strong>Study design: </strong>A phenomenological qualitative approach was employed, utilising semi-structured interviews with 15 family members of unconscious patients in intensive care units. Data were analysed using Colaizzi's and Giorgi's phenomenological methods with MAXQDA software to identify themes and sub-themes.</p><p><strong>Results: </strong>Five interconnected themes emerged: Bonding and Communication Challenges, Psychological and Emotional Burden, The Meaning of Physical and Verbal Interaction, Coping Strategies and Communication with Healthcare Professionals. These themes illustrate the complex emotional, cognitive and relational impact of unconsciousness and mechanical ventilation on families. Physical and verbal interactions were found to serve therapeutic and relational functions, while coping involved hope, patience and spiritual meaning-making. Communication gaps with healthcare professionals increased distress, highlighting the need for clear, empathetic and consistent information-sharing.</p><p><strong>Conclusion: </strong>The findings emphasise the critical role of effective communication and psychosocial support in addressing the emotional burden faced by family members of unconscious intensive care unit (ICU) patients. Integrating family-centred care with empathetic communication strategies can help alleviate uncertainty and promote psychological well-being.</p><p><strong>Relevance to clinical practice: </strong>Empathetic communication, structured emotional support and transparent information-sharing within a family-centred care approach are essential for alleviating the emotional and psychological burden experienced by relatives of unconscious ICU patients and for enhancing the overall quality of critical care delivery.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70115"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610275","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":"Hope among patients discharged from an intensive care unit: A prospective cohort study.","authors":"Mona Austenå, Tone Rustøen, Milada Cvancarova Hagen, Åse Valsø, Kjetil Sunde, Kirsti Tøien","doi":"10.1111/nicc.13235","DOIUrl":"10.1111/nicc.13235","url":null,"abstract":"<p><strong>Background: </strong>Hope is important during critical illness due to the uncertainty and loss of control in the patient's life. Following intensive care, hope might provide a therapeutic effect and increase coping, leading to improved recovery.</p><p><strong>Aim: </strong>To describe the levels of hope in patients during the first year after ICU treatment, and to explore possible associations between hope and selected demographic, clinical and psychosocial factors.</p><p><strong>Study design: </strong>This is a prospective cohort study and a predefined sub-study of a randomized controlled trial. Adults discharged from five mixed ICUs were included. All patients were screened for post-traumatic stress symptoms at baseline, and data on hope, post-traumatic stress and social support were collected 3, 6 and 12 months later. Linear regression analyses and linear mixed models for repeated measurements with hope as the dependent variable were used.</p><p><strong>Results: </strong>Median age was 57 years (range 18-94), 47% were women, median length of ICU stay was 3 days (range 1-83), Simplified Acute Physiology Score II was 24 (range 0-78) and 54% received mechanical ventilation. Not having prior mental health problems (B = 1.93, 95% CI [0.90, 2.98]), lower level of post-traumatic stress symptoms (B = -0.08, 95% CI [-0.11, -0.04]) and more social support (B = 0.37, 95% CI [0.31, 0.43]) were all independently associated with higher levels of hope during the first year after critical illness. The levels of hope were higher in the study cohort than in the general Norwegian population and remained unchanged during follow-up.</p><p><strong>Conclusions: </strong>Patients maintained a stable level of hope throughout follow-up. Absence of prior mental health problems, lower post-traumatic stress symptoms and more social support after ICU discharge were associated with higher hope.</p><p><strong>Relevance to clinical practice: </strong>Patients' hope should be strengthened during the ICU stay through psychosocial support and care for patients with previous post-traumatic stress symptoms and mental health problems.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e13235"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531005","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":"Endotracheal Tube-Associated Complications in Paediatric Critical Care: A Systematic Review and Meta-Analysis.","authors":"Joanne Curlis, Karina R Charles, Ruth Royle, Claire M Rickard, Daner Ball, Sarfaraz Rahiman, Jessica A Schults","doi":"10.1111/nicc.70066","DOIUrl":"10.1111/nicc.70066","url":null,"abstract":"<p><strong>Background: </strong>Children admitted to the paediatric intensive care unit who require mechanical ventilation are at increased risk for endotracheal tube complications. Increased endotracheal tubes complications can lead to increased length of stay and subsequent increased health care costs.</p><p><strong>Aim: </strong>To estimate the incidence of endotracheal tube-associated infections and other complications in mechanically ventilated children.</p><p><strong>Study design: </strong>Systematic review and meta-analysis of observational studies. The electronic databases and search machines PubMed, Embase and Cumulative Index of Nursing and Allied Health Literature (CINAHL) were searched for articles published 2012 to 2023. We included cohort studies and randomized controlled trials set in paediatric intensive care that reported endotracheal tube-associated complications (infection, accidental removal, pressure injuries and blockage). Study eligibility assessment, data extraction and critical appraisal were undertaken by pairs of reviewers. Pooled estimates of complications were generated using random effects meta-analysis. Study quality was assessed using the Critical Appraisal Skills Programme tool for randomized controlled trials and cohort studies.</p><p><strong>Results: </strong>We included data from 34 studies (12 RCTs and 22 cohort studies; n = 50 359 patients; 232 123 ventilator days). There was substantial study heterogeneity. The primary outcome was endotracheal tube-associated infection: ventilator-associated pneumonia, ventilator-associated events and/or ventilator-associated tracheobronchitis. Ventilator-associated pneumonia was the most common endotracheal tube-associated complication (incidence rate 13.5/1000 ventilator days; 95% confidence interval [CI] 8.2, 22.2) with higher rates in low- and middle-income countries than high-income economies (incidence rate difference 11.9%; 95% CI 10.2, 13.7). Accidental extubation was the second most common complication (7.4/1000 ventilator days; 95% CI 5.1, 10.7) followed by endotracheal tube-associated pressure injuries (5.4/1000 ventilator days; 95% CI 1.7, 16.6) and endotracheal tube blockage (5.0/1000 ventilator days; 95% CI 1.4, 17.6).</p><p><strong>Conclusions: </strong>Endotracheal tube-associated complications remain prevalent and contribute avoidable harm. The continued high incidence of ventilator-associated pneumonia highlights further efforts are needed to reduce burden, especially in lower- and middle- income countries.</p><p><strong>Relevance to clinical practice: </strong>Awareness of endotracheal tube-associated complications will promote initiatives to reduce complications and prevent patient harm. Prospero Registration: PROSPERO 2022 CRD42022339900.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70066"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303546","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":"The experiences of cardiovascular surgeons and nurses with mutual support through interprofessional collaboration in the intensive care unit.","authors":"Hümeyra Dener, Melih Elçin","doi":"10.1111/nicc.13220","DOIUrl":"10.1111/nicc.13220","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) emphasizes the need for radical approaches in its Global Patient Safety Action Plan, particularly in terms of interprofessional and multidisciplinary approaches. The plan highlights the importance of providing training on patient safety for all professionals, focusing on team and task-based strategies that include bedside and simulation education. TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) is an educational programme developed to teach health care professionals on specific tools and strategies to enhance basic teamwork skills. Mutual support, one of the teamwork skills described in TeamSTEPPS®, involves team members assisting one another, providing and receiving feedback on performance, and advocating assertively when patient safety is threatened.</p><p><strong>Aim: </strong>The aim of this study was to explore the experiences of cardiovascular surgeons and nurses with mutual support through interprofessional collaboration in the intensive care unit (ICU) at Hacettepe University.</p><p><strong>Study design: </strong>The study employed a basic qualitative research design. The data were gathered through in-depth interviews and analysed with inductive content analysis in accordance with Elo and Kyngäs. We used the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist to describe and report the components of study design.</p><p><strong>Results: </strong>We interviewed 13 participants: 6 surgeons and 7 nurses. Six themes were identified: mutual support, positiveness of working in a supportive environment, feedback, effective communication, patient safety and conflict resolution.</p><p><strong>Conclusion: </strong>The results of our study revealed that intra/inter-professional collaboration and mutual trust based on the variety of individual and workplace-related factors improved patient safety through individual motivation while monitoring and supporting each other in a positive environment, providing feedback and encouraging effective communication, patient advocacy and conflict resolution.</p><p><strong>Relevance to clinical practice: </strong>Exploring the experiences, challenges and successes of health care workers in interprofessional collaboration is crucial. Understanding team dynamics, communication barriers and collaboration strategies can help promote more effective teamwork and contribute to the development of plans to improve the quality of patient care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13220"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781681","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":"Building evidence-based interventions to improve staff well-being in paediatric critical care using the behaviour change wheel.","authors":"Rachel L Shaw, Isabelle Butcher, Sarah Webb, Heather P Duncan, Rachael Morrison","doi":"10.1111/nicc.13228","DOIUrl":"10.1111/nicc.13228","url":null,"abstract":"<p><strong>Background: </strong>Research has demonstrated that staff working in Paediatric Critical Care (PCC) experience high levels of burnout, post-traumatic stress and moral distress. There is very little evidence of how this problem could be addressed.</p><p><strong>Aim: </strong>To develop evidence-based, psychologically informed interventions designed to improve PCC staff well-being that can be feasibility tested on a large scale.</p><p><strong>Study design: </strong>The Behaviour Change Wheel (BCW) framework guided systematic development of the interventions. This process was informed by a review of existing well-being initiatives and a survey of PCC staff's awareness and uptake of initiatives identified.</p><p><strong>Results: </strong>Together with empirical evidence, the BCW process produced two bespoke 'SWell' (Staff Wellbeing) interventions tailored for delivery in UK PCC units. The two group-based interventions, Mad-Sad-Glad and Wellbeing Images involve the Behaviour Change Techniques (BCTs) of self-belief, social support, feedback and monitoring. These BCTs align closely with the psychological concepts of self-efficacy, self-regulation and the psychological theory of how to thrive.</p><p><strong>Conclusions: </strong>Tailored, evidence-based, psychologically informed SWell (Staff Wellbeing) interventions are likely to be feasible and have the potential of making significant differences to individual staff members and the PCC workforce as a whole. Associated investments in the psychological health of the workforce and time to prioritize well-being interventions are required for change to occur and be maintained.</p><p><strong>Relevance to clinical practice: </strong>The SWell (Staff Wellbeing) interventions could impact directly on the well-being of PCC staff and their ability to thrive in the workplace. Indirectly, they could reduce staff attrition, sickness absence and improve patients' and families' experiences of care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13228"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958419","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":"Research Topics and Trends of Clinical Decision Support Systems in Intensive Care Units: A Bibliometric Analysis.","authors":"Xun Deng, Lu Liu, Tingting Peng, Shan Zhang","doi":"10.1111/nicc.70112","DOIUrl":"https://doi.org/10.1111/nicc.70112","url":null,"abstract":"<p><strong>Background: </strong>Hospital administrators apply information technology to improve healthcare quality; however, a comprehensive bibliometric analysis remains limited.</p><p><strong>Aim: </strong>To explore the research topic, key contributors and development trends of clinical decision support systems (CDSS) in intensive care units (ICUs).</p><p><strong>Study design: </strong>Between January 1, 2014, and December 31, 2024, a bibliometric analysis was undertaken. CiteSpace software was used to conduct a visual analysis of literature retrieved from the Web of Science Core Collection database. Publishing countries, institutions, authors, cited journals and keywords were reported.</p><p><strong>Results: </strong>A total of 817 articles were included in the final analysis. The annual publication volume showed an overall upward trend. The United States was the country with the highest number of publications (338 articles, 41.37%), and the University of Pittsburgh was the most prolific institution (29 articles, 3.55%). Herasevich, Vitaly from Mayo Clinic, Dept Anesthesiol, was the most prolific author (8 articles, 0.98%). Critical Care Medicine was the most cited journal (n = 421). Research hotspots primarily focused on the integration of CDSS with clinical practice, intelligent decision support-driven precision ICU care and the effectiveness of CDSS in managing ICU patients. Research trends centred on prediction, respiratory distress syndrome and artificial intelligence.</p><p><strong>Conclusions: </strong>This study highlights key research areas in CDSS applications in ICUs, focusing on clinical integration, precision care and patient management, offering insights for improving healthcare quality.</p><p><strong>Relevance to clinical practice: </strong>The findings from this bibliometric analysis can assist ICU nurses in advancing research on integrating CDSS into ICU practices, developing intelligent decision support tools and addressing gaps in precision care, prediction models and AI-driven solutions to enhance patient outcomes and optimise critical care management.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70112"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610276","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":"Post-discharge family resilience in premature infants and their mothers: A longitudinal study.","authors":"Jen-Tzu Hsiao, Shih-Ming Chu, Hung-Yang Chang, Chieh-Yu Liu, Pei-Ching Liu, Chi-Wen Chen","doi":"10.1111/nicc.13229","DOIUrl":"10.1111/nicc.13229","url":null,"abstract":"<p><strong>Background: </strong>Upon discharge, very low birth weight infants pose significant caregiving challenges for families. Family resilience is vital for managing stress and adapting to this new situation. However, research focussing on the resilience of families with premature infants returning home has been limited. Understanding these factors is crucial for improving care quality.</p><p><strong>Aim: </strong>To investigate the influence of family resilience on very low birth weight (VLBW) and extremely low birth weight (ELBW) infants, specifically examining social support, family functioning and parenting stress at 3 and 6 months of corrected age.</p><p><strong>Study design: </strong>In this longitudinal study, we collected data from two medical centres in Northern Taiwan through convenience sampling. From December 2019 to September 2020, 51 mothers of VLBW or ELBW infants (birth weight = 540-1490 g) were included; they were assessed at 3 and 6 months of corrected age. The mothers completed questionnaires measuring family resilience, social support, family functioning and parenting stress. The data were analysed through multiple linear regression.</p><p><strong>Results: </strong>At 3 and 6 months of corrected age, the mothers demonstrated moderate-to-high levels of family resilience. The family resilience levels demonstrated no significant differences between the two follow-ups. Social support and parenting stress strongly predicted family resilience levels at both follow-ups.</p><p><strong>Conclusion: </strong>This study sheds light on the crucial role of family resilience in coping with challenges during this critical period.</p><p><strong>Relevance to clinical practice: </strong>Nursing professionals' early recognition and support for family resilience can ensure post-discharge well-being for premature infants and their families.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13229"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923848","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}