Nursing in Critical Care最新文献

{"title":"Exploring intensive care unit nurses' acceptance of clinical decision support systems and use of volumetric pump data: A qualitative description study.","authors":"Christian Vincelette, François Martin Carrier, Charles Bilodeau, Michaël Chassé","doi":"10.1111/nicc.13274","DOIUrl":"10.1111/nicc.13274","url":null,"abstract":"<p><strong>Background: </strong>Intensive care units are well positioned for the rapid development of data-driven clinical decision support systems. However, clinical decision support systems using volumetric pump data are uncommon. This may be explained by the complexity of this data source as well as our limited understanding of the acceptability of clinical decision support systems and volumetric pump data use from nurses' perspectives.</p><p><strong>Aim: </strong>To describe intensive care unit nurses' perceptions regarding (1) the acceptability of developing and implementing novel intensive care technologies (i.e. clinical decision support systems) and (2) the acceptability of using infusion pump data to inquire about intensive care practices and improve the quality of care.</p><p><strong>Study design: </strong>A qualitative description study was performed. Semi-structured interviews were conducted between January and March 2024 and involved 10 intensive care nurses from the province of Quebec (Canada).</p><p><strong>Results: </strong>Nurses generally perceived the development and implementation of novel technologies, and the use of pump data, as acceptable. However, the discrepancy between the delays in care computerization and the rapid development of novel technologies with advanced algorithmic capabilities, coupled with nurses' doubts and limited comprehension of data-driven clinical decision support systems, influenced their perspectives. Nurses' appraisal that infusion logs can enhance clinical practices and that logs should align with their documentation motivated their perception that it is acceptable to use this data source.</p><p><strong>Conclusions: </strong>Overall, novel technologies as well as volumetric pump data use were perceived as acceptable. Leveraging novel data processing and computation techniques could lead to the development of more dynamic clinical decision support systems that utilize infusion logs, further improving care delivery.</p><p><strong>Relevance to clinical practice: </strong>For clinical decision support systems to be useful for intensive care nurses, alarms must be seamlessly integrated into their workflows. Involving nurses in the technological development process may help ensure the usability of these technologies.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13274"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11865297/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517206","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 effect of end-of-life care awareness education on the knowledge, attitudes and behaviours of intensive care nurses: A randomized controlled trial.","authors":"Fırat Demir, Cansu Polat Dunya, İlknur Özkan","doi":"10.1111/nicc.13192","DOIUrl":"10.1111/nicc.13192","url":null,"abstract":"<p><strong>Background: </strong>Education in end-of-life care (EoLC) is essential for improving the knowledge, attitudes and behaviours of intensive care nurses.</p><p><strong>Aim: </strong>This study aimed to evaluate the effect of online awareness education, based on the End-of-Life Nursing Education Consortium, on the knowledge levels, attitudes and behaviours of intensive care nurses.</p><p><strong>Study design: </strong>This single-centre randomized controlled study. This study was performed in a tertiary intensive care unit in a university-affiliated hospital. Seventy-six intensive care nurses were selected and equally randomized. In the education, the group was given an EoLC awareness education programme on an online platform as 40-60-min sessions once a week for 4 weeks. The descriptive Information Form, EoLC Knowledge Test and the Nurses' Attitudes and Behaviours towards the EoLC Scale were used. In the study, intensive care nurses' knowledge, attitude and behaviour levels towards EoLC were evaluated before and after 4 weeks (±3 days) following the education.</p><p><strong>Results: </strong>When the mean post-education scores of the nurses in the education group were compared with the control group, it was found that their mean scores on the EoLC Knowledge Test (p = .001, Cohen's d = 1.354, 95% CI = 3.240-6.549), the attitude sub-dimension (p = .001, Cohen's d = 1.520, 95% CI = 4.510-7.858), the behaviour sub-dimension (p = .001, Cohen's d = 1.425, 95% CI = 3.206-6.214) and the total attitude and behaviour (p = .001, Cohen's d = 1.927, 95% CI = 8.408-13.643) were statistically significantly higher than those of the control group.</p><p><strong>Conclusion: </strong>This study showed that EoLC awareness education positively affected nurses' knowledge, attitudes and behaviours. Accordingly, planning EoLC awareness education online at regular intervals may be recommended for intensive care nurses.</p><p><strong>Relevance to clinical practice: </strong>Intensive care nurses may be given online EoLC awareness education to positively affect their knowledge, attitudes and behaviours about EoLC. Online EoLC education can be effective in terms of reaching a large number of nurses, time and cost.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13192"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880744/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142480253","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 implementation and impact of narrative diaries in neonatal intensive care units: A scoping review.","authors":"Gabriele Sorrentino, Kiara Ros Thekkan, Catia Genna, Lucia Aite, Angela Ragni, Francesca Bevilacqua, Immacolata Dall'Oglio, Marco Roberti, Emanuela Tiozzo, Orsola Gawronski","doi":"10.1111/nicc.13281","DOIUrl":"10.1111/nicc.13281","url":null,"abstract":"<p><strong>Background: </strong>Premature birth and the Neonatal Intensive Care Unit (NICU) experience can be challenging for parents, affecting their psychological and emotional well-being. NICU diaries could help to reduce the separation gap and strengthen the bonding process with their infant.</p><p><strong>Aim: </strong>To review the literature on narrative diaries, definitions and use in the NICU.</p><p><strong>Study design: </strong>We conducted a scoping review following the Joanna Briggs Institute (JBI) methodology. We searched PubMed, Embase, Scopus, PsycINFO, Cinahl, and Grey Literature up to September 2024. Studies reporting on the use or effect of narrative diaries in the NICU were included. A descriptive and thematic analysis was conducted.</p><p><strong>Results: </strong>Of a total of 526 records, 21 were included. Most studies had a quasi-experimental or qualitative design, including a framework conceptualization. Editorials were common. Mothers (33%), nurses (9%) and fathers (5%) were the most common diarists. Seven studies evaluated the effect of NICU diaries on family post-intensive care syndrome (PICS-F), satisfaction, and family separation. The benefits of NICU diaries for parents included improved communication, empowerment, personal emotional awareness and parental closeness with their newborn, while for staff, they reduced burnout and fostered the humanization of care. Acceptability was high.</p><p><strong>Conclusions: </strong>Acceptability and perceived benefits of NICU diaries were widely reported. Heterogeneity in aims, use, and follow-up was high. Well-designed effective multicentre studies providing evidence of impact on PICS-F and a position statement framing the intervention in NICU are recommended.</p><p><strong>Relevance to clinical practice: </strong>This study has shown that NICU diaries have the potential to improve humanization, communication between NICU staff and parents, parents' coping, and closeness to their newborn.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13281"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11859878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143504866","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":"'Implicit rationing of nursing care processes'-Decision-making in ICU nurses' experiences: A qualitative study.","authors":"Shuyan Fang, Yingnan Zhao, Shizheng Gao, Juanjuan Sun, Dongpo Song, Yifan Wu, Qiqing Zhong, Jiao Sun","doi":"10.1111/nicc.13127","DOIUrl":"10.1111/nicc.13127","url":null,"abstract":"<p><strong>Background: </strong>Implicit rationing of nursing care is defined as the withholding of necessary nursing measures for patients because of a lack of nursing resources. However, no studies have explored the experience of decision-making about implicit rationing of nursing care in an intensive care unit (ICU).</p><p><strong>Aim: </strong>To explore the process of ICU nurses' decisions and judgement based on the conceptual framework of implicit rationing of nursing care.</p><p><strong>Study design: </strong>A qualitative study was undertaken between June 2020 and September 2020. The data collection methods were participative observation and interview. Eighteen ICU nurses participated in interviews. A thematic analysis was performed for the data analysis.</p><p><strong>Results: </strong>The following five themes emerged: assessment of the condition and nature of nursing and time taken; strategies for setting personal priorities; plan implementation under mitigation strategy; existing nursing in reality; evaluation of the implementation of implicit rationing care. Nurses choose different strategies during plan implementation.</p><p><strong>Conclusions: </strong>In the absence of explicit guidelines on rationing nursing care, nurses often rely on intuitive and situational decision-making processes for setting priorities. Given the vulnerability of ICU patients and the absence of family caregivers, nurses bear a heightened ethical responsibility to provide care. Establishing a positive nursing culture is essential. It is both reasonable and effective to organize work by accurately quantifying workload, improving staffing levels and optimizing scheduling methods. These themes align with the decision-making process outlined in the conceptual framework and offer fresh perspectives.</p><p><strong>Relevance to clinical practice: </strong>Nurses have a greater responsibility to provide care in an ethical manner and to increase awareness of the importance of holistic nursing care for the patient, that is to raise awareness of the importance of care that is often missed. Nurses actively adopt strategies to reduce implicit rationing of nursing care, including teamwork, organized nursing, working overtime and ignoring quality. The findings highlight the importance of creating a positive nursing culture that encourages nurses to adopt positive strategies.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13127"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141621785","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":"Development of the Critically Ill Patient Eye Assessment Scale: A study of validity and reliability.","authors":"Burcu Bayrak Kahraman, Aysun Acun, Elif Sözeri Öztürk, Kamile Kirca","doi":"10.1111/nicc.13128","DOIUrl":"10.1111/nicc.13128","url":null,"abstract":"<p><strong>Background: </strong>Eye care and assessment of the eye are critical for intensive care patients to prevent ocular complications like dry eye and corneal abrasion. However, there is no measurement tool developed for intensive care patients that examines the risks of ocular complications.</p><p><strong>Aim: </strong>This study aims to develop a valid and reliable tool, the Critically Ill Patient Eye Assessment Scale (CIPEAS), for assessing the risk of ocular complications and determining the frequency of eye care.</p><p><strong>Study design: </strong>This study is an instrument development study. This methodological study was conducted with 151 intensive care patients in Turkey between March 2022 and March 2023. Data were collected with the Patient Information Form and the CIPEAS. The data were evaluated using SPSS 23 statistical software. AMOS 21 was used to verify the structure obtained with CFA. Exploration and confirmatory factor analyses were performed to determine the scale's factorial structure.</p><p><strong>Results: </strong>As a result of exploratory factor analysis, a six-item scale consisting of a single dimension was obtained, explaining 59.993% of the total variance. The fit indices of the scale were found to be χ²/SD = 2.653, GFI = 0.954, RMSEA = 0.075, NFI = 0.949 and CFI = 0.967. Cronbach's alpha of the scale was found to be 0.862.</p><p><strong>Conclusion: </strong>The CIPEAS was found to be a valid and reliable assessment tool.</p><p><strong>Relevance to clinical practice: </strong>The Critically Ill Patient Eye Assessment Scale is a valid and reliable tool for Turkish society for assessing the risk of ocular complications. It is recommended for various national and international studies with different patients in intensive care units.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13128"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141635697","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":"Skin tears in older patients in intensive care units: A multicentre point prevalence study.","authors":"Hatice Yuceler Kacmaz, Hilal Kahraman, Ayşe Topal Hancer, Füsun Uzgor, Sevgi Gur, Nevra Kalkan, Ozlem Ceyhan, Meryem Yilmaz, Sahin Temel","doi":"10.1111/nicc.13131","DOIUrl":"10.1111/nicc.13131","url":null,"abstract":"<p><strong>Background: </strong>With the ageing of the global population, it is predicted that the population of older adult patients in hospitals and intensive care units (ICUs) will increase. Because of health conditions, care practices and ageing-related skin changes, older adult ICU patients are prone to skin integrity problems, including skin tears (STs).</p><p><strong>Aim: </strong>To determine the prevalence of STs and associated factors in older patients hospitalized in ICUs.</p><p><strong>Study design: </strong>The study is a regional, multicentre, point prevalence study conducted in five centres in the five largest cities in terms of population in the Central Anatolia Region of Türkiye. Data were collected simultaneously in each centre on the same day. The list of patients hospitalized in the ICUs on the day of data collection was drawn up, and 200 patients who were 65 years of age or older, were hospitalized in ICUs and agreed to participate in the research were included. The researchers formed an \"ST chart\" to record patient demographic characteristics, clinical variables and skin assessment.</p><p><strong>Results: </strong>STs were detected in 14.5% of patients in ICUs, with 72.5% of them having stage 1 ST. A significant relationship was found between individuals' average body mass index (BMI) (p = .043), age (p = .014), length of stay in the ICU (p = .004) and having ST. There was also a statistically significant relationship between skin temperature (p = .002), skin turgor (p = .001) and ST. More STs were observed in patients with cold skin and low turgor. The prevalence of ST was higher in individuals with a history of ST. Additionally, there was a statistically significant relationship between consciousness (p = .014), incontinence (p = .006), the Braden score (p = .004), the Itaki fall risk score (p = .006) and ST.</p><p><strong>Conclusions: </strong>In this multicentre point prevalence study, the prevalence of ST in older patients in ICUs was 14.5%, and many factors associated with ST have been identified.</p><p><strong>Relevance to clinical practice: </strong>Given the insufficient information and attention to STs in older adults, the study emphasizes the importance of addressing STs. The impact of STs includes increased treatment costs, length of stay and risk of complications. Therefore, understanding the global extent of STs in ICUs and developing effective interventions for prevention and management are crucial.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13131"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731564","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 a checklist for enteral medication administration: A randomized controlled trial.","authors":"Emel Külekci, Emine Iyigün","doi":"10.1111/nicc.13275","DOIUrl":"10.1111/nicc.13275","url":null,"abstract":"<p><strong>Background: </strong>Enteral nutrition protocols are used when oral nutrition is contraindicated. Medications may be administered through enteral feeding tubes when alternative routes of administration are not available. A brief review of the literature shows a lack of knowledge and inconsistent behaviours among nurses regarding enteral medication administration, which may pose a threat to patient safety.</p><p><strong>Aim: </strong>This study was conducted to evaluate the effectiveness of an enteral medication administration checklist in reducing medication administration errors via enteral feeding tubes.</p><p><strong>Study design: </strong>A randomized, controlled, triple-blind, experimental design was used. The study was conducted between 2022 March and June in five different intensive care units of a research and training hospital in X city, XX country. Sixty-nine volunteer nurseswere divided into two groups: intervention (n = 34) and control (n = 35) by stratified randomization method. The study was conducted in two steps. First, a checklist for enteral medication administration was developed according to the recommendations of the American Society for Parenteral and Enteral Nutrition, the European Society for Clinical Nutrition and Metabolism and the British Association of Parenteral and Enteral Nutrition. Second, the effectiveness of the checklist on the intervention group in reducing implementation errors was examined. Four data collection tools, including a descriptive information form, enteral medication administration evaluation form, knowledge assessment form and observation form, were used in the study.</p><p><strong>Results: </strong>In the pretest phase, the mean error rate of the control group was 37.49 ± 18.42, while in the intervention group it was 38.23 ± 15.08; in the post-test phase, the mean total error rate of the control group was 26.88 ± 17.56, and it was 2.21 ± 4.05 in the intervention group. Accordingly, it was determined that the post-test total error rate mean of the intervention group was statistically significantly lower than that of the control group (p < 0.05, t = -8.096 [-30.846; -18.502]).</p><p><strong>Conclusion: </strong>The enteral medication administration checklist reduced errors in the administration of medications through enteral feeding tubes. Therefore, the checklist can be used to reduce errors in medication administration.</p><p><strong>Relevance to clinical practice: </strong>This study was conducted to reduce errors in enteral drug administration reported in the literature. With the developed checklist, these errors were reduced, and a standard practice approach was provided to intensive care nurses.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13275"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11848509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484683","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 relationship between sleep quality and resilience among intensive care unit nurses: A cross-sectional study.","authors":"Angeli Malewska, Lena Serafin, Bożena Czarkowska-Pączek","doi":"10.1111/nicc.70010","DOIUrl":"https://doi.org/10.1111/nicc.70010","url":null,"abstract":"<p><p>Resilience is essential for intensive care unit (ICU) nurses, but poor sleep quality negatively affects their well-being and performance. This study analysed the link between sleep quality and resilience among 138 ICU nurses, considering socio-demographic variables (age, sex, education, professional experience). Data showed high rates of poor sleep (56.5%) and low and average resilience (84%). No significant relationship between socio-demographic variables and resilience or sleep quality was found, but a moderate negative correlation between sleep quality and resilience was identified (r = -.30; p < .001). Interventions to improve sleep and resilience are needed to enhance ICU nurses' well-being and performance. Increasing the level of resilience among ICU nurses is an important health-related protective factor. Moreover, an increase in resilience can enhance work commitment and improve their abilities to cope with many problems, ultimately contributing to their development.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70010"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665251","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":"BACCN 40th Annual Conference 2025-Celebrating 40 years of advocating for critical care: Adapting to changing landscapes.","authors":"Louise Stayt","doi":"10.1111/nicc.70031","DOIUrl":"https://doi.org/10.1111/nicc.70031","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70031"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143702206","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":"Correction to 'Prevention of central line-associated bloodstream infections: ICU nurses' knowledge and barriers'.","authors":"","doi":"10.1111/nicc.70003","DOIUrl":"https://doi.org/10.1111/nicc.70003","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70003"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544378","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}