Nursing in Critical Care最新文献

{"title":"Predictive Roles of Fear of Missing Out and Rumination in Depression Among ICU Nurses.","authors":"Mohadeseh Bizhanpour Sarabi, Naser Parizad, Vahid Alinejad, Fardin Ajoudani","doi":"10.1111/nicc.70422","DOIUrl":"https://doi.org/10.1111/nicc.70422","url":null,"abstract":"<p><strong>Background: </strong>Nurses working in intensive care units (ICUs) experience occupational stress, which increases their vulnerability to psychological disorders such as depression. Depression among ICU nurses not only affects their mental well-being but may also impair the quality of patient care. Two psychological factors, fear of missing out (FoMO) and rumination, have been proposed as psychological contributors to depression. However, their predictive roles among ICU nurses remain insufficiently explored.</p><p><strong>Aim: </strong>To evaluate the predictive roles of FoMO and rumination in depression among ICU nurses.</p><p><strong>Study design: </strong>This descriptive, cross-sectional study was conducted among nurses working in ICUs in hospitals in Urmia, Iran, between 2024 and 2025.</p><p><strong>Results: </strong>Of the 402 distributed questionnaires, 389 were fully completed, yielding a response rate of 96.8%. The findings indicated that FoMO (p < 0.001, r = 0.34) and rumination (p < 0.001, r = 0.79) were significantly positively correlated with depression among nurses. Regression analysis showed that rumination and FoMO predicted depression, explaining 63.1% of its variance, with rumination as the strongest predictor. In the hierarchical model, demographics explained 5.7%, and adding rumination and FoMO increased explained variance to 62.6%; rumination remained a significant predictor.</p><p><strong>Conclusions: </strong>Implementing evidence-based strategies to mitigate FoMO and rumination may contribute to preventing depression among ICU nurses. Interventions such as mindfulness-based practices, physical exercise and cognitive-behavioural techniques may reduce rumination. Strategies to manage FoMO, including limiting smartphone and social media use, promoting positive thinking, setting personal goals and encouraging professional mental health support, may be effective.</p><p><strong>Relevance to clinical practice: </strong>The significant predictive roles of FoMO and rumination in depression among ICU nurses highlight the need for targeted mental health interventions. Mindfulness-based practices and cognitive-behavioural techniques can mitigate rumination, while strategies like limiting social media use and promoting self-compassion may reduce FoMO. These interventions can enhance nurses' psychological well-being, improve job satisfaction and support high-quality patient care in high-stress ICU environments.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70422"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788530","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":"Uncovering Research Themes in Simulation-Based Critical Care Education: A Bibliometric and Cluster Analysis.","authors":"Lang Li, Yuhang Lv, Liang Dong","doi":"10.1111/nicc.70380","DOIUrl":"10.1111/nicc.70380","url":null,"abstract":"<p><strong>Background: </strong>Simulation-based medical education (SBME) has become integral to critical care training, providing a safe and effective platform for clinical skill development, teamwork and patient safety. Despite increasing recognition of its educational value, the global research landscape of SBME in critical care remains insufficiently mapped.</p><p><strong>Aim: </strong>To conduct a comprehensive bibliometric analysis and elucidate key trends, influential contributors and emerging research themes in SBME for critical care.</p><p><strong>Study design: </strong>Literature published between 1981 and 2025 was systematically retrieved from the Web of Science Core Collection. Bibliometric analyses were performed using VOSviewer, CiteSpace and R (version 4.3.3).</p><p><strong>Results: </strong>A total of 557 eligible publications were identified, revealing a marked increase in research output, with significant peaks in 2015 and 2021. The United States, Canada, the United Kingdom and China were the leading contributors, collectively accounting for the majority of global publications and international collaborations. Simulation in Healthcare was the most prolific journal, while Critical Care Medicine had the highest citation impact. Harvard University and Johns Hopkins University emerged as the top institutions and William C. McGaghie, Eric R. Cohen and David B. Wayne were among the most influential authors. Keyword cluster analysis revealed five principal thematic areas: (1) Simulation and Outcomes in Acute Care, (2) Competence and Curriculum Development, (3) Patient Safety and Teamwork, (4) Skill Acquisition and Clinical Training and (5) Education, Confidence and Perceptions. Citation burst analysis highlighted 'simulation', 'high-fidelity simulation' and 'cardiopulmonary resuscitation' as current and emerging research foci.</p><p><strong>Conclusions: </strong>SBME research in critical care medicine has experienced substantial global growth, with a clear shift toward high-fidelity, outcome-driven and technology-enhanced educational strategies. This bibliometric analysis provides a structured overview of the field's evolution, interdisciplinary scope and future directions.</p><p><strong>Relevance to clinical practice: </strong>Ongoing research should prioritise the evaluation of advanced simulation modalities, real-world clinical outcomes and underrepresented critical care scenarios to further enhance training efficacy, patient safety and quality of care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70380"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13111783/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576521","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":"Managing Patient Condition Changes in the ICU: Experiences, Challenges and Adaptations of Junior Nurses.","authors":"Changying Liu, Yunyun Chen, Yang Ying, Qing Zhang, Chunyan Zhang","doi":"10.1111/nicc.70450","DOIUrl":"10.1111/nicc.70450","url":null,"abstract":"<p><strong>Background: </strong>Junior nurses in the intensive care units (ICU) may feel insufficiently prepared due to limited clinical competencies. They often encounter challenges in perceiving, predicting and responding to changes in patient conditions, which may impact patient safety and the quality of care.</p><p><strong>Aim: </strong>To explore how junior nurses working in the ICU experience and manage changes in patient conditions.</p><p><strong>Study design: </strong>A descriptive qualitative approach was utilised to conduct a study with 15 registered nurses with less than 2 years of experience working in ICU in China. Data were collected through semi-structured interviews and analysed using inductive thematic analysis.</p><p><strong>Findings: </strong>Three core themes emerged: (1) cognition of patient condition changes, (2) anticipation of patient deterioration and (3) recognition and response to patient deterioration. Participants primarily relied on organisational norms and personal experiences rather than the best available evidence in information acquisition, analysis and clinical decision-making.</p><p><strong>Conclusions: </strong>Our findings indicated that junior nurses may rely on personal experience and organisational norms when managing patient condition changes. They expressed a need for teamwork and collaborative learning, but they reported a lack of confidence in initiating it. These findings highlighted the need to support junior nurses from organisational and cultural perspectives to enhance their capabilities and improve the quality of managing patient condition changes.</p><p><strong>Relevance to clinical practice: </strong>This study identified critical competency gaps in patient management among junior ICU nurses, underscoring the need to embed evidence-based protocols into informal learning processes to reduce safety risks and promote context-sensitive clinical decision-making.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70450"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678319","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":"Clinical Care Interaction and Patient Sleep in the Intensive Care Unit: A Secondary Data Analysis.","authors":"Aliya Islam, Lori Delaney","doi":"10.1111/nicc.70482","DOIUrl":"10.1111/nicc.70482","url":null,"abstract":"<p><strong>Background: </strong>Sleep is a fundamental biophysiological requirement, essential for both physiological and psychological health. Patients admitted to intensive care are vulnerable to sleep disturbances due to continuous monitoring and the intensity of care provided. Despite this, the relationship between clinical care interactions and sleep quality remains underexplored.</p><p><strong>Aim: </strong>To examine the association between clinical interactions, patient acuity and inflammatory biomarkers on sleep, and to characterise ICU patient sleep using objective and subjective measures.</p><p><strong>Study design: </strong>A secondary data analysis of a clinical trial conducted within a 36-bed tertiary intensive care unit. The primary study employed a within-subjects design, integrating patient self-reported sleep experiences (Richard-Campbell's Sleep Questionnaire) and Actigraphy (biophysiological sleep monitoring) to characterise the sleep quality of ICU patients. Data on clinical interactions were extracted from electronic patient records (Metavision: iMDsoft).</p><p><strong>Results: </strong>Patients (n = 37) reported poor sleep quality, with mean RCSQ scores below 50 mm across all subscales. Actigraphy reported a median nocturnal sleep duration of 5.6 h (IQR 303.3-422 min), with a mean of 33.4 awakenings per hour (SD ± 16.3). Patients experienced a median of nine interactions per hour, with clinical assessments (32.8%) being the most frequent. Higher SOFA scores correlated with increased clinical interaction (r_s(35) = 0.33, p = 0.05), whilst lower APACHEII scores were associated with greater sleep disturbance (r_s(33) = -0.39, p = 0.02).</p><p><strong>Conclusions: </strong>Intensive care patients experience impaired sleep characterised by fragmentation and poor perceived quality. Whilst frequent nocturnal interactions were documented, these did not appear to be the primary contributor to patients' perceived poor sleep quality. Patients with reduced acuity were highly susceptible to impaired quality of sleep, indicating the need to implement tailored strategies to support sleep in the ICU setting.</p><p><strong>Relevance to clinical practice: </strong>Routine clinical care practices need to be re-evaluated to better align with the physiological requirements for sleep. Lower acuity patients cared for in ICU are disproportionately experiencing sleep disturbance and poor-quality sleep. Therefore, future ICU models of care must integrate sleep-supportive strategies as a component of standard care.</p><p><strong>Trial registration: </strong>The primary study was formally registered as a clinical trial with the Australian New Zealand Clinical Trial Registry (ACTRN12615000945527).</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70482"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13071779/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678285","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":"Between Algorithm and Instinct: A Phenomenological Study of Critical Care Nurses' Decision-Making in AI-Supported Care.","authors":"Sayed Ibrahim Ali, Mostafa Shaban","doi":"10.1111/nicc.70480","DOIUrl":"10.1111/nicc.70480","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI) is rapidly reshaping critical care through predictive analytics, intelligent monitoring and decision-support tools. While these innovations may enhance early detection and workflow efficiency, they also raise professional questions about transparency, explainability, data bias, accountability and the preservation of compassionate, human-centred care. Critical care nurses, positioned at the bedside where AI outputs are interpreted and enacted, experience these tensions directly, yet their lived experiences remain underexplored.</p><p><strong>Aim: </strong>To explore critical care nurses' lived experiences of clinical judgement in AI-supported care, focusing on how innovation influences professional integrity, ethical accountability and human-centred practice.</p><p><strong>Study design: </strong>A qualitative phenomenological study was conducted at King Faisal University Health Care settings in Saudi Arabia. Semi-structured, in-depth interviews were undertaken with critical care nurses who routinely interacted with AI-supported clinical systems. Data were analysed using reflexive thematic analysis informed by Braun and Clarke's six-phase framework. The study followed the Standards for Reporting Qualitative Research (SRQR).</p><p><strong>Findings: </strong>Sixteen nurses participated. Four interconnected themes were identified: (1) Balancing algorithmic input and professional judgement, where AI was valued as a prompt for vigilance but required contextual interpretation rather than automatic compliance; (2) Instinct informed by experience, describing embodied and situational knowing that nurses perceived as essential when AI outputs did not capture patient complexity; (3) Ethical weight and accountability, reflecting heightened responsibility and concern about scrutiny when following or overriding AI recommendations; and (4) Preserving human-centred care, highlighting deliberate efforts to protect relational nursing roles, patient-family communication and professional identity amid technology-dense workflows.</p><p><strong>Conclusions: </strong>Nurses experienced AI as transforming the conditions of clinical judgement rather than replacing it. Innovation was welcomed when it supported early recognition and prioritisation, but nurses emphasised that integrity in AI-supported care depends on maintaining professional discretion, ethical accountability and human-centred values.</p><p><strong>Relevance to clinical practice: </strong>Implementing AI in critical care should include governance and education that strengthen nurses' critical appraisal of AI outputs, clarify accountability and support transparent, explainable systems. These steps can help ensure AI's impact enhances safety and efficiency without eroding human-centred critical care nursing.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70480"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693708","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":"Guidelines for Verification of Gastric Tube Location in Adult Hospitalised Patients: A Systematic Review.","authors":"Cornelius Baving, Markus Grebe, Franziska Wefer, Lars Krüger, Sascha Köpke","doi":"10.1111/nicc.70466","DOIUrl":"10.1111/nicc.70466","url":null,"abstract":"<p><strong>Background: </strong>Verification of correct gastric tube placement is a major patient safety issue. Guidelines recommend different procedures.</p><p><strong>Aim: </strong>To evaluate international guidelines for verifying correct gastric tube placement in adult hospitalised patients, identifying recommended practices and methodological quality.</p><p><strong>Study design: </strong>Systematic review with searches conducted in Medline, CINAHL and guideline repositories until January 2024. Reference lists of identified articles were also screened. Guidelines on adult gastric tube placement based on a systematic literature search and/or a formal consensus process were included. Data extraction and quality assessments, using the AGREE-II tool, were conducted by two and four reviewers respectively.</p><p><strong>Results: </strong>Six guidelines from three countries were included. Radiographic confirmation is widely regarded as the gold standard for verifying gastric tube placement, especially when the position is uncertain, although bedside methods such as pH measurement, capnography and visual inspection are increasingly recommended. There is great variability regarding recommended bedside techniques, pH thresholds and routine monitoring practices. Marking the tube's exit site and routinely monitoring external length are universally recommended. Five guidelines recommend against the auscultation method either in general or at least with regard to its sole use. Methodological quality and evidence strength vary significantly across guidelines.</p><p><strong>Conclusions: </strong>While consensus exists on some aspects, variability in recommendations reflects inconsistent evidence bases. Most guidelines showed insufficient methodological quality. International standardisation and high-quality primary research are necessary.</p><p><strong>Relevance to clinical practice: </strong>This review synthesizes current guidelines on gastric tube placement, exposing methodological weaknesses, recommendation inconsistencies and unreliability of auscultation, identifying a critical information gap in clinical practice.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70466"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583001","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":"Study Protocol for the Development of an African Framework for Critical Care Nursing Based on Ubuntu Using Participatory Cooperative Inquiry: Decolonising Care.","authors":"Chris Carter, Michael Kanyanta, Joy Notter","doi":"10.1111/nicc.70456","DOIUrl":"10.1111/nicc.70456","url":null,"abstract":"<p><strong>Background: </strong>Critical care nursing in Zambia is a new speciality that has adopted traditional nursing documentation and currently uses the Roper, Logan and Tierney's Activities of Daily Living combined with NANDA International (NANDA-I) criteria. It is a cause for concern that these models are based on different high-income domains and are not critical care or context-specific, making integration and application in practice challenging. Therefore, there is an urgent need to develop a Zambian context-specific critical care nursing framework.</p><p><strong>Aims: </strong>This study aims to explore intensive care nurses' perceptions of the applicability of currently used nursing models and theories and to develop a new Zambian critical care nursing framework based on the principles of Ubuntu.</p><p><strong>Methods: </strong>This study will employ a two-phase, mixed-methods approach using a participatory cooperative inquiry design. Phase 1 includes a retrospective review of nursing care plan documentation. This will allow for the identification of the current use of nursing models and theories. Phase 1 utilises documentary data analysis to identify key nursing documentation. Descriptive statistics and, where possible, significant difference will be used to determine patterns and trends. Phase 2 will utilise the findings from phase 1 as the basis for semi-structured focus groups with intensive care nurses within the study site. Total population sampling will be used; therefore, all nurses will be invited to participate. Framework analysis will be used to analyse the qualitative data sets.</p><p><strong>Conclusion: </strong>The outcomes will illustrate the efficiency and effectiveness of nursing documentation and perceptions of using the current nursing model. The findings will be combined to develop a critical care nursing framework based on Ubuntu, which will then be piloted.</p><p><strong>Relevance to clinical practice: </strong>This study has been designed in response to recognition that critical care nursing practice needs to context specific to enhance the nursing care provided.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70456"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13036368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147583005","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":"Global Bibliometric Analysis of ICU Burnout and Psychological Distress: Patterns, Gaps and Insights.","authors":"Siying Chen, Xueqiao Chen, Jiayi Rao, Xiuyun Li, Wanqing Zeng, Chenxi Wang, Jie Wang, Kang Zou","doi":"10.1111/nicc.70489","DOIUrl":"https://doi.org/10.1111/nicc.70489","url":null,"abstract":"<p><strong>Background: </strong>Burnout syndrome (BOS) and psychological distress among intensive care unit (ICU) staff are escalating global threats to workforce sustainability.</p><p><strong>Aim: </strong>To map the global research landscape, intellectual structure and emerging frontiers of ICU burnout literature (2000-2025) in order to guide future interventional studies.</p><p><strong>Study design: </strong>Bibliometric analysis.</p><p><strong>Methods: </strong>4776 English records from Web of Science Core Collection (WOSCC), PubMed, Scopus and CINAHL databases were analysed by Bibliometric, VOSviewer and CiteSpace for publication trends, collaboration nets, keyword evolution and co-citation clusters.</p><p><strong>Results: </strong>Annual output rose exponentially after 2020. The USA led with 409 papers (16 862 citations), whereas China displayed the broadest international collaborations. 'Mental health' and 'conflict of interest' were identified as the latest burst keywords, signalling a paradigm shift toward systemic ethical frameworks.</p><p><strong>Conclusion: </strong>ICU burnout research is transitioning from descriptive surveys to holistic mental health interventions. Future work should prioritise longitudinal, multicentre controlled trials that embed organisational ethics.</p><p><strong>Relevance to clinical practice: </strong>The findings provide nurse leaders and policymakers with an evidence map for designing targeted burnout-reduction programmers that go beyond individual resilience training.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70489"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147787881","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":"High-Tech Augmentative and Alternative Communication in a Burn Patient With Voicelessness: A Case Study.","authors":"Silvia Porcarelli, Monica Codara, Diletta Fabrizi, Michela Luciani, Davide Ausili","doi":"10.1111/nicc.70496","DOIUrl":"https://doi.org/10.1111/nicc.70496","url":null,"abstract":"<p><p>Loss of speech due to mechanical ventilation is common among patients admitted to intensive care. This condition, often referred to as voicelessness, can generate negative emotions such as frustration and anger. Augmentative and Alternative Communication (AAC) techniques are useful for facilitating communication, but their use can be complex in patients with extensive burns. This case study describes the use of a high-tech AAC system based on a motion sensor in an adolescent with second- and third-degree burns covering 60% of the total body surface area, requiring both invasive and non-invasive mechanical ventilation. Due to injuries to their hands and neuromuscular weakness, the patient was unable to use conventional low- or high-tech AAC devices. The use of the motion-sensor-based AAC system enabled the patient to communicate specific needs and formulate complex sentences, facilitating individualised nursing care. The patient and family reported high satisfaction with the quality of care, while nurses noted a positive impact on the care relationship without increasing their workload. This case highlights the importance of personalised communication strategies in critically ill burn patients and suggests that the adoption of appropriate AAC systems may reduce missed nursing care and improve emotional and care outcomes.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70496"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13103920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147788446","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":"Exploring the Relationship Between Alarm Fatigue and Compassion Fatigue Among Critical Care Nurses.","authors":"Fadim Nur Ceran, Ülkü Güneş","doi":"10.1111/nicc.70441","DOIUrl":"10.1111/nicc.70441","url":null,"abstract":"<p><strong>Background: </strong>Alarm fatigue, characterized by desensitization resulting from excessive clinical alarms, can compromise patient safety. Compassion fatigue, defined as the emotional toll of caring for patients in distress, is a recognized occupational hazard among nurses. Both alarm fatigue and compassion fatigue are significant stressors that negatively affect nurses' professional well-being and the quality of patient care.</p><p><strong>Aim: </strong>This study aimed to investigate the relationship between alarm fatigue and compassion fatigue among critical care nurses including those working in intensive care units (ICUs) and the emergency department (ED).</p><p><strong>Study design: </strong>A descriptive, cross-sectional research design was employed to assess the levels of alarm fatigue and compassion fatigue and to examine whether a significant relationship exists between these two phenomena. The study was conducted between June and October 2024 with the nurses working in ICUs and ED of a hospital in Türkiye. Data were collected using a Personal Information Form, the Alarm Fatigue Questionnaire, and the Compassion Fatigue Scale. Statistical analyses included descriptive statistics (mean, standard deviation, number, percentage), the One-way ANOVA, Independent T-test and Ki-kare tests, and Pearson correlation analysis.</p><p><strong>Results: </strong>A total of 209 nurses participated in the study. Nurses reported moderate levels of alarm fatigue (mean AFQ = 19.84 ± 6.49) and compassion fatigue (mean CFS = 80.71 ± 14.94), with 30.6% meeting the threshold for high compassion fatigue. Correlation and regression analyses indicated a weak, non-significant negative association between alarm fatigue and compassion fatigue (r = -0.120, p = 0.083). No significant differences were found in alarm or compassion fatigue scores across demographic or work-related factors such as age, gender, education, years of experience, shift type, weekly working hours, hospital bed capacity, or unit type.</p><p><strong>Conclusions: </strong>Critical care nurses experienced moderate levels of both alarm fatigue and compassion fatigue. The lack of a statistically significant relationship suggests that these phenomena may be influenced by distinct factors rather than being directly interrelated.</p><p><strong>Relevance to clinical practice: </strong>Moderate levels of both alarm fatigue and compassion fatigue highlight the need to increase awareness of these occupational challenges. Implementing institutional support, including workload management, training programs and access to psychological support, can help nurses cope with these stressors. Although quality of care was not directly measured, addressing these fatigue types may indirectly support safe and effective patient care in critical care settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"31 3","pages":"e70441"},"PeriodicalIF":2.6,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13041588/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596211","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}