Nursing in Critical Care最新文献

{"title":"A Family-Centred Paediatric Delirium Bundle: A Feasibility Study.","authors":"Rikke Louise Stenkjaer, Ingrid Egerod, Mala Moszkowicz, Gorm Greisen, Janne Weis, Erwin Ista, Jakob Gjedsted, Marianne Steen Jensen, Kirsten Krone Reichl, Suzanne Forsyth Herling","doi":"10.1111/nicc.70103","DOIUrl":"10.1111/nicc.70103","url":null,"abstract":"<p><strong>Background: </strong>Paediatric delirium (PD) is a common disorder in critically ill children. PD management, however, needs improvement. To this end, we developed a family-centred non-pharmacological delirium management bundle based on consensus from paediatric intensive care unit experts and parents. The bundle included interventions such as developing a day structure and encouraging parent presence.</p><p><strong>Aim: </strong>We aimed to test the feasibility of our PD bundle by investigating acceptability, implementation and practicality for parents, nurses and physicians.</p><p><strong>Study design: </strong>A multiple-method process evaluation study with quantitative and qualitative data, using questionnaires and focus group interviews. To determine the feasibility of the PD bundle, we set provisional goals for the acceptability, implementation and practicality prior to conducting our study. The study took place in two paediatric cardiac units from March to May 2024.</p><p><strong>Results: </strong>Two focus group interviews were held with 15 nurses and four physicians. Parents, nurses and physicians found the PD bundle acceptable because all the interventions were intuitively relevant and familiar, meeting our target goals to proceed with an RCT study. We surveyed 31 parents to estimate the degree of implementation of the 11 interventions in the PD bundle. Six of the interventions in the bundle were delivered in more than 80% reported by the parents, while five fell short of our target goals. Nurses and physicians suggested that the PD bundle could be implemented if the interventions were consolidated into fewer elements. We trained 90% of the invited nurses and physicians to deliver the PD bundle, which met our target goal of 80%. Hospital organisation, environment and differences in hygienic policy interpretations challenged the practical application of the PD bundle according to the nurses and physicians.</p><p><strong>Conclusions: </strong>The PD bundle appears promising for acceptance, implementation and practical application in clinical practice. However, as the delivery of the PD bundle fell short of our target goals, a revised PD bundle should be tested before performing an RCT.</p><p><strong>Relevance to clinical practice: </strong>A non-pharmacological paediatric delirium bundle is now available to critical care nurses to prevent and manage delirium in critically ill children.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70103"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12206954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531004","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":"Safe and effective pressure of endotracheal tube suctioning based on sputum viscosity grades during artificial airway open suctioning procedures: A double-blind randomized controlled trial.","authors":"Weiquan Liu, Chunling Gu, Miqi Li, Jie Xiong","doi":"10.1111/nicc.13203","DOIUrl":"10.1111/nicc.13203","url":null,"abstract":"<p><strong>Background: </strong>Endotracheal tube suctioning is an effective measure to ensure airway patency during mechanical ventilation; however, inappropriate suction pressure often leads to many adverse effects.</p><p><strong>Aim: </strong>This study aimed to investigate safe and effective suction pressures and intracatheter pressure ranges during artificial airway open suctioning procedures.</p><p><strong>Study design: </strong>In this double-blind randomized controlled trial, 438 patients receiving mechanical ventilation in China were divided into nine groups according to their sputum viscosity grades and suction pressure. A random sampling method was used to select one of the three pressure groups (low-, medium- and high-pressure groups). Registered intensive care unit (ICU) nurses performed open suction manoeuvres of the artificial airway based on the pressures set by the researchers. Two teaching supervisors observed and recorded the sputum viscosity, suction pressure, minimum intracatheter pressure, maximum intracatheter pressure, heart rate, mean arterial pressure, pulse oxygen saturation, airway mucosal bleeding and sputum sound improvement score.</p><p><strong>Results: </strong>This study finally included 438 patients. The results showed that the safe and effective suction pressures were 80-120 mmHg for grade I sputum viscosity, 150 mmHg for grade II sputum viscosity and 200 mmHg for grade III sputum viscosity in open suction procedures for ICU patients. These pressure values were associated with the lowest changes in heart rate, mean arterial pressure and pulse oxygen saturation; the lowest incidence of airway mucosal bleeding; and the highest sputum sound improvement score.</p><p><strong>Conclusions: </strong>In an open suction procedure, accurate setting of safe and effective suction pressure for sputum of different viscosity grades can not only achieve the suction effect but also have minimal impact on the vital signs and airway mucosal bleeding of patients.</p><p><strong>Relevance to clinical practice: </strong>The findings can guide critical care nurses to accurately select safe and effective initial suction pressure values rather than use general ranges when performing artificial airway open suctioning procedures.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13203"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142583748","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 and validation of a nomogram for circuit lifespan of regional citrate anticoagulation-continuous renal replacement therapy in intensive care patients with acute kidney injury.","authors":"Zhongbin Chen, Lingai Pan, Jia Zhang, Yanyu Chen, Yi Liu, Ping Jia, Shiya Liu, Bo Wang, Ping Zheng, Feng Chen, Bin Zeng, Wenting Zhang, Qin Yang, Xiaobo Huang, Caixia Xie","doi":"10.1111/nicc.13196","DOIUrl":"10.1111/nicc.13196","url":null,"abstract":"<p><strong>Background: </strong>Regional citrate anticoagulation-continuous renal replacement therapy (RCA-CRRT) has a wide range of applications in clinical practice, but unplanned downtime due to RCA-CRRT circuit coagulation is as high as 15.75%-66.70%.</p><p><strong>Aim: </strong>To build a nomogram model for predicting the lifespan circuits of RCA-CRRT.</p><p><strong>Study design: </strong>A prospective observational cohort study was conducted in Sichuan, China. The collected clinical data from 404 RCA-CRRT sessions involving 135 patients were utilized. The patients' basic information, laboratory indicators and RCA-CRRT parameters were used as independent variables, and the survival status and survival time of RCA-CRRT circuits were used as dependent variables. A Cox multivariate analysis was performed to build the nomogram model for predicting the lifespan of RCA-CRRT circuits. The model was validated internally and externally.</p><p><strong>Results: </strong>The median lifespan of RCA-CRRT circuits was 28.0 (12.0-46.5) h, and the unplanned downtime rate was 23.76%. In the Cox multivariate analysis, venous pressure, haemoglobin, Sequential Organ Failure Assessment (SOFA), lactate, and blood transfusion were identified as statistically significant predictive factors for the lifespan of RCA-CRRT circuits (p < .05). Subsequently, a nomogram model for predicting the lifespan of RCA-CRRT circuits was developed. The AUC values for internal and external validation within the 12-72-h timeframe ranged from 0.648 to 0.816 and 0.613 to 0.956, respectively. Both the calibration curve and clinical decision curve demonstrated the model's good performance.</p><p><strong>Conclusion: </strong>The nomogram model developed in this study demonstrates its efficacy in accurately predicting the lifespan circuits of RCA-CRRT.</p><p><strong>Relevance to clinical practice: </strong>Clinical nurses can use the prediction model to assess the lifespan of RCA-CRRT circuits, so as to formulate a personalized RCA-CRRT treatment plan for patients, thus reducing the unplanned downtime of RCA-CRRT.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13196"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12208818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607349","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 Modern Role of Neonatal PICCs Subspecialty.","authors":"Matheus Van Rens, Matthew Ostroff, Mohammad A A Bayoumi","doi":"10.1111/nicc.70111","DOIUrl":"10.1111/nicc.70111","url":null,"abstract":"<p><p>This perspective review examines the evolving role of neonatal peripherally inserted central catheters (n-PICCs) as a distinct subspecialty within neonatal vascular access. n-PICCs are indispensable for delivering long-term intravenous therapies in critically ill neonates. The review explores ethical considerations, equitable access to vascular access technologies and prioritisation of patient safety in procedural training. The implementation of specialised vascular access teams, rather than an all-staff model, is advocated to enhance procedural success, reduce device-related complications and promote a culture of accountability. Future directions include the development of smart catheter technologies, pseudo-tunnelling techniques and simulation-based education to advance and maintain clinical competency.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70111"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12231926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144561858","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":"Characteristics, Outcomes and Recovery of Patients 65 Years or Older Admitted to Swedish Intensive Care Units: A Protocol for a Longitudinal Observational Multicentre Study.","authors":"Fredrika Sundberg, Anna Kjellsdotter, Elisabeth Lindberg, Emma Backman, Åsa Israelsson-Skogsberg","doi":"10.1111/nicc.70109","DOIUrl":"10.1111/nicc.70109","url":null,"abstract":"<p><strong>Background: </strong>There are little data on the impact of frailty on critically ill older patients treated in intensive care units (ICUs) and on their characteristics and outcomes. More understanding of the longitudinal health and recovery process is needed and of the recovery traits of older patients after intensive care.</p><p><strong>Aim: </strong>This project aims to identify characteristics and outcomes in patients 65 years or older admitted to ICUs and to explore how health and recovery is experienced after discharge, with a special focus on frailty.</p><p><strong>Study design: </strong>This research project will conduct both retrospective and prospective data collection with a sample of approximately 3200 patients. This is a longitudinal, multicentre, prospective, observational research project with a nested cohort covering 12 months of admissions and comprising four studies. The first aims to map the characteristics of patients admitted to the ICUs, their treatments and their outcomes. The second will use questionnaires to assess their health and recovery process up to 18 months after discharge. The third and fourth studies aim to describe and understand their lived experiences using research interviews, with the fourth study including only frail patients.</p><p><strong>Relevance to clinical practice: </strong>The project comprises studies that seek to identify the characteristics of older people admitted to ICUs, to examine how frailty impacts them and to understand what they experience during and foremost after intensive care. The project also aims to understand the facilitators and barriers to promoting health and recovery after discharge from ICUs and to contribute to the growing body of evidence supporting health and recovery initiatives. The results need to be spread and the knowledge sprung from this project may be implemented and used by intensive care unit clinicians.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70109"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247021/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610272","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 evaluation of a family-led novel intervention for delirium prevention and management in adult critically ill patients: A mixed-methods pilot study.","authors":"Gideon U Johnson, Amanda Towell-Barnard, Christopher McLean, Beverley Ewens","doi":"10.1111/nicc.13210","DOIUrl":"10.1111/nicc.13210","url":null,"abstract":"<p><strong>Background: </strong>Family-led interventions have been identified as effective in many areas of care including the management of delirium. However, because of the heterogeneity and ambiguity of family-led interventions, they are not consistently applied within intensive care units. A user-friendly digital intervention may therefore support consistent family integration into delirium management.</p><p><strong>Aim: </strong>To explore the feasibility and acceptability of a family member's voice reorientation intervention for delirium prevention and management in an adult intensive care unit.</p><p><strong>Study design: </strong>Parallel, convergent mixed-methods pilot study was conducted in a general adult intensive care unit in the United Kingdom. Thirty participants (15 patients and 15 family members) were enrolled in the study. For the qualitative component, 17 participants (three patients, six family members and eight nurses) contributed to the evaluation.</p><p><strong>Results: </strong>The median frequency of the family member's voice reorientation intervention was 2.3 times per day (range 3.3), and the median Richmond Agitation-Sedation Scale score was -1 (range 2.5). Qualitative data revealed seven themes: acceptance of the intervention, communication, delirium awareness, reactions to the intervention, cognitive state, perception of the intensive care unit and psychological well-being.</p><p><strong>Conclusion: </strong>Nurses can involve family members in person-centred care within the intensive care unit. Results from this study indicate that the family member's voice reorientation programme is feasible and acceptable and may be an effective strategy for providing ongoing orientation, reassurance and comfort to critically ill adult patients to prevent or manage delirium. A larger study is needed to evaluate its impact on delirium.</p><p><strong>Relevance for clinical practice: </strong>The family member's voice reorientation intervention offers critical care nurses a feasible, family-centred approach to support delirium care in the intensive care unit. Integrating this non-invasive tool into practice may enable nurses to enhance patient outcomes, reduce anxiety and strengthen collaboration between patients, families and health care professionals.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13210"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12224221/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774384","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":"Correction to 'Patients' and Family Members' Dyadic Experience of Post-Operative Delirium in the Intensive Care Unit: A Qualitative Study'.","authors":"","doi":"10.1111/nicc.70102","DOIUrl":"10.1111/nicc.70102","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70102"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486890","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":"Intervention measures to improve the filter life of continuous renal replacement therapy in critically ill patients-A systematic review.","authors":"Zhang Yanting, Zhang Pu, Hou Gui, Zheng Anlong, Xiao Meng, Li Jin, Ma Jing, Ding Xinbo, Li Zhaoyang","doi":"10.1111/nicc.13225","DOIUrl":"10.1111/nicc.13225","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Continuous renal replacement therapy (CRRT) is a method of blood purification, which is widely used in the treatment of critical diseases as a means of multiple organ function protection and life support therapy. However, because of the serious condition of ICU (intensive care unit) patients, CRRT needs to be carried out continuously, but the treatment is interrupted ahead of time as a result of various conditions, which not only affects the treatment effect but also increases the patient cost.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To evaluate intervention measures to improve the filter life of CRRT in critically ill patients, and also to identify which interventions are considered 'promising interventions'.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;This is a systematic review. Seven databases were searched using terms related to the concepts of 'continuous renal replacement therapy' and 'filter life', from the establishment of the database to 31 December 2023. The quality of the methodology included in the study was assessed using standard evaluation tools developed by the Effective Public Health Practice Project (EPHPP), and pre-established criteria were used to identify 'promising interventions'.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 28 studies were included, of which 7 were rated 'strong' in terms of design and methodological quality, and the others were 'medium'. The most commonly identified interventions to extend the life of CRRT filters include the use of sodium citrate anticoagulation, the choice of CVVHD or CVVHDF or pre-diluted CVVH for CRRT and the use of personalized sodium citrate anticoagulant regimens to reduce the incidence of filter clotting. The intervention measures of 14 studies were statistically significant, while the other 14 studies were not statistically significant. Interventions in nine studies were identified as 'promising interventions' because they were published within 10 years, with a medium or strong methodological quality rating, significant positive results and a strong evidence base.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;In the promising interventions study, citrate anticoagulation and CVVHD or CVVHDF models were recommended to significantly prolong filter life. However, more high-quality studies are needed to identify interventions that can prolong the life of CRRT filters in critically ill patients, thereby supplementing the literature in this field. The existing studies lack blinding and have limited quality. Future studies should be carried out with the goal of 'best evidence', and the interventions should be more universal and clinically practical.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;This study uses the method of systematic review to scientifically and rigorously provide some suggestions for extending the life of CRRT filters in critically ill patients, such as 'By implementing personalized citrate anticoagulation protocols, the incidence of CRRT filter life shortenin","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13225"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803037","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":"Psychosocial problems experienced by intensive care nurses regarding sleep pattern within the scope of working conditions: A phenomenological study.","authors":"Belgin Şen Atasayar, Elif Güzide Emirza, Sevda Uzun","doi":"10.1111/nicc.13218","DOIUrl":"10.1111/nicc.13218","url":null,"abstract":"<p><strong>Background: </strong>Nurses working in intensive care units experience insomnia and accompanying psychosocial problems due to working conditions.</p><p><strong>Aim: </strong>This study explores with a phenomenological approach the psychosocial problems experienced by intensive care nurses regarding sleep patterns within the scope of working conditions.</p><p><strong>Study design: </strong>In this phenomenological study, semi-structured in-depth interviews were conducted with 16 nurses working in the surgical intensive care unit of a state hospital in Türkiye. Criterion sampling method, one of the purposive sampling methods, was used to reach the sample group. Researchers' interviews continued until they reached data saturation. All interviews were recorded on a voice recorder after obtaining the necessary permissions from the nurses and then transcribed. The study data were evaluated using thematic analysis. The current manuscript was reported following the COREQ checklist.</p><p><strong>Results: </strong>Data analysis revealed three main themes (how working as an intensive care nurse changes sleep patterns, the relationship between shift work, work performance, patient care and how working as an intensive care nurse changes individual life and coping strategies) and nine subthemes (mental, physical, social, work performance, patient care, nutrition, family life, social life and coping).</p><p><strong>Conclusion: </strong>The study's findings revealed that nurses working in intensive care experienced psychosocial difficulties related to sleep patterns and had trouble coping. In particular, it was determined that sleep problems of intensive care nurses cause difficulties in family life, nutrition and social life. It is recommended that the number of personnel in workplaces be increased, overtime hours should be limited, and professional development and training on the importance of sleep for all nurses should be provided.</p><p><strong>Relevance to clinical practice: </strong>Nurses working in intensive care units may experience psychosocial problems due to working conditions, which may negatively change their coping skills. Therefore, organizing the working conditions of nurses positively changes their coping skills.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13218"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923931","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 incidence and impact of re-deployment on registered paediatric critical care nurses.","authors":"Carli Whittaker, Nicki Credland","doi":"10.1111/nicc.13206","DOIUrl":"10.1111/nicc.13206","url":null,"abstract":"<p><strong>Background: </strong>Re-deployment of medical, nursing and Allied Health Professional workforce became a more prevalent feature in filling workforce gaps during the Covid-19 pandemic; however, very little evidence exists surrounding the impact of this re-deployment of registered nursing workforce. Prior to the Covid-19 pandemic and subsequently in an attempt to address nursing shortages across paediatric ward areas, there is a growing trend to utilize registered nursing staff more flexibly to meet the demands of the whole organization.</p><p><strong>Aim: </strong>The aim of this study was to explore the incidence impact of re-deployment to cover workforce shortages in the registered paediatric critical care nursing workforce.</p><p><strong>Study design: </strong>This is a cross-sectional electronic survey of paediatric critical care nurses registered with the Paediatric Critical Care Society as nursing members (n = 688). Anonymous quantitative and qualitative data were collected between January and March 2023. Quantitative data were analysed using descriptive statistics and qualitative data were analysed thematically.</p><p><strong>Results: </strong>There were 225 participant responses representing 21 of the 26 paediatric critical care units within the United Kingdom. This represents a response rate of 33%. The frequency of re-deployment ranged from zero to two occurrences per month (n = 195; 87%). Thirty percent (n = 67) of respondents felt that re-deployment to other wards to cover staffing shortfalls impacted the safety of care delivered to the patients. Five themes were identified: Quality of Care, Wellbeing, Teamwork, Training and Support and Leadership.</p><p><strong>Conclusions: </strong>This study demonstrates the significant impact that re-deployment has on the paediatric critical care nurse population. With retention of experienced critical care nurses at crisis point, it is essential that we identify factors that contribute to this poor retention and address these factors accordingly. Re-deployment is a significant factor.</p><p><strong>Relevance to clinical practice: </strong>This study has provided a greater understanding of the impact of re-deploying paediatric critical care to cover workforce shortages throughout acute hospital settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13206"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820088","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}