Nursing in Critical Care最新文献

{"title":"Factors related to cough strength before tracheal extubation in post-cardiac surgery patients: A cross-sectional study.","authors":"Yan Zhang, Zheng Lin, Yuhong Chen, Liang Hong, Jing Chen, Zhongkang Wu, Xiao Shen","doi":"10.1111/nicc.13216","DOIUrl":"10.1111/nicc.13216","url":null,"abstract":"<p><strong>Background: </strong>Tracheal extubation failure after cardiac surgery is associated with diminished cough strength, albeit the information on cough strength in post-cardiac surgery patients is limited.</p><p><strong>Aim: </strong>To investigate the cough strength in patients after cardiac surgery before tracheal extubation and the related influencing factors.</p><p><strong>Study design: </strong>A cross-sectional study was designed, with adherence to the STROBE guidelines. The participants were 528 patients undergoing open-heart cardiac surgery who were admitted to the Cardio Surgical Centre in a tertiary hospital in Nanjing, China, from August 2022 to September 2023. Cough peak flow (CPF) ≤60 L/min set as the cut-off value for evaluating diminished cough strength before tracheal extubation. Univariate analysis and multiple linear regression analysis were used to analyse the related influencing factors.</p><p><strong>Results: </strong>The mean CPF was 130.70 ± 50.58 L/min. A total of 76 (14.4%) patients exhibited a CPF of ≤60 L/min. Multiple linear regression analysis revealed that gender (B = 14.266, t = 2.456, p = .014), inspiratory capacity (IC) (B = 0.013, t = 3.755, p < .001), preoperative CPF (B = 0.086, t = 3.903, p < .001), muscle strength (B = 12.423, t = 4.242, p < .001), preoperative exercise regimen (B = 16.716, t = 4.236, p < .001) and pain levels (B = -8.115, t = -5.794, p < .001) significantly contributed to cough strength.</p><p><strong>Conclusions: </strong>Female gender, lower upper limb muscle strength, higher pain levels, lower preoperative CPF and IC, and the absence of systematic exercise were found to be associated with diminished cough strength.</p><p><strong>Relevance to clinical practice: </strong>Cough strength provides important auxiliary data in extubation decision-making. In addition, understanding its relevant factors can help identify the high-risk group of tracheal extubation failure and can help provide a strong theoretical basis for the development of personalized interventions.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13216"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015734","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":"Impact of Leadership Style and Structural Empowerment on Nursing Group Power in ICU Settings: A Cross-Sectional Study.","authors":"Elizabeta Kadosh, Violetta Rozani","doi":"10.1111/nicc.70140","DOIUrl":"10.1111/nicc.70140","url":null,"abstract":"<p><strong>Background: </strong>Power is an essential resource for nursing teams, especially in the complex high-risk environment in intensive care units (ICUs), where effective collaboration, prompt intervention and comprehensive patient care are vital. However, the factors influencing nursing group power in ICUs remain largely unexplored.</p><p><strong>Aims: </strong>To examine the association between head nurse leadership styles, structural empowerment and nursing group power among nurses employed in ICU settings.</p><p><strong>Study design: </strong>This cross-sectional study employed a convenience sample of 120 registered nurses from various ICUs within a general hospital (response rate of 89.5%). Data were collected between July and August 2024 through self-administered questionnaires.</p><p><strong>Results: </strong>Unlike other leadership styles examined, transformational leadership uniquely demonstrated consistent positive relationships with all six components of structural empowerment and nursing group power. Moreover, transformational leadership by the head nurse (β = 0.262, p = 0.004), access to opportunities (β = 0.184, p = 0.021), access to information (β = 0.244, p = 0.004) and levels of informal power (β = 0.160, p = 0.047) were all positively associated with nursing group power, collectively explaining 48.3% of the variance.</p><p><strong>Conclusion: </strong>Our results emphasise the importance of transformational leadership, access to opportunities and information and informal power as contributors to nursing group power.</p><p><strong>Relevance to clinical practice: </strong>Healthcare organisations should prioritise fostering transformational leadership skills among ICU head nurses and strengthening structural empowerment frameworks. This involves implementing targeted leadership training programmes, enhancing access to professional development opportunities and information resources and fostering informal power networks. These actions can enhance nurses' collective power, improve collaboration and optimise team dynamics in ICUs, ultimately contributing to better patient care and organisational goal achievement.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70140"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838534","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":"Difficulties in Communicating Between Nurses and Relatives of Patients Admitted to Intensive Care Units: A Scoping Review.","authors":"Borja de León Oliva, José Ángel Rodríguez Gómez, Natalia Rodríguez Novo","doi":"10.1111/nicc.70148","DOIUrl":"10.1111/nicc.70148","url":null,"abstract":"<p><strong>Background: </strong>Effective communication between nurses and family members in intensive care units (ICU) is fundamental for a suitable nurse-family relationship. Despite this, there are certain difficulties that affect communication, which cause negative emotions in family members.</p><p><strong>Aim: </strong>The aim of this study was to identify the main communication problems that intensive care nurses face with relatives of critically ill patients admitted to the ICU and to determine the role that the nurse plays in communication with family members.</p><p><strong>Study design: </strong>A scoping review was conducted following the Arksey and O'Malley framework and the Joanna Briggs Institute guidelines. The review process took place between 2023 and 2024. Studies were included if they involved relatives of adult patients (> 18 years) in adult ICU settings and addressed concepts related to nurse-family communication, communication difficulties or the nurse-family relationship. Studies published between 2006 and 2022 were identified, using the EMBASE, Medline, CINAHL complete, Scopus, SCI-Expanded and SSCI databases and recovering a total of 1020 studies.</p><p><strong>Results: </strong>Twenty-seven scientific articles were included that identified communication difficulties between ICU nurses and family members. Care overload, language barrier, lack of specific training in interpersonal skills and communication, and the use of technical language are some of the most frequent difficulties.</p><p><strong>Conclusions: </strong>ICU nurses face multiple difficulties to effective family communication, yet they are essential facilitators in humanising care. Structured training and institutional protocols are crucial to improving communication quality, reducing family distress and optimising the outcomes of critical care with family members.</p><p><strong>Relevance for clinical practice: </strong>Knowledge of the communication difficulties that exist in the nurse-family relationship in the ICU can help nurses improve communication and reduce the suffering of family members during the critical care patient's stay.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70148"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344746/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838533","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":"Nurse-Led Transfer Programme With Patient Relatives: Effect on Reducing Transfer Anxiety in Intensive Care Unit Patients.","authors":"Yakup Akyüz, Seda Er, Şahin Bozok, Yasemin Uslu","doi":"10.1111/nicc.70153","DOIUrl":"10.1111/nicc.70153","url":null,"abstract":"<p><strong>Background: </strong>The transfer of patients from intensive care units (ICUs) to general wards often causes significant anxiety, negatively impacting recovery, well-being and increasing the risk of readmission.</p><p><strong>Aim: </strong>This study was aimed to evaluate the impact of 'Nurse-led Transfer Programme with Patient Relatives' on anxiety and haemodynamic parameters in patients undergoing cardiovascular surgery (CVS) who are being transferred from the ICU to a general ward.</p><p><strong>Study design: </strong>This monocentric, non-randomised quasi-experimental study was conducted on 150 patients hospitalised in CVS-ICU. Before transfer, patients' anxiety levels were assessed using the State-Trait Anxiety Inventory (STAI-I) and vital signs were recorded. Then, the transferring with a patient relative intervention was implemented, and the patient was assessed by the nurse immediately before the transfer and 30-60 min after the transfer.</p><p><strong>Results: </strong>Patients in the nurse-led patient relatives transfer group showed significantly lower state anxiety scores immediately before (34.3 ± 5.3 vs. 61.3 ± 2.5) and after transfer (28.5 ± 2.4 vs. 33.4 ± 3.1) than in the control group (p < 0.001). After controlling for baseline anxiety and ICU stay duration, the intervention had a significant effect on anxiety levels (Pillai's trace = 0.926; F = 1739.3; p < 0.001). Although vital signs also improved significantly within groups over time, between-group differences were not clinically substantial.</p><p><strong>Conclusions: </strong>The findings suggest that the Nurse-led Transfer Programme with patient relatives effectively reduces patients' anxiety during and after transfer from ICU to the general ward, thereby supporting the provision of holistic care to both patients and their families.</p><p><strong>Relevance to clinical practice: </strong>Involving relatives in ICU-to-ward transfers may ease patient anxiety and improve transitions. Nurse-led programmes with family presence support holistic care and can be integrated into discharge protocols to enhance outcomes and continuity.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT06979414.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70153"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016699","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":"Mirror Emotions: A Cross-Sectional Study of How Patients' Stress, Anxiety and Depression in Critical Care Settings Shape Family Caregivers' Emotional Distress.","authors":"Asma Alhasani, Zainab Al Kindi, Omar Al Omari, Sulaiman Al Sabei, Hala Mohamed Sanad, Fawwaz Alaloul, Huda Al-Noumani, Zakariya Al-Naamani, Mohammad Al Qadire, Mohammed ALBashtawy, Abdullah Alkhawaldeh","doi":"10.1111/nicc.70177","DOIUrl":"https://doi.org/10.1111/nicc.70177","url":null,"abstract":"<p><strong>Background: </strong>Emotional distress-including anxiety, depression and stress-is highly prevalent among critically ill patients and their caregivers. While a substantial body of research focuses on addressing patients' emotional distress, comparatively less attention has been given to the emotional distress experienced by family caregivers.</p><p><strong>Aim: </strong>This study aimed to identify the associated factors of anxiety, depression and stress among the caregivers of critically ill family members in Oman, focusing on clinical and demographic factors that influence these outcomes.</p><p><strong>Study design: </strong>A descriptive, cross-sectional survey was conducted in three major referral hospitals in Oman. A total of 440 participants completed the Depression Anxiety Stress Scale (DASS-21), comprising 220 patients and 220 family caregivers. Multiple linear regression analyses were conducted to identify the associated factors of emotional distress among caregivers based on patients' emotional distress.</p><p><strong>Results: </strong>Self-reported symptoms of emotional distress among caregivers were influenced by multiple psychological and demographic factors. Specifically, caregivers' self-reported anxiety and stress were strong positive predictors of their self-reported depression symptoms. Longer durations of caregiving and lower income were also associated with higher self-reported depression scores, suggesting that prolonged caregiving responsibilities and financial hardship contribute to the emotional burden experienced by caregivers. Furthermore, self-reported caregiver depression, patient anxiety, and caregiver stress were all positively associated with higher self-reported anxiety levels. Conversely, having assistance at home was a significant negative predictor of caregivers' self-reported emotional distress.</p><p><strong>Conclusions: </strong>Emotional distress among caregivers is driven by psychological and socio-economic factors, making it essential to address these issues to improve the psychological well-being of both caregivers and the patients for whom they care.</p><p><strong>Relevance to clinical practice: </strong>Family caregivers of ICU patients face considerable emotional distress that can impair caregiving capacity. Recognising caregivers as integral to the care team, particularly in cultures where familial caregiving is expected, supports both patient outcomes and caregiver well-being.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70177"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076109","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":"Recurrent peripheral intravenous catheterization in neonates: A case series.","authors":"Stephanie Hall, Emily Larsen, Linda Cobbald, Nicole Marsh, Linda McLaughlin, Mari Takashima, Robert S Ware, Amanda Ulman, Deanne August","doi":"10.1111/nicc.13232","DOIUrl":"10.1111/nicc.13232","url":null,"abstract":"<p><p>Neonatal peripheral intravenous catheters (PIVCs) can be difficult to insert, often requiring multiple attempts, with each attempt causing pain and delaying treatment. The aim of this study was describe the clinical characteristics of neonates requiring multiple PIVCs during hospitalization. A secondary case series of neonates requiring three or more PIVCs during their admission were identified from a cohort admitted to an Australian Neonatal Unit between October 2020 and February 2021. Data were collected at PIVC insertion and removal; with variables including patient characteristics (weight, gestational age, acuity) and device characteristics (treatment indication, location), and outcomes (completion of treatment or failure). Outcomes are reported descriptively. In total, 19 of 248 (7.6%) neonates received three or more PIVCs (n = 101 PIVCs). Median gestation and weight were 26.6 weeks (interquartile-range [IQR] 24.6-28.6 weeks) and 728 grams (IQR 640-1050 g), respectively; all neonates required intensive care admission. The most common anatomical location was the hand (41.5%, n = 42). The maximum number of PIVCs required by a single patient was 12. The median dwell time was 49 h (IQR 35.0-73.5 h), with maximum dwell 263 h. In total, 57% (n=58/101 PIVCs) failed from complications, and 58% (n=59) of failed PIVCs required re-insertion. Despite common clinician perceptions that large babies require more PIVCs, our results found extremely low birth weight babies required frequent cannulation, with many PIVCs failing prior to treatment completion. There is a need for further investigation regarding decision-making, advanced inserter skills and optimization of alternate vascular access device selection for this vulnerable population. Clinical teams caring for neonates, particularly those of low birth weight and/or gestation, are recommended to take extra time considering the device they choose to insert, and the inserting clinicians. The aim of these recommendations is to reduce the number of treatment failures and device complications causing preventable treatment delays and ongoing injuries in neonatal critical care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13232"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015805","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":"Silent Needs, Shared Stories: A Narrative Inquiry Into Spiritual Care in Paediatric Critical Care Settings.","authors":"Shamsi Atefeh, Mazhari Zahra, Moayed Malihe Sadat, Hashemi Narges","doi":"10.1111/nicc.70146","DOIUrl":"10.1111/nicc.70146","url":null,"abstract":"<p><strong>Background: </strong>Spiritual health, as a fundamental component of holistic well-being, remains inadequately addressed in paediatric intensive care units (PICUs), despite its recognised impact on coping and quality of life for both children and their families. The World Health Organization's health framework omits the spiritual dimension, even as global evidence highlights the importance of spiritual care, especially in high-stress settings like PICUs where mothers and nurses face profound emotional and existential challenges.</p><p><strong>Aim: </strong>This study aimed to explore and compare the lived experiences of mothers and nurses regarding spiritual care in PICUs, with a focus on understanding how storytelling can bridge the gap between caregiving and care-receiving perspectives.</p><p><strong>Study design: </strong>A qualitative study utilising narrative inquiry and conventional content analysis, underpinned by Watson's Theory of Human Caring and phenomenological approaches. Semi-structured, narrative interviews were conducted with 14 mothers and 11 nurses from the PICU of Imam Hossein Hospital, Isfahan University of Medical Sciences, Iran. Participants were selected via purposive and convenience sampling. Interviews incorporated storytelling techniques to elicit deep, experiential narratives. Data were analysed using Graneheim and Lundman's content analysis framework, with iterative coding and thematic analysis until saturation was achieved.</p><p><strong>Results: </strong>Two main themes emerged: (1) The Nurse as a Source of Spiritual Resilience and (2) The Need for Empathetic Support in Crisis. Nurses were perceived as facilitators of peace through empathic care and effective communication, while clinical competence blended with subtle sensitivity was crucial for building trust. Storytelling enabled mutual understanding and emotional anchoring, highlighting the therapeutic value of narrative in addressing spiritual needs.</p><p><strong>Conclusions: </strong>Spiritual care is a vital yet often marginalised aspect of paediatric critical care. Nurses play a central role in providing spiritual resilience, but require better training and support. Storytelling serves as a powerful tool for fostering empathy, understanding and therapeutic engagement between mothers and nurses in the PICU.</p><p><strong>Relevance to clinical practice: </strong>Integrating spiritual care and narrative approaches into PICU practice can enhance emotional support for families, improve coping and strengthen the nurse-family therapeutic alliance. These findings advocate for targeted education and policy changes to empower nurses in delivering holistic, spiritually sensitive care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70146"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876640","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":"Experiences and Perceptions of Turkish Nursing Students During Their First Clinical Placement in Intensive Care Units: A Qualitative Study.","authors":"Yağmur Akbal Demirci, Vacide Aşik Özdemir, Zeynep Pehlivan Köksal, Burcu Genç Köse, Hilal Pekmezci","doi":"10.1111/nicc.70160","DOIUrl":"https://doi.org/10.1111/nicc.70160","url":null,"abstract":"<p><strong>Background: </strong>Clinical practice in the ICU is critical in shaping nursing students' professional development and enhancing their understanding of patient care.</p><p><strong>Aim: </strong>This study examined the feelings, thoughts and experiential reflections of nursing students during their initial exposure to the intensive care unit (ICU), focusing on their perspectives on the first and last day of clinical practice.</p><p><strong>Study design: </strong>The study employed a phenomenological design and was conducted in a province in north-eastern Turkey. Data were collected from 13 nursing students who participated in ICU clinical practice for the first time as part of the Internal Medicine Nursing course during the 2023-2024 academic year.</p><p><strong>Findings: </strong>Three main themes emerged from students' accounts of their first-day experiences in the ICU: 'negative emotions', 'positive emotions' and 'areas for improvement'. Participants commonly described the intensive care experience as physically exhausting, emotionally overwhelming, and, at times, shocking and frightening. Additionally, students acknowledged that the ICU accurately reflects the nursing profession but described the overall atmosphere as cold. They also mentioned that the critical nature of the ICU could make it a frightening experience. Although ICUs were perceived as professionally fulfilling environments, participants noted that improvements are needed in several areas, including increasing the number of visitors allowed, enhancing physical conditions and addressing nurse staffing shortages. At the end of the 14-week clinical practice, students' final evaluations of the ICU revealed two main themes: 'increase in professional experience' and 'positive emotions'.</p><p><strong>Conclusions: </strong>The findings indicate that the negative emotions experienced by nursing students at the beginning of their ICU practice were replaced by positive emotions by the end of the clinical training. The results provide a valuable resource for developing supportive strategies to enhance nursing students' adaptation to ICU clinical practice.</p><p><strong>Relevance to clinical practice: </strong>Our findings show that the effectiveness of clinical practice in the ICU on students significantly contributes to the nursing profession by transforming negative emotions such as anxiety experienced in the first days into professional development and awareness over time.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70160"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145016688","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":"When Machines Decide: Exploring How Trust in AI Shapes the Relationship Between Clinical Decision Support Systems and Nurses' Decision Regret: A Cross-Sectional Study.","authors":"Nadia Hassan Ali Awad, Wafaa Aljohani, Mai Mohammed Yaseen, Wafaa Hassan Ali Awad, Randa Ahmed Said Ahmed Abou Elala, Heba Mohammed Alanwer Ashour","doi":"10.1111/nicc.70157","DOIUrl":"https://doi.org/10.1111/nicc.70157","url":null,"abstract":"<p><strong>Background: </strong>Artificial intelligence (AI)-based Clinical Decision Support Systems (AI-CDSS) are increasingly implemented in intensive care settings to support nurses in complex, time-sensitive decisions, aiming to improve accuracy, efficiency and patient outcomes. However, their use raises concerns about emotional consequences, particularly decision regret, which may arise when clinical judgement or outcomes are unfavourable. Trust in AI may play a key role in shaping nurses' responses to AI-guided decisions.</p><p><strong>Aim: </strong>To examine the relationship between nurses' reliance on AI-CDSS, decision regret and trust in AI, with a focus on the moderating role of trust in the association between AI-CDSS reliance and decision regret.</p><p><strong>Study design: </strong>A cross-sectional correlational design was used. A convenience sample of 250 intensive care unit (ICU) nurses completed validated instruments: the Healthcare Systems Usability Scale (HSUS) for AI-CDSS reliance, the Decision Regret Scale (DRS) and the Trust in AI Scale. Descriptive statistics, Pearson's correlations, multiple linear regression and moderation analysis were conducted.</p><p><strong>Results: </strong>A total of 250 ICU nurses participated in the study out of 400 approached, yielding a response rate of 62.5%. Nurses reported moderate levels of AI-CDSS reliance (M = 78.6, SD = 12.4), decision regret (M = 38.5, SD = 14.8) and trust in AI (M = 13.9, SD = 3.2). AI-CDSS reliance was negatively correlated with decision regret (r = -0.42, p < 0.01) and positively with trust in AI (r = 0.51, p < 0.01). Regression analysis showed that both AI-CDSS reliance (β = -0.36) and trust in AI (β = -0.24) significantly predicted reduced regret (R² = 0.27, p < 0.001). Trust moderated the relationship, strengthening the negative association between reliance and regret.</p><p><strong>Conclusion: </strong>Greater reliance on AI-CDSS is associated with lower decision regret among ICU nurses, especially when trust in AI is high. Trust enhances emotional acceptance and supports effective AI integration.</p><p><strong>Relevance to clinical practice: </strong>Building trust in AI-CDSS among nurses is essential for minimising emotional burden and optimising decision-making in critical care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70157"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977982","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":"Intra-Abdominal Pressure Measurement Knowledge, Attitude, and Practice of Chinese ICU Nurses: A Cross-Sectional Survey.","authors":"Qiang Du, Zhi Zeng, Xiuru Yang, Fenglin Yan, Zhenghua Liang, Xiaoli Du","doi":"10.1111/nicc.70181","DOIUrl":"10.1111/nicc.70181","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Intra-abdominal pressure (IAP) measurement is an important parameter for intensive care unit (ICU) patients, helping ICU nurses identify and respond to intra-abdominal hypertension (IAH) and changes in patient condition. The quality of IAP measurement depends on ICU nurses' knowledge, attitudes, and correct nursing practices. While previous studies have investigated the knowledge, attitude, and practice (KAP) regarding IAP measurement among paediatric ICU nurses, the KAP of adult ICU nurses has not been explicitly assessed.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To understand the current situation and influencing factors of IAP measurement among adult ICU nurses in Mianyang City, China.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Study design: &lt;/strong&gt;Between December 2024 and February 2025, an anonymous cross-sectional descriptive survey was conducted using convenience sampling among 240 adult ICU nurses from five hospitals in Mianyang City, Sichuan Province, China. The survey tools included the General Information Questionnaire and the ICU Nurses' Knowledge, Attitude, and Practice Questionnaire for Intra-abdominal Pressure Measurement. The KAP questionnaire comprised a knowledge dimension (nine items), an attitude dimension (five items), and a practice dimension (nine items), totalling 23 items. Univariate analysis and multiple linear regression analysis were used to identify the influencing factors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;A total of 240 questionnaires were collected, of which 222 were valid, yielding a valid response rate of 92.5%. The overall mean score was 83.99 ± 14.91, corresponding to a score rate of 73.03%. The mean score for the attitude dimension was 19.31 ± 3.39 (score rate: 77.24%). The mean score for the practice dimension was 34.58 ± 7.97 (score rate: 76.86%). The mean score for the knowledge dimension was 29.19 ± 8.95 (score rate: 64.86%). Multiple linear regression analysis revealed that education level (p = 0.008, 95% CI: 1.230-7.928), hospital level (p = 0.003, 95% CI: -9.048 to -1.854), IAP measurement training experience (p &lt; 0.001, 95% CI: 8.690-16.616), and clinical teaching experience (p &lt; 0.001, 95% CI: -19.007 to -11.614) were significant predictors (p &lt; 0.05, 95% CI: 77.111-99.074) of ICU nurses' KAP regarding IAP measurement.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The level of IAP measurement KAP among the surveyed ICU nurses was moderate, indicating considerable room for improvement. Notably, knowledge scores were relatively low, highlighting the need to prioritise strengthening training and learning in this area. Educational level, hospital level, IAP measurement training experience, and clinical teaching experience emerged as significant predictors.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Relevance to clinical practice: &lt;/strong&gt;Nursing managers should be aware of the factors influencing clinical nurses' KAP regarding IAP measurement. Implementing effective, personalised training programmes tailored to the characteristics of different ICU nurs","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70181"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126488","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}