Nursing in Critical Care最新文献

{"title":"Patient, Family and Provider Priorities in ICU Rehabilitation: An Experience-Based Co-Design Study.","authors":"Jiyeon Kang, Sun Ju Chang, Mi-Kyeong Jeon, Gee Young Suh, Chi Ryang Chung","doi":"10.1111/nicc.70151","DOIUrl":"10.1111/nicc.70151","url":null,"abstract":"<p><strong>Background: </strong>Intensive care unit (ICU) rehabilitation has been shown to improve physical, psychological and functional outcomes in critically ill patients. However, implementation varies widely, and clinical practice guidelines (CPGs) are needed to ensure consistent, evidence-based care. Incorporating patient and public involvement (PPI) into CPG development is essential to reflect the lived experiences and priorities of service users.</p><p><strong>Aim: </strong>To explore the experiences of ICU rehabilitation from the perspectives of patients, families and healthcare providers and to identify shared priorities that can inform the development of Korean CPGs for ICU rehabilitation and post-intensive care syndrome.</p><p><strong>Study design: </strong>This study applied the Experience-Based Co-Design (EBCD) approach. We conducted observations of ICU rehabilitation practices through institutional educational video recordings, individual interviews with four ICU survivors and a focus group interview with five ICU healthcare professionals. A trigger audio recording, derived from the patient interviews, and thematic touchpoints from qualitative analysis were presented in a group feedback event. ICU clinicians involved in CPG development participated to validate the findings and identify shared priorities.</p><p><strong>Results: </strong>Four core priorities were identified: patients and families as partners, person-centred approach, fostering rehabilitation culture and teamwork, and ensuring sustainability of rehabilitation.</p><p><strong>Conclusions: </strong>Successful ICU rehabilitation requires placing patients and families at the centre throughout the entire rehabilitation journey, from ICU admission to community reintegration. Structural support addressing workforce limitations and cost reimbursement issues, complemented by a culturally sensitive team approach, is essential for establishing effective linkages between ICU rehabilitation and community services.</p><p><strong>Relevance to clinical practice: </strong>ICU healthcare providers should create more opportunities for patient and family engagement in rehabilitation processes. A dynamic team approach that flexibly incorporates diverse staff is crucial for delivering person-centred services. Administrators and policymakers should develop comprehensive strategies and policies that facilitate seamless continuation of rehabilitation from ICU to community settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70151"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856955","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":"Family Resilience in the ICU: A Concept Analysis.","authors":"Shunxia Sun, Caiping Song, Li Guan, Tang Xiaoling, Caie Wu","doi":"10.1111/nicc.70147","DOIUrl":"10.1111/nicc.70147","url":null,"abstract":"<p><strong>Background: </strong>The concept of family resilience is a promising way to improve families' ability to cope with sudden change. However, there is no consensus in the field of intensive care regarding its definition.</p><p><strong>Aim: </strong>The aim of this concept analysis was to develop a deeper understanding of the phrase 'family resilience in the ICU' within the nursing discipline to facilitate its comprehension, implementation and evaluation.</p><p><strong>Study design: </strong>We performed a comprehensive search of Medline (PubMed), Web of Science, OVID, Embase, CINAHL (EBSCO), CNKI (Chinese), Wangfang (Chinese), VIP (Chinese) and SinoMed (Chinese) with MeSH terms and keywords, including critical care/intensive/ICU, family, resilienc* and hardiness. The inclusion criteria were the subject of family resilience in the intensive care unit (ICU), English or Chinese language, and full text. Walker and Avant's approach was used to analyse the concept.</p><p><strong>Results: </strong>From the 22 studies selected for this analysis, four main attributes of 'family resilience in the ICU' were identified: the characteristics system, belief system, organisation system and support system. We developed four model cases to illustrate how the concept is operationalised. The concept analysis of 'family resilience in the ICU' identified four antecedents: the relatively unexpected admission of a relative to the ICU, disrupted family order, acute stress and positive response. The analysis also identified four consequences: the development of resilience, the psychology of the family, family adaptation and patient support.</p><p><strong>Conclusions: </strong>According to the concept analysis, we suggest an operational definition to facilitate the implementation of the concept in practice. Furthermore, we propose that implementation should be guided by the following key ideas: (1) identifying family characteristics, (2) helping families establish correct expectations, (3) providing support to help families regain control, (4) promoting family participation in medical decision-making and patient care, and (5) encouraging families to access external resources.</p><p><strong>Relevance to clinical practice: </strong>This concept analysis of family resilience in the ICU will advance healthcare professionals' understanding and knowledge and encourage them to pay more attention to patients' families. It can also prepare and educate healthcare professionals to develop policies and guidance to increase family resilience in ICU settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70147"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12358821/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876638","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":"Advancing Humanisation in Perioperative Care: Critical Reflections on Non-Pharmacological Nursing Interventions for Postoperative Comfort: Commentary on: 'The Effect of Music and Eye Masks on Sleep Quality and Delirium in Abdominal Surgery Intensive Care Patients: Randomized Controlled Trial' by Topal and Sürme.","authors":"Francesco Limonti, Francesco Maiarota, Lucia Alessandra Pasqua, Guglielmo Imbriaco, Nicola Ramacciati","doi":"10.1111/nicc.70169","DOIUrl":"https://doi.org/10.1111/nicc.70169","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70169"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145066233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to \"Early Mobility for Post-Cardiac Surgery Patients on Vasoactive Medication: A Nurse-Led Quality Improvement Project\".","authors":"","doi":"10.1111/nicc.70179","DOIUrl":"https://doi.org/10.1111/nicc.70179","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 5","pages":"e70179"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082433","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":"Effect of Repeated Education on ICU Nurses' Knowledge and Performance in MDRO Infection Control: A Pretest-Posttest Study.","authors":"Kyeongmin Jang","doi":"10.1111/nicc.70123","DOIUrl":"10.1111/nicc.70123","url":null,"abstract":"<p><strong>Background: </strong>Multidrug-resistant organisms (MDROs) pose a serious threat to patient safety in intensive care units (ICUs), where invasive procedures and extensive antibiotic use elevate the risk of transmission. Although educational interventions can enhance infection control compliance, their effects often decline over time.</p><p><strong>Aim: </strong>To evaluate the effectiveness and sustainability of a repeated education programme on ICU nurses' knowledge and performance related to MDRO infection control.</p><p><strong>Study design: </strong>A one-group pretest-posttest study.</p><p><strong>Results: </strong>Forty-three ICU nurses received three monthly 50-min education sessions. Knowledge scores significantly increased from 19.60 (SD = 1.62) at baseline to 21.79 (SD = 1.60) 2 weeks post-intervention and were maintained at 21.42 (SD = 1.40) after 3 months (p < 0.001). Performance scores also improved from 94.65 (SD = 11.69) to 101.49 (SD = 8.29) and remained elevated at 102.63 (SD = 7.26) (p < 0.001). No significant decline was observed between the post-intervention measurements.</p><p><strong>Conclusions: </strong>Repeated education significantly improved and sustained ICU nurses' knowledge and performance in MDRO infection control. The spaced and unit-based format supports routine integration and reinforcement of infection control competencies.</p><p><strong>Relevance to clinical practice: </strong>Brief, structured and repeated education sessions can be feasibly incorporated into ICU training programmes. This approach may strengthen adherence to MDRO prevention protocols and improve patient safety in high-risk clinical settings.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70123"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301955/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735174","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":"Development and evaluation of a simulation-based early-mobility curriculum for paediatric intensive care nurses.","authors":"Jessica M LaRosa, Hallie Lenker, Razvan Azamfirei, Stephanie Morgenstern, Krista Hajnik, Colleen Mennie, Beth Wieczorek, Kristen M Brown, Nicole Shilkofski, Sapna R Kudchadkar","doi":"10.1111/nicc.13215","DOIUrl":"10.1111/nicc.13215","url":null,"abstract":"<p><strong>Background: </strong>Early mobility is one strategy to reduce the harm from immobility that children experience in the paediatric intensive care unit (PICU). Early-mobility programmes rely on nurses, who currently perceive insufficient training as a barrier to mobilizing critically ill children. Nurses have identified simulation as a strategy to improve implementation of early-mobility protocols.</p><p><strong>Aim: </strong>To use adult learning theory to develop an early-mobility simulation curriculum for nurses and to evaluate if the curriculum improves nursing self-efficacy, knowledge and skills in mobilizing critically ill children.</p><p><strong>Study design: </strong>Using a curriculum development framework, an interprofessional team created a simulation curriculum. The educational strategies included group simulations, debriefing sessions and didactic sessions. The curriculum evaluation was conducted as quality improvement initiative using a pre-post quasi-experimental design to evaluate nurses' mobility self-efficacy, knowledge and clinical skills.</p><p><strong>Results: </strong>Eleven PICU nurses participated in the simulation-based early mobility curriculum. Before participation in the curriculum, 73% of nurses felt fairly confident and no nurses felt confident mobilizing a PICU patient. After participation, 100% of nurses felt at least fairly confident mobilizing a PICU patient (p = .031). Knowledge scores improved from a median of 14 (IQR, 12-16) questions correct to 17 (IQR, 16-18) questions correct (p = .001). Nurses completed more required clinical tasks during the Observed Structured Clinical Examination, with improvement from a median of 15 items correct (IQR, 14-16) to 19 items correct (IQR, 15-20; p = .0037).</p><p><strong>Conclusions: </strong>Developing a simulation-based early-mobility curriculum for PICU nurses is feasible. Nurses who completed the curriculum had improved self-efficacy, knowledge and clinical skills in mobilizing critically ill children.</p><p><strong>Relevance to clinical practice: </strong>The findings of this study demonstrate that simulation is a potentially useful educational tool to teach nurses to safely and effectively mobilize critically ill children. The strategy should be evaluated further to determine if it impacts physical rehabilitation at the bedside.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e13215"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12221824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555599","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 ICU Nurses' Perceptions of Tele-ICU Practice: Opportunities, Challenges and Recommendations for Implementation in Saudi Arabia.","authors":"Ahmad Rajeh Saifan, Anas Ababneh, Mariam Kawafha, Mohammad Sameer Odeh, Hekmat Yousef Al-Akash, Osama A Al-Kouri, Nour Ali Alrida, Mohammad Abuadas","doi":"10.1111/nicc.70065","DOIUrl":"https://doi.org/10.1111/nicc.70065","url":null,"abstract":"<p><strong>Background: </strong>Tele-ICU has emerged as a vital component of modern health care, enabling remote monitoring and management of critically ill patients. Even though its use is expanding internationally, there are still issues with acceptance, infrastructure and training, especially in developing health care systems such as Saudi Arabia.</p><p><strong>Aim: </strong>This study explores intensive care unit (ICU) nurses' perceptions of Tele-ICU practice in Saudi Arabia, focusing on their qualifications, experiences and the challenges and opportunities of this evolving model of care.</p><p><strong>Study design: </strong>A qualitative exploratory design was used. Semi-structured interviews were conducted with 22 ICU nurses working in a prominent health care network in Saudi Arabia. Thematic analysis was performed to identify key themes and subthemes related to Tele-ICU nursing practice.</p><p><strong>Results: </strong>Participants highlighted several factors impacting Tele-ICU practice, including a lack of standardized training, technological challenges and financial constraints. Despite these challenges, many participants viewed Tele-ICU as a less physically demanding alternative to bedside ICU nursing. They emphasized the need for formal Tele-ICU certifications, improved technological infrastructure and organizational support. Concerns regarding role clarity, career progression and legal accountability were also noted.</p><p><strong>Conclusions: </strong>Nurses in Saudi Arabia demonstrated a variety of factors that could impact adopting Tele-ICU as a standard practice. Addressing gaps in training, infrastructure and policy could improve its adoption and sustainability, ultimately benefiting patient outcomes and nurse satisfaction.</p><p><strong>Relevance to clinical practice: </strong>Tele-ICU offers significant potential to enhance critical care delivery in Saudi Arabia.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70065"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555601","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":"A Critical Review and Evidence Mapping of Guidelines for Transport of Critically Ill Patients.","authors":"Ya-Bin Zhang, Dan Ma, Rui Li, Ya-Juan Wei, Xu-Yao Wang, Yue Sun, Xue Zhang, Yan Liu, Jing Wang, Shui-Yu Wang","doi":"10.1111/nicc.70124","DOIUrl":"10.1111/nicc.70124","url":null,"abstract":"<p><strong>Background: </strong>Critically ill patients are susceptible to life-threatening adverse events, including respiratory arrest and cardiac arrest. During transport, their vital signs often exhibit significant fluctuations, which potentially increase mortality risk.</p><p><strong>Aim: </strong>This study aimed to review clinical practice guidelines on intrahospital transport for critically ill patients to generate an evidence map for analysing research trends and identifying gaps in clinical practice guidelines.</p><p><strong>Study design: </strong>This is a systematic review. The literature on clinical practice guidelines for intrahospital transport was systematically retrieved from PubMed, Embase, guideline databases and society websites. Basic information, recommendations for the transport of critically ill patients, methodological quality and reporting quality of clinical practice guidelines were extracted and processed in Excel. The quality of each clinical practice guideline was independently assessed by four researchers using the Appraisal of Guidelines Research and Evaluation Tool (AGREE II) instrument and the RIGHT checklist. Bubble charts were generated using the Excel software.</p><p><strong>Results: </strong>Nine clinical practice guidelines, comprising 23 recommendations, were identified. Varying levels of quality were obtained, with the highest mean score based on clarity of presentation being 81.64 ± 12.97, whereas the lowest mean score based on editorial independence by AGREE II was 55.40 ± 8.36. Among the seven domains in the RIGHT checklist, Field 1 (basic information) had the highest reporting rate (60%), whereas Field 6 (funding, declaration and management of interest) obtained the lowest reporting rate (15%).</p><p><strong>Conclusions: </strong>The methodological quality of clinical practice guidelines for intrahospital transport management varies significantly, with some recommendations being inconsistent. Therefore, further research is needed on the intrahospital transport management of critically ill patients to develop more evidence-based and high-quality guidelines.</p><p><strong>Relevance to practice: </strong>Ensuring the safety of intrahospital transport for critically ill patients is paramount.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70124"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735173","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 Music Therapy on Patients in the Critical Care Unit: A Qualitative Study.","authors":"Verónica Saldaña-Ortiz, Ana Recio-Rivas, José Miguel Mansilla-Domínguez, Esther Martínez-Miguel","doi":"10.1111/nicc.70099","DOIUrl":"10.1111/nicc.70099","url":null,"abstract":"<p><strong>Background: </strong>Music therapy is the use of music by a trained professional to help people improve their health, emotions or well-being. It can involve listening to music, playing instruments, singing or writing songs as part of therapy. In intensive care settings, music therapy plays a pivotal role in patient-centred care. This study delves into the experiences of critically ill patients, underscoring music's capacity to evoke emotions and transcend linguistic barriers. This study delves into music therapy as a promising intervention that alleviates stress, fosters emotional expression and enhances patients' quality of life.</p><p><strong>Aim: </strong>The aim of this study is to find out what the intensive care patient's experience is like during a music therapy session and their perception of its influence on their disease process and subsequent recovery.</p><p><strong>Study design: </strong>This study employed a descriptive qualitative approach. A qualified music therapist conducted a 20-min music therapy session with a sample of 14 patients in the Critical Care Unit. Data were collected through semi-structured interviews.</p><p><strong>Results: </strong>After analysis of the results, three main themes have emerged: (1) humanising and accompanying the critical care experience; (2) music therapy as a form of relaxation; and (3) relief and recovery through music therapy.</p><p><strong>Conclusions: </strong>Patients in the intensive care unit (ICU) often feel stressed, vulnerable and isolated from their everyday environment. Music therapy offers a temporary escape, providing comfort and emotional connection and helping to reduce stress and anxiety. This therapy can awaken memories and emotions, stimulating cognition and facilitating emotional expression, which is crucial for patients with confusion or cognitive difficulties. In addition, it acts as an effective distraction from pain, improving mood and response to treatments, thus benefiting emotional recovery and coping.</p><p><strong>Relevance to clinical practice: </strong>This study advocates for the integration of music therapy programmes in the ICU, emphasising their benefits in reducing stress, alleviating pain and enhancing emotional well-being. The findings contribute to the development of protocols with specific recommendations for its effective implementation. Furthermore, the study highlights the crucial role of nurses as key facilitators in enabling the incorporation of music therapists into the healthcare team through an interdisciplinary approach. Their involvement promotes collaboration among professionals and encourages the use of non-pharmacological interventions. Additionally, it underscores the importance of nurse participation in the creation of protocols to ensure their applicability and effectiveness in clinical practice. The research supports music therapy as a valuable complementary approach in intensive care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70099"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12202193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509343","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":"Multisensory stimulation to reduce procedural pain in retinopathy of prematurity: A randomized controlled trial.","authors":"Halil Ibrahim Tasdemir","doi":"10.1111/nicc.13200","DOIUrl":"10.1111/nicc.13200","url":null,"abstract":"<p><strong>Background: </strong>Retinopathy is frequently seen in the neonatal intensive care unit (NICU), and its examination is a painful procedure for infants.</p><p><strong>Aim: </strong>This randomized active-controlled trial aimed to investigate the impact of multisensory stimulation (MSS) on neonatal pain during retinopathy of prematurity (ROP) examinations, in comparison with a white noise (WN) and control group receiving standard care.</p><p><strong>Study design: </strong>Conducted as a three-arm, randomized controlled trial, the study was implemented in the NICU of a local university hospital. Recruitment spanned from July 2023 to November 2023, with preterm infants (gestational age < 37 weeks) randomly assigned to either a MSS, WN or a control group. MSS components included visual, auditory, tactile, olfactory and gustatory stimuli, all designed to create a synergistic, comforting environment for the infant during the procedure. Procedural pain, heart rate and oxygen saturation were assessed at various stages before and after ROP examinations.</p><p><strong>Results: </strong>Analysis of 90 participants revealed that the MSS group exhibited lower Premature Infant Pain Profile (PIPP) scores than the WN and control groups (mean difference: -2.12, 95% confidence interval [CI]: -2.62 to -1.62; odds ratio [OR]: 0.004, 95% CI [0.001, 0.012], p < 0.001). Additionally, heart rates were significantly lower in the MSS group (mean difference: -15.3 beats/min, 95% CI: -20.5 to -10.1; OR: 0.025, 95% CI [0.008, 0.073], p < .001) and oxygen saturation levels were higher (mean difference: 3.2%, 95% CI: 1.8% to 4.6%; OR: 1.12, 95% CI [1.05, 1.20], p < .001) than in the other groups.</p><p><strong>Conclusions: </strong>MSS emerges as a favourable, safe and non-pharmacological intervention for pain management in ROP and similar procedures.</p><p><strong>Relevance to clinical practice: </strong>Multisensory stimulation can be effectively integrated into the routine care provided by critical care nurses during retinopathy of prematurity examinations in preterm infants. This non-pharmacological intervention offers a practical approach for critical care nurses to reduce procedural pain and improve physiological stability in this vulnerable population.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13200"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142632310","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}