Nursing in Critical Care最新文献

{"title":"Alarm Fatigue and Stress Among Critical Care Nurses in Saudi Arabia: A Cross-Sectional Study.","authors":"Nouf Almal Abdullah Alnaimi, Fayza Ahmed Komsan, Rana Alameri, Afnan Alsoyan","doi":"10.1111/nicc.70108","DOIUrl":"https://doi.org/10.1111/nicc.70108","url":null,"abstract":"<p><strong>Background: </strong>Alarm fatigue and stress among critical care nurses (CCNs) are critical issues that can adversely affect both nurse well-being and patient care.</p><p><strong>Aim: </strong>This study aimed to assess alarm fatigue and stress levels among CCNs in Eastern Saudi Arabia, explore the relationship between these factors and identify significant demographic predictors.</p><p><strong>Study design: </strong>A descriptive cross-sectional design was employed. The study involved 205 CCNs. Data were collected using a self-administered online questionnaire that included the Alarm Fatigue Scale (AFS) and the Perceived Stress Scale (PSS).</p><p><strong>Results: </strong>The mean overall AFS score was 24.68 (standard deviation, SD = 6.79) out of 52, indicating a moderate level of alarm fatigue. Approximately 58.5% of nurses experienced average alarm fatigue, while 11.7% reported high alarm fatigue. The mean overall PSS score was 21.4 (SD = 4.6) out of 40, indicating moderate stress. A total of 84.4% of nurses experiencing moderate stress, while 9.8% reported high stress. A weak, non-significant negative correlation was observed between alarm fatigue and stress (r = -0.131, p = 0.061). Regression analysis revealed that years of experience, age and educational level were significant predictors of alarm fatigue, with nurses aged 40 and above, those with diplomas and those with 1-5 years of experience reporting higher alarm fatigue. Additionally, nurses who reported recent stress and those with lower alarm fatigue levels showed significantly higher perceived stress.</p><p><strong>Conclusion: </strong>The study reveals that moderate to high levels of alarm fatigue and stress are prevalent among CCNs, with key predictors including clinical experience, age, education level and recent exposure to stress.</p><p><strong>Relevance to practice: </strong>The study findings highlight the need for regular training on alarm management and stress reduction, investment in advanced monitoring systems to minimize false alarms and clear institutional protocols for alarm escalation. Stress management programmes, including mental health support and resilience workshops, are recommended to enhance nurse well-being and improve patient care outcomes.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70108"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144602204","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":"Hope among patients discharged from an intensive care unit: A prospective cohort study.","authors":"Mona Austenå, Tone Rustøen, Milada Cvancarova Hagen, Åse Valsø, Kjetil Sunde, Kirsti Tøien","doi":"10.1111/nicc.13235","DOIUrl":"10.1111/nicc.13235","url":null,"abstract":"<p><strong>Background: </strong>Hope is important during critical illness due to the uncertainty and loss of control in the patient's life. Following intensive care, hope might provide a therapeutic effect and increase coping, leading to improved recovery.</p><p><strong>Aim: </strong>To describe the levels of hope in patients during the first year after ICU treatment, and to explore possible associations between hope and selected demographic, clinical and psychosocial factors.</p><p><strong>Study design: </strong>This is a prospective cohort study and a predefined sub-study of a randomized controlled trial. Adults discharged from five mixed ICUs were included. All patients were screened for post-traumatic stress symptoms at baseline, and data on hope, post-traumatic stress and social support were collected 3, 6 and 12 months later. Linear regression analyses and linear mixed models for repeated measurements with hope as the dependent variable were used.</p><p><strong>Results: </strong>Median age was 57 years (range 18-94), 47% were women, median length of ICU stay was 3 days (range 1-83), Simplified Acute Physiology Score II was 24 (range 0-78) and 54% received mechanical ventilation. Not having prior mental health problems (B = 1.93, 95% CI [0.90, 2.98]), lower level of post-traumatic stress symptoms (B = -0.08, 95% CI [-0.11, -0.04]) and more social support (B = 0.37, 95% CI [0.31, 0.43]) were all independently associated with higher levels of hope during the first year after critical illness. The levels of hope were higher in the study cohort than in the general Norwegian population and remained unchanged during follow-up.</p><p><strong>Conclusions: </strong>Patients maintained a stable level of hope throughout follow-up. Absence of prior mental health problems, lower post-traumatic stress symptoms and more social support after ICU discharge were associated with higher hope.</p><p><strong>Relevance to clinical practice: </strong>Patients' hope should be strengthened during the ICU stay through psychosocial support and care for patients with previous post-traumatic stress symptoms and mental health problems.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e13235"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210213/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144531005","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":"Endotracheal Tube-Associated Complications in Paediatric Critical Care: A Systematic Review and Meta-Analysis.","authors":"Joanne Curlis, Karina R Charles, Ruth Royle, Claire M Rickard, Daner Ball, Sarfaraz Rahiman, Jessica A Schults","doi":"10.1111/nicc.70066","DOIUrl":"10.1111/nicc.70066","url":null,"abstract":"<p><strong>Background: </strong>Children admitted to the paediatric intensive care unit who require mechanical ventilation are at increased risk for endotracheal tube complications. Increased endotracheal tubes complications can lead to increased length of stay and subsequent increased health care costs.</p><p><strong>Aim: </strong>To estimate the incidence of endotracheal tube-associated infections and other complications in mechanically ventilated children.</p><p><strong>Study design: </strong>Systematic review and meta-analysis of observational studies. The electronic databases and search machines PubMed, Embase and Cumulative Index of Nursing and Allied Health Literature (CINAHL) were searched for articles published 2012 to 2023. We included cohort studies and randomized controlled trials set in paediatric intensive care that reported endotracheal tube-associated complications (infection, accidental removal, pressure injuries and blockage). Study eligibility assessment, data extraction and critical appraisal were undertaken by pairs of reviewers. Pooled estimates of complications were generated using random effects meta-analysis. Study quality was assessed using the Critical Appraisal Skills Programme tool for randomized controlled trials and cohort studies.</p><p><strong>Results: </strong>We included data from 34 studies (12 RCTs and 22 cohort studies; n = 50 359 patients; 232 123 ventilator days). There was substantial study heterogeneity. The primary outcome was endotracheal tube-associated infection: ventilator-associated pneumonia, ventilator-associated events and/or ventilator-associated tracheobronchitis. Ventilator-associated pneumonia was the most common endotracheal tube-associated complication (incidence rate 13.5/1000 ventilator days; 95% confidence interval [CI] 8.2, 22.2) with higher rates in low- and middle-income countries than high-income economies (incidence rate difference 11.9%; 95% CI 10.2, 13.7). Accidental extubation was the second most common complication (7.4/1000 ventilator days; 95% CI 5.1, 10.7) followed by endotracheal tube-associated pressure injuries (5.4/1000 ventilator days; 95% CI 1.7, 16.6) and endotracheal tube blockage (5.0/1000 ventilator days; 95% CI 1.4, 17.6).</p><p><strong>Conclusions: </strong>Endotracheal tube-associated complications remain prevalent and contribute avoidable harm. The continued high incidence of ventilator-associated pneumonia highlights further efforts are needed to reduce burden, especially in lower- and middle- income countries.</p><p><strong>Relevance to clinical practice: </strong>Awareness of endotracheal tube-associated complications will promote initiatives to reduce complications and prevent patient harm. Prospero Registration: PROSPERO 2022 CRD42022339900.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70066"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12169073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144303546","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":"Inter-rater reliability in the assessment of consciousness in patients receiving palliative care in intensive care: A prospective cross sectional observational study.","authors":"Dilek Yildirim, Arzu Kavala, Seda Değirmenci Öz, Esra Sezer, Emre Kuğu, Zeynep Coşkun","doi":"10.1111/nicc.13065","DOIUrl":"10.1111/nicc.13065","url":null,"abstract":"<p><strong>Background: </strong>The Glasgow Coma Scale (GCS) is one of the methods that has validity for evaluating the consciousness levels of patients in the literature and is accepted by health authorities.</p><p><strong>Aim: </strong>The purpose of this study was to evaluate the inter-rater reliability of GCS in intensive care patients receiving palliative care.</p><p><strong>Study design: </strong>A prospective cross sectional observational study. The study was conducted in a general intensive care unit with 20 beds with patients receiving palliative care. In the unit, 18 nurses worked in two shifts, day and night. Each patient's primary palliative care nurse and two additional researchers were given one minute to independently record the patient's GCS total and subscale scores. All observations were completed within 5 min as there could be significant changes in the patient's GCS score during observations.</p><p><strong>Results: </strong>A total of 258 assessments were completed. For the GCS total scoring, a moderate agreement was found between palliative care nurses and the first researcher-observer (49.0%) and also between palliative care nurses and the second researcher-observer (47.7%). In addition, there was a substantial agreement between the first and second researchers (78.9%) and also between all observers (61.5%) (all p = .001).</p><p><strong>Conclusions: </strong>Although there was a near-perfect agreement between the two researcher-observers, we found only moderate agreement among all observers (palliative care nurses and two researcher-observers) in the evaluation of GCS total and subscale scores.</p><p><strong>Relevance to clinical practice: </strong>We found that lack of knowledge and training on the standardized use of GCS is still a problem for palliative and intensive care units. Because of the diversity of patients requiring GCS assessment in palliative care units, refresher training programs and hands-on workshops on consciousness assessment should be organized regularly for more experienced nurses.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13065"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12305481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177651","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":"Modified Versus Conventional Prone Position for COVID-19 Patients in Adult Intensive Care Units: A Comparative Study.","authors":"Chen Huang, Wenwen Qi, Shuyuan Zhao, Yan Jiang, Yirong Sun, Xuelian Xu, Chaowei Yao, Xiaoye Wang, Enqiang Mao, Feng Jing, Erzhen Chen","doi":"10.1111/nicc.70122","DOIUrl":"10.1111/nicc.70122","url":null,"abstract":"<p><strong>Background: </strong>Prone position has been reported to improve prognosis and reduce mortality in COVID-19 patients, but poor patient tolerance and complications remain an issue.</p><p><strong>Aim: </strong>This study aimed to compare the modified vs. conventional prone position on pressure injuries in COVID-19 patients in adult intensive care units (ICU).</p><p><strong>Study design: </strong>This retrospective comparative study enrolled COVID-19-positive patients who were admitted to the emergency adult ICU of a tertiary general hospital between December 2022 and January 2023. All data were extracted from patient charts. The primary outcome was pressure injury. During the study period, pressure injuries were evaluated using the staging system of the International Clinical Practice Guideline for the prevention and treatment of pressure injuries in 2019.</p><p><strong>Results: </strong>A total of 39 COVID-19-positive patients (16 females) were included, and 19 patients received the modified prone position. Compared to those with the conventional prone position, patients with the modified prone position had significantly lower occurrence of pressure injury (3 (25.0%) vs. 9 (75.0%), p = 0.044), eyelid oedema (2 (10.5%) vs. 9 (45.0%), p = 0.031) and facial oedema (5 (26.3%) vs. 13 (65%), p = 0.024) and significantly higher daily continuous prone position time (9.16 ± 3.01 vs. 6.50 ± 2.14, p = 0.003). The occurrence site and stage of pressure injury, transcutaneous blood oxygen saturation, airway adverse events and brachial plexus injury were comparable between the groups (all p > 0.05).</p><p><strong>Conclusion: </strong>Compared to the conventional prone position, the modified prone position may significantly reduce the occurrence of pressure injuries and improve patient tolerance in COVID-19 patients in the adult ICU.</p><p><strong>Relevance to clinical practice: </strong>These findings provide guidance for critical care nurses to implement prone positioning interventions.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70122"},"PeriodicalIF":2.6,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12301287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735176","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":"Interaction Experiences of Family Members With Their Unconscious Relatives on Mechanical Ventilation in the Intensive Care Unit: A Phenomenological Qualitative Study.","authors":"Hülya Koçyiğit Kavak, Suna Demirci","doi":"10.1111/nicc.70115","DOIUrl":"https://doi.org/10.1111/nicc.70115","url":null,"abstract":"<p><strong>Background: </strong>Mechanical ventilation is a life-saving intervention for critically ill patients in intensive care units, often leading to unconsciousness due to sedation, neurological impairment or metabolic dysfunction. Family members of unconscious patients face significant emotional and psychological challenges, including uncertainty, anxiety and helplessness. Understanding their interaction experiences is crucial for improving support strategies.</p><p><strong>Aim: </strong>This study aims to explore the interaction experiences of family members with their unconscious relatives on mechanical ventilation in the intensive care unit.</p><p><strong>Study design: </strong>A phenomenological qualitative approach was employed, utilising semi-structured interviews with 15 family members of unconscious patients in intensive care units. Data were analysed using Colaizzi's and Giorgi's phenomenological methods with MAXQDA software to identify themes and sub-themes.</p><p><strong>Results: </strong>Five interconnected themes emerged: Bonding and Communication Challenges, Psychological and Emotional Burden, The Meaning of Physical and Verbal Interaction, Coping Strategies and Communication with Healthcare Professionals. These themes illustrate the complex emotional, cognitive and relational impact of unconsciousness and mechanical ventilation on families. Physical and verbal interactions were found to serve therapeutic and relational functions, while coping involved hope, patience and spiritual meaning-making. Communication gaps with healthcare professionals increased distress, highlighting the need for clear, empathetic and consistent information-sharing.</p><p><strong>Conclusion: </strong>The findings emphasise the critical role of effective communication and psychosocial support in addressing the emotional burden faced by family members of unconscious intensive care unit (ICU) patients. Integrating family-centred care with empathetic communication strategies can help alleviate uncertainty and promote psychological well-being.</p><p><strong>Relevance to clinical practice: </strong>Empathetic communication, structured emotional support and transparent information-sharing within a family-centred care approach are essential for alleviating the emotional and psychological burden experienced by relatives of unconscious ICU patients and for enhancing the overall quality of critical care delivery.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70115"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610275","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 experiences of cardiovascular surgeons and nurses with mutual support through interprofessional collaboration in the intensive care unit.","authors":"Hümeyra Dener, Melih Elçin","doi":"10.1111/nicc.13220","DOIUrl":"10.1111/nicc.13220","url":null,"abstract":"<p><strong>Background: </strong>The World Health Organization (WHO) emphasizes the need for radical approaches in its Global Patient Safety Action Plan, particularly in terms of interprofessional and multidisciplinary approaches. The plan highlights the importance of providing training on patient safety for all professionals, focusing on team and task-based strategies that include bedside and simulation education. TeamSTEPPS® (Team Strategies and Tools to Enhance Performance and Patient Safety) is an educational programme developed to teach health care professionals on specific tools and strategies to enhance basic teamwork skills. Mutual support, one of the teamwork skills described in TeamSTEPPS®, involves team members assisting one another, providing and receiving feedback on performance, and advocating assertively when patient safety is threatened.</p><p><strong>Aim: </strong>The aim of this study was to explore the experiences of cardiovascular surgeons and nurses with mutual support through interprofessional collaboration in the intensive care unit (ICU) at Hacettepe University.</p><p><strong>Study design: </strong>The study employed a basic qualitative research design. The data were gathered through in-depth interviews and analysed with inductive content analysis in accordance with Elo and Kyngäs. We used the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist to describe and report the components of study design.</p><p><strong>Results: </strong>We interviewed 13 participants: 6 surgeons and 7 nurses. Six themes were identified: mutual support, positiveness of working in a supportive environment, feedback, effective communication, patient safety and conflict resolution.</p><p><strong>Conclusion: </strong>The results of our study revealed that intra/inter-professional collaboration and mutual trust based on the variety of individual and workplace-related factors improved patient safety through individual motivation while monitoring and supporting each other in a positive environment, providing feedback and encouraging effective communication, patient advocacy and conflict resolution.</p><p><strong>Relevance to clinical practice: </strong>Exploring the experiences, challenges and successes of health care workers in interprofessional collaboration is crucial. Understanding team dynamics, communication barriers and collaboration strategies can help promote more effective teamwork and contribute to the development of plans to improve the quality of patient care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13220"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781681","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":"Building evidence-based interventions to improve staff well-being in paediatric critical care using the behaviour change wheel.","authors":"Rachel L Shaw, Isabelle Butcher, Sarah Webb, Heather P Duncan, Rachael Morrison","doi":"10.1111/nicc.13228","DOIUrl":"10.1111/nicc.13228","url":null,"abstract":"<p><strong>Background: </strong>Research has demonstrated that staff working in Paediatric Critical Care (PCC) experience high levels of burnout, post-traumatic stress and moral distress. There is very little evidence of how this problem could be addressed.</p><p><strong>Aim: </strong>To develop evidence-based, psychologically informed interventions designed to improve PCC staff well-being that can be feasibility tested on a large scale.</p><p><strong>Study design: </strong>The Behaviour Change Wheel (BCW) framework guided systematic development of the interventions. This process was informed by a review of existing well-being initiatives and a survey of PCC staff's awareness and uptake of initiatives identified.</p><p><strong>Results: </strong>Together with empirical evidence, the BCW process produced two bespoke 'SWell' (Staff Wellbeing) interventions tailored for delivery in UK PCC units. The two group-based interventions, Mad-Sad-Glad and Wellbeing Images involve the Behaviour Change Techniques (BCTs) of self-belief, social support, feedback and monitoring. These BCTs align closely with the psychological concepts of self-efficacy, self-regulation and the psychological theory of how to thrive.</p><p><strong>Conclusions: </strong>Tailored, evidence-based, psychologically informed SWell (Staff Wellbeing) interventions are likely to be feasible and have the potential of making significant differences to individual staff members and the PCC workforce as a whole. Associated investments in the psychological health of the workforce and time to prioritize well-being interventions are required for change to occur and be maintained.</p><p><strong>Relevance to clinical practice: </strong>The SWell (Staff Wellbeing) interventions could impact directly on the well-being of PCC staff and their ability to thrive in the workplace. Indirectly, they could reduce staff attrition, sickness absence and improve patients' and families' experiences of care.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13228"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12210092/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142958419","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":"Research Topics and Trends of Clinical Decision Support Systems in Intensive Care Units: A Bibliometric Analysis.","authors":"Xun Deng, Lu Liu, Tingting Peng, Shan Zhang","doi":"10.1111/nicc.70112","DOIUrl":"https://doi.org/10.1111/nicc.70112","url":null,"abstract":"<p><strong>Background: </strong>Hospital administrators apply information technology to improve healthcare quality; however, a comprehensive bibliometric analysis remains limited.</p><p><strong>Aim: </strong>To explore the research topic, key contributors and development trends of clinical decision support systems (CDSS) in intensive care units (ICUs).</p><p><strong>Study design: </strong>Between January 1, 2014, and December 31, 2024, a bibliometric analysis was undertaken. CiteSpace software was used to conduct a visual analysis of literature retrieved from the Web of Science Core Collection database. Publishing countries, institutions, authors, cited journals and keywords were reported.</p><p><strong>Results: </strong>A total of 817 articles were included in the final analysis. The annual publication volume showed an overall upward trend. The United States was the country with the highest number of publications (338 articles, 41.37%), and the University of Pittsburgh was the most prolific institution (29 articles, 3.55%). Herasevich, Vitaly from Mayo Clinic, Dept Anesthesiol, was the most prolific author (8 articles, 0.98%). Critical Care Medicine was the most cited journal (n = 421). Research hotspots primarily focused on the integration of CDSS with clinical practice, intelligent decision support-driven precision ICU care and the effectiveness of CDSS in managing ICU patients. Research trends centred on prediction, respiratory distress syndrome and artificial intelligence.</p><p><strong>Conclusions: </strong>This study highlights key research areas in CDSS applications in ICUs, focusing on clinical integration, precision care and patient management, offering insights for improving healthcare quality.</p><p><strong>Relevance to clinical practice: </strong>The findings from this bibliometric analysis can assist ICU nurses in advancing research on integrating CDSS into ICU practices, developing intelligent decision support tools and addressing gaps in precision care, prediction models and AI-driven solutions to enhance patient outcomes and optimise critical care management.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 4","pages":"e70112"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610276","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":"Post-discharge family resilience in premature infants and their mothers: A longitudinal study.","authors":"Jen-Tzu Hsiao, Shih-Ming Chu, Hung-Yang Chang, Chieh-Yu Liu, Pei-Ching Liu, Chi-Wen Chen","doi":"10.1111/nicc.13229","DOIUrl":"10.1111/nicc.13229","url":null,"abstract":"<p><strong>Background: </strong>Upon discharge, very low birth weight infants pose significant caregiving challenges for families. Family resilience is vital for managing stress and adapting to this new situation. However, research focussing on the resilience of families with premature infants returning home has been limited. Understanding these factors is crucial for improving care quality.</p><p><strong>Aim: </strong>To investigate the influence of family resilience on very low birth weight (VLBW) and extremely low birth weight (ELBW) infants, specifically examining social support, family functioning and parenting stress at 3 and 6 months of corrected age.</p><p><strong>Study design: </strong>In this longitudinal study, we collected data from two medical centres in Northern Taiwan through convenience sampling. From December 2019 to September 2020, 51 mothers of VLBW or ELBW infants (birth weight = 540-1490 g) were included; they were assessed at 3 and 6 months of corrected age. The mothers completed questionnaires measuring family resilience, social support, family functioning and parenting stress. The data were analysed through multiple linear regression.</p><p><strong>Results: </strong>At 3 and 6 months of corrected age, the mothers demonstrated moderate-to-high levels of family resilience. The family resilience levels demonstrated no significant differences between the two follow-ups. Social support and parenting stress strongly predicted family resilience levels at both follow-ups.</p><p><strong>Conclusion: </strong>This study sheds light on the crucial role of family resilience in coping with challenges during this critical period.</p><p><strong>Relevance to clinical practice: </strong>Nursing professionals' early recognition and support for family resilience can ensure post-discharge well-being for premature infants and their families.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13229"},"PeriodicalIF":3.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923848","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}