Berrin Pazar, Hafize Savas, Sadık Turgut, Hayriye Cankar Dal
{"title":"Development of the compliance with mechanical ventilator scale in: A validity and reliability study.","authors":"Berrin Pazar, Hafize Savas, Sadık Turgut, Hayriye Cankar Dal","doi":"10.1111/nicc.13191","DOIUrl":"10.1111/nicc.13191","url":null,"abstract":"<p><strong>Background: </strong>Mechanical ventilation is a widely used treatment modality in cardiac surgery intensive care units (ICUs), especially for patients requiring respiratory support during postoperative management.</p><p><strong>Aim: </strong>The aim of this study was to define the process of developing a scale to assess adherence to mechanical ventilation in cardiac surgery patients and to assess the validity and reliability of the scale.</p><p><strong>Study design: </strong>This is a scale development and scale validation study. The study was conducted with 222 patients between April and September 2023. In the first stage, face-to-face interviews were conducted with seven nurses. Based on the literature review and content analysis of the interviews, the researchers created an item pool. In the second stage, the validity and reliability of the Mechanical Ventilator Compliance Scale in cardiac surgery patients were assessed. The scale was developed to be used by nurses working in cardiac surgery ICUs.</p><p><strong>Results: </strong>The first 36-item scale was subjected to content validity assessment by 14 experts. It was revised according to the experts' feedback and a content validity criterion of 0.83 was obtained. Confirmatory factor analysis showed good fit values for the scale (χ<sup>2</sup>/SD = 3.09, GFI = 0.90, AGFI = 0.90, CFI = 0.91, RMSEA = 0.06, and RMR = 0.07). Test-retest analysis to assess the reliability of the scale showed good agreement between responses over time (ICC: 0.932; p < .001). Cronbach's alpha values for the scale and its subscales, behavioural and physical responses were 0.956, 0.949 and 0.912, respectively.</p><p><strong>Conclusions: </strong>The study findings indicate that the scale is a reliable and valid tool for assessing mechanical ventilator compliance in cardiac surgery patients.</p><p><strong>Relevance for clinical practice: </strong>This study provides nurses in cardiac surgery intensive care units with a measurement tool to objectively assess patients' compliance with mechanical ventilation therapy. The scale provides more reliable results by preventing subjective judgement and estimation in patient assessment.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13191"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12093421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction to \"Overcoming barriers to infection prevention and control compliance in intensive care units: A call for strategic change\".","authors":"","doi":"10.1111/nicc.70052","DOIUrl":"https://doi.org/10.1111/nicc.70052","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 3","pages":"e70052"},"PeriodicalIF":3.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121371","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":"Investigation of environmental stressors and individualized care perceptions of inpatients in the intensive care unit.","authors":"Tuğçe Duymaz, Yeliz Çulha","doi":"10.1111/nicc.13299","DOIUrl":"10.1111/nicc.13299","url":null,"abstract":"<p><strong>Background: </strong>Patients in intensive care units are faced with multiple stressors. The presence of invasive procedures, immobility, pain, lack of privacy, being away from family and loved ones, alarm sounds of devices, and frequent interruptions of sleep cause high levels of anxiety and restlessness in patients. The environmental characteristics of the intensive care unit can also create discomfort and stress in the individual, affecting their care satisfaction and therefore the perception of care.</p><p><strong>Aim: </strong>This research was conducted to examine the environmental stressors and individualized care perceptions of intensive care patients.</p><p><strong>Study design: </strong>The research was conducted in a descriptive and cross-sectional design.</p><p><strong>Method: </strong>The sample of the research consisted of 190 patients who had been receiving care and treatment for at least 24 hours in the ICU of a city hospital in Manisa province. In data collection, a \"Patient Information Form\", the \"Intensive Care Unit Environmental Stressors Scale (ICUESS)\" and the \"Individualized Care Scale-B (ICSB)\" were used.</p><p><strong>Results: </strong>The mean age of the patients was 62.52 ± 13.17 years, 51.1% (n = 97) of them were female, the mean length of stay in the ICU was 1.28 ± 0.45 days, 42.6% (n = 81) of the patients were in the second-level ICU, and 35.8% (n = 68) of them were found to be hospitalized in the ICU because of heart and vascular diseases. Patients' mean score was 109.27 ± 19.19 on the total Intensive Care Unit Environmental Stressors Scale (ICUESS) and 2.64 ± 0.81 on the total Individualized Care Scale-B (ICSB). The mean sub-dimension scores of the ICSB were 3.05 ± 0.92 on the \"Decision Making Control\", 2.85 ± 1.15 on the \"Clinical Condition\" and 1.65 ± 0.91 on the \"Personal Life Situation.\" It was determined that some individual characteristics affected these mean scores. There was a very weak and negative correlation between patients' mean scores on the total ICUESS and total ICSB (p = .034, r: -.154), \"Clinical Condition\" (p = .019, r: -,170) and \"Decision Making Control\" (p = .045, r: -.145) sub-dimensions.</p><p><strong>Conclusion: </strong>It was found that as patients' perceptions of environmental stressors increased, their perceptions of individualized care decreased, and some individual and disease characteristics affected these perceptions.</p><p><strong>Relevance to clinical practice: </strong>Nurses in the intensive care unit can positively impact the perception of individualized care by addressing environmental stressors and implementing appropriate interventions to reduce them. They should continuously monitor patients and the ICU environment to identify stressors, such as noise, light or lack of privacy. By assessing patients' responses to these stressors, they can plan and implement appropriate interventions tailored to individual needs, thereby reducing the effects of these stressors. In","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13299"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494581","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}
Hilde Kristin Jacobsen, Randi Ballangrud, Gørill Helen Birkeli
{"title":"Learning from patient safety incidents: The Green Cross method.","authors":"Hilde Kristin Jacobsen, Randi Ballangrud, Gørill Helen Birkeli","doi":"10.1111/nicc.13114","DOIUrl":"10.1111/nicc.13114","url":null,"abstract":"<p><strong>Background: </strong>Hospitals can improve how they learn from patient safety incidents. The Green Cross method, a proactive reporting and learning method, is one strategy to meet this challenge. In it, nurses play a key role. However, describing its impact on learning from the users' perspective is important.</p><p><strong>Aim: </strong>This study aimed to describe nurses' experiences of learning from patient safety incidents before and 3 months after implementing the Green Cross method in a postanaesthesia care unit.</p><p><strong>Study design: </strong>A qualitative study with an inductive descriptive design with focus group interviews was conducted before and 3 months after implementing the Green Cross method to assess its impact. The data were analysed using qualitative content analysis. The study was conducted in a postanaesthesia care unit in a Norwegian hospital trust.</p><p><strong>Results: </strong>Before implementing the Green Cross method, participants indicated limited openness and learning, including the subcategories 'Lack of openness hampers learning', 'Adverse events were taken seriously' and 'Insufficient visible improvements'. After implementing the Green Cross method, participants indicated the emergence of a learning environment, including the subcategories 'Transparency increases learning', 'Increased patient safety awareness' and 'Committed to quality improvements'.</p><p><strong>Conclusions: </strong>Implementing the Green Cross method in a postanaesthesia care unit positively impacted openness and nurses' patient safety awareness, which is crucial for learning and improving quality.</p><p><strong>Relevance to clinical practice: </strong>The Green Cross method could be useful for organizational learning and facilitating learning from patient safety incidents through transparency, discussion and involvement of nursing staff.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":"e13114"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11873358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141460651","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":"Final-year nursing students' placement experiences in a critical care setting: A qualitative study.","authors":"Mary Edmonds, Naim Abdulmohdi","doi":"10.1111/nicc.13286","DOIUrl":"10.1111/nicc.13286","url":null,"abstract":"<p><strong>Background: </strong>Traditionally, ward placements have been utilized for nursing students to refine their management skills before registration. Whilst intensive care units (ICUs) offer unique learning opportunities, they are underutilized for student practice, and limited research has examined ICUs as conducive environments for developing management skills.</p><p><strong>Aim: </strong>This qualitative study aimed to explore the experiences of nursing students during their final-year placement in critical care.</p><p><strong>Study design: </strong>An inductive methodology was employed to explore the complexities of being a final-year nursing student in critical care setting. Ten students were recruited between September 2019 and February 2020. Data were collected using individual, face-to-face semi-structured interviews before the Covid-19 pandemic. Thematic analysis was used to analyse the interview data.</p><p><strong>Results: </strong>Three themes were identified: barriers to learning, empowering transformation and a state of readiness. All the nursing students valued a placement that provided 'real learning' experiences and informed their needs and growth. Coaching and constructive feedback provided crucial markers and influenced students' learning performance. As their confidence increased, students became proactive in identifying complex caring activities to test and refine their knowledge and skills. Students visualized themselves working as a registered nurse within the critical care team.</p><p><strong>Conclusions: </strong>With appropriate support and supervision, a critical care placement for final-year nursing students is a stimulating and transformational experience.</p><p><strong>Relevance to clinical practice: </strong>This study highlights the importance of critical care placements for nursing students, aiding their transition to professional practice. Integrating well-supported placements into nursing curricula enhances decision-making abilities and readiness for future roles. Critical care nurse educators and managers should focus on developing effective support systems during these placements. By providing tailored support and preparing students for the demands of critical care, these experiences can improve job satisfaction and confidence, which are crucial for staff recruitment and retention in this challenging field.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13286"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11840397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460570","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}
Basma Ibrahim Khamis Elsaeed, Mohamed Hussein Ramadan Atta, Maha Ebrahim Fouda, Hend Abo Elsoud Ahmed, Doaa El Demerdash, Gehan Abdelslam Mahmoud Elzlbany
{"title":"Effect of implementing training programme for nurses about care bundle on prevention of ventilator-associated pneumonia among newborns.","authors":"Basma Ibrahim Khamis Elsaeed, Mohamed Hussein Ramadan Atta, Maha Ebrahim Fouda, Hend Abo Elsoud Ahmed, Doaa El Demerdash, Gehan Abdelslam Mahmoud Elzlbany","doi":"10.1111/nicc.70000","DOIUrl":"10.1111/nicc.70000","url":null,"abstract":"<p><strong>Background: </strong>Ventilator-associated pneumonia (VAP) is a frequent and severe complication among newborns in neonatal intensive care units (NICUs). It is associated with elevated morbidity and mortality rates, more extended hospital stays and increased health care costs. Implementing preventive care bundles and structured sets of evidence-based practices reduces VAP incidence. As primary caregivers, nurses are critical in consistently applying these preventive measures in NICU settings.</p><p><strong>Aim: </strong>To evaluate the impact of a structured training programme on nurses' practices in the prevention of VAP among ventilated newborns in NICUs.</p><p><strong>Study design: </strong>This prospective, pre- and post-intervention study was conducted with 27 nurses caring for mechanically ventilated newborns. All newborns admitted to the NICU who met inclusion criteria were included in the study (34 newborns pre-intervention, 38 newborns post-intervention and 41 newborns 3 months after the intervention).</p><p><strong>Results: </strong>The results indicate significantly improved nurses' practices for VAP prevention across the core, equipment-related general measures, with total mean scores increasing from 50.67% (95% CI: 44.30-56.92) pre-programme to 89.26% (95% CI: 85.68-92.84) immediately post-programme and 73.33% (95% CI: 67.79-78.88) after 3 months (p < .001). Before the programme, 85.3% of newborns developed VAP. However, this dropped dramatically to just 10.5% immediately after the programme, with a relative risk of 0.123 (95% CI: 0.046-0.328, p < .001). Even 3 months later, the rates remained much lower at 19.5% than before the programme, with a relative risk of 0.228 (95% CI: 0.117-0.445, p < .001). Multivariate logistic regression showed that only overall nurses' practices remained statistically significant in reducing VAP risk (OR = 0.819, 95% CI: 0.728-0.920, p = .001) after adjusting for confounders. Prolonged ventilation and individual components of nursing practices were not significant in the multivariate model.</p><p><strong>Conclusions: </strong>This study demonstrates that a structured educational programme can significantly enhance nurses' adherence to VAP preventive practices and reduce VAP incidence. Regular training initiatives are crucial for sustaining high care standards, thereby improving neonatal patient health care outcomes.</p><p><strong>Relevance to clinical practice: </strong>Newborns in the neonatal intensive care unit (NICU) are at a higher risk of developing ventilator-associated pneumonia (VAP) because of their fragile immune systems, the need for mechanical ventilation and prolonged hospital stays. VAP can lead to severe complications, including increased morbidity, mortality and long-term health issues. Training NICU nurses on VAP prevention care bundles is crucial for improving neonatal care, reducing preventable infections and optimizing clinical outcomes in a highly vulnerable neonatal pop","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e70000"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617751","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 protocol for validation of the Handover Evaluation Scale in multicultural ICUs.","authors":"Abrar AlAmrani, Elsabeth Jensen, Catriona Buick, Danielle Dunwoody","doi":"10.1111/nicc.13273","DOIUrl":"10.1111/nicc.13273","url":null,"abstract":"<p><strong>Background: </strong>Effective handover communication by nurses is essential to ensuring care continuity, care quality and patient safety and minimizing the risk of adverse events. Notably, the increasing globalization of the nursing profession and the resulting rise of multicultural workplaces in health care can affect handover communication. However, no tools have yet been developed to evaluate the current practices and factors contributing to effective handover in multicultural care settings, even though such instruments are deemed necessary to identify communication challenges and opportunities for improvement.</p><p><strong>Aims: </strong>This paper describes the protocol that will be used in a proposed study that aims to adapt and validate an existing instrument for measuring handover quality-namely the Handover Evaluation Scale. The proposed study will also examine the factors contributing to effective handovers in a multicultural critical care context using a sequential exploratory mixed-method and will involve a qualitative and a quantitative phase.</p><p><strong>Study design: </strong>The first phase will explore Saudi Arabian ICU nurses' perceptions of effective shift handovers and the factors influencing handover quality. Data will be collected by recruiting 20 nurses through purposive sampling for semi-structured interviews. Interpretive description will be used to analyse the data to identify items useful for modifying the tool. Next, the tool will be modified based on the qualitative findings. Lastly, a quantitative study will be conducted based on the results of the first phase to assess the instrument's reliability and content validity and determine its internal dimensional structure.</p><p><strong>Results: </strong>This paper describes the study protocol that will be applied to adapt and validate an existing tool to measure the quality of handover in multicultural ICUs, using an exploratory sequential mixed-methods design.</p><p><strong>Relevance to clinical practice: </strong>The protocol described in this paper provides a framework for an adaptation of the Handover Evaluation Scale to measure handover effectiveness and to identify current challenges and factors affecting handover effectiveness in the multicultural critical care context. This version of the scale can be applied in clinical practice to determine best practices for improving handover.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13273"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850112/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494575","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}
Azza Abd Elrazek Baraka, Alaa Mostafa Mohamed, Shimmaa Mohamed Elsayed, Eman Arafa Hassan
{"title":"Exploring smell ability in tracheal intubated patients: An investigation into sniffing proficiency.","authors":"Azza Abd Elrazek Baraka, Alaa Mostafa Mohamed, Shimmaa Mohamed Elsayed, Eman Arafa Hassan","doi":"10.1111/nicc.13307","DOIUrl":"10.1111/nicc.13307","url":null,"abstract":"<p><strong>Background: </strong>Mechanically ventilated patients often experience a loss of smell sensation because of the tubes used in the ventilation process. This can have a significant impact on their overall well-being. As a result, there has been a growing interest in exploring ways to reintroduce and stimulate the sense of smell among these patients.</p><p><strong>Aim: </strong>To explore the smell ability among tracheal intubated patients and identify the factors influencing olfactory function in this population.</p><p><strong>Study design: </strong>A prospective cohort study. Data were collected in four adult intensive care units (ICUs) in two hospitals in Egypt. Patients who were intubated via endotracheal or tracheostomy tube with no prior history of olfactory dysfunction were enrolled. Olfactory function was assessed using the Sniffin' Sticks test, which measured odour threshold, discrimination and identification. The test was validated for the Egyptian population through cultural adaptation and test-retest reliability. Statistical analyses, including multiple linear regression and decision tree regression, were utilized to identify significant predictors of olfactory function. This study adhered to STROBE checklist.</p><p><strong>Results: </strong>A total of 334 adult patients completed the study. Among the patients, 47.0% were classified as anosmic, 48.8% as hyposmic and 4.2% as normosmic. The mean total olfactory score was 17.64 ± 6.01. Older age and the method of oxygen therapy, particularly mechanical ventilation, were significant predictors of reduced olfactory function (p < .001). The decision tree analysis highlighted age as the primary determinant of olfactory performance, followed by the method of oxygen therapy.</p><p><strong>Conclusions: </strong>This study identified a high prevalence of olfactory dysfunction in tracheal intubated patients and demonstrated that age and oxygen therapy methods are critical factors influencing olfactory function.</p><p><strong>Relevance to clinical practice: </strong>Recognizing olfactory dysfunction in tracheal intubated patients, may aid in improving patient care, as early detection can lead to better management strategies and improve overall prognosis.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13307"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517216","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":"Current challenges in the application of Maslow's Hierarchy of Needs for patients in the intensive care unit in terms of artificial intelligence and telemedicine.","authors":"Mohammed Ghalib Qutishat","doi":"10.1111/nicc.13272","DOIUrl":"10.1111/nicc.13272","url":null,"abstract":"","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13272"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517134","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 effect of music on pain in mechanically ventilated patients: A Systematic review.","authors":"Abdullah Avcı, Emine Kaplan Serin","doi":"10.1111/nicc.13270","DOIUrl":"10.1111/nicc.13270","url":null,"abstract":"<p><strong>Background: </strong>Mechanical ventilation is one of the most important supportive treatments used in critically patient care. The majority of patients dependent on mechanical ventilation experience pain. There are little data on the effect of music on pain in mechanically ventilated patients.</p><p><strong>Aim: </strong>The aim of this review is to determine the effect of music on pain in patients connected to mechanical ventilation.</p><p><strong>Methods: </strong>The protocol of this systematic review was registered with PROSPERO (CRD42024548456) and PRISMA guidelines were followed in reporting the study. The search was conducted in Pubmed, Web of Science, Scopus and Cochrane Library databases without year limitation. Inclusion and exclusion criteria were created considering the PICOS criteria. The selection of studies and the quality assessment of the studies reviewed were made by two independent researchers. The reviewed articles were analysed with the data extraction form developed by the researchers. The quality of the included studies was evaluated using the Joanna Briggs Institute tool.</p><p><strong>Results: </strong>Ten studies (n = 603) were included in the scope of the review. In the majority of the included studies, it was found that music had positive effects on reducing pain in patients connected to mechanical ventilation. The studies included in the review showed differences in terms of sample size, music duration, type, and evaluation tools. Studies have not found any harmful effects of music application on patients.</p><p><strong>Conclusion: </strong>In the studies included in this systematic review, it was determined that music had a positive effect on reducing pain in patients connected to mechanical ventilation.</p><p><strong>Relevance to clinical practice: </strong>Managing pain in patients receiving mechanical ventilated support is extremely crucial, and considering the study results, it is thought that it is necessary to include music intervention in intensive care. As music intervention is easy, safe and economical, it can be incorporated into nursing care by intensive care nurses.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":"30 2","pages":"e13270"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494595","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}