Nursing in Critical Care最新文献

{"title":"Uncertainty experienced by the critical patient upon discharge to the general ward: Care proposals from the perspective of Mishel's theory.","authors":"Mónica Romero-Pastor, María Teresa Ricart-Basagaña, Albert Mariné-Méndez, María Del Mar Lomero-Martínez, Oriol Romaní-Alfonso, María Lourdes Rubio-Rico","doi":"10.1111/nicc.13217","DOIUrl":"https://doi.org/10.1111/nicc.13217","url":null,"abstract":"<p><strong>Background: </strong>The process of discharging the critical patient to the ward (discharge from critical care to the general ward-DCCW) is often described as an experience involving uncertainty which may affect the patient's quality of life and ability to cope. Coping with uncertainty is an individual response not related to the course of the illness that is dependent on external and internal resources and the ability to utilize them. Mishel's theory of uncertainty identifies aspects of care that can shape the experience of uncertainty associated with the illness.</p><p><strong>Aim: </strong>To understand the experiences of uncertainty of critical patients associated with discharge from the intensive care unit (ICU) to glean person-centred care strategies under such circumstances.</p><p><strong>Study design: </strong>Qualitative study with a phenomenological approach. Between March 2017 and May 2018, 20 in-depth interviews were conducted on patients recently discharged from an ICU.</p><p><strong>Results: </strong>The patients have been organized according to the following pre-established categories of Mishel's theory: stimulus framework, structure providers and uncertainty assessment. Based on these results, suggestions for the care of the critical patient upon discharge from the ICU are made in each of these categories.</p><p><strong>Conclusions: </strong>Applying Mishel's theoretical perspective to care for the critical patient during the process of discharge to the ward can help identify areas for intervention and improvement. To succeed, there is a need to promote a cultural change in ICUs, empower nurses and provide the necessary resources.</p><p><strong>Relevance to clinical practice: </strong>These findings are relevant and timely given the impact of the experience of critical patients discharge to the ward. Uncertainty management has been identified as an important element in the discharge experience of critically ill patients to the ward because, according to the informants' stories, it can make this transition a healthier process with less emotional impact.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015831","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":"Effectiveness of non-pharmacological interventions to prevent enteral nutrition intolerance in ICU patients: A network meta-analysis.","authors":"Ni Yang, Yuan Xu, Xinyi Zhou, Shuli Guo, Haibo Deng, Jianhua Sun, Ying Liu, Manna Shao, Yufen Ma","doi":"10.1111/nicc.13226","DOIUrl":"https://doi.org/10.1111/nicc.13226","url":null,"abstract":"<p><strong>Background: </strong>Enteral nutrition is beneficial for improving the clinical outcomes of intensive care unit patients. However, enteral nutrition intolerance is a common complication in intensive care unit patients undergoing enteral nutrition.</p><p><strong>Aims: </strong>We aimed to assess the effectiveness of non-pharmacological interventions in preventing enteral nutrition intolerance in intensive care unit patients and to identify the optimal non-pharmacological interventions.</p><p><strong>Study design: </strong>Seven databases were searched to obtain randomized controlled trials involving non-pharmacological interventions to prevent enteral nutrition intolerance in intensive care unit patients. Network meta-analysis was performed using Stata18.0 software, and the integrated data were investigated with odds ratio (OR) and 95% confidence interval (95% CI).</p><p><strong>Results: </strong>A total of 16 randomized controlled trials involving 10 non-pharmacological interventions and 1765 intensive care unit patients were included. Compared with routine enteral nutrition care, network meta-analysis showed that bundled care [OR = 0.93, 95% CI (0.32-1.53)] (p = .003), intra-abdominal pressure monitoring [OR = 1.68, 95%CI (1.19-2.16)] (p < .001), acupuncture [OR = 2.69, 95%CI (1.64-3.73)] (p < .001), pectin-added intermittent enteral nutrition [OR = 1.13, 95%CI (0.48-1.77)] (p = .001), multidisciplinary nutritional treatment model [OR = 1.98, 95%CI (0.87-3.10)] (p < .001), abdominal massage [OR = 2.42, 95%CI (1.50-3.34)] (p < .001) and intermittent feeding with semisolid nutrients [OR = 2.08, 95%CI (0.19-3.97)] (p = .031) were effective in preventing enteral nutrition intolerance in intensive care unit patients. The ranking probabilities of the interventions indicated that acupuncture (89.4%) was the optimal non-pharmacological intervention for preventing enteral nutrition intolerance in intensive care unit patients, followed by abdominal massage (83.4%).</p><p><strong>Conclusions: </strong>Acupuncture and abdominal massage are recommended to prevent enteral nutrition intolerance in intensive care unit patients. Moreover, more high-quality trials are needed to investigate the reliability of evidence levels for different non-pharmacological interventions.</p><p><strong>Relevance to clinical practice: </strong>This study provided evidence for intensive care nurses that acupuncture is the optimal intervention to improve enteral nutrition intolerance in intensive care unit patients among the 10 interventions. However, unique clinical circumstances should be considered. Therefore, we recommend that intensive care nurses also use abdominal massage when acupuncture is not available.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143015600","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":"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":"https://doi.org/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":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","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":"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":"https://doi.org/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":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-16","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":"The association of dysglycaemia metrics over the first 7 days of ICU stay with ICU mortality among patients with and without diabetes.","authors":"Huan Yao, Yao Chen, Yukang Dong, Guiping Zhang, Wen Luo, Ji Chen, Yingfang Chen, Jia Guo","doi":"10.1111/nicc.13245","DOIUrl":"https://doi.org/10.1111/nicc.13245","url":null,"abstract":"<p><strong>Background: </strong>Dysglycaemia metrics, defined as hyperglycaemia, increased glucose variability, hypoglycaemia and reduced time in the targeted blood glucose range (TIR), are linked to higher mortality. The relationship between dysglycaemia metrics and intensive care unit (ICU) mortality over time for patients with and without diabetes remains inconclusive, posing challenges for ICU medical staff in accurately identifying and distinguishing various risk factors and taking timely and appropriate responses.</p><p><strong>Aim: </strong>To explore which dysglycaemia metrics within the first 7 days of ICU stay are associated with ICU mortality among patients with and without diabetes.</p><p><strong>Study design: </strong>This retrospective cohort study included 712 patients without diabetes and 222 patients with diabetes. Clinical data were collected within the first 7 days of ICU stay. Binary logistic regression models were built to analyse which dysglycaemia metrics (hyperglycaemia, coefficient of variation [CV], hypoglycaemia and TIR) on the first day, over the first 3, 5 and 7 days of ICU stay were associated with ICU mortality.</p><p><strong>Results: </strong>In patients with diabetes, hyperglycaemia on the first day (OR: 4.90, 95% CI: 1.51-15.90, p = .008) and TIR <70% during the first 7 days of ICU stay (OR: 16.31, 95% CI: 1.50-176.89, p = .022) were associated with increased ICU mortality. In patients without diabetes, CV >20% on the first day (OR: 1.46, 95% CI: 1.03-2.07, p = .035), and TIR <70% during the first 3 (OR: 2.01, 95% CI: 1.35-2.98, p < .001) and 5 days (OR: 1.66, 95% CI: 1.09-2.54, p = .019) were associated with increased ICU mortality (p < .05). The proportion of hypoglycaemia did not significantly correlate with ICU mortality in patients with or without diabetes (p > .05).</p><p><strong>Conclusions: </strong>Specific dysglycaemia metrics are associated with ICU mortality between patients with and without diabetes. In patients with diabetes, hyperglycaemia on the first day and TIR <70% on the first 7 days with higher mortality. In patients without diabetes, CV >20% on the first day and TIR <70% in the first 3 and 5 days are associated with higher mortality. Monitoring these metrics may potentially help develop strategies to decrease ICU mortality through individualized glycaemic management.</p><p><strong>Relevance to clinical practice: </strong>Close monitoring of dysglycaemia metrics, especially TIR, and personalized glucose management based on diabetic status may help identify high-risk ICU patients and improve targeted care strategies.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985421","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":"Prevalence of and risk factors analysis for post-intensive care syndrome among survivors of critical care during 3-month longitudinal follow-up.","authors":"Shuang Gao, Xifeng Liang, Yaning Lyu, Xiuping Zhang, Liwen Zhang","doi":"10.1111/nicc.13242","DOIUrl":"https://doi.org/10.1111/nicc.13242","url":null,"abstract":"<p><strong>Background: </strong>Patients discharged from the intensive care unit (ICU) can experience post-intensive care syndrome (PICS), which is comprised of cognitive, physical and psychological impairments.</p><p><strong>Aim: </strong>The objective of this study was to identify the prevalence of and risk factors associated with all three domains of PICS at the first and third month after ICU discharge.</p><p><strong>Design: </strong>A prospective descriptive-analytic study was conducted in two ICUs of a Chinese university hospital. We used the Healthy Aging Brain Care Monitor Self-Report Chinese version, a scale from 1 to 57, with 57 indicating the worst outcome, to comprehensively assess PICS at the first and third month follow-ups after patients left the ICU. We performed an analysis of stepwise multiple linear regression to explore the relationship between risk factors and PICS.</p><p><strong>Results: </strong>We enrolled 654 and 584 participants at the first- and third-month follow-ups, respectively. More than 60% of patients experienced different degrees of PICS, with the most severe impairment being in the physical domain. We classified risk factors associated with PICS, categorized as patient-related, disease-related, and ICU-related factors. Among these risk factors, only being the main income provider for the family, the diagnosis of digestive system disease, trauma and the number of invasive catheters at ICU discharge significantly predicted PICS at both follow-ups. ICU-related risk factors should be given greater attention, given their potential for modification.</p><p><strong>Conclusions: </strong>The prevalence and severity of PICS were high in this population after their ICU stay. ICU nurses and medical staff members should collaborate to pay more attention to the comprehensive risk factors and implement targeted preventive measures.</p><p><strong>Relevance to clinical practice: </strong>ICU staff must have a holistic view of PICS and a comprehensive understanding of its risk factors to proactively evaluate patients at high risk of PICS upon admission to the hospital.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985415","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":"Caregiving experiences of Turkish intensive care unit nurses who survived in the most destructive double earthquake of the century: A qualitative study.","authors":"Onur Çetinkaya, Selva Ezgi Aşkar, Özlem Ovayolu","doi":"10.1111/nicc.13223","DOIUrl":"https://doi.org/10.1111/nicc.13223","url":null,"abstract":"<p><strong>Background: </strong>Turkey has been exposed to many devastating earthquakes in recent years. Considering that nurses are on the front lines of responding to disasters, they need to be prepared at all times. In the literature review, it was seen that despite the roles of intensive care nurses in disasters, their experiences in caring for earthquake victims have not been adequately researched.</p><p><strong>Aim: </strong>This study aims to investigate the experiences of intensive care nurses during the double earthquake in Turkey in 2023.</p><p><strong>Study design: </strong>This descriptive qualitative research was conducted with 11 intensive care nurses working in the double earthquake in Turkey in 2023. Snowball sampling was used to select participants. Data were collected through face-to-face semi-structured interviews. Interviews were continued until data saturation was reached.</p><p><strong>Results: </strong>As part of the analysis of the interviews, the nurses' experiences were grouped under four main themes covering 10 sub-themes-'Continuing care despite difficulties', 'Staying in a dilemma', 'Two faces of the earthquake' and 'The need for perfect planning kneaded with experience.'</p><p><strong>Conclusion: </strong>The main source of the difficulties and dilemmas experienced is the obligation of nurses who experienced the earthquake to continue their profession. Still, continuity of care was maintained and nurses drew positive conclusions from the negativity.</p><p><strong>Relevance to clinical practice: </strong>Considering the positive and negative effects of the earthquake, intensive care nurses should be both professionally and psychologically empowered, organizational planning should be conducted as soon as possible and their functionality should be tested through drills.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985386","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 study protocol to develop virtual reality software in the care management of patients in intensive care.","authors":"Banu Terzi, Duygu Sönmez Düzkaya, Gülzade Uysal, Nazik Yalnız","doi":"10.1111/nicc.13231","DOIUrl":"https://doi.org/10.1111/nicc.13231","url":null,"abstract":"<p><strong>Background: </strong>The use of virtual reality is increasing in nursing to ensure patient safety and to improve the quality of care in the education of nurses.</p><p><strong>Aim: </strong>To develop a virtual reality software for intensive care patient care management and to investigate the effect of this software on novice intensive care nurses.</p><p><strong>Study design: </strong>This study protocol contains a randomized controlled experimental design research. The nurses will be divided into control (n = 34) and study groups (n = 34) by randomization. The research will be conducted in four steps: (1) according to Kolcaba's Comfort Theory, the protocol for care management of an intensive care patient will be prepared and transferred to the virtual reality software, (2) the nurses in both groups will be given theoretical training, (3) a routine orientation training programme will be applied to the nurses in the control group, and those in the study group will be given virtual reality goggles. (4) Tools such as a 'Clinical Practice Skills Observation Form and Knowledge Level Questionnaire' and 'Problem-Solving Inventory', 'Clinical Decision-Making Scale in Nursing', 'State Anxiety Inventory' and 'Satisfaction Level Questionnaire' will be applied to both groups before commencing the theoretical training, 1 week after the application and in the first month of the application.</p><p><strong>Results: </strong>This protocol describes an experimental study aiming to test the impact of virtual reality software on novice intensive care nurses in the care management of an intensive care patient.</p><p><strong>Conclusions: </strong>The results and recommendations will be shared after the study is completed.</p><p><strong>Relevance to clinical practice: </strong>Within the scope of the research, the virtual reality software to be developed for the care management of an intensive care patient will provide important contributions to the development of nurses' problem-solving and clinical decision-making skills and reduce state anxiety levels in orientation to the intensive care unit (ICU).</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985384","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":"Association between nursing workload and staff size with the occurrence of adverse events and deaths of patients with COVID-19: A retrospective cohort study.","authors":"Carolina Cassiano, Lilia de Souza Nogueira, Ana Carolina Unger Araújo, Fernanda Rodrigues Lima, Nasrin Hanifi","doi":"10.1111/nicc.13221","DOIUrl":"https://doi.org/10.1111/nicc.13221","url":null,"abstract":"<p><strong>Background: </strong>The safety of patients in the intensive care unit (ICU) is significantly impacted by inadequate staffing of nursing professionals to meet the demand for care of critically ill patients. COVID-19 patients increased nurses' workload, particularly in high-intensity care settings like the ICU.</p><p><strong>Aim: </strong>To evaluate the association of workload and number of patients per nursing professional with the occurrence of adverse events and death in critically ill patients with COVID-19 in the ICU.</p><p><strong>Study design: </strong>This is a retrospective cohort study. This study analysed patients with COVID-19, aged 12 years or older, admitted between 1 April 2020 and 31 May 2021 in the ICU of a hospital in Brazil. Nursing workload was measured by the Nursing Activities Score (NAS). The independent variables were the ratio of the NAS score per nursing professional (NNR) and the ratio of the number of patients per nursing professional (PNR). Dependent variables included adverse events (pressure injuries and health care-associated infections-HAIs) and death in the ICU.</p><p><strong>Results: </strong>Of the 386 included patients, 59.59% were male and the median age was 60.5 years. The median NAS, NNR and PNR values were 72.81%, 128% and 1.64, respectively. The frequency of pressure injuries (31.09%) exceeded that of HAIs (16.06%), and 218 patients (56.48%) died. The NNR was associated with HAIs (OR 1.006; CI95% 1.001-1.012; p = .012), pressure injury (OR 1.005; CI95% 1.000-1.010; p = .033) and death (OR 1.010; CI95% 1.005-1.015; p < .001) in the ICU. There was no association between PNR values and the study's dependent variables.</p><p><strong>Conclusion: </strong>A high workload per nursing professional was associated with the occurrence of adverse events and deaths of patients with COVID-19 in the ICU, while the nursing staff sizing was not.</p><p><strong>Relevance to clinical practice: </strong>The results reinforce the importance of evaluating the workload of nursing professionals to establish safety measures for the care of patients with infectious diseases.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985358","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 mediating role of work-life balance on the relationship between emotional intelligence and job satisfaction among Lebanese critical care nurses.","authors":"Ali Hemade, Mohamad Baqer Khashab, Charbel Houwayek, Souheil Hallit, Feten Fekih-Romdhane, Mirna Fawaz","doi":"10.1111/nicc.13239","DOIUrl":"https://doi.org/10.1111/nicc.13239","url":null,"abstract":"<p><strong>Background: </strong>In healthcare settings, particularly in intensive care units, nurses face significant stress due to the high demands of their job. This stress can impact their job satisfaction, mental health, and overall quality of life. Emotional intelligence has been identified as a crucial factor that can mitigate workplace stress and enhance job satisfaction. Moreover, work-life balance is increasingly recognized as a critical factor influencing job satisfaction in the nursing profession.</p><p><strong>Aim: </strong>Our study aims at understanding the mediating effect of work-life balance between emotional intelligence and job satisfaction in Lebanese nurses working in the Intensive Care Unit.</p><p><strong>Study design: </strong>This study has a cross-sectional design.</p><p><strong>Methods: </strong>Nurses working in intensive care units of one hospital (n = 100) were asked to fill an online questionnaire which included the Wong and Law Emotional Intelligence Scale, Work-Life Balance Self-Assessment Scale, and Job Satisfaction Scale.</p><p><strong>Results: </strong>Work Interference with Personal Life and Personal Life Interference with Work acted as significant mediators between emotional intelligence and job satisfaction. Specifically, the direct role of emotional intelligence on job satisfaction was found to be significant, with work interference with personal life (β = .02, SE = .01, p = .001) and personal life interference with work (β = .02, SE = .01, p = .002) showing significant indirect roles. Higher emotional intelligence was directly and significantly associated with more job satisfaction (p < .01).</p><p><strong>Conclusions: </strong>The study underscores the potential benefits of emotional intelligence training and work-life balance promotion in enhancing nurses' job satisfaction.</p><p><strong>Relevance to clinical practice: </strong>Pending future longitudinal studies, findings cautiously imply that targeting work-life balance could help foster the positive connection between emotional intelligence and Job Satisfaction among nurses. Accordingly, healthcare administrators should prioritize policies that promote flexible scheduling, sufficient staffing levels, and mental health resources, which are essential for maintaining a balance between professional obligations Job Satisfaction and personal life.</p>","PeriodicalId":51264,"journal":{"name":"Nursing in Critical Care","volume":" ","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985444","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}