Intensive and Critical Care Nursing最新文献

Families’ experiences with a novel nurse-led family support intervention in adult intensive care units: A qualitative thematic analysis 在成人重症监护病房，一种新型护士主导的家庭支持干预的家庭体验：一项定性的专题分析

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-10-10 DOI: 10.1016/j.iccn.2025.104248

Rieke Walkling , Lotte Verweij , Saskia Oesch , Rahel Naef

{"title":"Families’ experiences with a novel nurse-led family support intervention in adult intensive care units: A qualitative thematic analysis","authors":"Rieke Walkling , Lotte Verweij , Saskia Oesch , Rahel Naef","doi":"10.1016/j.iccn.2025.104248","DOIUrl":"10.1016/j.iccn.2025.104248","url":null,"abstract":"<div><h3>Background</h3><div>Families of critically ill patients face considerable distress during and after their significant others’ intensive care unit (ICU) stay. To better address families’ needs and to mitigate high burden and post-ICU adverse health outcomes, we implemented a novel family support intervention (FSI) in ICUs as part of a clinical trial. The FSI consists of three core components (engaging & liaising, supporting, communicating), delivered by an ICU family nurse from admission to the post-ICU phase and have shown to improve quality of care in the ICU.</div></div><div><h3>Objectives</h3><div>The aim of this study was to explore and understand families’ experiences with and their perspectives on the benefits of the FSI.</div></div><div><h3>Design</h3><div>A multi-center, qualitative thematic analysis study, embedded within the Family in Intensive Care UnitS (FICUS) cluster-randomized clinical trial.</div></div><div><h3>Participants</h3><div>Family members (n = 17) and ICU survivors (n = 2) of 16 families from eight ICUs, allocated to the FICUS intervention group in the German speaking part of Switzerland.</div></div><div><h3>Methods</h3><div>16 semi-structured individual (n = 14), dyadic (n = 1) or group (n = 1) interviews were held from October-December 2023, between three and six months after patients’ ICU discharge. Reflexive thematic data analysis with an inductive approach was used.</div></div><div><h3>Results</h3><div>Three themes and nine subthemes were identified. The three themes included having individual family needs met (information and education, coordinative and practical help, and emotional support), skilled care (authentic interest, skilled communication, and knowledge and expertise) and experiencing benefits (feeling assured and oriented, reduced burden and stress, and ability to manage and cope as a family).</div></div><div><h3>Implications</h3><div>Findings highlight the importance of individualized, skilled and strengthening ICU care tailored to families’ needs and situations, which follows families into the post-ICU phase. Families experienced the FSI as a beneficial model of care for both individual and family well-being. ICUs should consider building capacity to ensure structured family care.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104248"},"PeriodicalIF":4.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asymmetrical high flow nasal cannula: A new interface to improve physiology 非对称高流量鼻插管：改善生理机能的新接口。

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-10-07 DOI: 10.1016/j.iccn.2025.104240

Alessandro Galazzi , Filippo Binda , Tommaso Mauri

引用次数: 0

ICU command centres in critical care: Nursing workflows, organizational models, and implementation challenges. A narrative review 重症监护ICU指挥中心：护理工作流程、组织模式和实施挑战。叙述性评论

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-10-07 DOI: 10.1016/j.iccn.2025.104245

Javier Muñoz , Lourdes Muñoz-Visedo , Elena Moreno-Ortega , Raquel Ribón-Liberal , Javier Muñoz-Visedo

{"title":"ICU command centres in critical care: Nursing workflows, organizational models, and implementation challenges. A narrative review","authors":"Javier Muñoz , Lourdes Muñoz-Visedo , Elena Moreno-Ortega , Raquel Ribón-Liberal , Javier Muñoz-Visedo","doi":"10.1016/j.iccn.2025.104245","DOIUrl":"10.1016/j.iccn.2025.104245","url":null,"abstract":"<div><h3>Objectives</h3><div>To synthesize current evidence on ICU Command Centers as socio-technical systems that support real-time clinical coordination, data-driven resource allocation, and interdisciplinary workflows, with particular emphasis on implications for critical care nursing practice.</div></div><div><h3>Methods</h3><div>A narrative review of peer-reviewed articles and gray literature published from 2005 to 2024 was conducted through PubMed, Embase, and Web of Science, as well as institutional reports. Findings were grouped thematically across five domains: clinical impact, operational efficiency, enabling technologies, barriers to implementation, and case examples. Nursing-related outcomes were specifically highlighted.</div></div><div><h3>Results</h3><div>Authoritative ICU Command Center models are associated with improved adherence to best practices, reduced ICU mortality and length of stay, and enhanced operational efficiency. Platforms integrating predictive dashboards and remote expert support improve staff responsiveness and reduce documentation burden. For nurses, Command Centers may reduce alarm fatigue, streamline workflows, and enhance team communication—especially when systems are tailored to frontline needs.</div></div><div><h3>Conclusions</h3><div>ICU Command Centers represent a scalable, data-driven infrastructure for high-acuity care. Their impact depends on alignment with clinical workflows, especially those of nurses, and on trust-building strategies that promote adoption and sustained use.</div></div><div><h3>Implications for clinical practice</h3><div>When integrated effectively, ICU Command Centers can reduce cognitive overload and optimize nursing care by supporting prioritization, protocol adherence, and interdisciplinary coordination. Involving nurses in the design and implementation phases is key to ensuring usability and clinical relevance.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104245"},"PeriodicalIF":4.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From caregiver to secondary patient: A paradigm shift in healthcare perspectives for enhancing caregiver recognition, support and integration 从照顾者到次要病人：医疗保健角度的范式转变，以增强照顾者的认可、支持和整合。

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-10-07 DOI: 10.1016/j.iccn.2025.104242

Farshid Rahimibashar , Amir vahedian-azimi

引用次数: 0

Integrating bedside nurse perspectives and well-being in ECMO program implementation 整合床边护士的观点和健康在ECMO计划的实施。

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-10-06 DOI: 10.1016/j.iccn.2025.104246

Adrielle R. Espinosa

引用次数: 0

Artificial intelligence in ECMO management 人工智能在ECMO管理中的应用。

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-10-06 DOI: 10.1016/j.iccn.2025.104244

Alberto Lucchini , Emanuele Rezoagli , Marco Giani

引用次数: 0

Effects of virtual reality-based breathing training on pulmonary function recovery and prevention of pulmonary complications in post-laparotomy patients: a randomised controlled trial 基于虚拟现实的呼吸训练对剖腹手术后患者肺功能恢复和肺部并发症预防的影响：一项随机对照试验

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-09-23 DOI: 10.1016/j.iccn.2025.104232

Jeonghee Kang , Jiyeon Kang

引用次数: 0

Improving healthcare workers’ psychological well-being through family involvement in the ICU: An interdisciplinary reflection – Response to Darma Sagita et al. 通过ICU的家庭参与改善医护人员的心理健康：跨学科的反思——对Darma Sagita等人的回应。

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-09-22 DOI: 10.1016/j.iccn.2025.104230

Brigitte S. Cypress, Rida Gharzeddine, Mei Rosemary Fu, Thomas Dahan, Samantha Abate

引用次数: 0

The association between self-reported symptoms, rehabilitation and long-term functional disability in ICU survivors ICU幸存者自我报告的症状、康复和长期功能障碍之间的关系

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-09-19 DOI: 10.1016/j.iccn.2025.104184

Renato S. Mesina Jr. , Tone Rustøen , Milada Hagen , Jon Henrik Laake , Kristin Hofsø

{"title":"The association between self-reported symptoms, rehabilitation and long-term functional disability in ICU survivors","authors":"Renato S. Mesina Jr. , Tone Rustøen , Milada Hagen , Jon Henrik Laake , Kristin Hofsø","doi":"10.1016/j.iccn.2025.104184","DOIUrl":"10.1016/j.iccn.2025.104184","url":null,"abstract":"<div><h3>Background</h3><div>The relationship between self-reported symptoms and functional disability in ICU survivors remains unclear. Rehabilitation is considered necessary in supporting ICU survivors’ recovery and functional outcomes, though evidence remains inconclusive.</div></div><div><h3>Aims</h3><div>To investigate the association between self-reported symptoms and the role of post-ICU rehabilitation on functional disability in ICU survivors.</div></div><div><h3>Methods</h3><div>Functional disability was measured using the Lawton Instrumental Activities of Daily Living (I-ADL) scale, dichotomised as “with or without disabilities” based on established threshold. Data were collected pre-ICU and at 3, 6, and 12 months post-ICU admission. To account for repeated measures over time, generalised linear model for repeated measures with a binary outcome was used to estimate possible predictive factors associated with functional disability. Separate analyses were performed for patients who did and did not receive post-ICU rehabilitation.</div></div><div><h3>Results</h3><div>Among 331 included ICU survivors, 165 (49.8 %) received post-ICU rehabilitation during the first year. A higher level of pain/discomfort (OR = 1.47; 95 %CI: [1.13–1.91]), higher PTSS score (OR = 1.05; 95 %CI: [1.03–1.07]), and higher depression score (OR = 1.13; 95 % CI: [1.05–1.22]) at three months were associated with functional disability during the first year. The odds of having functional disability were lower at twelve-month follow-up compared to three-month follow-up (OR = 0.46; 95 %CI: [0.26–0.83]). Patients who received rehabilitation had lower odds of having functional disability both at six months (OR = 0.42; 95 %CI: [0.18–0.95]) and at twelve months (OR = 0.36; 95 %CI: [0.16–0.82]).</div></div><div><h3>Conclusions</h3><div>Self-reported symptoms at three months were associated with having functional disability in ICU survivors during the first year. ICU survivors who received post-ICU rehabilitation had improved functional disability compared to those who did not receive rehabilitation.</div></div><div><h3>Implications for clinical practice</h3><div>Our study underscores the importance of screening self-reported symptoms during post-ICU follow-up and the potential role of post-ICU rehabilitation in improving functional disability among ICU survivors.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104184"},"PeriodicalIF":4.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Noise reduction interventions in intensive care units: a systematic review 重症监护病房的降噪干预：系统回顾。

IF 4.7 2区医学

Intensive and Critical Care Nursing Pub Date : 2025-09-19 DOI: 10.1016/j.iccn.2025.104234

Eugene Han , Haeun Kang , Yeonsoo Jang

{"title":"Noise reduction interventions in intensive care units: a systematic review","authors":"Eugene Han , Haeun Kang , Yeonsoo Jang","doi":"10.1016/j.iccn.2025.104234","DOIUrl":"10.1016/j.iccn.2025.104234","url":null,"abstract":"<div><h3>Objectives</h3><div>This systematic review aimed to examine the impact of noise reduction interventions on objectively measured noise levels, as well as associated clinical and perceptual outcomes for patients and healthcare professionals (HCPs) in intensive care units (ICUs).</div></div><div><h3>Methods</h3><div>A systematic search of six electronic databases (PubMed, CINAHL, EMBASE, Web of Science, Cochrane Library, and Scopus) was conducted for studies published between January 2015 and December 2024. The review followed the Cochrane Handbook for Systematic Reviews and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses reporting guidelines, and eligible studies were independently evaluated for quality assessment.</div></div><div><h3>Results</h3><div>Of the screened publications, 12 met the inclusion criteria, including randomized controlled trials (RCTs) (n = 2) and quasi-experimental studies (n = 10). Various interventions have been implemented to mitigate ICU noise, which are classified into three categories: patient-directed interventions (e.g., earplugs), environmental modifications (e.g., soundproofing), HCP-oriented interventions (e.g., education, behavioral changes), and multi-component interventions. The intervention period ranged from less than one day to four months. Outcome variables included noise level, sleep quality, physiological response, and HCP perception.</div></div><div><h3>Conclusions</h3><div>ICU noise reduction interventions showed variable effectiveness, with multi-component approaches to address multiple noise sources. While interventions reduced noise levels and improved patient outcomes, noise levels often remained above the World Health Organization (WHO) standards. Evaluations of effectiveness have primarily been short-term, limiting analysis of sustained effects. To create a more conducive ICU environment for both patients and HCPs, future studies should focus on long-term effectiveness and include well-designed RCTs to strengthen the evidence base for noise management.</div></div><div><h3>Implications for clinical practice</h3><div>Implementing noise reduction interventions, including HCP education, environmental modifications, and multi-component approaches, can improve ICU patient care and HCP well-being. Healthcare organizations should prioritize sustainable noise management strategies and conduct ongoing monitoring to ensure long-term effectiveness in ICUs.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104234"},"PeriodicalIF":4.7,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145103252","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0