Intensive and Critical Care Nursing最新文献

{"title":"The importance of eye protection during prone positioning – Response to Marelli et al.","authors":"Xiaomeng Han , Zhigang Zhang","doi":"10.1016/j.iccn.2026.104345","DOIUrl":"10.1016/j.iccn.2026.104345","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104345"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115322","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}

{"title":"Psychometric properties and structural validity of the traditional Chinese version of the FAMily engagement instrument in intensive care units","authors":"Kai-Mei Chang ,&nbsp;Kath Peters ,&nbsp;Lucie Ramjan ,&nbsp;Kevin Shu-Leung Lai ,&nbsp;An-Yi Wang ,&nbsp;Chen-I Lee ,&nbsp;Tzu-Hao Wang ,&nbsp;Hsiao-Yean Chiu","doi":"10.1016/j.iccn.2025.104316","DOIUrl":"10.1016/j.iccn.2025.104316","url":null,"abstract":"<div><h3>Objectives</h3><div>Family engagement, a key component of the ABCDEF bundle in the intensive care unit (ICU), is associated with improved clinical outcomes in patients and enhanced well-being of family members. The FAMily Engagement instrument is the only validated tool available for assessing family engagement in ICU care. However, it has not been evaluated in Chinese-speaking populations. The study aimed to translate and validate the Traditional Chinese version of the FAMily Engagement instrument (FAME-TC) among family members of ICU patients.</div></div><div><h3>Methods</h3><div>This prospective observational study included family members who were among the most frequent visitors or primary caregivers and had accompanied corresponding patients for at least 3 days after ICU admission. Data collection included demographic information, FAME-TC, the Depression, Anxiety, and Stress Scale-21 Items (DASS21), and the five-level version of EuroQoL–5 dimensions (EQ-5D-5L). Internal consistency, construct validity, and concurrent validity of the FAME-TC were evaluated to confirm the reliability and validity.</div></div><div><h3>Results</h3><div>A total of 200 participants were enrolled (mean age: 48.46 ± 14.52 years; female: 57.5 %). The FAME-TC showed excellent reliability (Cronbach’s α = 0.91). Exploratory factor analysis (EFA) confirmed a two-factor structure: <em>family engagement in care</em> and <em>family perceived support from the healthcare team</em>. No significant correlation was observed between the FAME-TC score and subscales of the DASS21 (<em>p</em> &gt; 0.05), while a statistically significant positive correlation was found between the FAME-TC score and the EQ-5D-5L visual analogue scale level (<em>r</em> = 0.26, <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The FAME-TC exhibits satisfactory reliability and validity for assessing family engagement in critical care.</div></div><div><h3>Implications for clinical practice</h3><div>Healthcare providers can use the FAME-TC to evaluate family engagement degree and implement targeted interventions to strengthen family involvement in critical care, thereby improving patients’ clinical outcomes and improving family members’ quality of life.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104316"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792293","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}

{"title":"Reimagining the ICU E-Diary: Integration, Intelligence, and Impact – Response to Luo et al.","authors":"Louise Rose ,&nbsp;Joel Meyer","doi":"10.1016/j.iccn.2026.104353","DOIUrl":"10.1016/j.iccn.2026.104353","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104353"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138237","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}

{"title":"From cost to investment: Why ICU nurse staffing metrics must be weighted for nursing workload","authors":"Koen Van den Heede,&nbsp;Nicolas Bouckaert,&nbsp;Carine Van de Voorde","doi":"10.1016/j.iccn.2026.104354","DOIUrl":"10.1016/j.iccn.2026.104354","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104354"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146145099","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}

{"title":"The importance of eye protection during prone positioning – Letter on Han et al.","authors":"Federica Marelli ,&nbsp;Alessia Galli ,&nbsp;Giada Ruggi ,&nbsp;Filippo Binda","doi":"10.1016/j.iccn.2025.104311","DOIUrl":"10.1016/j.iccn.2025.104311","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104311"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145792295","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}

{"title":"Mapping the discourse of environmental sustainability in intensive care nursing: a lexicometric exploration of professional meaning-making","authors":"Mariachiara Figura ,&nbsp;Francesca Trotta ,&nbsp;Luciano Midolo ,&nbsp;Francesco Petrosino ,&nbsp;Gianluca Pucciarelli ,&nbsp;Davide Bartoli","doi":"10.1016/j.iccn.2025.104317","DOIUrl":"10.1016/j.iccn.2025.104317","url":null,"abstract":"<div><h3>Introduction</h3><div>Intensive Care Units (ICUs) are among the most resource-intensive hospital environments, contributing substantially to healthcare’s environmental footprint. While sustainable practices are increasingly recognized as essential, little is known about how critical care nurses linguistically frame and make sense of sustainability within their professional culture and daily work.</div></div><div><h3>Aim</h3><div>To explore how critical care nurses construct and articulate meanings of environmental sustainability in their professional discourse.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted with 29 critical care nurses across diverse hospital settings. Narratives were analyzed using Automatic Analysis of Textual Data (IRaMuTeQ) with similarity analysis to map term relationships and uncover semantic clusters. Statistical associations (χ² ≥ 3.84; p &lt; 0.05) guided identification of lexical hubs and thematic subnetworks. Computational findings were integrated with qualitative interpretation to ensure contextual depth and rigor.</div></div><div><h3>Results</h3><div>The central lexical hub, <em>sustainability</em>, connected clusters reflecting reflective engagement, collaborative responsibility, organizational structures, and systemic gaps. Secondary hubs included <em>environment</em> (ecological impact and cost considerations), <em>practice</em> (behavioral integration), <em>patient</em> (embedded in bedside care), and <em>waste</em> (material handling, energy use, lifecycle awareness). Nurses framed sustainability as both a professional duty and systemic challenge, mediated by organizational support, personal commitment, and environmental constraints.</div></div><div><h3>Conclusions</h3><div>ICU nurses’ discourse reveals sustainability as a multidimensional construct bridging ethics, operational practice, and systemic limitations. Lexicometric mapping provides a structured view of how sustainability is embedded in professional narratives, offering insights to inform targeted educational and organizational strategies.</div></div><div><h3>Implications for clinical practice</h3><div>Integrating sustainability into professional identity enhances patient care and environmental responsibility. These findings deepen understanding of which dimensions of environmental sustainability can be meaningfully enacted through professional culture and organizational alignment, rather than through the direct imposition of fixed behavioural routines.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104317"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145829379","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}

{"title":"Determinants and trajectories of functional recovery in ICU survivors: a multidimensional perspective – Letter on Mesina et al.","authors":"Yan Wu ,&nbsp;Guanjie Chen","doi":"10.1016/j.iccn.2026.104356","DOIUrl":"10.1016/j.iccn.2026.104356","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"94 ","pages":"Article 104356"},"PeriodicalIF":4.7,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146138250","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}

{"title":"Feasibility of implementing a multi-component intervention of environmental control in mechanically ventilated ICU patients to improve sleep: A pilot randomized controlled trial","authors":"Vanessa Oviedo ,&nbsp;Leyla Alegría ,&nbsp;Douglas Leonard ,&nbsp;Rodrigo Cádiz ,&nbsp;Pablo Brockmann ,&nbsp;Paula Repetto ,&nbsp;Mario Henríquez ,&nbsp;Gonzalo Labarca ,&nbsp;Margarita Carrasco ,&nbsp;Ana Moya ,&nbsp;Idalid Rojas ,&nbsp;Macarena Amthauer ,&nbsp;Hugo Vidal ,&nbsp;María Paz Carrera ,&nbsp;Jan Bakker","doi":"10.1016/j.iccn.2026.104349","DOIUrl":"10.1016/j.iccn.2026.104349","url":null,"abstract":"<div><h3>Objectives</h3><div>To evaluate the feasibility of implementing a multi-component intervention in the ICU to promote sleep in critically ill patients.</div></div><div><h3>Trial design</h3><div>A prospective, two-parallel-group, unblinded, pilot randomized controlled trial.</div></div><div><h3>Methods</h3><div>Adult patients ventilated for at least 48 h with no or superficial sedation in the past 24 h were recruited. They were randomized to receive a multi-component ICU environmental control intervention (dynamic light therapy, auditory masking, and rationalization of nighttime care) or standard care. A family member of each participant consented to the study.</div></div><div><h3>Main outcome measures</h3><div>The primary outcomes were the feasibility of enrolling and retaining participants and the fidelity of the intervention. Secondary outcomes were sleep quantity (assessed by polysomnography and actigraphy) and sleep quality (assessed by Richards-Campbell Sleep Questionnaire), the prevalence of delirium at day three post-randomization, and neuropsychological impairment at six months post-ICU discharge.</div></div><div><h3>Setting</h3><div>An intensive care unit in a tertiary care teaching hospital in Santiago, Chile.</div></div><div><h3>Results</h3><div>122 patients were screened; 17 were randomized, 9 to intervention and 8 to control. 78% (7) and 100% (8) stayed in ICU until day three. All 8 in the intervention group received the full intervention until ICU discharge. The enrollment rate was 94%. The 6-month follow-up rate was 35%, as some patients died. All participants who completed the study nights expressed very high satisfaction.</div></div><div><h3>Conclusions</h3><div>This pilot study demonstrates the feasibility and acceptability of the intervention and informs methodological refinements for a future trial.</div></div><div><h3>Implications for clinical practice</h3><div>Implementing a multi-component environmental control intervention in intensive care units could improve short- and long-term outcomes in ventilated patients; however, further high-quality efficacy trials are required.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104349"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146076759","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}

{"title":"Effectiveness of intermittent pneumatic compression cushion in preventing sacrococcygeal intraoperative acquired pressure injuries during cardiac surgery: a randomized controlled trial","authors":"Yan Zhang ,&nbsp;Wei Gao ,&nbsp;Yi Zhang ,&nbsp;Yuyan Lin ,&nbsp;Na Chen ,&nbsp;Caixia Sun ,&nbsp;Yaoyao Hu ,&nbsp;Huijun Chen ,&nbsp;Min Xu ,&nbsp;Weijian Wang","doi":"10.1016/j.iccn.2025.104278","DOIUrl":"10.1016/j.iccn.2025.104278","url":null,"abstract":"<div><h3>Background</h3><div>Intraoperative Acquired Pressure Injury (IAPI) is a common complications in cardiac surgery, with reported incidence rates of 14.3–30%. Conventional pressure redistribution methods have limited effectiveness during lengthy procedures. This study evaluated the efficacy of intermittent pneumatic compression (IPC) cushions in preventing sacrococcygeal IAPI in cardiac surgery patients and developed a predictive nomogram for risk assessment.</div></div><div><h3>Methods</h3><div>In this prospective, single-center randomized controlled trial, patients undergoing cardiac surgery with cardiopulmonary bypass (CPB) were randomized to receive either IPC cushion (n = 94) or standard gel pad (n = 95). The primary outcome was the incidence of sacrococcygeal IAPI. Secondary outcomes included intraoperative changes in regional tissue oxygen saturation (rSO₂) and postoperative skin temperature differentials (ΔT). Risk factors were identified through logistic regression analysis, and a predictive nomogram was constructed and validated.</div></div><div><h3>Results</h3><div>The IAPI incidence was significantly lower in the IPC group compared to the control group (3.19 % vs. 18.95 %, P = 0.001). The IPC group demonstrated higher sacrococcygeal rSO₂ values during CPB and rewarming phases (P &lt; 0.05). Postoperative sacrococcygeal ΔT was significantly lower in the IPC group [0.0 (–0.1, 0.1) vs 0.3 (–0.3, 0.5); P = 0.001]. Multivariate logistic regression identified lower preoperative sacrococcygeal rSO₂ (OR = 0.94, 95 % CI: 0.90–0.98), absence of IPC intervention (OR = 0.06, 95 % CI: 0.01–0.28), and diabetes mellitus (OR = 7.98, 95 % CI: 2.20–29.01) as independent risk factors for IAPI. The nomogram demonstrated excellent discrimination (AUC = 0.857, 95 % CI: 0.776–0.937) and calibration (χ² = 1.09, P = 0.997).</div></div><div><h3>Conclusion</h3><div>IPC cushions effectively reduce IAPI incidence during cardiac surgery by improving sacrococcygeal tissue perfusion. Skin temperature differentials correlate with IAPI risk and may serve as early indicators for prevention. The validated predictive nomogram offers a practical tool for risk assessment and targeted preventive strategies in clinical practice.</div></div><div><h3>Implications for clinical practice</h3><div>This study introduced an innovative application of IPC for preventing intraoperative IAPI in cardiac surgery patients, demonstrating its effectiveness in lowering the incidence of IAPI.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104278"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145590590","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}

{"title":"Patients need undisturbed sleep to heal: fight noise with noise?","authors":"Mathias Basner,&nbsp;Makayla Cordoza","doi":"10.1016/j.iccn.2025.104267","DOIUrl":"10.1016/j.iccn.2025.104267","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104267"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608143","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}