Intensive and Critical Care Nursing最新文献

{"title":"The development of ICU diaries – From scratch to AI","authors":"Ella Peschel, Eunkyeong Oh, Peter Nydahl","doi":"10.1016/j.iccn.2025.104312","DOIUrl":"10.1016/j.iccn.2025.104312","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104312"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145797021","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":"Beds we make, futures we shape: A life cycle and cost analysis of reusable and disposable linen in the ICU","authors":"Kylie Feely ,&nbsp;Stacey Matthews ,&nbsp;Forbes McGain ,&nbsp;Mariana Ibarra ,&nbsp;Michelle Pinan ,&nbsp;Catherine O’Shea ,&nbsp;Scott McAlister ,&nbsp;Edward Quilas ,&nbsp;Rochelle Wynne","doi":"10.1016/j.iccn.2025.104290","DOIUrl":"10.1016/j.iccn.2025.104290","url":null,"abstract":"<div><h3>Objectives</h3><div>The aim of this study was to quantify and compare the environmental impact and cost associated with transitioning from disposable under pads (blueys) and bed protectors (pinkies) to reusable linen products in the intensive care unit (ICU).</div></div><div><h3>Methods</h3><div>A process-based life cycle assessment (LCA) was employed to evaluate carbon emissions and cost across the manufacturing, transportation, laundering, landfill, and disposal stages of disposable versus reusable linen. The analysis compared data from the pre (April 2022 – March 2023) and post-implementation (April 2023 – March 2024) phases of adopting reusable linen in a single centre metropolitan ICU in Melbourne, Australia.</div></div><div><h3>Results</h3><div>The introduction of reusable linens to replace single use products resulted in a 50 % reduction in total carbon emissions, decreasing from 7,206 kg CO₂ equivalent (CO₂e) to 3,605 kg CO₂e. The intervention avoided approximately 3.6 tonnes of CO₂e emissions and 2.2 tonnes of landfill waste, despite a 3 % ($1,005) increase in overall costs driven mainly by reusable pinkies. Reusable blueys required more frequent use to achieve CO₂e emissions parity with single use variants due to their higher initial carbon footprint, while pinkies reached parity earlier in their lifecycle.</div></div><div><h3>Conclusions</h3><div>These data underscore the environmental advantages of adopting reusable medical products in healthcare settings, and highlights both environmental impact and financial considerations.</div></div><div><h3>Implications for clinical practice</h3><div>The findings support wider implementation of reusable products in healthcare to advance sustainability goals while maintaining patient care standards. Exploration is required of long-term trends when reusables are introduced, and studies in other socioeconomic settings, on the overall financial and environmental outcomes.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104290"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608058","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":"Effect of diary intervention on sleep quality and risk of stress disorders among critically ill children in pediatric intensive care units and on their parents’ anxiety level: A randomized controlled trial","authors":"Yingshuang He ,&nbsp;Yuhong Zhang ,&nbsp;Huining Xin ,&nbsp;Jinling Lin ,&nbsp;Shuting Lin ,&nbsp;Sijia Li ,&nbsp;Xiao Cheng ,&nbsp;Guihua Liu ,&nbsp;Jinhua Liao","doi":"10.1016/j.iccn.2025.104315","DOIUrl":"10.1016/j.iccn.2025.104315","url":null,"abstract":"<div><h3>Objectives</h3><div>To investigate benefits of diary intervention in a pediatric intensive care unit (PICU) on sleep quality and stress-related disorders in critically ill children and anxiety and depression in their parents.</div></div><div><h3>Methods</h3><div>This single-blind, two-arm, randomized controlled trial enrolled 94 dyads. The control group (n = 47) received standard care; the experimental group (n = 47) additionally received a diary intervention. We compared the sleep quality and stress disorders of children, and anxiety, depression, and stress disorders among parents at various time-points, between groups.</div></div><div><h3>Results</h3><div>Data of 83 dyads were ultimately analyzed (loss-to-visit rate: 11.7 %). During the PICU stay, the experimental group showed significantly shorter total awakening time of each sleep episode and mean duration of each awakening per sleep session than the control group (P = 0.006; P = 0.032). The Childhood Stress Disorder Checklist scores of children in the experimental group were significantly lower than those in the control group at 1 and 3 months post-discharge (P = 0.003; P = 0.006). Parents in the experimental group reported significantly lower anxiety scores at PICU discharge and 1 month thereafter (P &lt; 0.001; P = 0.015). At discharge, depression scores were significantly lower in the experimental group; this difference remained significant at 1 and 3 months post-discharge (P &lt; 0.001; P &lt; 0.05). At PICU discharge, parental scores were significantly lower in the experimental group than in the control group (P &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>The PICU diary intervention effectively improved the children’s sleep quality and was associated with stress reduction in parents during their children’s PICU stay and up to 3 months post-discharge. The intervention was also associated with a reduction in negative parental emotions up to 3 months after PICU discharge.</div></div><div><h3>Implications for Clinical Practice</h3><div>These findings offer valuable insights into supporting the psychological well-being of pediatric patients and their caregivers during and after PICU admission.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104315"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145795853","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":"Beyond the beeps: Building a culture of intelligent alarm management in critical care","authors":"Shital Dharamkhele ,&nbsp;Nipun Gupta","doi":"10.1016/j.iccn.2025.104328","DOIUrl":"10.1016/j.iccn.2025.104328","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104328"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883465","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":"Retention and morale in the ICU: interprofessional team members’ perspectives on interprofessional staffing in adult ICUs","authors":"Kathleen E. Fitzpatrick Rosenbaum ,&nbsp;Nathan C. Wright ,&nbsp;Shelli L. Feder ,&nbsp;Olga Yakusheva ,&nbsp;Deena Kelly Costa","doi":"10.1016/j.iccn.2025.104255","DOIUrl":"10.1016/j.iccn.2025.104255","url":null,"abstract":"<div><h3>Objective</h3><div>To explore how interprofessional team staffing—comprised of registered nurses, physicians, and respiratory therapists—is perceived to impact team members and patient care in the ICU.</div></div><div><h3>Methods</h3><div>Using previously collected interview data from a study focused on optimal interprofessional teams in adult ICUs from a single academic medical center, we used thematic analysis to examine how team staffing influenced team members and patient care; we paid particular attention to perspectives on patient safety, team member well-being, and retention.</div></div><div><h3>Results</h3><div>Using data from 14 interviews (7 registered nurses, 4 physicians, 3 respiratory therapists) we identified five themes: (1) patient assignments were linked to patient safety: “sometimes it can get a little dicey”; (2) continuity of care helps, “but let’s get real… you need breaks”; (3) when staffing is inadequate – “you can’t provide the type of care you want” – interprofessional team members feel demoralized; (4) retention was both a cause and a result of inadequate interprofessional staffing; and (5) team support is critical: “we are like a unified front…we band together”. Staffing was described as cyclical, dynamic, and interconnected.</div></div><div><h3>Conclusions</h3><div>Interprofessional team members described ICU staffing as complex and may influence patient safety, continuity of care, team member well-being, and retention. Focusing on how to improve ICU interprofessional team staffing may have the potential to improve both team and patient outcomes.</div></div><div><h3>Implications for clinical practice</h3><div>Given current workforce dynamics for ICU nurses and their colleagues, the ICU interprofessional team might benefit from understanding how interprofessional team staffing aids in well-being, retention, and patient safety. These study findings can inform future research and quality improvement programs to explore opportunities to enhance interprofessional team collaboration to promote excellence of<!--> <!-->care<!--> <!-->of<!--> <!-->critically ill<!--> <!-->patients.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104255"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608088","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":"Adolescent relatives’ experiences and perceptions of everyday life when a family member is critically ill and admitted to an ICU and in the aftermath: A qualitative study","authors":"Mathilde Elsa Christensen ,&nbsp;Gro Frivold ,&nbsp;Gudrun Elin Rohde","doi":"10.1016/j.iccn.2026.104333","DOIUrl":"10.1016/j.iccn.2026.104333","url":null,"abstract":"<div><h3>Aims</h3><div>This study explored the experiences and perceptions of adolescents who were relatives of intensive care unit (ICU) patients, focusing on their everyday lives during and after the ICU stay.</div></div><div><h3>Design</h3><div>Inductive descriptive qualitative study.</div></div><div><h3>Methods</h3><div>Semi-structured, in-depth interviews were conducted and analysed using reflexive thematic analysis (RTA).</div></div><div><h3>Findings</h3><div>Sixteen adolescents as relatives of ICU patients in Norway were included. Three themes were identified: <em>Navigating adolescence independently during critical illness, Relational bonds and A new everyday life.</em> Eight sub-themes identified: <em>Feeling isolated, need for support from knowledgeable adults, striving for normalcy, avoid being a burden, loyalty to their family, adaptation in roles and changed relations, experiencing mental and physical challenges and existential experiences.</em></div></div><div><h3>Conclusions</h3><div>Adolescent relatives of critically ill patients experienced substantial uncertainty and distress, with their attention persistently focused on the critically ill family member. Their lives were significantly altered, resulting in unpredictability. Some adolescents reported personal growth in the aftermath. The adolescents expressed a need for a structured support programme.</div></div><div><h3>Implications for clinical practice</h3><div>The adolescents experienced substantial disruption in their everyday lives and often lacked systematic support when a family member was admitted to an ICU. The findings suggest that health care professionals (HCPs), both in the ICU and school health service, should collaborate to offer targeted support to adolescents who are relatives of ICU patients.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104333"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146037548","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 impact of a noise reduction bundle on ICU staff: A stepped-wedge cluster randomized clinical trial","authors":"Jeanette Vreman ,&nbsp;Cris Lanting ,&nbsp;Tim Frenzel ,&nbsp;Johannes G. van der Hoeven ,&nbsp;Joris Lemson ,&nbsp;Mark van den Boogaard","doi":"10.1016/j.iccn.2025.104306","DOIUrl":"10.1016/j.iccn.2025.104306","url":null,"abstract":"<div><h3>Objectives</h3><div>To determine the effectiveness of a multicomponent intervention bundle on sound levels in the ICU.</div></div><div><h3>Methods</h3><div>A stepped-wedge cluster randomized clinical trial was conducted in four intensive care units during a period of 14 months. A multicomponent intervention bundle aimed at reducing sound levels—consisting of education, equipment interventions, designated quiet times, and feedback—was implemented as a standard of care.</div><div>The main outcome measures were: A-weighted sound levels (LAeq), alarms/day/bed, annoyance ratings (numeric rating scale 0–10), and the number of observed nurse distractions during medication preparation. Differences in outcomes between the intervention and control periods were tested. For the primary outcome, the minimal clinical importance difference of 3 LAeq was used, as this level is audible to humans.</div></div><div><h3>Results</h3><div>LAeq control vs intervention, LAeq decreased from 53.7 (±5.8) to 52.9 (±5.9) dBA (p &lt; 0.001) at the central nursing station. The median [IQR] number of alarms/day/bed decreased from 228 [IQR 176–290] during control to 194 [IQR 148–249] during intervention (p &lt; 0.001). Nurses’ annoyance rating control vs. intervention changed from median 3.0 [IQR 2.0–5.0] to median 3.0 [IQR 2.0–4.0] (p &lt; 0.001). Distractions decreased from 73 % during control period to 61 % (p &lt; 0.001) during the intervention.</div></div><div><h3>Conclusions</h3><div>Use of a multicomponent intervention bundle led to a statistically significant reduction in sound levels— though not to a clinically relevant degree. Importantly, there were statistically significant improvements in the number of alarms, as well as in nurses’ annoyance and distractions, compared with the control period.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104306"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145746300","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":"Family-centred care interventions in paediatric intensive care units: a scoping review","authors":"Karina R. Charles ,&nbsp;Jessica A. Schults ,&nbsp;Jed Duff ,&nbsp;Kathleen P. Jenkins ,&nbsp;Marta Cucchi ,&nbsp;Debbie Long","doi":"10.1016/j.iccn.2026.104350","DOIUrl":"10.1016/j.iccn.2026.104350","url":null,"abstract":"<div><h3>Background</h3><div>Globally, family-centred care is the standard of care in paediatric intensive care units (PICUs). However, the types of interventions used, their implementation, and evaluation remain unclear. Mapping family-centred care interventions in PICUs is essential to understanding their components, outcomes, and opportunities for improved family involvement.</div></div><div><h3>Objectives</h3><div>To identify and map family-centred care interventions implemented in PICU.</div></div><div><h3>Methods</h3><div>Following PRISMA-ScR guidelines, we searched seven databases from 2013 to 2025. Eligible studies included any family-centred care intervention implemented in PICU. Data were extracted on the interventional components, outcome measures, and family involvement in the development of the intervention. Intervention replicability was assessed using the Template for Intervention Description and Replication (TIDieR) checklist. Methodological quality was appraised using the Quality Improvement Minimum Quality Criteria Set (QI-MQCS) for quality improvement interventions and the Mixed Methods Appraisal Tool (MMAT) for observational studies.</div></div><div><h3>Results</h3><div>Of 2,921 articles screened, 38 met the inclusion criteria. The most common interventions were family presence during ward rounds (n = 10; 26%), PICU diaries (n = 7; 18%), and nurse participation in goal setting (n = 4; 10%). In total, 102 unique outcome measures were reported, studies used 37 validated tools to measure outcomes. Family satisfaction was the most measured outcome (n = 15; 15%). Only four studies involved parents in the design of the intervention. Replicability scores ranged from 63% to 96%. Methodological quality scores, expressed as the percentage of appraisal criteria met using the QI-MQCS and MMAT, ranged from 19% to 100% across included studies.</div></div><div><h3>Conclusions</h3><div>This review highlighted wide variation in family-centred care interventions and outcome measures, with limited consistency in evaluation, replicability and quality. Family involvement in design was minimal, underscoring the need for more collaborative, co-designed initiatives.</div></div><div><h3>Implications for practice</h3><div>Prioritising collaborative family-centred care approaches that incorporate validated outcome measures and parent co-design will support the development of interventions that are relevant, sustainable, and truly reflective of family-centred care in PICU practice.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104350"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146115387","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":"Postoperative delirium in the cardiac ICU: A call for nursing-led prevention and compassionate care","authors":"Caroline Arbour ,&nbsp;Tanya Mailhot","doi":"10.1016/j.iccn.2025.104319","DOIUrl":"10.1016/j.iccn.2025.104319","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104319"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145839447","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":"Effects of mindfulness-based stress reduction on ICU nurses’ resilience and well-being","authors":"Merve Bat Tonkuş ,&nbsp;Hülya Bilgin","doi":"10.1016/j.iccn.2025.104258","DOIUrl":"10.1016/j.iccn.2025.104258","url":null,"abstract":"<div><h3>Objectives</h3><div>This study investigated the effects of a Mindfulness-Based Stress Reduction (MBSR) on the resilience and well-being of intensive care unit (ICU) nurses.</div></div><div><h3>Methods</h3><div>This randomized study was conducted with a control group design and repeated measures. A total of 44 nurses participated in the study, (22 intervention and 22 control groups). Data were collected using an information form and scales measuring psychological resilience and psychological well-being. The intervention group participated in an 8-week online MBSR program. Each session lasted 90 min. The control group received a minimal intervention consisting of a single 90-minute information session on mindfulness.</div></div><div><h3>Results</h3><div>The MBSR intervention improved the nurses’ resilience scores (p &lt; 0.05). Comparison of psychological well-being scores revealed significant differences in the intervention group by time and in the control group.</div></div><div><h3>Conclusions</h3><div>MBSR is a useful intervention to improve the psychological resilience and well-being of intensive care nurses. It is recommended to perform MBSR at regular intervals to improve the quality of ICU care and reduce the risk of professional burnout by strengthening the coping skills of ICU nurses.</div></div><div><h3>Implications for clinical practice</h3><div>MBSR increases ICU nurses’ resilience and well-being by reducing stress, improving emotional regulation, and promoting a supportive work environment, which has significant clinical potential for critical care.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104258"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145598533","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}