Intensive and Critical Care Nursing最新文献

{"title":"The impact of the PICU diary on post-intensive care syndrome in children and their parents: A pilot randomized controlled trial","authors":"Catia Genna ,&nbsp;Kiara Ros Thekkan ,&nbsp;Federica Cancani ,&nbsp;Matteo Di Nardo ,&nbsp;Angela Rossi ,&nbsp;Marina Franci ,&nbsp;Tiziana Satta ,&nbsp;Fabrizio Chiusolo ,&nbsp;Cristiana De Ranieri ,&nbsp;Simone Piga ,&nbsp;Emanuela Tiozzo ,&nbsp;Immacolata Dall’Oglio ,&nbsp;Corrado Cecchetti ,&nbsp;Orsola Gawronski ,&nbsp;for the PICU Diaries Study Group","doi":"10.1016/j.iccn.2025.104190","DOIUrl":"10.1016/j.iccn.2025.104190","url":null,"abstract":"<div><h3>Objectives</h3><div>1) to evaluate the feasibility of a pilot trial on the effectiveness of a pediatric intensive care unit (PICU) diary intervention; 2) to explore group differences in parent’s and child’s psychological outcomes and children’s behaviors after discharge from PICU.</div></div><div><h3>Methods</h3><div>A non-blinded, single-centered, pilot randomized controlled trial (RCT) was performed in two PICUs at a tertiary care children’s hospital in Italy. Children admitted to the PICU, &lt;18 years old, sedated and intubated for ≥ 48 h were eligible. The exclusion criteria included severe disability (Pediatric Overall Performance Category &gt; 3), low Italian communication proficiency, and no life expectancy. The intervention was the PICU narrative diary.</div></div><div><h3>Results</h3><div>A total of 119 patients were prospectively enrolled from June 2021 to June 2024, of which 60 received a PICU diary, and 59 did not. The composite feasibility outcomes, including eligibility, recruitment, retention, attrition, and protocol adherence met 6 of the 8 criteria. At 1 and 3 months after PICU discharge Post Traumatic Stress Disease (PTSD), anxiety, depression in parents and children, and children’s behaviors were measured with validated scales. At the one-month follow-up, parents in the control group had a higher PTSD (21 % vs 11 % p = 0.1) and depression (28 % vs 25 % p = 0.7) and lower anxiety (54 % vs 60 % p = 0.5) compared to the intervention group. At 3 months, lower levels were observed across all outcomes. Parent satisfaction with the intervention was high. The small sample size and lack of blinding were the main study limitations.</div></div><div><h3>Conclusions</h3><div>The trial was feasible and acceptable. No significant differences in parents’ and children’ psychological outcomes were found among the study groups.</div></div><div><h3>Implications for Clinical Practice</h3><div>PICU diaries could be a valuable support tool for parents and children admitted to PICU. Further evidence through larger RCTs is needed to understand the effect of post-PICU discharge psychological outcomes on children and their parents.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104190"},"PeriodicalIF":4.7,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144831452","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":"Stakeholder perspectives on the reduction of opioid exposure in ICU: A modified Delphi survey – Letter on Du Toit et al.","authors":"Parth Aphale,&nbsp;Himanshu Shekhar,&nbsp;Shashank Dokania","doi":"10.1016/j.iccn.2025.104200","DOIUrl":"10.1016/j.iccn.2025.104200","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104200"},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809624","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":"Cognition bias-related delay in acute coronary syndrome: A case report","authors":"Hidekazu Matsui ,&nbsp;Manzo Suzuki ,&nbsp;Toshiaki Mochizuki","doi":"10.1016/j.iccn.2025.104187","DOIUrl":"10.1016/j.iccn.2025.104187","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"91 ","pages":"Article 104187"},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144828269","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":"When comfort eludes intention: ShotBlocker®, breastfeeding, and neonatal distress – Letter on Dinç et al.","authors":"Zhuocheng Bao","doi":"10.1016/j.iccn.2025.104195","DOIUrl":"10.1016/j.iccn.2025.104195","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104195"},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144809917","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":"Enhancing methodological rigor in ICU triage research: Reflections on sampling, reflexivity, and trustworthiness – Response to Rahimi-Bashar et al.","authors":"Shivaprasad Anagi ,&nbsp;Frances Lin ,&nbsp;Diane Chamberlain","doi":"10.1016/j.iccn.2025.104186","DOIUrl":"10.1016/j.iccn.2025.104186","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"91 ","pages":"Article 104186"},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144810054","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 visitors’ book as a family-centered care tool: A corpus-based, multi-site study on the implementation of a narrative care practice in ICU","authors":"Letizia Caronia ,&nbsp;Federica Ranzani ,&nbsp;Giulia Benericetti ,&nbsp;Carla Scattolini ,&nbsp;Arturo Chieregato","doi":"10.1016/j.iccn.2025.104188","DOIUrl":"10.1016/j.iccn.2025.104188","url":null,"abstract":"<div><h3>Objectives</h3><div>Hospitalization in an Intensive Care Unit (ICU) is a profound disruption of the taken-for-granted flow of everyday life, for both the patient and their relatives. While narrative-based tools to address the patients’ traumatic experience in the ICU have been implemented and analyzed, research fails to address ways of dealing with the relatives’ experience in order to align with the Patient &amp; Family-Centered Care framework. This study aims to preliminarily observe the narrative-based care practice implemented in three Italian ICUs by means of a visitors’ book (VB).</div></div><div><h3>Design</h3><div>Qualitative study.</div></div><div><h3>Methods</h3><div>Thematic analysis of a corpus of naturally gathered texts written by inpatients’ relatives in the VB.</div></div><div><h3>Results</h3><div>The semantic analysis, i.e., what relatives write about or refer to in their texts, suggests that the VB is interpreted by users mainly as a way to 1) establish a state of intersubjectivity with the staff, 2) talk into being the disruption <em>they lived</em> as a consequence of ICU hospitalization of a family member, and 3) transform it into an object of thought. The prevalence of references to <em>visitors’</em> experience indexes the users’ appropriation of the VB as a <em>family</em>-centered care tool.</div></div><div><h3>Conclusions</h3><div>The VB demonstrably works as a communicative and relational tool, a reflexivity-enabling device enacting and displaying the ward’s orientation toward patient and family-centered care.</div></div><div><h3>Implications for Clinical Practice</h3><div>Overcoming the limitations of family-centered care relying only on the staff’s individual competences, attitudes, value-orientation, and time constraints, implementing the VB appears to be a sustainable way for the ward to respond to family members’ needs.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104188"},"PeriodicalIF":4.7,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827340","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":"Reconsidering silence: methodological and theoretical reflections on ICU soundscape research – Letter on Louwers et al.","authors":"Heng Zhou,&nbsp;Yilin Jiang,&nbsp;Naina A. Samah","doi":"10.1016/j.iccn.2025.104182","DOIUrl":"10.1016/j.iccn.2025.104182","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104182"},"PeriodicalIF":4.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771680","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":"Bridging the sepsis care Chasm: A Multidimensional analysis of systemic barriers and Pragmatic Solutions in Low-Resource Settings – Response to Cheng & Yunqi","authors":"Ged Williams ,&nbsp;Elizabeth Papathanassoglou ,&nbsp;Laura Alberto","doi":"10.1016/j.iccn.2025.104158","DOIUrl":"10.1016/j.iccn.2025.104158","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"91 ","pages":"Article 104158"},"PeriodicalIF":4.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144771559","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":"Methodological and clinical evaluation of tracheostomy timing and technique: implications for resource optimization in ICU – Response to Rahimi-Bashar et al.","authors":"Veronica Rossi ,&nbsp;Filippo Binda ,&nbsp;Claudio Cordani ,&nbsp;Federica Marelli ,&nbsp;Giacomo Grasselli","doi":"10.1016/j.iccn.2025.104181","DOIUrl":"10.1016/j.iccn.2025.104181","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"91 ","pages":"Article 104181"},"PeriodicalIF":4.7,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780886","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":"Perceived barriers and facilitators to implementing a consensus-based same-day discharge post-percutaneous coronary intervention clinical pathway in Queensland, Australia","authors":"Yingyan Chen ,&nbsp;Jacqueline Peet ,&nbsp;Natalie Hausin ,&nbsp;David Hinds ,&nbsp;Rohan Jayasinghe ,&nbsp;Wendy Kennedy ,&nbsp;Suzanne Morris ,&nbsp;Rohan Poulter ,&nbsp;Gregory Starmer ,&nbsp;Yash Singbal ,&nbsp;Anna Townsend ,&nbsp;Paul Wallis ,&nbsp;Raibhan Yadav ,&nbsp;Zhihua (Michael) Zhang ,&nbsp;Karen Wardrop ,&nbsp;Junel Padigos ,&nbsp;Frances Fengzhi Lin","doi":"10.1016/j.iccn.2025.104169","DOIUrl":"10.1016/j.iccn.2025.104169","url":null,"abstract":"<div><h3>Objectives</h3><div>To identify perceived barriers and facilitators to an intended adoption of aconsensus-based same-day discharge (SDD) clinical guideline for patients undergoing elective percutaneous coronary intervention (PCI).</div></div><div><h3>Methods</h3><div>This qualitative study was conducted in six cardiac catheterisation suites of public hospitals in Queensland, Australia. Semi-structured interviews were undertaken with clinicians, patients, and carers between July and October 2024. Interviews were recorded and transcribed. Inductive content analysis was performed before themes were mapped deductively against the Theoretical Domains Framework (TDF).</div></div><div><h3>Results</h3><div>A total of 22 participants (doctors [n = 10], nurses [n = 8], patients [n = 2], and carers [n = 2]) participated in interviews. Six domains, including knowledge, social/professional role and identity, environmental contexts and resources, beliefs about consequences, memory, attention, and decision-making, and beliefs about capabilities, were strongly related to the factors that influenced the implementation. The findings revealed perceived main barriers to the implementation, including logistical (e.g., geographical considerations), professional (e.g., resistance to change), and hospital reimbursement models that unfavoured SDD. The main drivers were effective leadership, benchmarking among hospitals, inter-hospital consultation and collaboration, having a designated champion, and targeted education sessions for clinicians, patients, and carers.</div></div><div><h3>Conclusion</h3><div>Findings suggest that adopting this consensus-based SDD clinical guideline has multifactorial and interrelated influences. The identification of the barriers across various TDF domains provides opportunities to develop effective implementation strategies to facilitate SDD implementation.</div></div><div><h3>Implications for clinical practice</h3><div>This study highlights the need for multifaceted approach to implementing SDD. Leaders in public health policy and organisations must consider a range of interconnected influences for effective implementation and sustained adherence.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"91 ","pages":"Article 104169"},"PeriodicalIF":4.7,"publicationDate":"2025-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763880","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}