Intensive and Critical Care Nursing最新文献

{"title":"A concise, practice-oriented guide to bibliometric analysis for intensive and critical care nursing researchers","authors":"Sameh Eltaybani","doi":"10.1016/j.iccn.2025.104324","DOIUrl":"10.1016/j.iccn.2025.104324","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104324"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145914314","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":"Endotracheal suctioning: moving from standard to individualised procedure in mechanically ventilated patients – Response to Ji and Zhang","authors":"Alberto Lucchini, Marco Giani, Emanuele Rezoagli","doi":"10.1016/j.iccn.2025.104285","DOIUrl":"10.1016/j.iccn.2025.104285","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104285"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608128","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":"Strengthening the parental role: parents’ experiences of family presence during invasive procedures in pediatric and neonatal intensive care units","authors":"Laia Ventura Expósito ,&nbsp;Esperanza Zuriguel-Pérez ,&nbsp;Jesús Corrionero Alegre ,&nbsp;Antonia Arreciado Marañón","doi":"10.1016/j.iccn.2025.104279","DOIUrl":"10.1016/j.iccn.2025.104279","url":null,"abstract":"<div><h3>Introduction</h3><div>The presence of family members during invasive procedures in neonatal and pediatric intensive care units is limited, despite its emotional benefits. Exploring parents’ experiences in these contexts can help us move toward more family-centered models of care.</div></div><div><h3>Objective</h3><div>(I) To explore the experiences of parents of pediatric and neonatal patients admitted to intensive care units regarding being present during invasive procedures; (II) Understand the needs, limitations, and suggestions for improvement expressed by parents regarding their presence during invasive procedures.</div></div><div><h3>Methods</h3><div>Qualitative phenomenological study based on in-depth interviews with parents of pediatric patients admitted to an intensive care unit. The thematic analysis followed the approach of Braun and Clarke, and the COREQ guidelines were respected.</div></div><div><h3>Results</h3><div>22 parents participated in the study. Two major themes emerged from the analysis: (1) The influence of family presence during invasive procedures, and (2) Parents’ needs. Participants viewed being present as essential to fulfilling their role as caregivers, providing comfort to their children, and strengthening emotional bonds. They endorsed being present, despite the emotional burden entailed. They identified the following key needs: receiving clear information, having emotional support, having the freedom to decide whether to be present, and having a private and safe environment.</div></div><div><h3>Conclusions</h3><div>Parents view being present during procedures as a right and a way of exercising their parental role. It promotes the emotional well-being of the child and strengthens their relationship with professionals.</div></div><div><h3>Implications for Clinical Practice</h3><div>The presence of family members should be encouraged through specific training for staff and support personnel. Safe environments must be created, and teams must foster a sensitive approach toward the active role of parents in caregiving.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104279"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608111","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":"Anticipatory guidance for parents following paediatric intensive care: a scoping review and environmental scan of recovery-focused resources","authors":"Leigh Dunn ,&nbsp;Suzanne Williams ,&nbsp;Debbie Long","doi":"10.1016/j.iccn.2025.104332","DOIUrl":"10.1016/j.iccn.2025.104332","url":null,"abstract":"<div><h3>Objectives</h3><div>To map and critically appraise anticipatory guidance interventions and resources for parents following PICU discharge, examine how they address recovery challenges, and identify gaps to inform parent-centred resource development.</div></div><div><h3>Methods</h3><div>Database search across EBSCO (MEDLINE, CINAHL, PsychINFO), Embase, Scopus, Web of Science, and Cochrane Library for studies published January 2000-June 2025. Environmental scan via targeted and Google searches. Five tools assessed delivery, understandability, actionability, quality, and readability.</div></div><div><h3>Results</h3><div>Of 1752 records, four studies and nine digital resources met inclusion criteria (n = 271 parents). Formats included phone calls, brochures, in-person conversations, plus websites, webpages, downloadable content, and videos, from university children’s hospitals (n = 10), and organisations (n = 3) across the US (n = 9), UK (n = 3), and Australia (n = 1). Three key findings emerged: (1) support for how parents’ access, understand, and use information was inconsistent; (2) resources prioritised functional (reading/comprehension), over interactive (communication, application) or critical health literacy (evaluation, advocacy); (3) system-level health literacy strategies were limited.</div></div><div><h3>Conclusion</h3><div>There is an urgent need to strengthen anticipatory guidance by embedding health literacy principles across design and delivery. This includes addressing organisational barriers to access and equity through co-design, plain language, and culturally responsive approaches. Beyond information provision, a deliberate focus on capability building can empower parents as active partners in care, ultimately improving outcomes for children and families.</div></div><div><h3>Implications for clinical practice</h3><div>Anticipatory guidance following PICU discharge must move beyond information provision toward capacity building that supports parents to apply, evaluate, and act on information. Embedding health literacy principles − plain language, readability testing, co-design, and cultural responsiveness − into resource development is critical to ensure accessibility and equity. Clinician education and integration into routine workflows are equally important to optimise resource impact. A universal precautions approach offers a practical strategy for health services to ensure all families, regardless of literacy level, receive clear, actionable, and supportive guidance.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104332"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146014136","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":"Body mass index and mortality: The “Obesity Paradox” in critically ill patients with intra-abdominal infection or sepsis – An international cohort study","authors":"Fien Donckels ,&nbsp;Massimo Antonelli ,&nbsp;Kostoula Arvaniti ,&nbsp;Ben Creagh‑Brown ,&nbsp;Elena Conoscenti ,&nbsp;Dylan W. de Lange ,&nbsp;Gennaro De Pascale ,&nbsp;Jan De Waele ,&nbsp;Mieke Deschepper ,&nbsp;Yalim Dikmen ,&nbsp;George Dimopoulos ,&nbsp;Christian Eckmann ,&nbsp;Guy Francois ,&nbsp;Massimo Girardis ,&nbsp;Despoina Koulenti ,&nbsp;Sonia Labeau ,&nbsp;Jeffrey Lipman ,&nbsp;Emilio Maseda ,&nbsp;Philippe Montravers ,&nbsp;Adam Mikstacki ,&nbsp;Stijn Blot","doi":"10.1016/j.iccn.2025.104281","DOIUrl":"10.1016/j.iccn.2025.104281","url":null,"abstract":"<div><h3>Objective</h3><div>To assess the relationship between body mass index (BMI, i.e., kg/m²) and mortality in ICU patients with intra-abdominal infection or sepsis.</div></div><div><h3>Methods</h3><div>This is a secondary analysis from <em>AbSeS</em>, an international, observational cohort study including patients with intra-abdominal infection (n = 2588). Patients were classified as underweight (BMI &lt; 18.5), normal weight (BMI 18.5–24.9), overweight (BMI 25–29.9), or obese (BMI ≥ 30). Independent relationships with mortality were assessed by logistic and Cox regression. Results reported as odds ratios (OR) or hazard ratios (HR) 95 % and confidence interval (CI). Sensitivity analyses were performed for age (&lt;65 or ≥ 65 years), sex, and sepsis or septic shock.</div></div><div><h3>Results</h3><div>Overall mortality was 29.1 %. Logistic regression showed underweight to be associated with increased mortality (OR 1.76, 95 % CI 1.12–2.78), while obesity was independently associated with a decreased mortality risk compared to normal weight patients (OR 0.75, 95 % CI 0.58–0.97). Mortality in overweight patients was not different from patients with a normal weight. In patients &lt; 65 years, the association with underweight remained, while obesity was no longer associated with decreased mortality. All significant relationships between BMI and mortality disappeared when only considering patients ≥ 65 years. Underweight was associated with increased mortality in patients with sepsis, but not in septic shock. In Cox regression, underweight remained an independent risk factor for death (HR 1.72, 95 % CI 1.25–2.35), whereas obesity was no longer associated with a decreased mortality risk.</div></div><div><h3>Conclusion</h3><div>In the context of intra-abdominal infection in ICU patients, underweight is independently associated with increased mortality. The possible association of obesity with decreased mortality risk is less robust.</div></div><div><h3>Implications for Clinical Practice</h3><div>Nutritional screening should be part of preoperative evaluation in elective abdominal surgery. If undernutrition is identified, targeted nutritional support should be initiated early to improve postoperative resilience and potentially reduce mortality risk in case of critical illness.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104281"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145623522","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 guided imagery on dyspnea in trauma ICU patients: a randomized controlled trial","authors":"Atena Shojaie ,&nbsp;Naeimeh Naeimi Bafghi ,&nbsp;Atefeh Ahmadi ,&nbsp;Behnaz Bagherian","doi":"10.1016/j.iccn.2025.104280","DOIUrl":"10.1016/j.iccn.2025.104280","url":null,"abstract":"<div><h3>Background</h3><div>Dyspnea is a prevalent and distressing symptom among critically ill patients, particularly in trauma intensive care units, and is often poorly managed in semi-conscious individuals. While guided imagery has shown benefits in various chronic and palliative contexts, its efficacy in ICU trauma patients remains understudied.</div></div><div><h3>Methods</h3><div>In this randomized controlled trial, 102 trauma ICU patients with Glasgow Coma Scale scores of 9–13 were randomly allocated to an intervention group (n = 51) or a control group (n = 51). The intervention group received nature-based guided imagery sessions twice daily for six consecutive days, in addition to standard ICU care. Respiratory distress was evaluated using the Intensive Care Respiratory Distress Observational Scale (IC-RDOS). Secondary outcomes included PaO₂, PaCO₂, HCO₃⁻, hemoglobin, and Behavioral Pain Scale (BPS) ratings.</div></div><div><h3>Results</h3><div>The intervention group experienced a greater reduction in respiratory distress (IC-RDOS) at Day 6 compared with controls (mean post-test IC-RDOS: 5.36 vs 6.22; between-group p &lt; 0.001). Oxygenation improved in the intervention group (mean PaO₂ at Day 6: 73.8 vs 63.9 mmHg; between-group p &lt; 0.001), while PaCO₂ showed a within-group decrease in the intervention arm but no significant between-group difference (mean post-test PaCO₂: 42.1 vs 43.1 mmHg; between-group p = 0.35). Pain (BPS) decreased modestly in the intervention group compared with the control (mean post-test BPS: 3.68 vs 4.31; between-group p &lt; 0.001). No intervention-related adverse events were reported.</div></div><div><h3>Conclusion</h3><div>Guided imagery may be a feasible adjunctive therapy for alleviating respiratory distress and promoting clinical stability in trauma ICU patients with impaired consciousness. Larger trials are needed to confirm safety and effectiveness before routine clinical implementation.</div></div><div><h3>Implications for clinical practice</h3><div>Incorporating guided imagery into routine ICU nursing care could provide a practical, non-invasive method to reduce respiratory distress in semi-conscious trauma patients, potentially enhancing patient comfort and supporting respiratory function.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104280"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145829408","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":"Uncovering the Cognitive Mechanisms of Risk Decision-Making among ICU Nurses in Complex Clinical Contexts","authors":"Hui Ge,&nbsp;Tingting Feng,&nbsp;Hao Wu,&nbsp;Huiling Hu,&nbsp;Jiashuai Li,&nbsp;Xue Wu","doi":"10.1016/j.iccn.2025.104329","DOIUrl":"10.1016/j.iccn.2025.104329","url":null,"abstract":"<div><h3>Objectives</h3><div>The intensive care unit is a high-stakes, information-intensive environment requiring nurses to make rapid and accurate decisions. This study aimed to elucidate the cognitive and neural mechanisms underlying nurses’ risk decision-making under time pressure and complex clinical demands.</div></div><div><h3>Methods</h3><div>Thirty ICU nurses participated in a computer-based multitasking experiment simulating concurrent medical multitasking scenarios, with twenty-one valid datasets analyzed. Participants performed priority judgments under high- and low-risk conditions while EEG signals were continuously recorded. Event-related potential components and oscillatory activities across δ, θ, α, and β frequency bands were analyzed. Gaussian Hidden Markov Models were used to characterize cognitive state transition dynamics aligned to task events.</div></div><div><h3>Results</h3><div>Risk decision-making emerged as a multi-stage, dynamically coordinated process involving four distinct cognitive patterns: monolithic stability progression, compulsory path lock-in, multi-path flexible convergence, and flow separation and premature convergence. Correct decisions were associated with enhanced low-frequency oscillations (δ, θ) and stable HMM transitions, reflecting efficient integration and adaptive cognitive control. In contrast, incorrect decisions exhibited early perceptual inefficiency, unstable state transitions, and premature cognitive closure under high-risk conditions.</div></div><div><h3>Conclusions</h3><div>This study is the first to identify four distinct dynamic cognitive patterns of risk decision-making in a simulated ICU multitasking context. The findings indicate that decision accuracy is closely linked to coordinated state-transition dynamics rather than isolated neural activations, highlighting the importance of adaptive cognitive control in clinical judgment.</div></div><div><h3>Implications for clinical practice</h3><div>Although the present findings are exploratory, they may provide a preliminary reference for future research on brain-machine collaboration in clinical nursing contexts. In particular, future work could examine how EEG-decoded cognitive states might be incorporated as input information for robot-assisted systems to characterize nurses’ cognitive intentions during risk tasks. Further studies with larger samples and in more realistic clinical settings are needed to validate the model’s robustness and generalizability.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104329"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145919508","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":"Nurse-led, multicomponent models of family care in adult intensive care units","authors":"Rahel Naef","doi":"10.1016/j.iccn.2025.104293","DOIUrl":"10.1016/j.iccn.2025.104293","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104293"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688861","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":"Exploring the factors affecting ICU nurse retention during and post-COVID-19: A qualitative descriptive interview study","authors":"Sebastian Kilcommons ,&nbsp;Sarah Andersen ,&nbsp;James Mellett ,&nbsp;Matthew Douma ,&nbsp;Dawn Opgenorth ,&nbsp;Sean M. Bagshaw ,&nbsp;Oleksa Rewa ,&nbsp;Kirsten Fiest ,&nbsp;Vincent Lau ,&nbsp;Sadie Deschenes","doi":"10.1016/j.iccn.2025.104294","DOIUrl":"10.1016/j.iccn.2025.104294","url":null,"abstract":"<div><h3>Objectives</h3><div>ICUs have been shown to experience high staff turnover rates, exacerbated by the COVID-19 pandemic. Shortages in nurse staffing have been linked to worse patient outcomes. The purpose of this study was to determine the factors most likely to promote nurse retention in the context of the COVID-19 pandemic.</div></div><div><h3>Methods</h3><div>This was a qualitative interview study in which 19 registered nurses in a single ICU were asked which factors contribute to ICU nurse turnover and attrition, as well as improve staff retention. We recruited participants who had either left or considered leaving their ICU position since the onset of the COVID-19 pandemic. We used Braun and Clarke’s method of thematic analysis to generate themes from the interviews, which were video, or audio recorded. Using NVivo software, data were coded by assigning concepts to data segments. These codes were consolidated into categories and further combined to create themes. The study followed the standards outlined in the COREQ checklist.</div></div><div><h3>Results</h3><div>We generated four themes to capture the aspects that most influenced participants’ desire to remain in their ICU positions. Themes included <em>Organizational Resources and Scheduling, Interpersonal Factors, Mental Health Support</em> and <em>Training and Career Advancement.</em></div></div><div><h3>Conclusions</h3><div>This study explored the key factors that impact nurses’ willingness to continue working in the ICU following the COVID-19 pandemic. Participants highlighted how administrative change, workplace relationships, access to mental health services, and availability of professional development opportunities may have positively influenced their decision to stay. The findings described may prove valuable avenues of future study as further investigation related to the themes described may help guide intervention aimed at improving ICU retention.</div></div><div><h3>Implications for Clinical Practice</h3><div>Together, these findings may serve to inform future ICU interventions aimed at improving nurse retention in the ICU.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104294"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693805","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":"Humanising paediatric care in the PICU: current strategies and emerging insights","authors":"Daniel Joseph E. Berdida ,&nbsp;Jos M. Latour","doi":"10.1016/j.iccn.2025.104287","DOIUrl":"10.1016/j.iccn.2025.104287","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104287"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145589662","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}