Intensive and Critical Care Nursing最新文献

{"title":"Optimising alarm models without losing clinical relevance: Letter on Fang et al.","authors":"Nutan Prakash Makasare , H.K. Komala , Devraj Singh Chouhan","doi":"10.1016/j.iccn.2025.104260","DOIUrl":"10.1016/j.iccn.2025.104260","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104260"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608131","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":"Prevalence and related factors of compassion fatigue and compassion satisfaction among intensive care healthcare professionals: A systematic review and meta-analysis","authors":"Nidhi Ajay Thakur,&nbsp;Yogesh M. Deshpande","doi":"10.1016/j.iccn.2025.104289","DOIUrl":"10.1016/j.iccn.2025.104289","url":null,"abstract":"<div><h3>Background</h3><div>Compassion fatigue, comprising of burnout (BO) and secondary traumatic stress (STS), is a critical occupational hazard in healthcare. It is a state of physical mental exhaustion and dysfunction resulting from prolonged exposure to work and compassion related stress. The Intensive Care Unit (ICU) professionals are vulnerable to compassion fatigue (CF) due to the high mortality rates, overstimulating environment and overcrowding in the unit.</div></div><div><h3>Aim</h3><div>To estimate the prevalence and factors of compassion satisfaction, burnout and secondary traumatic stress among medical professionals working in intensive care units.</div></div><div><h3>Methods</h3><div>A <em>meta</em>-analysis and systematic review were conducted following the PRISMA guidelines. PubMed, Web of Science, Scopus and Science Direct databases were searched from 2000 to 4th December 2024. Random-effects model was used to calculate pooled prevalence estimates. Subgroup analyses were conducted by geographical region and study period.</div></div><div><h3>Results</h3><div>Twenty-nine studies involving 4,925 ICU professionals across 18 countries were analysed. The pooled prevalence estimates were 70.36 % (95 % CI: 59.48–80.22) for STS, 74.38 % (95 % CI: 67.70–80.55) for BO, and 92.25 % (95 % CI: 86.30–96.72) for CS. Subgroup analysis revealed significant regional differences, with Asian professionals demonstrating higher CF and lower CS compared to the Americas. Determinants of CS and CF were grouped into demographic, organizational, and psychological domains.</div></div><div><h3>Conclusions</h3><div>ICU professionals face a high risk of BO and STS, emphasizing the urgent need for systemic strategies to mitigate compassion fatigue and enhance mental health.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104289"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693806","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":"Authorship integrity and artificial intelligence","authors":"Amir Vahedian-Azimi,&nbsp;Masoud Arabfard,&nbsp;Stijn Blot (Editor-in-Chief, Intensive and Critical Care Nursing)","doi":"10.1016/j.iccn.2025.104283","DOIUrl":"10.1016/j.iccn.2025.104283","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104283"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608103","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":"Endocrine challenges in chronic heart failure: Focus on left ventricular assist device","authors":"Matteo Rossetti ,&nbsp;Gennaro Martucci ,&nbsp;Paolo Capuano","doi":"10.1016/j.iccn.2025.104288","DOIUrl":"10.1016/j.iccn.2025.104288","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104288"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145608120","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":"A mixed-methods systematic review of factors affecting missed nursing care in intensive care","authors":"Huimiao Jing ,&nbsp;Xue Bai ,&nbsp;Weiguang Wen ,&nbsp;Ni Yang ,&nbsp;Jie Zhai ,&nbsp;Yingli Gao","doi":"10.1016/j.iccn.2026.104344","DOIUrl":"10.1016/j.iccn.2026.104344","url":null,"abstract":"<div><h3>Objectives</h3><div>To systematically review and synthesize evidence on the factors influencing missed nursing care in intensive care unit, using the conservation of resources as the analytical framework.</div></div><div><h3>Methods</h3><div>A convergent integrated mixed-methods systematic review was conducted according to the Joanna Briggs Institute guidelines. Nine databases (PubMed, EMBASE, CINAHL, Web of Science, Cochrane Library, CNKI, VIP, CBM, Wanfang) were searched from inception to October 2024. The Mixed Methods Appraisal Tool was used to assess methodological quality, and quantitative findings were transformed and thematically integrated with qualitative evidence.</div></div><div><h3>Results</h3><div>Thirteen studies were included. Findings were synthesised within the conservation of resources theory framework, with influencing factors mapped to the four corresponding core resource domains: personal (e.g., clinical title, experience), energy (e.g., staffing, workload), social (e.g., teamwork, communication), and material (e.g., equipment, medications). High patient acuity was consistently identified as a primary external demand straining these resources.</div></div><div><h3>Conclusions</h3><div>Missed nursing care in the ICU is conceptualised as an outcome of an imbalance between clinical demands and nurses’ resource reserves. The conservation of resources theory provides a coherent explanatory framework, indicating that interventions must address multifactorial resource deficits to mitigate missed care.</div></div><div><h3>Implications for clinical practice</h3><div>Clinical management strategies should focus on optimizing staffing models to protect energy resources, enhancing teamwork and communication to strengthen social resources, and ensuring the reliable availability of material resources. Building supportive work environments and training in priority-setting are also recommended to reduce the incidence of missed nursing care.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104344"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000160","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":"Practice of nebulization in intensive care unit patients receiving invasive ventilation – A nationwide survey","authors":"Sarah F.C. Mugge ,&nbsp;Andrea A. Esmeijer ,&nbsp;Annelies Visser ,&nbsp;Willemke Stilma ,&nbsp;Dave A. Dongelmans ,&nbsp;Frederique Paulus","doi":"10.1016/j.iccn.2026.104342","DOIUrl":"10.1016/j.iccn.2026.104342","url":null,"abstract":"<div><h3>Background</h3><div>Nebulization with mucolytic and bronchodilator agents is frequently applied in Intensive Care Units (ICUs) for invasively ventilated patients, despite limited evidence for clinical benefit and potential risks associated with routine use. Understanding current practice and rationale behind nebulization is essential to targeted de-implementation strategies.</div></div><div><h3>Methods</h3><div>We conducted a nationwide, cross-sectional telephone survey among ICU healthcare professionals in the Netherlands. The survey addressed nebulization practices for mucolytics and bronchodilators, including agents used, administration strategy, clinical indications, evaluation strategies, and local protocols. Open-ended questions explored underlying clinical reasoning and factors influencing nebulization practices.</div></div><div><h3>Results</h3><div>Representatives from 54 of 71 Dutch ICUs (76%) participated. Most respondents were ventilation practitioners (72%, 39/54), supplemented by ICU nurses and intensivists. Nebulization with mucolytics was reported in 47 ICUs (87%) ICUs and with bronchodilators in all ICUs. On-demand nebulization predominated (91.5%, 43/47 for mucolytics; 83.3%, 45/54 for bronchodilators). Thick secretions were the main indication for mucolytics, whereas obstructive pulmonary disease and bronchospasm were leading indications for bronchodilators. Acetylcysteine and salbutamol/ipratropium were most frequently used. Local protocols were present in 41 (76%) ICUs. Active humidification was commonly applied on indication, particularly in prolonged ventilation. Responses to open-ended questions revealed that, beyond clinical triggers, nebulization decisions were frequently shaped by personal preference, habitual practice, and organizational context, rather than by evidence-based reasoning.</div></div><div><h3>Conclusion</h3><div>Nebulization in Dutch ICUs is predominantly on-demand but practice remains variable and partly driven by ingrained habits instead of evidence. Non-indicated nebulization persists and represents potential low-value care.</div></div><div><h3>Implications for Clinical Practice</h3><div>This nationwide survey demonstrates that nebulization practices in Dutch ICUs remain highly variable, often driven by non-standardized protocols and subjective interpretation of indications rather than evidence. To promote more consistent and evidence-based care, implementing a practical decision-support tool could guide clinicians toward indication-based nebulization and support de-implementation of routine, non-indicated use.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104342"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000173","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 dilemma of sepsis bundle care","authors":"Christian Lanckohr ,&nbsp;Sebastian Mang ,&nbsp;Hendrik Bracht","doi":"10.1016/j.iccn.2026.104343","DOIUrl":"10.1016/j.iccn.2026.104343","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104343"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146000254","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":"Interlinked ecosystems: the challenges and opportunities of infection in ICUs and long-term care facilities","authors":"Michael Toolan,&nbsp;Victoria Hall,&nbsp;Jasmin Islam","doi":"10.1016/j.iccn.2026.104358","DOIUrl":"10.1016/j.iccn.2026.104358","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104358"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146159636","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":"Association between 1-h bundle and clinical outcomes in patients with sepsis: Treatment effect is greater for sicker patients! – Letter on Hong et al.","authors":"Vincent Garrouste ,&nbsp;Benoît Vivien ,&nbsp;Papa Gueye ,&nbsp;Romain Jouffroy","doi":"10.1016/j.iccn.2025.104282","DOIUrl":"10.1016/j.iccn.2025.104282","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104282"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579408","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 role of AI-driven communication in delirium prevention, detection, and care for critically ill ICU patients: A systematic review with inductive thematic synthesis","authors":"Vinciya Pandian ,&nbsp;Farshid Rahimibashar ,&nbsp;Masoud Arabfard ,&nbsp;Fadwa Alhalaiqa ,&nbsp;Amir Vahedian-Azimi","doi":"10.1016/j.iccn.2025.104323","DOIUrl":"10.1016/j.iccn.2025.104323","url":null,"abstract":"<div><h3>Background</h3><div>Delirium remains one of the most consequential complications among critically ill patients in ICUs, exerting profound effects on morbidity, mortality, and annual healthcare costs exceeding $81 billion. Communication barriers between sedated or mechanically ventilated patients, their families, and multidisciplinary teams frequently delay recognition and impair management of delirium. This systematic review examines how AI-driven communication technologies can address these barriers, enhance early detection, and promote more integrated, patient- and family-centered delirium care.</div></div><div><h3>Methods</h3><div>A systematic review of literature published between 2015 and 2025 was conducted across five electronic databases: Scopus, PubMed, Web of Science, Embase, and IEEE Xplore. The search strategy employed keywords as “delirium,” “intensive care,” “artificial intelligence,” “AI-driven communication technologies”, “natural language processing”, “computer vision”, “multidisciplinary clinical collaboration”, and “family engagement”. Studies were eligible for inclusion if they focused on AI-enhanced communication in ICU delirium care. The included studies were analyzed using an inductive thematic synthesis approach.</div></div><div><h3>Results</h3><div>From 87 screened records, 16 studies demonstrated AI’s significant benefits across three clinical domains: 1) Prevention using AI-driven tools; 2) Early Detection via multimodal AI systems; and 3) Patient Care through Natural Language Processing (NLP)-powered support. An inductive thematic synthesis of these findings further delineated six core thematic domains: (1) inherent communication barriers; (2) AI as a multidirectional interface; (3) passive AI listening for early detection; (4) AI-enhanced family engagement; (5) AI-structured handovers for teamwork; and (6) ethical-regulatory-practical challenges.</div></div><div><h3>Conclusion</h3><div>AI-driven communication tools effectively bridge critical gaps in ICU delirium care, facilitating early detection, prevention, and patient-centered management. By enabling proactive interventions and fostering a collaborative care environment, these technologies demonstrate direct potential to reduce delirium duration, decrease antipsychotic use, improve long-term cognitive outcomes, and alleviate the substantial economic burden on healthcare systems. These findings validate AI’s role in transforming delirium care through enhanced multidirectional communication.</div></div><div><h3>Implications for Clinical Practice</h3><div>ICU nurses are pivotal in utilizing AI tools through interpreting NLP-generated alerts, calibrating computer vision outputs, and facilitating family engagement to translate AI insights into empathetic, tailored bedside interventions, thereby reinforcing human-AI collaboration.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104323"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145883463","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}