Intensive and Critical Care Nursing最新文献

{"title":"Infections in long-term care: Challenges in an ageing Europe","authors":"Jordi Rello ,&nbsp;Niccolò Buetti ,&nbsp;Hagar L. Mowafy","doi":"10.1016/j.iccn.2025.104271","DOIUrl":"10.1016/j.iccn.2025.104271","url":null,"abstract":"<div><h3>Background</h3><div>The demographic shift towards an ageing population, especially in Europe, place a significant burden on healthcare systems and increasing demand for long-term care facility (LTCF) services. These facilities provide support to both older individuals and patients with disabilities. Despite their importance, LTCFs continue to face challenges in infection prevention and control (IPC) contributing to increase the burden of healthcare-associated infections (HAIs) and antimicrobial resistance (AMR).</div></div><div><h3>Objective</h3><div>The aim of this opinion review is to summarize current global and regional IPC guidance applicable to LTCFs and identifies critical gaps that must be addressed to improve residents’ safety.</div></div><div><h3>Discussion</h3><div>Global and regional organizations including the World Health Organization (WHO), European Centre for Disease Prevention and Control (ECDC), United States Centre for Disease Control and Prevention (CDC), and other professional organizations provides basic IPC recommendations mostly adapted from acute healthcare settings. Despite these valuable resources, major gaps persist, especially within the European context. One of the major gaps is that most of these IPC guidance are adapted from acute care settings without taking into consideration the unique structural and social differences of LTCFs. The inherent heterogeneity of LTCFs within European countries, the scarcity of high-quality studies assessing different IPC interventions across diverse LTCF types, compounded by the limitations in workforce capacity and surveillance gaps further pose critical challenges to effective IPC guidance.</div></div><div><h3>Implications for Clinical Practice</h3><div>Unified, evidence-based guidelines specifically designed for LTCFs are urgently needed to warrant the safety and equity of service provided to LTCF residents across different countries and sectors. Such a framework must emphasize continuous surveillance, workforce development, and practical, applicable strategies that can be easily incorporated into the unique nature of LTCFs.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104271"},"PeriodicalIF":4.7,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145468048","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":"Asymmetrical high flow nasal cannula: A new interface to improve physiology","authors":"Alessandro Galazzi ,&nbsp;Filippo Binda ,&nbsp;Tommaso Mauri","doi":"10.1016/j.iccn.2025.104240","DOIUrl":"10.1016/j.iccn.2025.104240","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104240"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254186","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 statistical rigor, data visualization, and multidisciplinary engagement in longitudinal delirium management research – Response to Rahimi-Bashar et al.","authors":"Oliver Coolens ,&nbsp;Peter Nydahl","doi":"10.1016/j.iccn.2025.104215","DOIUrl":"10.1016/j.iccn.2025.104215","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104215"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144922166","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":"Integrating bedside nurse perspectives and well-being in ECMO program implementation","authors":"Adrielle R. Espinosa","doi":"10.1016/j.iccn.2025.104246","DOIUrl":"10.1016/j.iccn.2025.104246","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104246"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245945","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":"Escalation metrics, clinical nuance, and the early warning score paradox – Response to Chen et al.","authors":"Jody Ede,&nbsp;Ruth Endacott,&nbsp;Bridie Kent","doi":"10.1016/j.iccn.2025.104229","DOIUrl":"10.1016/j.iccn.2025.104229","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104229"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048768","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":"Application of 222-nm ultraviolet radiation C device to heal wounds and control infections in pressure injuries in intensive care unit patients: a randomized controlled trial","authors":"Yin-Tai Tsai ,&nbsp;Rou-Tzu Li ,&nbsp;Hui-Ju Lai ,&nbsp;Wen-Pei Chang","doi":"10.1016/j.iccn.2025.104162","DOIUrl":"10.1016/j.iccn.2025.104162","url":null,"abstract":"<div><h3>Objective</h3><div>This study examined the effects of 222-nm UVC on pressure injury (PI) wound healing in ICU patients, focusing on wound condition, bacterial count, and PI area.</div></div><div><h3>Setting</h3><div>Adult ICU patients at a medical center in Taiwan.</div></div><div><h3>Research methodology</h3><div>A total of 70 adult ICU patients in northern Taiwan were randomly assigned to either a 222-nm UVC group (<em>n</em> = 35) or a control group (<em>n</em> = 35). The UVC group received daily 60-second exposures (5 cm distance) before dressing changes from Day 1 to 7, then standard care from Day 8 to 14. The control group received standard care throughout. Data were collected at baseline (T0), Day 8 (T1), and Day 15 (T2), including Pressure Sore Status Tool (PSST) scores, bacterial counts, and PI area. After excluding patients transferred or needing special care before Day 15, 65 remained for final analysis (irradiation: <em>n</em> = 33; control: <em>n</em> = 32).</div></div><div><h3>Results</h3><div>Generalized estimating equations showed significant group × time interaction effects. The irradiation group had greater PSST improvement at T1 (<em>B</em> = −3.01, <em>p</em> = 0.006) and T2 (<em>B</em> = −4.79, <em>p</em> &lt; 0.001), greater bacterial count reduction at T2 (<em>B</em> = −2214.33, <em>p</em> = 0.038), and PI area reduction at T1 (<em>B</em> = −7.04, <em>p</em> = 0.036).</div></div><div><h3>Conclusion</h3><div>The irradiation group exhibited significantly better improvements in PSST scores, bacterial count, and PI area than did the control group, suggesting potential benefits of 222-nm UVC in infection control and wound healing. However, the single-center design and small sample limit generalizability. Further large-scale, multi-center studies are needed to confirm its role in routine care.</div></div><div><h3>Implications for clinical practice</h3><div>The preliminary findings of this study indicate that 222-nm UVC may facilitate PI wound healing in ICU patients, which shows that it has potential value for auxiliary application in clinical nursing care. The current evidence is still preliminary in nature and requires more empirical validation.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104162"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746644","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 Ideal Human Care in Green ICU: An integrated AI framework for future ICU care – Letter on Arabfard et al.","authors":"Tarun Madan Kanade ,&nbsp;Vandana Sonwaney ,&nbsp;Sampada V. Bende","doi":"10.1016/j.iccn.2025.104272","DOIUrl":"10.1016/j.iccn.2025.104272","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104272"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145524850","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":"Simulation and validation: re-evaluating gastric tube-tip manometry for nasogastric tube verification – Response to Tao Zhang","authors":"Yunxia Chen,&nbsp;Zhiyuan Sheng","doi":"10.1016/j.iccn.2025.104130","DOIUrl":"10.1016/j.iccn.2025.104130","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104130"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145396015","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 virtual reality-based breathing training on pulmonary function recovery and prevention of pulmonary complications in post-laparotomy patients: a randomised controlled trial","authors":"Jeonghee Kang ,&nbsp;Jiyeon Kang","doi":"10.1016/j.iccn.2025.104232","DOIUrl":"10.1016/j.iccn.2025.104232","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104232"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145105069","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":"Dehumanization in healthcare: is artificial intelligence a threat or a salvation?","authors":"Marieke Geldof ,&nbsp;Athiana Ryland ,&nbsp;Simon Malfait","doi":"10.1016/j.iccn.2025.104284","DOIUrl":"10.1016/j.iccn.2025.104284","url":null,"abstract":"","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104284"},"PeriodicalIF":4.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575139","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}