American Journal of Critical Care最新文献

Transient Arrhythmias After Aortic Valve Repair. 主动脉瓣修复后的短暂性心律失常。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025428

Dillon J Dzikowicz, Salah Al-Zaiti, Mary G Carey

引用次数: 0

Men Are From Mars, Women Are From Venus? Differing Effects of Shift Work on Nurses' Marital Satisfaction. 男人来自火星，女人来自金星？轮班工作对护士婚姻满意度的不同影响。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025764

Natalya Licht, Nikole Bekman, Anna C Kienski Woloski Wruble

{"title":"Men Are From Mars, Women Are From Venus? Differing Effects of Shift Work on Nurses' Marital Satisfaction.","authors":"Natalya Licht, Nikole Bekman, Anna C Kienski Woloski Wruble","doi":"10.4037/ajcc2025764","DOIUrl":"https://doi.org/10.4037/ajcc2025764","url":null,"abstract":"Background: Shift work can affect quality of life, especially marital satisfaction.Objective: To compare marital satisfaction between nurses doing shift work in intensive care units (ICUs) and inpatient departments, focusing on gender differences.Methods: A descriptive-comparative cross-sectional study was conducted among 126 nurses. Data were collected using self-reported questionnaires, including the ENRICH Marital Satisfaction scale.Results: The study included 76 ICU nurses (54 women [71%]) and 50 inpatient department nurses (31 women [62%]). The mean ENRICH Marital Satisfaction score was higher (indicating greater marital satisfaction) for ICU nurses (mean [SD], 51.58 [11.03]) than for inpatient department nurses (mean [SD], 49.00 [9.90]), although the difference was not significant (P = .94). Gender-specific differences (mean [SD]) were significant among inpatient department nurses in roles and responsibilities (men, 4.47 [0.53], women, 3.97 [0.62]; P = .004), partner communication (men, 4.32 [0.67], women, 3.80 [0.48]; P = .01), time spent with partner (men, 4.05 [0.91], women, 3.20 [0.96]; P = .003), and religious beliefs (men, 4.21 [0.78], women, 3.70 [0.98]; P = .02) components. Linear regression indicated that the partner's profession in health care (β = -0.21; P = .02) and the partner's satisfaction with the nurse's shift work (β = 0.18; P = .04) were significant predictors of marital satisfaction.Conclusions: Addressing gender, unit, and other personal factors while promoting the connection between employee well-being and the work environment may enhance marital satisfaction among nurses, foster a more balanced work-family system, and improve professional performance.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"34 4","pages":"293-301"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fostering a Spirit of Inquiry: Inspiring Nurses to Advance Practice Based on Best Evidence. 培养探究精神：激励护士基于最佳证据推进实践。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025493

Mary Beth Flynn Makic

{"title":"Fostering a Spirit of Inquiry: Inspiring Nurses to Advance Practice Based on Best Evidence.","authors":"Mary Beth Flynn Makic","doi":"10.4037/ajcc2025493","DOIUrl":"https://doi.org/10.4037/ajcc2025493","url":null,"abstract":"Early in my career as a critical care nurse, I noticed discrepancies between arterial blood gas values and noninvasive readings. My unit's clinical nurse specialist encouraged me to conduct a research study; the findings from that study drove a practice change for the unit, and I presented the results at a national conference. This experience inspired a spirit of inquiry and launched my career focused on research and adoption of best evidence to advance nursing practice affecting the patients we serve. Clinical inquiry, both on my part and on the part of the nurses I worked alongside, led me to critically examine evidence to either implement a body of science in practice or generate knowledge to improve practice, health care systems, and patient outcomes. My program of scholarship has focused on understanding ways in which nurses independently influence patient care. As a hospital-based research nurse scientist, I had the opportunity to explore nursing practice by asking questions and seeking answers associated with the impact of technology on practice, hospital-acquired conditions, and evidence translation. Nursing practice questions fostered robust explorations on a wide range of topics from exploring use of technology to inform interventions to understanding new graduate nurses' experiences during the COVID-19 pandemic. As I was recognized as an evidence-based practice expert, my spirit of inquiry led me to promote evidence-based practice as a foundational principle to reduce patient harm and advance nursing practice. Fostering a spirit of inquiry supports the generation of nursing science and translation of best evidence to inform our daily practice.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"34 4","pages":"255-265"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Intra-Arterial Versus Noninvasive Blood Pressure Monitoring: A Systematic Review and Meta-Analysis. 动脉内与无创血压监测：系统回顾和荟萃分析。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025348

Lauren Becker, Vera Bzhilyanskaya, Arjun Sharman, Madison Moran, Jasjot Sayal, Anandita Gaur, Anna Shaw, Emily Gorman, Ali Pourmand, Quincy K Tran

{"title":"Intra-Arterial Versus Noninvasive Blood Pressure Monitoring: A Systematic Review and Meta-Analysis.","authors":"Lauren Becker, Vera Bzhilyanskaya, Arjun Sharman, Madison Moran, Jasjot Sayal, Anandita Gaur, Anna Shaw, Emily Gorman, Ali Pourmand, Quincy K Tran","doi":"10.4037/ajcc2025348","DOIUrl":"https://doi.org/10.4037/ajcc2025348","url":null,"abstract":"Background: Invasive intra-arterial blood pressure (IABP) monitoring is common in critical care. However, IABP might be unnecessary if noninvasive blood pressure (NIBP) measurements are similar to IABP measurements.Objectives: To investigate differences between IABP and NIBP measurements and their clinical relevance.Methods: In a systematic review and meta-analysis, multiple databases were searched for eligible studies from inception to September 2023. Primary and secondary outcomes were differences between invasive and noninvasive measurements of systolic blood pressure (SBP) and mean arterial pressure (MAP), respectively. Tertiary outcomes were differences of 10 mm Hg or greater in SBP and MAP between IABP and NIBP measurements. Outcomes were expressed as standardized mean differences and 95% CIs. Study quality and heterogeneity were assessed. The study was registered with PROSPERO (CRD42022383924).Results: The meta-analysis included 23 observational studies (6549 patients). Standardized mean differences between IABP and NIBP measurements were 0.238 (95% CI, 0.121-0.355; P < .001; I2 = 87%) for SBP and 0.062 (95% CI, -0.065 to 0.189; P = .34; I2 = 87%) for MAP. Bland-Altman plots demonstrated that SBP values were often lower with NIBP than with IABP measurements. The prevalence (95% CI) of differences of 10 mm Hg or greater was 0.500 (0.415-0.584) for SBP and 0.330 (0.227-0.452) for MAP.Conclusions: Measurement via NIBP may underestimate SBP; differences of 10 mm Hg or greater are relatively frequent. The clinical relevance of these differences remains unclear.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"34 4","pages":"e6-e23"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Rapid Response. 快速反应。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025190

Fiona Winterbottom

引用次数: 0

Delirium Among Critically Ill Patients With Stroke: Prevalence, Severity, and Outcomes. 危重中风患者的谵妄：患病率、严重程度和结局。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025153

Thomas N Lawson, Alai Tan, Molly McNett, Michele C Balas, Amy Brinda, Nathan E Brummel, Mary B Happ, Judith A Tate

{"title":"Delirium Among Critically Ill Patients With Stroke: Prevalence, Severity, and Outcomes.","authors":"Thomas N Lawson, Alai Tan, Molly McNett, Michele C Balas, Amy Brinda, Nathan E Brummel, Mary B Happ, Judith A Tate","doi":"10.4037/ajcc2025153","DOIUrl":"https://doi.org/10.4037/ajcc2025153","url":null,"abstract":"Background: Delirium is a common complication of critical illness, but the epidemiology of delirium among stroke patients with critical illness is uncertain.Objectives: To assess the prevalence, severity, and short-term outcomes of delirium in adults admitted to a neurocritical care unit with acute ischemic stroke, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage.Methods: A prospective, observational cohort study was conducted in a neurocritical care unit in the United States. Patients were enrolled within 48 hours of stroke symptom onset. Delirium was assessed daily until study day 7 (or until transfer out of the neurocritical care unit) with the Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) and the CAM-ICU-7 delirium severity score.Results: Overall, 44.4% of patients in the cohort had delirium. Prevalence was higher among patients with intracerebral hemorrhage (38%, 60%, and 32% in patients with acute ischemic stroke, intracerebral hemorrhage, and aneurysmal subarachnoid hemorrhage, respectively). Mean CAM-ICU-7 score for patients who had delirium was 5.64. Regression analyses showed patients with delirium had more ventilator days (point estimate, 2.59; 95% CI, 0.73-4.44), longer ICU and hospital lengths of stay (point estimates, 3.33 [95% CI, 1.36-5.31] and 6.76 [3.43-10.09], respectively), lower odds of discharge home (odds ratio, 0.42; 95% CI, 0.19-0.94), and higher odds of worse modified Rankin score of 3 or higher at discharge (odds ratio, 2.58; 95% CI, 1.04-6.36). Higher delirium severity resulted in worse outcomes.Conclusions: Delirium is common among critically ill stroke patients, especially those with intracerebral hemorrhage, and patients who experience delirium have worse outcomes. Increasing severity of delirium is associated with adverse outcomes.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"34 4","pages":"266-273"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526038","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

It Is Time for the US Health Care System to Address Critical and Acute Illness Recovery Engagement. 现在是美国医疗保健系统解决重症和急性疾病康复参与的时候了。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025788

Khoa Nguyen, Jennifer Arnold, Jared Cloutier, Kinsley Hubel, Aluko A Hope

引用次数: 0

Promoting Family Presence During Resuscitation and Invasive Procedures. 在复苏和有创手术中促进家庭参与。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025948

Sarah K Wells

引用次数: 0

"Being There": An Empirical Logic Model for Family Presence During Resuscitation and Invasive Procedures. “在那里”：在复苏和侵入性过程中家庭在场的经验逻辑模型。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025906

Margo A Halm, Halley Ruppel, Jessica Sexton

{"title":"\"Being There\": An Empirical Logic Model for Family Presence During Resuscitation and Invasive Procedures.","authors":"Margo A Halm, Halley Ruppel, Jessica Sexton","doi":"10.4037/ajcc2025906","DOIUrl":"https://doi.org/10.4037/ajcc2025906","url":null,"abstract":"Family presence during resuscitation and invasive procedures emerged as a practice innovation in the early 1980s in response to family needs during critical health care situations. By the 1990s, the American Association of Critical-Care Nurses, along with numerous other organizations, had formally supported this intervention and developed practice alerts, position statements, and other evidence-based guidelines. As the practice spread, researchers stepped up to investigate patient, family, and health care team outcomes. Today, family presence is practiced and studied across the globe. This article describes an empirical \"Being There\" model of the family presence intervention based on more than 125 pieces of external evidence. Using a logic model framework, it outlines the components of a family presence program, including the situation and priorities, inputs, outputs, outcomes/impact, assumptions, and external factors. This model can be used by units and organizations interested in revitalizing or initiating a family presence program in pediatric or adult emergency, high-acuity, or critical care settings. Program development and evaluation suggestions are offered, as well as recommendations for implementation science research to identify the most effective strategies for helping health care teams adopt and sustain family presence programs to meet patient and family needs in vulnerable health care moments.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"34 4","pages":"302-311"},"PeriodicalIF":2.7,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144526035","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Discussion Guide for the Lawson Article. 劳森文章讨论指南。

IF 2.7 3区医学

American Journal of Critical Care Pub Date : 2025-07-01 DOI: 10.4037/ajcc2025868

Grant A Pignatiello

引用次数: 0