American Journal of Critical Care最新文献

Correction. 修正。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-10-20 DOI: 10.4037/ajcc2026439

引用次数: 0

Research Requires Every Voice, Every Story, Every Table. 研究需要每一个声音，每一个故事，每一张桌子。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026642

Cindy L Munro, Lakshman Swamy

引用次数: 0

Weighted Blankets to Reduce Anxiety in Hospitalized Patients. 加重毛毯减轻住院病人焦虑

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026793

Christine Rico, Krishna Bhadu, Brynn Callahan, Zhuxuan Fu, Philip P Jones, Marci Ebberts

{"title":"Weighted Blankets to Reduce Anxiety in Hospitalized Patients.","authors":"Christine Rico, Krishna Bhadu, Brynn Callahan, Zhuxuan Fu, Philip P Jones, Marci Ebberts","doi":"10.4037/ajcc2026793","DOIUrl":"10.4037/ajcc2026793","url":null,"abstract":"Background: Weighted blankets are used to help bring calm and promote sleep. Research has shown that the use of weighted blankets can alleviate stress and anxiety, but studies have not been conducted in acutely ill, hospitalized patients.Objective: To determine the effectiveness of the use of a 15-pound (6.75-kg) weighted blanket in reducing self-reported anxiety in adult hospitalized patients.Methods: This study involved a convenience sample of 54 patients admitted to a Midwestern academic medical center. It used a randomized, crossover design consisting of 2 back-to-back, 20-minute treatment periods. Participants were randomly assigned to receive a weighted blanket intervention in either the first or the second period, with usual care during the alternate period. Participants rated their anxiety on a scale of 0 to 10 before randomization, at the end of each treatment period, and then again 60 minutes after the beginning of the intervention. A linear mixed-effects model was fit to evaluate the effect of the weighted blanket intervention on anxiety ratings.Results: During the first treatment period, the use of the weighted blanket intervention was associated with a 3.6-point lower mean anxiety rating compared with usual care (95% CI, -4.7 to -2.5). The effects of weighted blanket use persisted after the blanket was removed.Conclusion: This study demonstrated that use of a weighted blanket is an effective nonpharmacologic therapeutic intervention for hospitalized patients experiencing anxiety.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 5","pages":"362-368"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863401","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

Leading With Empathy. 用同理心领导。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026209

Richard H Savel, Carmen Collins

引用次数: 0

Time Heals Some Wounds? Burnout but Not Secondary Traumatic Stress in Critical Care Nurses. 时间能治愈一些伤口？重症护理护士的职业倦怠而非继发性创伤应激。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026573

Adrianna L Watson

{"title":"Time Heals Some Wounds? Burnout but Not Secondary Traumatic Stress in Critical Care Nurses.","authors":"Adrianna L Watson","doi":"10.4037/ajcc2026573","DOIUrl":"https://doi.org/10.4037/ajcc2026573","url":null,"abstract":"Background: Burnout among new nurses has been widely documented. Less is known about how years of professional experience relate to distinct components of professional quality of life, including compassion satisfaction and secondary traumatic stress. Early-career nurses appear particularly vulnerable to occupational strain, warranting examination of how years of experience may influence perceptions of professional well-being.Objective: To examine the relationship between years of nursing experience and professional quality of life among critical care nurses.Methods: A quantitative, cross-sectional pilot study was conducted using the Professional Quality of Life scale. A convenience sample of 55 nurses were recruited and consented from a rural hospital in the western United States. Descriptive statistics and Pearson correlations were used to examine relationships between years of experience and scores on the instrument's subscales.Results: Forty nurses provided complete survey responses. Years of nursing experience correlated positively with compassion satisfaction and negatively with burnout. No significant relationship was found between years of experience and secondary traumatic stress.Conclusions: Greater professional experience was associated with higher compassion satisfaction and lower burnout but not with secondary traumatic stress. These findings suggest that experience may buffer against cumulative occupational strain, whereas trauma-related stress responses may persist across career stages. Structured mentoring and transition support may help to mitigate burnout among early-career nurses, and trauma-informed leadership approaches may warrant consideration in high-acuity environments.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 5","pages":"384-388"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863419","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 Ebberts Article. Ebberts文章讨论指南。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026817

Grant A Pignatiello

引用次数: 0

Intensive Care Unit Sedation Concerns. 重症监护病房镇静问题。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026574

Takeshi Unoki, Tomoki Kuribara, Yoko Shizawa

引用次数: 0

Acute-Onset Arrhythmia After Noncardiac Surgery. 非心脏手术后的急性心律失常。

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026623

Sukardi Suba, Mary G Carey, Salah S Al-Zaiti

引用次数: 0

Workplace Discrimination Affecting Nurse Practitioners in US Hospitals. 影响美国医院护士从业人员的工作场所歧视

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026875

Hyunmin Yu, Matthew D McHugh, Heather Brom, Jacqueline Nikpour, Celsea Tibbitt, Hilary Barnes, J Margo Brooks Carthon

{"title":"Workplace Discrimination Affecting Nurse Practitioners in US Hospitals.","authors":"Hyunmin Yu, Matthew D McHugh, Heather Brom, Jacqueline Nikpour, Celsea Tibbitt, Hilary Barnes, J Margo Brooks Carthon","doi":"10.4037/ajcc2026875","DOIUrl":"10.4037/ajcc2026875","url":null,"abstract":"Background: Workplace discrimination remains a concern in health care, contributing to burnout and turnover among nurses, particularly those belonging to racial and ethnic minority groups. Although evidence is growing for staff nurses, little is known about discrimination among hospital-based nurse practitioners. As nurse practitioners assume expanding roles in both primary and consultative inpatient care, they often navigate ambiguous professional boundaries and may be especially vulnerable to marginalization, particularly those from underrepresented groups.Objective: To examine differences in workplace discrimination experiences between non-Hispanic White and racial and ethnic minority nurse practitioners.Methods: This study analyzed data from 862 nurse practitioners across 397 hospitals in 10 US states using the 2024 Nurses4All Survey and American Hospital Association annual survey. Propensity score weighting was applied to address confounding factors, and weighted logistic regression was used to examine the association between nurse practitioners' racial and ethnic minority status and frequent workplace discrimination.Results: Compared with non-Hispanic White nurse practitioners, racial and ethnic minority nurse practitioners had more than twice the odds of reporting frequent workplace discrimination (adjusted odds ratio [AOR], 2.09; 95% CI, 1.25-3.49). Odds of experiencing frequent workplace discrimination were particularly elevated among non-Hispanic Black (AOR, 2.63; 95% CI, 1.13-6.10) and multiracial (AOR, 3.45; 95% CI, 1.45-8.19) nurse practitioners.Conclusions: This study provides new evidence that discrimination in hospitals is a significant concern for racial and ethnic minority nurse practitioners, especially those who are Black or multiracial. Addressing institutional racism through system-level reforms is critical to improving workforce equity and retention.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 5","pages":"334-343"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863441","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

Discarding Bedside Cart Paper-Packaged Supplies Between Patients: What Evidence Is Required? 病人之间丢弃床边推车纸包装用品：需要什么证据？

IF 2.6 3区医学

American Journal of Critical Care Pub Date : 2026-09-01 DOI: 10.4037/ajcc2026909

Shellie Severson, Ari R Joffe

{"title":"Discarding Bedside Cart Paper-Packaged Supplies Between Patients: What Evidence Is Required?","authors":"Shellie Severson, Ari R Joffe","doi":"10.4037/ajcc2026909","DOIUrl":"https://doi.org/10.4037/ajcc2026909","url":null,"abstract":"Background: Discarding paper-packaged sterile supplies from bedside supply carts between patients in pediatric intensive care units (PICUs) is a potential practice to target for environmental stewardship.Objectives: To determine opinions about this practice, including what evidence should be required to implement and what evidence would be adequate to abandon it.Methods: A survey was distributed to all pediatric intensivists engaged in multicenter research in Canada and to all PICU nurses at one institution in Canada.Results: The response rate was 75 of 254 (30%). The practice occurred in 54 (72%) of the respondents' units. Ten respondents (13%) agreed the practice was effective in preventing nosocomial infections. Most respondents agreed the practice should be based on empirical evidence, including a combination of improved patient outcomes (n = 57, 76%), rate of contamination of supplies within the supply carts (n = 55, 73%), and survivability of pathogens inoculated onto paper (n = 56, 75%). Most respondents agreed they would be comfortable with a randomized controlled trial (n = 52, 69%) and would support action based on the results (n = 54, 72%). The potential trial outcome most highly ranked was next-patient nosocomial infection with pathogen from the previous patient (n = 23, 31%); this was ranked more often by intensivists (P = .005). Other outcomes highly ranked included next-patient colonization with pathogen from the previous patient (n = 44, 59%) and pathogen detection on supplies within the supply cart (n = 43, 57%).Conclusions: Most respondents agreed that the practice was not based on empirical evidence, agreed the practice should be based on empirical evidence, and would agree to a randomized trial with patient-important outcomes.","PeriodicalId":7607,"journal":{"name":"American Journal of Critical Care","volume":"35 5","pages":"395-399"},"PeriodicalIF":2.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148863323","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