Enfermeria intensiva最新文献

{"title":"A commentary on “Development of burnout and moral distress in intensive care nurses: An integrative literature review” (Salas-Bergüés et al., 2024)","authors":"Paula Samanta-Pereira RN , Ana Carolina Monteiro MSc , Matilde Fernandes MSc","doi":"10.1016/j.enfie.2025.500559","DOIUrl":"10.1016/j.enfie.2025.500559","url":null,"abstract":"","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500559"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903003","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive care unit nurses and adolescent donation and transplantation training. Scoping review","authors":"Meritxell Comas-Carrillo RN, MSN, PhD ,&nbsp;Ignacio Zaragoza-García RN, MSN, PhD ,&nbsp;Concepción Campos-Asensio BPharm, MLS ,&nbsp;Marta Raurell-Torredà RN, MSN, PhD","doi":"10.1016/j.enfie.2025.500532","DOIUrl":"10.1016/j.enfie.2025.500532","url":null,"abstract":"<div><h3>Background</h3><div>The attitude and practise of intensive care unit nurses are crucial for organ donation and transplantation (OTD), for the time and communication they share with family members. Therefore, they can be excellent educators of adolescents, contributing to encourage the authorization of donation among those who represent the future of the community.</div></div><div><h3>Objective</h3><div>To describe teaching methodologies in DTO for adolescents and analyse their influence on attitudes, beliefs, knowledge and predisposition towards donation.</div></div><div><h3>Methods</h3><div>Scoping review using MEDLINE, Cochrane Library, Embase, CINAHL, and ERIC, between January 2022 and June 2023. No time or language limits were applied. Two independent investigators reviewed titles, abstracts, and full text according to inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>We analysed 829 abstracts from databases and 50 from citation searches, grey literature and the National Transplant Organization website. 16 articles were selected. The pre-intervention educational knowledge questionnaires showed no significant differences between groups in terms of knowledge and opinions on OTD, but post-intervention, different authors agreed on an improvement in knowledge, linked to less rejection of OTD and promoting a favourable attitude towards donation. None of the experts who gave the training were ICU nurses; only one was a transplant coordinator, but she did not indicate a care unit. In the interventions that had used some technological support (video, presentation, web, etc.), the results seem more favourable compared to traditional educational programmes (50% vs 14%).</div></div><div><h3>Conclusions</h3><div>Fifteen teaching programmes have been found to have favourable results on attitudes, beliefs, knowledge and willingness to donate. However, no validated instrument was used to measure these changes. The use of technology is related to better outcomes. No ICU nurses have been identified as trainers.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500532"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysis of availability, training, and use of ultrasound by nurses in intra- and extrahospital emergency services: A national survey","authors":"Sergio Yago-Rios RN, MsC ,&nbsp;Raimunda Montejano-Lozoya RN, MsC, PhD ,&nbsp;Llucia Valentín-Martín RN, MsC ,&nbsp;Carmen Casal-Angulo RN, MsC, PhD ,&nbsp;Brais Quintairos-Manso RN, MsC ,&nbsp;Ángeles Rodríguez-Herrera RN, MsC, PhD ,&nbsp;Vicente Isidro Manrique-Ortiz RN ,&nbsp;Jorge Prieto-González RN, MsC ,&nbsp;Juan Carlos Miranda-Domínguez RN, MsC ,&nbsp;Àngela Soler-Sanchís RN, MsC ,&nbsp;Pablo Sánchez-Ballesteros RN, MsC ,&nbsp;Álvaro Solaz-García RN, MsC, PhD","doi":"10.1016/j.enfie.2025.500552","DOIUrl":"10.1016/j.enfie.2025.500552","url":null,"abstract":"<div><h3>Introduction</h3><div>The use of ultrasound devices in emergency services has grown significantly, particularly point-of-care ultrasound (POCUS), which has enhanced patient management and treatment, reduced costs, and minimized radiation exposure. In nursing, POCUS has become an essential tool, especially for vascular access procedures. However, disparities in training and access to ultrasound equipment exist across emergency services in different regions of Spain. This study aims to explore these differences and their impact on clinical practice.</div></div><div><h3>Methodology</h3><div>A cross-sectional, descriptive, observational study was conducted, involving nurses from emergency services throughout Spain. Data were collected via an online survey validated through the Delphi method. The study received approval from the Ethics Committee.</div></div><div><h3>Results</h3><div>A total of 424 professionals from all regions except the Balearic Islands participated, representing 123 hospital emergency services, 15 prehospital services, and 20 primary care centers. Overall, 79% had access to ultrasound devices, with significant differences across service types (<em>P</em> &lt; .01). Only 36% reported having access to a full range of probes. Notably, 63% of participants lacked formal ultrasound training. Variability in equipment availability and training differed significantly between regions (<em>P</em> &lt; .05).</div></div><div><h3>Discussion</h3><div>The findings highlight substantial disparities in the availability of ultrasound devices and probes across different services and regions. Additionally, most nursing professionals lack ultrasound training. Compared to other European countries, availability in Spain is lower. The lack of training may stem from the absence of nationally accredited programs, leaving individual resources as the primary means of acquiring skills.</div></div><div><h3>Conclusion</h3><div>Significant inequalities exist in access to ultrasound equipment and training among emergency services and regions in Spain. Professional training in this field varies depending on the region studied.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500552"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The use of continuous glucose monitoring: A scoping review of accuracy, feasibility and nursing workload reduction in intensive care setting","authors":"Marc Pañero-Moreno RN, MSc ,&nbsp;Meritxell Muxella-Roson RN ,&nbsp;Gemma Dubè-Llobet RN ,&nbsp;Marta Cabrerizo-Jimenez RN ,&nbsp;Eva Maria Guix-Comellas RN, MSN, PhD ,&nbsp;Alberto Villamor-Ordozgoiti RN, MSN, PhD ,&nbsp;Natalia Marsà-Perez RN","doi":"10.1016/j.enfie.2025.500534","DOIUrl":"10.1016/j.enfie.2025.500534","url":null,"abstract":"<div><h3>Background</h3><div>Hyperglycemia is prevalent in intensive care units (ICUs), associated with increased mortality. Management involves frequent point-of-care glucose (POC-G), but continuous glucose monitoring (CGM) shows promise in improving glycemic control.</div></div><div><h3>Aims</h3><div>To explore the knowledge in the literature about the impact and accuracy of CGM in ICUs.</div></div><div><h3>Design</h3><div>A scoping review was conducted; PubMed, Web of Science, CINAHL, Scopus databases and Gray Literature covering the period from September 2018 to September 2024.</div></div><div><h3>Methods</h3><div>Data abstraction, quality appraisal, and narrative synthesis were carried out in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines.</div></div><div><h3>Results</h3><div>Of the 952 titles reviewed, 20 articles were included. Clinical outcomes were mean absolute relative difference (MARD), ranged from 9.3% to 20.6%. Additionally, there was a 30–71% reduction of POC-G measurements. Time in range (TIR) varied from 46.1% to 100%. Clarke Error Grid (CEG) analysis demonstrated that over 98% of the glucose values fell within zones A and B.</div></div><div><h3>Conclusions</h3><div>CGM in the ICU reduces nursing workload, enhances patient safety, and facilitates early intervention for abnormal glucose levels, demonstrating its feasibility, accuracy and effectiveness in critical care settings. Additional clinical trials are needed to validate these findings and establish optimal usage parameters.</div></div><div><h3>Relevance to clinical practice</h3><div>CGM came to stay in ICU. Therefore, it is crucial to start training critical care nurses in the use of CGM. This will enable us to maximize their benefits in terms of reducing nursing workload and enhancing patient safety.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500534"},"PeriodicalIF":0.0,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144903001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Descriptive study on nurses' coping with the death of a pediatric patient","authors":"Leire Legorburu Brezmes RN","doi":"10.1016/j.enfie.2025.500547","DOIUrl":"10.1016/j.enfie.2025.500547","url":null,"abstract":"<div><h3>Introduction</h3><div>According to several studies, nurses feel that they are not prepared to face the death of a patient, especially when the patient is paediatric.</div></div><div><h3>Objective</h3><div>To describe the level of coping of nurses in various departments of a paediatric monographic hospital when faced with the death of a patient.</div></div><div><h3>Methods</h3><div>A quantitative, descriptive, cross-sectional, observational, case series study was carried out from February to April 2024 with nurses from the paediatric palliative care, the paediatric intensive care unit and the paediatric oncohematology unit of a monographic paediatric hospital in the Community of Madrid. Several sociodemographic variables were determined and the Bugen Death Coping Scale was used as the main instrument, followed by a descriptive analysis of the data.</div></div><div><h3>Results</h3><div>In the present study, 69% had neutral coping with death, 19 % had optimal coping and 11.9% had inadequate coping. It has been observed that nurses who work in paediatric palliative care, have a fixed shift, have suffered the death of a family member in the last three years and have previous training, have a better coping with death. Likewise, it could be seen that older age and greater work experience, male sex and having children may be factors that favor optimal coping in the face of death.</div></div><div><h3>Conclusions</h3><div>Knowing these data helps to establish strategies for improvement, since it has been seen that greater preparation of professionals decreases anxiety in the face of death and improves patient care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500547"},"PeriodicalIF":0.0,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330521","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Relationship between the use of the backboard and the quality of chest compressions","authors":"Ana María Ezquerra-García RN ,&nbsp;María de la O. Casamayor-Lerena RN","doi":"10.1016/j.enfie.2025.500542","DOIUrl":"10.1016/j.enfie.2025.500542","url":null,"abstract":"<div><div>The effectiveness of the backboard in cardiopulmonary resuscitation (CPR) has not been established although it is recommended to perform compressions on a firm surface.</div></div><div><h3>Objectives</h3><div>To determine the relationship between the use of the backboard and the depth of chest compressions (CC). To know the preference of rescuers when performing CC without or with backboard.</div></div><div><h3>Methodology</h3><div>Single-blind, experimental study with paired data. All staff of healthcare workers in the Intensive Care Unit (ICU) performed two one-minute simulations of uninterrupted CC, one without and one with a backboard. The quality of the CC was valued: Rate, depth, complete chest release and compression, performed with and without backboard. The placement of the backboard was simply randomised at the first measurement. The subjects were unaware of the difference between the two scenarios. Participation was voluntary. Two analyses were performed with paired Student’s t-test: one analysing the order of measurement and the other in relation to the presence or absence of the backboard.</div></div><div><h3>Results</h3><div>Seventy-one workers (87.6%) of the staff participated. The presence of the backboard was associated with an increase in the average depth (47.99 mm vs 48.99 mm) <em>P</em> = .008 and the percentage of compression &gt; 50 mm (63.65 vs 76.17) <em>P</em> = .002. When analysing the simulation order, an increase in the frequency of CC was observed in the second measurement (131.14 vs 135.03) P = .009. Participants had no preference between the two simulations (<em>P</em> = .749).</div></div><div><h3>Conclusions</h3><div>The backboard as a hard plane increases the mean depth and percentage of chest compression during CPR on hospital mattress without affecting complete chest release or rate. The rescuers do not perceive the presence of the backboard, and there is not preference in its execution without or with a backboard.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500542"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144291556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Allergic myocardial infarction due to bee sting","authors":"Beatriz Gómez-Martín RN, MSN","doi":"10.1016/j.enfie.2025.500550","DOIUrl":"10.1016/j.enfie.2025.500550","url":null,"abstract":"<div><h3>Introduction and case presentation</h3><div>Kounis Syndrome is the association of acute coronary syndrome (ACS) in the context of a hypersensitivity reaction whose prevalence is difficult to identify and its etiology is multifactorial, which makes its early detection difficult. The unusual case of a woman who suffers an acute myocardial infarction (AMI) with cardiorespiratory arrest (CPA) secondary to the accidental sting of a bee is presented. The objective is, regarding the case, to define the nursing interventions and the individualised care plan.</div></div><div><h3>Assessment</h3><div>Based on Virginia Henderson's care model, the assessment of the nursing care process was carried out.</div></div><div><h3>Diagnosis and planning</h3><div>According to the NANDA taxonomy, the nursing diagnoses and potential problems that developed during their stay in the unit were described. Standardized language was used establishing NOC objectives and NIC interventions.</div></div><div><h3>Discussion and conclusions</h3><div>The combination of both pathologies in a single entity can make the management of this syndrome in the acute phase difficult, which modifies the conventional scenario of a PCR. Defining a standardised care plan is a fundamental axis to provide optimal quality of care based on evidence in the absence of standardised algorithms in the literature.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500550"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280859","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Incidence of adverse events in patients undergoing continuous renal replacement therapy anticoagulated with sodium citrate","authors":"Juan Carlos Muñoz-Camargo RN, MSc, PhD,&nbsp;Inmaculada Vázquez-Rodríguez-Barbero RN,&nbsp;Alicia Muñoz-Torrero-Peña RN,&nbsp;Amadeo Puebla-Martín RN","doi":"10.1016/j.enfie.2025.500544","DOIUrl":"10.1016/j.enfie.2025.500544","url":null,"abstract":"<div><h3>Introduction</h3><div>Acute kidney injury (AKI) is a frequent complication in Intensive Care Unit (ICU) patients with high morbidity and mortality.</div></div><div><h3>Objective</h3><div>To analyze the incidence of mechanical and metabolic adverse events associated with continuous renal replacement therapy using sodium citrate as a regional anticoagulant.</div></div><div><h3>Material and methods</h3><div>Observational, descriptive and prospective study performed in a polyvalent ICU during three years. Patients with AKI treated with renal replacement therapy and sodium citrate (Prismocitrate 18/0 mmol/L [0.5%]) were included. Patients with liver failure, active bleeding, severe thrombocytopenia, ICU stay of less than 24 h or treated with other anticoagulants were excluded. Demographic variables, severity index (APACHE II), vasoactive drug use, adverse events, and catheter characteristics were recorded. Anticoagulation efficacy was assessed with filter duration. Statistical analysis was performed with SPSS v.28.0, with <em>P</em> &lt; .05 as the significance level. The study was approved by the ethics committee and informed consent was obtained from the patients or their relatives.</div></div><div><h3>Results</h3><div>We studied 100 patients, 62% men, with a mean age of 63 ± 14.5 years. The main causes of AKI were septic shock, hemorrhagic shock and Covid-19. The median ICU stay was 16 days (RIC 8–43), with intra-ICU mortality of 48%. Therapy lasted a median of 60.5 h (RIC 38–107). Only one patient presented bleeding, and in 26% the filter coagulated. There were no cases of citrate toxicity. Electrolyte complications included hypocalcemia (45%), hypokalemia (41%), hyponatremia (36%) and metabolic acidosis (30%).</div></div><div><h3>Conclusions</h3><div>Mechanical and metabolic complications are common in continuous renal replacement therapies with sodium citrate. It is essential for ICU staff to be aware of their high prevalence in order to optimize clinical management.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500544"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effectiveness of family accompaniment and environmental measures to reduce the incidence of delirium incidence in an acute cardiovascular unit: A quasi-experimental study. It is possible to reduce delirium without using drugs, and it is better","authors":"Luis Guerra-Sánchez PhD ,&nbsp;Sara González-Alfonso RN ,&nbsp;Pablo Lerma-Lara RN ,&nbsp;Miguel Bernardino-Santos RN ,&nbsp;Rosario Cortijo-González RN ,&nbsp;Soraya Bustamante-González RN","doi":"10.1016/j.enfie.2025.500546","DOIUrl":"10.1016/j.enfie.2025.500546","url":null,"abstract":"<div><h3>Introduction</h3><div>The occurrence of delirium casts a shadow over the prognosis of patients, especially the critically ill. Prevention and treatment of delirium is more effective and with fewer adverse effects with multicomponent interventions than with pharmacological measures alone. The objective was to assess whether a non-pharmacological care-related intervention can reduce the incidence of delirium in an acute cardiovascular care unit.</div></div><div><h3>Methods</h3><div>Quasi-experimental study (before/after). ‘Before’: From November 2018 to March 2019, 190 patients aged 18 years and older, admitted to an acute cardiovascular care unit, were assessed using the Confusion Assessment Method for the ICU. From April to November 2019, a series of actions related to the physical environment and accompaniment were implemented. The ‘after’ started in November 2019 and 189 patients were assessed until early March 2020.</div></div><div><h3>Results</h3><div>The incidence of delirium before introducing the actions was 11,6%, which fell to 4,2% (<em>P</em> = ,012) after the actions.</div></div><div><h3>Discussion</h3><div>Management of delirium includes effective diagnosis, delirium prevention activities and treatment, which ideally should be free of side effects.</div></div><div><h3>Conclusions</h3><div>The implementation of a bundle of measures related to environmental changes and involving the family, significantly reduced the incidence of delirium, to less than half.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 3","pages":"Article 500546"},"PeriodicalIF":0.0,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144280857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive care and inpatient nurse’s intention to leave the profession. Association with psychologicosocial variables","authors":"Fernanda Gil-Almagro MSN, PhD ,&nbsp;Fernando J. García-Hedrera PhD ,&nbsp;F. Javier Carmona-Monge PhD ,&nbsp;Cecilia Peñacoba-Puente PhD","doi":"10.1016/j.enfie.2025.500524","DOIUrl":"10.1016/j.enfie.2025.500524","url":null,"abstract":"<div><h3>Introduction</h3><div>The intention to leave the health profession has been studied as one of the consequences of the work and emotional overload experienced by nurses during the pandemic. However, few studies have focused on ICU nurses. The studies on intention to leave the profession focus on working conditions and symptomatology, without analyzing the personal characteristics involved.</div></div><div><h3>Objective</h3><div>To explore the evolution of the intention to leave the profession in ICU nurses (with respect to hospitalization nurses). In addition, to analyse the possible differences in anxiety, burnout and psychosocial variables (self-efficacy, resilience, cognitive fusion) between nurses who intend to quit and those who do not.</div></div><div><h3>Method</h3><div>Observational, descriptive, longitudinal, prospective study with three data collection periods. Non-probabilistic convenience sampling was performed.</div></div><div><h3>Results</h3><div>Six months after the end of the confinement period in Spain, higher dropout percentages were observed in ICU (49.2%) than in hospitalization (33.3%) (<em>p</em> = .07). One year later, the percentages of intention to leave tend to be equal (50.8% in ICU and 43.9% in hospitalization) (<em>p</em> = .438). With respect to the differential profile of ICU nurses who intend to leave the profession (compared to those who do not), higher scores were observed in anxiety (<em>p</em> = .037), emotional exhaustion (<em>p</em> &lt; .001), decreased personal fulfilment (<em>p</em> = .031) and cognitive fusion (<em>p</em> = .023).</div></div><div><h3>Conclusion</h3><div>A high percentage of ICU nurses show intention to leave the profession, and associations were found with the anxiety experienced at the beginning of the pandemic, with high emotional exhaustion and low personal fulfilment. It is important to highlight in our study the relationship between intention to leave the profession and personal variables such as cognitive fusion.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"36 2","pages":"Article 500524"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}