Enfermeria intensiva最新文献

{"title":"Integrated and structured care in lung transplantation for a Jehovah’s Witness patient","authors":"Thayanne Chaves RN ,&nbsp;Ariel Pereira da Silva ,&nbsp;Isabella Rosmino ,&nbsp;João Paulo Victorino RN, CCNS, PhD ,&nbsp;Talita Rodrigues PT ,&nbsp;Daniel Santos PhD ,&nbsp;Vagner Pires de Campos Junior PT","doi":"10.1016/j.enfie.2026.500590","DOIUrl":"10.1016/j.enfie.2026.500590","url":null,"abstract":"<div><h3>Evaluation</h3><div>A 63-year-old female Jehovah’s Witness with familial idiopathic pulmonary fibrosis underwent elective bilateral lung transplantation at a private quaternary hospital in southeastern Brazil. Intraoperatively, Cell Saver technology was used to minimize blood loss. Postoperatively, she developed severe anemia (Hb &lt; 7 g/dL), primary graft dysfunction (grade 2), and septic shock. Due to her religious beliefs, she refused allogeneic blood transfusion, creating unique challenges for the intensive care team.</div></div><div><h3>Diagnosis</h3><div>Nursing diagnoses included risk of ineffective tissue perfusion related to severe anemia and transfusion refusal; impaired gas exchange secondary to graft dysfunction; risk of infection and sepsis due to immunosuppression; and potential spiritual distress associated with religious restrictions in the context of critical illness.</div></div><div><h3>Planning</h3><div>The care plan focused on pharmacological stimulation of erythropoiesis, continuous hemodynamic and respiratory monitoring, renal replacement therapy, infection control, and individualized rehabilitation strategies. Ethical principles—particularly autonomy—guided all shared decision-making and documentation.</div></div><div><h3>Discussion</h3><div>Despite comprehensive interdisciplinary interventions, the patient developed progressive clinical deterioration and died. This case emphasizes the importance of structured nursing care, integration of bioethical principles, and institutional preparedness in managing complex postoperative scenarios when transfusion is not an option. It highlights the nurse’s central role in coordinating technical, psychosocial, and spiritual care needs, ensuring that patient-centered values remain at the core of critical care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500590"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147739833","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":"Impact of 12-hour shifts in intensive care nursing: Descriptive systematic review of scientific evidence","authors":"Francisco Javier Berrocal Tomé RN","doi":"10.1016/j.enfie.2026.500597","DOIUrl":"10.1016/j.enfie.2026.500597","url":null,"abstract":"<div><h3>Introduction</h3><div>Twelve-hour shifts, common in ICUs due to the high complexity of care, offer advantages such as greater flexibility and fewer handovers, but they are also associated with fatigue, burnout, and risk of errors. In Spain, their implementation is uneven and poorly regulated, which creates uncertainty about their real impact.</div></div><div><h3>Objective</h3><div>To analyse the impact of 12-hour shifts on intensive care nursing staff, assessing the repercussions on physical and mental health, quality of care and organisational efficiency.</div></div><div><h3>Methodology</h3><div>A systematic descriptive review of the literature was conducted. The search was carried out in academic databases (PubMed, Scopus, CINAHL, Web of Science, among others), including studies published between 2012 and 2025 on 12-hour shifts, staff health, patient safety and organisational functioning. The findings were synthesised narratively.</div></div><div><h3>Results</h3><div>12-hour shifts have contrasting effects. Among the benefits are flexible hours, more days off, better work-life balance, and fewer handovers, which promotes continuity of care. However, they also cause accumulated fatigue, sleep disturbances, cardiovascular and musculoskeletal problems, and an increased risk of burnout. These effects impact patient safety by increasing errors, decreasing vigilance, and affecting critical decision-making. Their magnitude depends on factors such as experience, family responsibilities, and institutional support, highlighting the need for policies that manage fatigue and reinforce psychological and structural support.</div></div><div><h3>Conclusion</h3><div>Although 12-hour shifts offer some benefits, they are consistently associated with greater exhaustion and risks to patient safety. Mitigating these effects requires efficient organisation, scheduled breaks, psychological support and recovery spaces, along with equitable distribution of the workload and greater flexibility, which are essential for professional well-being and quality of care.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500597"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147978124","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":"Nurses’ perceptions of team huddle in an Intensive Care Unit: An exploratory qualitative study","authors":"Francisco Paredes-Garza RN, MsC,&nbsp;María Luisa García-Fernández RN, MsC,&nbsp;Eva Gutiérrez-García RN,&nbsp;Elena Santoyo-Jimenez RN","doi":"10.1016/j.enfie.2026.500592","DOIUrl":"10.1016/j.enfie.2026.500592","url":null,"abstract":"<div><h3>Introduction</h3><div>Team huddles have been recognized as an effective tool to improve patient safety and communication in complex healthcare settings. However, their successful implementation requires understanding the perceptions of the healthcare team regarding their usefulness and feasibility.</div></div><div><h3>Objective</h3><div>To analyse the perceptions of nurses in an intensive care unit (ICU) regarding the huddle methodology, with the aim of generating recommendations that facilitate its future implementation.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study was conducted in an Intensive Care Unit of a tertiary hospital in Madrid, using focused interviews with 12 purposively selected nurses. An inductive thematic analysis was performed following Braun and Clarke’s framework.</div></div><div><h3>Results</h3><div>Four overarching themes emerged: improved work organization and team climate, optimization of patient care and safety through greater situational awareness and continuity of care, the need for clear protocols to guide huddle dynamics, and the influence of unit infrastructure on the location and effectiveness of team huddles.</div></div><div><h3>Conclusion</h3><div>Team huddles are perceived as a potentially beneficial strategy, but their successful implementation requires structured planning, clear protocols, staff training, and adaptation to the unit’s physical and organizational context.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500592"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147649951","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":"Microcirculation in hemodynamic monitoring: Clinical parameters and their relevance. A review","authors":"Mario Robles-Martino RN ,&nbsp;Eric Mayor-Vázquez MD","doi":"10.1016/j.enfie.2026.500595","DOIUrl":"10.1016/j.enfie.2026.500595","url":null,"abstract":"<div><h3>Introduction</h3><div>Microcirculatory integrity is essential for maintaining tissue homeostasis. In critically ill patients, microcirculatory dysfunction is strongly associated with tissue hypoperfusion, multiple organ failure, and increased mortality, yet remains frequently undetected by conventional macrocirculatory parameters. This discrepancy has driven growing interest in identifying reliable bedside tools for microcirculatory assessment in intensive care settings.</div></div><div><h3>Objectives</h3><div>To evaluate the prognostic and clinical utility of key microcirculatory monitoring parameters—including lactate, central venous oxygen saturation (SvcO₂), veno-arterial carbon dioxide difference (ΔPCO₂), and capillary refill time (CRT)—in adult critically ill patients.</div></div><div><h3>Methods</h3><div>A systematic review with narrative synthesis was conducted and reported in accordance with the PRISMA guidelines. The search encompassed publications from 2020−2024 in PubMed, Web of Science, ScienceDirect, and Cochrane Library. Studies involving adult ICU patients that assessed the relationship between microcirculatory parameters and clinical outcomes were selected. Out of 250 identified studies, 18 were included after screening, with their quality assessed using the Jadad and Newcastle-Ottawa scales. Methodological heterogeneity precluded meta-analysis.</div></div><div><h3>Results</h3><div>A ΔPCO₂ &gt;6 mmHg and CRT &gt; 3 s were associated with higher mortality and organ dysfunction, although CRT showed limitations due to subjectivity. Lactate ≥4.1 mmol/L at 6 h was the best predictor (AUC = .845), despite low specificity from non-hypoxic causes. SDF microscopy demonstrated microvascular dysfunction as an independent predictor, though requiring standardization. CRT-guided resuscitation reduced fluid overload; parameter combination improved prognostic accuracy compared to isolated use. The utility of ΔPCO₂, CRT, and lactate depends on clinical context, timing of measurement, and an integrative approach; however, their physiological and methodological limitations – lack of standardised protocols, need for training, and technical constraints – challenge isolated interpretation, reinforcing the need for multimodal strategies and dynamic monitoring.</div></div><div><h3>Conclusion</h3><div>Integrating microcirculatory monitoring into standard hemodynamic assessment holds potential to improve individualized resuscitation strategies, minimize iatrogenic fluid burden, and enhance outcomes in critically ill patients.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500595"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147995725","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":"Competency profile of critical care, emergency, and urgent care nurses in Spain: Foundations for a distinct specialty","authors":"Maria del Carmen Duque del Río MSc, RN ,&nbsp;Begoña Fernández Rodriguez MSc, RN ,&nbsp;Juan Francisco Velarde-García PhD, RN ,&nbsp;Elena Gómez Oliva PhD, RN ,&nbsp;Miguel Ángel Robledo Uceda MSc, RN ,&nbsp;Diego Villalobos Buitrago MSc, RN ,&nbsp;Cecilia Cuzco Cabellos PhD, RN ,&nbsp;Miguel Ángel Giménez-Lajara PhD, RN","doi":"10.1016/j.enfie.2026.500605","DOIUrl":"10.1016/j.enfie.2026.500605","url":null,"abstract":"<div><h3>Introduction</h3><div>Critical care, emergency, and urgent care nursing is practiced within a highly specialised clinical setting that requires advanced competencies extending beyond generalist nursing education and that are not currently formally delineated through a state-recognized residency-based specialty within the nursing specialties of the Spanish National Health System. The national regulatory framework allows for the justification of new specialties based on healthcare needs, clinical complexity, and the existence of clearly differentiated professional competencies.</div></div><div><h3>Objective</h3><div>To identify the specific competencies of nurses in critical care, emergency, and urgent care, by analysing their differences in relation to existing nursing specialties, as a basis for justifying their establishment as a distinct specialty.</div></div><div><h3>Method</h3><div>A sequential mixed-methods, descriptive and comparative study was conducted in three phases: 1) a competency questionnaire based on the Nursing Interventions Classification, the Therapeutic Intervention Scoring System–28, and the National Aeronautics and Space Administration–Task Load Index; 2) an eDelphi consensus process; and 3) an association analysis between nursing interventions and NANDA-I diagnoses. Data were analysed using descriptive statistics and concordance measures, yielding high levels of reliability.</div></div><div><h3>Results</h3><div>The first phase of the study was completed by 3476 nurses, and 302 experts participated in the second phase. In the third phase, 72.72% of the interventions reached a high frequency level (4–5), with a predominance of generalist activities such as nutrition, mobility, hygiene, safety, and comfort. In contrast, specific interventions; including oxygenation, advanced therapies, diagnostics, and critical communication; showed a high frequency exclusively in intensive care units, post-anesthesia care units, in-hospital and out-of-hospital emergency services, and advanced life support and nurse-led advanced life support teams (85.6%). Concordance in nursing interventions was 67.10%, and the intervention–nursing diagnosis association reached 53.65%, with only 31.46% shared with existing nursing specialties.</div></div><div><h3>Discussion</h3><div>The findings identify an advanced and homogeneous competency core in critical care, emergency, and urgent care nursing, clearly differentiated from generalist practice and aligned with international advanced practice frameworks.</div></div><div><h3>Conclusions</h3><div>Establishing a dedicated specialty would standardise training and competencies, leading to improvements in patient safety, quality of care, and healthcare system efficiency.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500605"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984818","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":"Continuous glucose monitoring in a critically ill patient with extracorporeal membrane oxygenation (ECMO), intra-aortic balloon pump, and continuous renal replacement therapy: Case report","authors":"Marc Pañero-Moreno RN, MSc ,&nbsp;Cristina Carbonell-Sabate RN ,&nbsp;Rut Conesa-González RN ,&nbsp;Laura Risco-Patiño RN ,&nbsp;Eva Maria Guix-Comellas RN, MSN, PhD ,&nbsp;Alberto Villamor-Ordozgoiti RN, MSN, PhD ,&nbsp;Tània Cordón-Arnau RN","doi":"10.1016/j.enfie.2026.500589","DOIUrl":"10.1016/j.enfie.2026.500589","url":null,"abstract":"<div><h3>Introduction</h3><div>Glycemic control in critically ill patients is essential to prevent complications. This study evaluates the use of Continuous Glucose Monitoring (MCG) in a 58-year-old patient with Acute Myocardial Infarction (IAM), complicated by intraventricular communication (CIV) and progression to cardiogenic shock, admitted to the Intensive Care Unit (UCI).</div></div><div><h3>Methods</h3><div>The patient received advanced hemodynamic support with Extracorporeal Membrane Oxygenation (ECMO), Intra-Aortic Balloon Pump (BCIA), and Continuous Renal Replacement Therapy (TRRC). A Dexcom G7 sensor was used for 10.5 days to monitor glucose levels. Accuracy (Mean Absolute Relative Difference (MARD)) and clinical reliability (Clarke Error Grid) were analyzed, along with the impact on glycemic control and nursing workload.</div></div><div><h3>Results</h3><div>The CGM system showed preliminarily high accuracy, with a MARD of 7.12%, and 100% of values fell within zones A and B of the Clarke Error Grid. During 98.00% of the monitored time, glucose remained within the target range (70–180 mg/dL), with a mean of 138 mg/dL and no hypoglycaemic episodes. A 27.62% reduction in point-of-care glucose (POC-G) measurements was observed, and the need for capillary glucose testing was eliminated.</div></div><div><h3>Discussion</h3><div>This case aligns with findings from other authors, demonstrating that CGM in critically ill patients requiring advanced hemodynamic support is accurate, reduces invasive procedures and nursing workload, and improves glycemic control. Larger clinical trials are needed to validate its routine use in the ICU.</div></div><div><h3>Conclusions</h3><div>CGM in patients with advanced hemodynamic support shows high accuracy and effectiveness, reducing invasiveness and nursing burden, and positioning itself as a promising tool for glycemic management in intensive care, but more clinical trials are needed.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500589"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147649950","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":"Utility of the Shock Index at ICU admission as a prognostic tool in patients with COVID-19-related ARDS: Implications for nursing practice","authors":"Marcos Alécio Bispo-de-Andrade MD, MSc ,&nbsp;Érika Ramos-Silva PT, PhD ,&nbsp;Rafael Ciro Marques-Cavalcante RPh, PharmD ,&nbsp;Daniel Vieira-de-Oliveira MD, PhD ,&nbsp;Rita de Cássia Almeida-Vieira RN, PhD ,&nbsp;Eduesley Santana-Santos RN, PhD","doi":"10.1016/j.enfie.2026.500591","DOIUrl":"10.1016/j.enfie.2026.500591","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate the prognostic value of the Shock Index (SI) at intensive care unit (ICU) admission in predicting hospital mortality among patients with Acute Respiratory Distress Syndrome (ARDS), and to explore its potential application in nursing-led risk assessment.</div></div><div><h3>Methods</h3><div>This retrospective cohort study was conducted in five public and private hospitals in Sergipe, Brazil, between April 2020 and January 2022. Adult patients diagnosed with ARDS and admitted to ICUs were included if data were available to calculate the SI (heart rate/systolic blood pressure), along with clinical and laboratory variables. All ARDS cases in this cohort were exclusively secondary to COVID-19 infection. Patients were categorized as survivors or non-survivors. Bivariate analyses, logistic regression, and Cox regression models were used to assess associations with hospital mortality.</div></div><div><h3>Results</h3><div>A total of 180 patients were included. The hospital mortality rate was 45%. Patients with SI ≥ 0.9 at ICU admission had a significantly higher risk of death (HR: 1.57; 95% CI: 1.01–2.45; p = 0.046). In the adjusted analysis, SI ≥ 0.9 remained independently associated with increased mortality risk (OR: 2.63; 95% CI: 1.21–6.09; p = 0.018), regardless of age, comorbidities, or severity scores. Additional predictors of mortality included advanced age, renal dysfunction, and elevated SAPS-3 and SOFA scores.</div></div><div><h3>Conclusion</h3><div>The Shock Index at ICU admission demonstrated independent prognostic value for hospital mortality in COVID-19–related ARDS patients. As a simple, cost-effective, and nurse-accessible tool, SI may support early risk stratification, guide care prioritization, and assist in clinical decision-making in intensive care settings.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500591"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147739832","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":"Post-intensive care syndrome in adult survivors of a high-complexity intensive care unit in Colombia","authors":"José Julián Bernal-Sánchez PT, MSc ,&nbsp;Yulieth Linares-Caicedo PT ,&nbsp;Jennifer Catherine Calderón-Erazo PT ,&nbsp;Sebastián Adalberto Chalapud-Bustos PT ,&nbsp;Sandra Lucia Lozano-Álvarez MD, MSc ,&nbsp;Esther Cecilia Wilches-Luna PT, PhD","doi":"10.1016/j.enfie.2026.500593","DOIUrl":"10.1016/j.enfie.2026.500593","url":null,"abstract":"<div><h3>Background</h3><div>Post-intensive care syndrome (PICS) encompasses physical, cognitive, and psychological sequelae that may persist for months or years after ICU discharge, affecting survivors’ reintegration and long-term functioning. Although extensively studied in high-income countries, evidence from Latin America remains limited.</div></div><div><h3>Objectives</h3><div>To describe the sociodemographic and clinical characteristics of PICS in adult ICU survivors in southwestern Colombia, assessing functional, cognitive, and psychological domains using the Spanish-validated Healthy Aging Brain Care Monitor (HABC-M).</div></div><div><h3>Methods</h3><div>This cross-sectional study was conducted between December 2024 and March 2025. Fifty-seven adults (≥18 years) discharged from the ICU for at least 14 days provided informed consent. Patients with pre-existing cognitive impairment were excluded using the telephone version of the Montreal Cognitive Assessment (MoCA-t). Data were obtained through medical record review and subsequently through structured telephone assessment for the administration of validated quantitative instruments, conducted by trained physiotherapists. Sociodemographic variables (age, sex, socioeconomic stratum, health insurance) and clinical data (admission diagnosis, APACHE II, SOFA, need and type of ventilation) were recorded. PICS was assessed using the Spanish-validated <em>Healthy Aging Brain Care Monitor</em> (HABC-M). Descriptive statistics, logistic regression, and Spearman’s correlations were applied.</div></div><div><h3>Results</h3><div>The study included 57 patients, 29 were women (50.9%), with a mean age of 53.7 ± 17.3 years. All patients presented some degree of sequelae, with the functional domain showing the greatest severity (15.8% classified as severe). No significant associations were observed between the presence or severity of PICS and SOFA scores or the use of mechanical ventilation.</div></div><div><h3>Discussion</h3><div>PICS was present in all participants, with greater involvement in the functional domain and mild symptoms in the cognitive and psychological domains. The lack of associations with age, clinical severity, or mechanical ventilation may be related to sample size and clinical heterogeneity. The predominant socioeconomic context provides relevant information for interpreting the findings, although no statistical associations were identified.</div></div><div><h3>Conclusions</h3><div>All evaluated patients presented some degree of PICS, with greater involvement in the functional domain in a population characterized by socioeconomic vulnerability. No associations were observed with age, severity scores, or mechanical ventilation.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500593"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147739831","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":"Emotional intelligence in the ICU: From the invisible to the essential","authors":"Mónica Vázquez-Calatayud PhD ,&nbsp;Rosana Goñi-Viguria MSN","doi":"10.1016/j.enfie.2026.500603","DOIUrl":"10.1016/j.enfie.2026.500603","url":null,"abstract":"","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 2","pages":"Article 500603"},"PeriodicalIF":0.0,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147849925","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":"Mother’s and father’s perceived experiences of breastfeeding a preterm infant in a neonatal intensive care unit","authors":"Èlia Santiveri-Camacho RN, MSc ,&nbsp;Alejandro Bosch-Alcaraz RN, PNP, MSc, PhD ,&nbsp;Mariela Patricia Aguayo-González RN, MSc, PhD ,&nbsp;M. Ángeles Saz-Roy RN, PNP, MSc, PhD","doi":"10.1016/j.enfie.2025.500571","DOIUrl":"10.1016/j.enfie.2025.500571","url":null,"abstract":"<div><h3>Introduction</h3><div>A premature birth involves stress derived from the context of the NICU where the baby is cared for. In addition, the separation between mother and father/couple and child involves an interruption of the biological process of breastfeeding. The experiences lived in this process between mother and father/couple are unequal, which entails different care needs to be covered by the health professional through informative and educational activities.</div></div><div><h3>Objective</h3><div>To explore the experiences of mothers and fathers/couple breastfeeding PTNB during their stay in the NICU.</div></div><div><h3>Design and methods</h3><div>A qualitative phenomenological study was carried out. The population studied were mothers and fathers/couple of PTNB in a neonatal unit who were breastfeeding. Using purposive convenience sampling and the principle of information saturation, the participants were 5 mothers and 4 fathers. Semi-structured interviews were conducted and organised into the following thematic areas: knowledge, environment, feelings, coping strategies and challenges.</div></div><div><h3>Results</h3><div>The mothers' and fathers'/couples’ experiences are grouped into four themes: previous lack of knowledge about the breastfeeding process, BF as a personal challenge, barriers and facilitators during the process of breastfeeding a PTNB, and the feelings of the families.</div></div><div><h3>Conclusions</h3><div>From the perceptions and feelings reported by breastfeeding mothers and fathers/couples of PTNB, changes can be made to improve nursing care in the NICU. Improving early expressing within the first hour, developing specific protocols for breastfeeding in PTNB and updated training for nursing staff are aspects that emerge from the study and could help to priorities and meet the expressed needs for breastfeeding support in the NICU.</div></div>","PeriodicalId":93991,"journal":{"name":"Enfermeria intensiva","volume":"37 1","pages":"Article 500571"},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146077943","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}