Intensive & critical care nursing最新文献

{"title":"Communication with the critically ill patient: A nexus between patient needs, communication partner skills and the ICU environment - Response to Kuruppu et al.","authors":"Amy Freeman-Sanderson, Laura Istanboulian, Louise Rose","doi":"10.1016/j.iccn.2025.104193","DOIUrl":"10.1016/j.iccn.2025.104193","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"91 ","pages":"104193"},"PeriodicalIF":4.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818859","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":"Setting critical care Research Agendas: A new article type in ICCN.","authors":"Stijn Blot, Melissa J Bloomer, Frances Fengzhi Lin","doi":"10.1016/j.iccn.2025.104191","DOIUrl":"10.1016/j.iccn.2025.104191","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"91 ","pages":"104191"},"PeriodicalIF":4.7,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818860","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":"Good practices for humanization in pediatric intensive care units: a national Delphi consensus study.","authors":"Javier García-Fernández, Pilar Delgado-Hito, Llúcia Benito-Aracil, Marta Romero-García","doi":"10.1016/j.iccn.2025.104247","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104247","url":null,"abstract":"<p><strong>Objectives: </strong>To adapt and validate a good practice manual on humanisation, originally designed for adult critical care patients, to the paediatric intensive care unit (PICU) context.</p><p><strong>Methods: </strong>A methodological study to adapt and validate a clinical practice manual was conducted using a three-round Delphi consensus technique between February and October 2023 with 53 experts (56.6 % nurses, 28.3 % physicians, 15.1 % other professionals) from 15 Spanish hospitals. In the first round, participants evaluated 160 practices from the Manual of Good Practices in Humanization for Adult Intensive Care Units (HU-CI Project) and adapted them to the paediatric context. In the second round, they validated these modifications and 30 additional proposals. In the third round, the consensus practices were classified into three levels. Consensus was defined as ≥75 % agreement.</p><p><strong>Results: </strong>Of 57 initial participants, 53 completed the three Delphi rounds, resulting in a 93 % retention rate. Among participants, 79.2 % were women, 56.6 % were nurses, and 94.4 % had experience in PICUs. From the original 160 initial practices, 47.4% (n = 76) reached consensus without modification, 16.9 % (n = 27) were modified, and 35.6 % (n = 57) were discarded. Additionally, 30 new practices were proposed and accepted, resulting in 132 final practices. These were categorised as basic (65 %, n = 86), advanced (22 %, n = 29), and excellent (13 %, n = 17).</p><p><strong>Conclusions: </strong>This study adapted and validated the first humanisation manual specifically for PICUs, providing a structured, measurable framework that may promote child- and family-centred care and support continuous quality improvement.</p><p><strong>Implications for clinical practice: </strong>The consensus-validated practices provide PICU teams with a structured, measurable framework that may help promote child- and family-centred care. Nursing staff play a key role in daily implementation of family involvement, communication, and comfort measures, whilst the three-level classification allows progressive evaluation of PICU humanisation according to unit resources.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104247"},"PeriodicalIF":4.7,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145260308","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":"Asymmetrical high flow nasal cannula: A new interface to improve physiology.","authors":"Alessandro Galazzi, Filippo Binda, Tommaso Mauri","doi":"10.1016/j.iccn.2025.104240","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104240","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104240"},"PeriodicalIF":4.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254186","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":"ICU command centres in critical care: Nursing workflows, organizational models, and implementation challenges. A narrative review.","authors":"Javier Muñoz, Lourdes Muñoz-Visedo, Elena Moreno-Ortega, Raquel Ribón-Liberal, Javier Muñoz-Visedo","doi":"10.1016/j.iccn.2025.104245","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104245","url":null,"abstract":"<p><strong>Objectives: </strong>To synthesize current evidence on ICU Command Centers as socio-technical systems that support real-time clinical coordination, data-driven resource allocation, and interdisciplinary workflows, with particular emphasis on implications for critical care nursing practice.</p><p><strong>Methods: </strong>A narrative review of peer-reviewed articles and gray literature published from 2005 to 2024 was conducted through PubMed, Embase, and Web of Science, as well as institutional reports. Findings were grouped thematically across five domains: clinical impact, operational efficiency, enabling technologies, barriers to implementation, and case examples. Nursing-related outcomes were specifically highlighted.</p><p><strong>Results: </strong>Authoritative ICU Command Center models are associated with improved adherence to best practices, reduced ICU mortality and length of stay, and enhanced operational efficiency. Platforms integrating predictive dashboards and remote expert support improve staff responsiveness and reduce documentation burden. For nurses, Command Centers may reduce alarm fatigue, streamline workflows, and enhance team communication-especially when systems are tailored to frontline needs.</p><p><strong>Conclusions: </strong>ICU Command Centers represent a scalable, data-driven infrastructure for high-acuity care. Their impact depends on alignment with clinical workflows, especially those of nurses, and on trust-building strategies that promote adoption and sustained use.</p><p><strong>Implications for clinical practice: </strong>When integrated effectively, ICU Command Centers can reduce cognitive overload and optimize nursing care by supporting prioritization, protocol adherence, and interdisciplinary coordination. Involving nurses in the design and implementation phases is key to ensuring usability and clinical relevance.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104245"},"PeriodicalIF":4.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254134","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":"From caregiver to secondary patient: A paradigm shift in healthcare perspectives for enhancing caregiver recognition, support and integration.","authors":"Farshid Rahimibashar, Amir Vahedian-Azimi","doi":"10.1016/j.iccn.2025.104242","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104242","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104242"},"PeriodicalIF":4.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254131","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":"Integrating bedside nurse perspectives and well-being in ECMO program implementation.","authors":"Adrielle R Espinosa","doi":"10.1016/j.iccn.2025.104246","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104246","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104246"},"PeriodicalIF":4.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245945","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":"Artificial intelligence in ECMO management.","authors":"Alberto Lucchini, Emanuele Rezoagli, Marco Giani","doi":"10.1016/j.iccn.2025.104244","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104244","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104244"},"PeriodicalIF":4.7,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145245851","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":"Association between 1-h bundle and clinical outcomes in patients with sepsis: A systematic review and meta-analysis.","authors":"Shukun Hong, Hongye Wang, Jian Liu, Lujun Qiao","doi":"10.1016/j.iccn.2025.104241","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104241","url":null,"abstract":"<p><strong>Objectives: </strong>To conduct a systematic review and meta-analysis to compare the impact of the 1-h bundle and non-1-h bundle on clinical outcomes in patients with sepsis.</p><p><strong>Methods: </strong>PubMed, Ovid, Cochrane Library, and Web of Science were searched to identify studies comparing the 1-h and non-1-h bundles in sepsis patient. The search strategy was based on a combination of Medical Subject Heading terms and text words. The primary outcome was short-term mortality, including in-hospital, 28-day, and 30-day mortality.</p><p><strong>Results: </strong>Ten studies (nine observational, one randomized trial) with 4435 patients were included. Overall mortality rates were 20.8 % in the 1-h bundle group and 24.7 % in the non-1-h bundle group. The meta-analysis showed that the 1-h bundle significantly reduced short-term mortality (95 % confidence interval [CI] 0.69-0.84). This effect was consistent across single-center (95 % CI 0.67-0.84) and multicenter studies (95 % CI 0.65-0.95). The mortality benefit was also pronounced in prospective studies (95 % CI 0.61-0.86) and ICU settings (95% CI 0.63-0.80), but not in retrospective studies (95 % CI 0.63-1.02) or emergency department settings (95 % CI 0.71-1.05). The limited number of randomized trials resulted in low certainty of evidence.</p><p><strong>Conclusions: </strong>Compliance with the 1-h bundle has the potential to reduce short-term mortality in sepsis patients, particularly in ICU settings. High-quality trials are needed to further validate these findings, especially in emergency department settings.</p><p><strong>Implications for clinical practice: </strong>Based on this study, critical care providers, including nurses, should consider implementing the 1-h bundle as part of their standard care protocols for sepsis patients, especially in the ICU. This could lead to improved patient outcomes and reduced mortality. Nurses play a crucial role in the early recognition and management of sepsis, and their adherence to the 1-h bundle can significantly impact patient care.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104241"},"PeriodicalIF":4.7,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234521","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":"Pain rates and risks in ICU patients: A meta-analysis - Response to Mehta et al.","authors":"Risa Herlianita, Hsiao-Yean Chiu","doi":"10.1016/j.iccn.2025.104109","DOIUrl":"10.1016/j.iccn.2025.104109","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104109"},"PeriodicalIF":4.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144791041","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}