Intensive & critical care nursing最新文献

{"title":"Pain rates and risks in ICU patients: A meta-analysis - Letter on herlianita et al.","authors":"Rachana Mehta, Shubham Kumar, Ranjana Sah","doi":"10.1016/j.iccn.2025.104046","DOIUrl":"10.1016/j.iccn.2025.104046","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104046"},"PeriodicalIF":4.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144719285","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":"Patient and advocate escalation - A leveller or amplifier of inequalities?","authors":"Jody Ede, Zoe Abel, Misha Virtudazo","doi":"10.1016/j.iccn.2025.104146","DOIUrl":"10.1016/j.iccn.2025.104146","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104146"},"PeriodicalIF":4.7,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144736392","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":"Enhancing statistical rigor, data visualization, and multidisciplinary engagement in longitudinal delirium management research - Letter on Coolens et al.","authors":"Farshid Rahimi-Bashar, Amir Vahedian-Azimi","doi":"10.1016/j.iccn.2025.104198","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104198","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104198"},"PeriodicalIF":4.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818856","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 acoustic environment in intensive care unit on nurses' well-being during COVID-19: A qualitative interview study.","authors":"Ziwei Song, Pyoung Jik Lee","doi":"10.1016/j.iccn.2025.104189","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104189","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the effects of acoustic environments in intensive care units (ICUs) on nurses' well-being.</p><p><strong>Setting and sample: </strong>The research was conducted with 14 ICU registered nurses recruited from four different hospitals in China.</p><p><strong>Research methodology: </strong>Semi-structured interviews were conducted via video calls to explore ICU nurses' perceptions, reactions, and coping strategies related to noise exposure. A grounded theory approach was used to analyse the data.</p><p><strong>Findings: </strong>The study identified five categories and 11 themes based on nurses' experiences with noise exposure in ICUs. These themes were interconnected to develop a conceptual model. According to the model, exposure to human and non-human noises led to negative emotions and disturbances in ICU activities, such as medical procedures and conversations. Nurses employed various coping strategies to manage negative perceptions of noise. Several nurses expressed concerns about their physical and mental health, which are related to noise exposures. Additionally, their noise perception and coping strategies were influenced by intervening conditions, such as noise sensitivity, attitudes towards colleagues and patients, and childcare.</p><p><strong>Implications for clinical practice: </strong>This study highlights the potential risk of physical and mental well-being among ICU nurses. The findings suggest the necessity of interventions to enhance the acoustic environments of ICUs, such as implementing noise reduction strategies, optimising alarm systems, and providing adequate training and support for staff to cope with noise-related stress.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104189"},"PeriodicalIF":4.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818858","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":"Tracheal tube cuff materials, shapes, and coatings in the prevention of ventilator-associated pneumonia: a network meta-analysis and systematic review.","authors":"SuWen Li, Qiulin Li, Gendi Lu","doi":"10.1016/j.iccn.2025.104185","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104185","url":null,"abstract":"<p><strong>Objectives: </strong>To compare the effectiveness of various endotracheal tube (ETT) cuff materials, shapes, and antimicrobial coatings in preventing ventilator-associated pneumonia (VAP) through a network meta-analysis.</p><p><strong>Methods: </strong>Six databases were searched up to February 2025 for relevant randomized controlled trials (RCTs). Data analysis was performed using R software.</p><p><strong>Results: </strong>A total of 22 RCTs involving 5305 intensive care unit (ICU) patients and nine types of ETT cuffs were included. The analysis showed that the Venner-PneuX (VPX) cuff significantly reduced VAP incidence compared to the polyvinyl chloride (PVC) cylindrical cuff (OR = 0.46, 95 % CI = 0.22-0.92). Similarly, the silver-coated PVC tapered cuff significantly reduced VAP risk compared to the PVC cylindrical cuff (OR = 0.54, 95 % CI = 0.29-0.98). The silver-coated PVC tapered cuff (Ag-PVC-Tap-Cuff) also significantly lowered bacterial colonization compared to the VPX cuff (OR = 0.11, 95 % CI = 0.01-0.74) and the PVC tapered cuff (OR = 0.26, 95 % CI = 0.06-0.89). No significant differences were observed among cuff types regarding mortality, mechanical ventilation duration, or ICU length of stay. Overall ranking analysis indicated that the silver-coated PVC cuff was the most effective in preventing VAP (72 %) and bacterial airway colonization (95 %).</p><p><strong>Conclusions: </strong>Based on our findings, the silver-coated tapered PVC cuff shows promise for reducing VAP and bacterial colonization in ICU patients. Although the VPX significantly reduced VAP compared to the PVC cylindrical cuff, further research is needed to explore its broader applicability.</p><p><strong>Implications for clinical practice: </strong>Prioritizing the use of the silver-coated PVC tapered cuff in ICU settings may help reduce VAP and bacterial colonization. Future research should explore the synergistic effects of antimicrobial coating and cuff design optimization. Traditional PVC cylindrical cuffs remain a viable alternative.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104185"},"PeriodicalIF":4.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145002247","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":"Evaluation of alcohol withdrawal assessment in mechanically ventilated patients in a trauma/surgical intensive care unit - Letter on Smith et al.","authors":"Jianjie Ju, Jingjing Chen, Shuo Lin","doi":"10.1016/j.iccn.2025.104199","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104199","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104199"},"PeriodicalIF":4.7,"publicationDate":"2025-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144818857","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":"Model establishment based on clinical data from patient monitors: Optimising night-time alarms in intensive care units.","authors":"Jiajia Fang, Chengmin Xiong, Shuping Xia, Peiqin Ding","doi":"10.1016/j.iccn.2025.104192","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104192","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study is to establish a model correlating the number of alarms and effective alarms on a monitor, and to use this model to optimise night-time alarm issues in intensive care units in order to reduce alarm fatigue among night shift nurses.</p><p><strong>Methods: </strong>A retrospective study method was used to track 1,843 samples. Based on partial experimental design analysis, a model for 'alarm frequency' and 'effective alarms' was established for the monitor, which was then optimised using the composite centre factorial (CCF) method. The performance of the model was evaluated using random sampling and night-time model application.</p><p><strong>Results: </strong>We can model based on three factors: 'APACHE II score,' 'Alarm time period,' and 'Nurse ICU work years.' After using this model, the average number of alarms decreased by 11.86%, and the average proportion of effective alarms increased by 4%.</p><p><strong>Conclusions: </strong>We can use CCF modeling to manage monitors and help reduce patient and nurse fatigue.</p><p><strong>Implications for clinical practice: </strong>The number of monitor alarms and effective alarms related to the patient's condition, working time period, and the nurse's experience. We can tailor the management strategy of the monitor based on clinical conditions, reducing the number of night-time alarms while ensuring patient safety, increasing the effectiveness of alarms, and reducing nurse alarm fatigue. The longer the length of service in critical care, the less significant the improvement in monitor alarm performance.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"92 ","pages":"104192"},"PeriodicalIF":4.7,"publicationDate":"2025-08-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144812749","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":"Application of 222-nm ultraviolet radiation C device to heal wounds and control infections in pressure injuries in intensive care unit patients: a randomized controlled trial.","authors":"Yin-Tai Tsai, Rou-Tzu Li, Hui-Ju Lai, Wen-Pei Chang","doi":"10.1016/j.iccn.2025.104162","DOIUrl":"https://doi.org/10.1016/j.iccn.2025.104162","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the effects of 222-nm UVC on pressure injury (PI) wound healing in ICU patients, focusing on wound condition, bacterial count, and PI area.</p><p><strong>Setting: </strong>Adult ICU patients at a medical center in Taiwan.</p><p><strong>Research methodology: </strong>A total of 70 adult ICU patients in northern Taiwan were randomly assigned to either a 222-nm UVC group (n = 35) or a control group (n = 35). The UVC group received daily 60-second exposures (5 cm distance) before dressing changes from Day 1 to 7, then standard care from Day 8 to 14. The control group received standard care throughout. Data were collected at baseline (T0), Day 8 (T1), and Day 15 (T2), including Pressure Sore Status Tool (PSST) scores, bacterial counts, and PI area. After excluding patients transferred or needing special care before Day 15, 65 remained for final analysis (irradiation: n = 33; control: n = 32).</p><p><strong>Results: </strong>Generalized estimating equations showed significant group × time interaction effects. The irradiation group had greater PSST improvement at T1 (B = -3.01, p = 0.006) and T2 (B = -4.79, p < 0.001), greater bacterial count reduction at T2 (B = -2214.33, p = 0.038), and PI area reduction at T1 (B = -7.04, p = 0.036).</p><p><strong>Conclusion: </strong>The irradiation group exhibited significantly better improvements in PSST scores, bacterial count, and PI area than did the control group, suggesting potential benefits of 222-nm UVC in infection control and wound healing. However, the single-center design and small sample limit generalizability. Further large-scale, multi-center studies are needed to confirm its role in routine care.</p><p><strong>Implications for clinical practice: </strong>The preliminary findings of this study indicate that 222-nm UVC may facilitate PI wound healing in ICU patients, which shows that it has potential value for auxiliary application in clinical nursing care. The current evidence is still preliminary in nature and requires more empirical validation.</p>","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":" ","pages":"104162"},"PeriodicalIF":4.7,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746644","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 utilization of a prone position model based on big data is deemed essential - Response to Liang et al.","authors":"Yuhang Yan, Hongbin Hu, Zhongqing Chen","doi":"10.1016/j.iccn.2024.103912","DOIUrl":"10.1016/j.iccn.2024.103912","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103912"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752720","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":"Potential issues related to subsyndromal delirium in the intensive care unit - Letter on Ma et al.","authors":"Ziyi Wang, Zihan Wang","doi":"10.1016/j.iccn.2024.103911","DOIUrl":"10.1016/j.iccn.2024.103911","url":null,"abstract":"","PeriodicalId":94043,"journal":{"name":"Intensive & critical care nursing","volume":"87 ","pages":"103911"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752719","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}