Enfermeria Intensiva最新文献

{"title":"Experiencias percibidas por las madres y padres sobre la lactancia materna de un recién nacido prematuro en una unidad de cuidados intensivos neonatales","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.enfi.2025.500571","DOIUrl":"10.1016/j.enfi.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 organized 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":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500571"},"PeriodicalIF":1.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624830","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":"Occurrence of adverse events with arterial catheters and their contributing factors: A cross-sectional study","authors":"Patriny Marcelle Mariano-Gomes ,&nbsp;Adriana Ouverney-Braz RN, PhD ,&nbsp;Graciele Oroski-Paes RN, PhD","doi":"10.1016/j.enfi.2025.500575","DOIUrl":"10.1016/j.enfi.2025.500575","url":null,"abstract":"<div><h3>Introduction</h3><div>The insertion of an arterial line is one of the most important invasive procedures in intensive care, but it may still pose risks to patients.</div></div><div><h3>Objectives</h3><div>To determine the prevalence and analyze the association of contributing factors with the occurrence of adverse events related to the use of arterial catheters.</div></div><div><h3>Method</h3><div>Cross-sectional, retrospective, analytical and quantitative study. The sample included all reports of adverse events involving arterial catheters over the past five years. The hospital's electronic and physical medical records were used to supplement the patients’ clinical data. Descriptive and inferential analysis was carried out using frequency calculations and association tests, including Chi-square and Fisher's exact test. A significance level of up to 10% (<em>p</em>-value<!--> <!-->&lt;<!--> <!-->0.1) was used for all analyses. The study adhered to the STROBE Checklist guidelines (a checklist of items recommended for reports of cross-sectional studies).</div></div><div><h3>Results</h3><div>Between 2019 and 2023, 3104 arterial catheters were inserted in the hospital's intensive care units. 39 reports of adverse events with these catheters were included, with an occurrence rate of 1.25% (95% confidence interval). The most prevalent incident was inadvertent loss (41%), followed by pseudoaneurysm and/or hematoma formation (25.6%), and obstruction (20.51%). Human resources (<em>p</em>-value 0.069), need for sedation (<em>p</em>-value 0.011) and insertion site (<em>p</em>-value 0.074) were factors that were associated with accidental device loss. Factors related to the patient (<em>p</em>-value 0.079) and the puncture method (<em>p</em>-value 0.079) were related to the formation of pseudoaneurysms and hematomas. Human resources (<em>p</em>-value 0.001), the use of vasoactive amines (<em>p</em>-value 0.032) and the insertion site (<em>p</em>-value 0.012) were associated with system obstruction.</div></div><div><h3>Conclusion</h3><div>The results elucidated potential weaknesses that could compromise the safety of critically ill patients using blood pressure monitoring, such as the method of puncture, circuit management and the clinical characteristics of the patients. In addition to the negative impact on patients and costs, litigation can also result from failures in healthcare safety.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500575"},"PeriodicalIF":1.0,"publicationDate":"2025-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624815","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":"Risk factors and preventive measures for corneal injury in the intensive care unit: Scoping review","authors":"Felicialle Pereira-da-Silva RN, PhD ,&nbsp;Joana Estefanny de França-Oliveira RN ,&nbsp;Raphael Alves da-Silva RN ,&nbsp;Emanuela Batista Ferreira-e-Pereira RN, PhD ,&nbsp;Maria Eduarda Ximenes-do-Rego RN ,&nbsp;Yure Rodrigues-Silva RN ,&nbsp;Beatriz Mendonça Morais-Alves RN ,&nbsp;Camilla Ribeiro Lima-de-Farias RN, PhD ,&nbsp;Isabel Cristina Ramos Vieira-Santos RN, PhD","doi":"10.1016/j.enfi.2025.500580","DOIUrl":"10.1016/j.enfi.2025.500580","url":null,"abstract":"<div><h3>Objective</h3><div>To identify the risk factors and the main preventive measures in scientific literature related to the development of corneal injury in critically ill patients.</div></div><div><h3>Methods</h3><div>This is a scoping review, with a protocol previously registered on the Open Science Framework platform. The study was guided by the methodological guidelines of the Joanna Briggs Institute and followed the PRISMA-ScR framework. The research question was developed based on the PCC strategy. The search was conducted in the LILACS, PubMed, and SciELO databases, and in the gray literature via the CAPES Periodicals portal, with no language or time restrictions. The following descriptors were used: Corneal Injuries, Patient Care, Nursing, and Intensive Care Units. Two independent reviewers, with a third reviewer involved in case of disagreements, performed Screening and selection of studies. The steps followed the methodological recommendations for scoping reviews, aiming to map evidence on risk factors and preventive measures for corneal injuries in patients hospitalized in intensive care units.</div></div><div><h3>Results</h3><div>The studies analyzed indicate that the main risk factors for the development of ophthalmological injuries are higher among critically ill patients on mechanical ventilation, those under sedation and those with a decreased level of consciousness. Simple, effective nursing interventions are essential to the prevention of corneal injuries, contributing to the maintenance of ocular integrity of the patient.</div></div><div><h3>Conclusion</h3><div>Increasing the knowledge and training of nurses concerning ophthalmological care can contribute to greater awareness of the relevance of corneal injuries in critically ill patients, which is a crucial aspect of nursing care.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500580"},"PeriodicalIF":1.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145624829","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":"Relación entre estrés percibido, apoyo social percibido y satisfacción familiar en familiares de una unidad de cuidados intensivos adulto","authors":"Valentina Nilo-González RN, MSN,&nbsp;Noelia Rojas-Silva RN, MSN,&nbsp;Cristóbal Padilla-Fortunatti RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500573","DOIUrl":"10.1016/j.enfi.2025.500573","url":null,"abstract":"<div><h3>Introduction</h3><div>In intensive care units (ICU), stress experienced by family members can negatively impact their family satisfaction. The literature describes social support as a stress neutralizer. However, evidence regarding the influence of stress and social support on family satisfaction in ICU is limited.</div></div><div><h3>Objective</h3><div>To explore the relationship between perceived stress, social support, and family satisfaction in family members of ICU patients.</div></div><div><h3>Methods</h3><div>Descriptive correlational study conducted in an ICU of a private hospital in Santiago, Chile. Family members of patients with a stay of ≥48<!--> <!-->hours were included. Family participants completed three questionnaires to assess perceived stress, perceived social support, and family satisfaction. Sociodemographic and clinical data were also collected from the patients. The association between perceived stress, perceived social support, and family satisfaction was explored using Spearman's rho correlations.</div></div><div><h3>Results</h3><div>Fifty family members were included, 70% of whom were women. Perceived stress was (<em>r</em> <!-->=<!--> <!-->–.41; <em>P</em>&lt;.05), satisfaction with patient and family care (<em>r</em> <!-->=<!--> <!-->–.39; <em>P</em>&lt;.01), and satisfaction with communication (<em>r</em> <!-->=<!--> <!-->–.34; <em>P</em>=.02), while with satisfaction with decision making, the association was not significant (<em>P</em>&gt;.05). No significant association was observed between social support and family satisfaction (<em>P</em>&gt;.05).</div></div><div><h3>Conclusions</h3><div>Findings of this study add to the evidence on the negative impact of stress on family satisfaction and its dimensions in family members of ICU patients. Further studies are needed to explore the role of social support in family members of ICU patients and its possible influence on family satisfaction.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"37 1","pages":"Article 500573"},"PeriodicalIF":1.0,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145546702","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":"Inteligencia artificial en UCI: los nuevos retos pasan por el debate bioético","authors":"Anna Falcó-Pegueroles PhD, MSc, RN","doi":"10.1016/j.enfi.2025.500574","DOIUrl":"10.1016/j.enfi.2025.500574","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500574"},"PeriodicalIF":1.0,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145525307","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":"Cultura organizacional y seguridad del paciente en cuidados intensivos","authors":"Judith Guerra-Turco RN ,&nbsp;Esther Chávez-Cachay RN ,&nbsp;Esther Isabel Camacho-Palomino RN ,&nbsp;Joel Almonte-Burgos RN ,&nbsp;Emilio Flores-Mamani RN","doi":"10.1016/j.enfi.2025.500565","DOIUrl":"10.1016/j.enfi.2025.500565","url":null,"abstract":"<div><h3>Objective</h3><div>Establish the relationship between organizational culture and patient safety in nursing in Intensive Care of a Health Institute.</div></div><div><h3>Method</h3><div>Quantitative, non-experimental, cross-sectional and correlational study, carried out with 96 healthcare nurses from a Health Institute in Lima, Peru. The survey technique and two questionnaires were used, one created by Nizama (2012) and validated by the Health Ministry; the other prepared by the Agency for Healthcare Research and Quality (AHRQ), using the version adapted to Spanish by Alvarado (2014). The results were processed by SPSS version 25, presented in statistical tables. The relationship between the variables was established with Spearman's Rho test (<em>P</em>&lt;.001).</div></div><div><h3>Results</h3><div>A moderate level of the dimensions of the organizational culture and patient safety variables is shown; a significant relationship between the dimensions visible artifacts, business environment, communication system, management system, belief value system, and patient safety, with a Spearman's Rho value equal to 0.682, 0.659, 0.650, 0.602 and 0.665 (<em>P</em>&lt;.001), respectively. The relationship between organizational culture and patient safety had a Spearman's Rho value of 0.752 (<em>P</em>&lt;.001).</div></div><div><h3>Conclusion</h3><div>There is a significant relationship between organizational culture and patient safety, with a moderate level predominating in its dimensions, especially visible artifacts, the communication system and the system of values and beliefs</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500565"},"PeriodicalIF":1.0,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157226","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 need-based educational interventions on anxiety, resilience, and satisfaction among relatives of ICU patients: A randomized controlled trial","authors":"Lale Monjezi MSN ,&nbsp;Reza Moshfeghinia MD ,&nbsp;Fereshteh Dehghanrad MSN","doi":"10.1016/j.enfi.2025.500569","DOIUrl":"10.1016/j.enfi.2025.500569","url":null,"abstract":"<div><h3>Background</h3><div>Relatives of intensive care units (ICUs) patients often experience high levels of anxiety, which can impact their resilience and satisfaction with care. This randomized controlled trial investigates the effectiveness of need-based educational interventions on reducing anxiety and enhancing resilience and satisfaction among relatives of ICU patients, aiming to provide evidence for improved support and care in critical care settings.</div></div><div><h3>Methods</h3><div>A randomized controlled trial was conducted at Namazi Hospital, Iran, involving family members of ICU patients. Participants were assigned to intervention (<em>n</em> <!-->=<!--> <!-->20) and control groups (<em>n</em> <!-->=<!--> <!-->20) based on specific criteria. The intervention included personalized educational sessions and telephone support for seven days. Data analyzed with SPSS-26 software, focusing on Beck's Anxiety Inventory-II (BAI), the Connor-Davidson Resilience Scale (CD-RISC), and the Family Satisfaction in the Intensive Care Unit (FS-ICU).</div></div><div><h3>Results</h3><div>The study involved 40 participants, with one withdrawal from the case group. Baseline characteristics revealed no significant age differences between the intervention group (mean age 39.3 years) and control group (mean age 37.9 years). However, by day seven post-intervention, anxiety scores significantly decreased in the intervention group compared to the control group (<em>p</em> <!-->&lt;<!--> <!-->0.001). While resilience scores did not differ significantly, the intervention group showed a gradual increase. Additionally, satisfaction levels were significantly higher in the intervention group by day seven (<em>p</em> <!-->=<!--> <!-->0.004).</div></div><div><h3>Conclusion</h3><div>Need-based educational interventions significantly reduced anxiety and increased satisfaction among ICU patients’ relatives, highlighting their potential benefits, though resilience levels showed no significant change; further research is recommended.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500569"},"PeriodicalIF":1.0,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145157227","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":"Comparación de 2 métodos de obtención de información de fármacos antiinfecciosos de uso en la UCI: revisión humana de fichas técnicas y uso de inteligencia artificial. Estudio cualitativo","authors":"Francisco Javier Mesa-Mesa RN,&nbsp;Francisco Manuel Cornejo-Gil RN,&nbsp;Jose Antonio Márquez-García RN","doi":"10.1016/j.enfi.2025.500564","DOIUrl":"10.1016/j.enfi.2025.500564","url":null,"abstract":"<div><h3>Introduction</h3><div>ICUs are one of the services where serious infections are treated, so the use of anti-infective drugs, especially those administered intravenously, is daily. The nursing staff is in charge of preparing, diluting and administering these medications.</div></div><div><h3>Objectives</h3><div>This study aims to compare the coincidences between the data obtained through human consultation of the technical data sheets of anti-infective drugs for intravenous use in ICUs with those obtained through the same search with an AI tool.</div></div><div><h3>Method</h3><div>A search was carried out for 8 parameters in the technical specifications of 55 drugs. Subsequently, to deepen the theoretical framework, we conducted a bibliographic search, selected the articles that met our inclusion criteria and synthesized the data. Finally, we used ChatGPT to perform an analysis of the parameters that we had previously searched humanly.</div></div><div><h3>Results</h3><div>After an exhaustive comparison of the findings attained both through human search and through the use of AI (ChatGPT), the coincidence of most of them was a fact.</div></div><div><h3>Conclusion</h3><div>As a conclusion of the study, it must be said that the evidences gathered by using AI (ChatGPT) were not as deep as those obtained when human analysis was carried out. Anyway, this information was valid enough when preparing the drugs. Therefore, AI (ChatGPT) can be considered a complementary tool in this field.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500564"},"PeriodicalIF":1.0,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104682","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":"Efecto de la prematuridad en el estrés parental y la dinámica familiar","authors":"Belén Blanco García RN, MSD ,&nbsp;Ruben Martín-Payo PhD ,&nbsp;Gonzalo Solís Sánchez MD, PhD","doi":"10.1016/j.enfi.2025.500568","DOIUrl":"10.1016/j.enfi.2025.500568","url":null,"abstract":"<div><h3>Introduction</h3><div>The birth of a premature child represents a sudden and difficult change in family dynamics, where parents experience a disruption in their roles as their child is admitted to a neonatal intensive care unit, where the care they can provide is limited and the outcome is uncertain. The high levels of stress they experience modifies their relationship with their child, impacting their child's later emotional and developmental growth.</div></div><div><h3>Objectives</h3><div>To assess which factors related to parents and premature infants may significantly influence parental stress levels, family dynamics, and caregiver burden, and to understand how these factors affect them.</div></div><div><h3>Method</h3><div>Longitudinal study conducted in the Neonatology Department of the Central University Hospital of Asturias (HUCA), a tertiary-level neonatal care hospital, during the year 2023.</div></div><div><h3>Results</h3><div>Stress levels were found to increase significantly (p<!--> <!-->=<!--> <!-->0.001) from admission (M<!--> <!-->=<!--> <!-->37.5 points, 95% <span>C</span>I: 36.6-38.7) to 3 months post-discharge (M<!--> <!-->=<!--> <!-->41.6 points, 95% CI: 40.2-43.1), and were higher in families with a medium-high socioeconomic level (at admission: OR<!--> <!-->=<!--> <!-->3.4; 95% CI: 1.1-10.8 [p<!--> <!-->=<!--> <!-->0.026], and at discharge: OR<!--> <!-->=<!--> <!-->5; 95% CI: 1.5-16.3 [p<!--> <!-->=<!--> <!-->0.006]). Family dysfunction was observed in cases of twin pregnancies (at discharge: OR<!--> <!-->=<!--> <!-->3.3; 95% CI: 1.1-10.1; p<!--> <!-->=<!--> <!-->0.029), and in more than half of the cases, caregiver burden was not observed (79.1% at discharge and 77.6% at 3 months post-discharge).</div></div><div><h3>Conclusions</h3><div>Support and guidance from the multidisciplinary team responsible for premature newborns in neonatal intensive care units is crucial, as well as the implementation of early interventions that help reduce parental stress and promote the proper development of their child.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500568"},"PeriodicalIF":1.0,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018978","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 pediatric simulation-based education and anxiety, stress, self-confidence in learning, and satisfaction in master nursing students","authors":"M.ª Ángeles Saz-Roy PhD, PNP, RN, MSc ,&nbsp;Núria Herranz-Rubia PNP, RN, MSc ,&nbsp;Marta Tamame-San Antonio PNP, RN, MSc ,&nbsp;Elvira García-Carulla PNP, RN ,&nbsp;Miguel Ángel Hidalgo-Blanco PhD, RN, MSc ,&nbsp;José Antonio Sarria-Guerrero PhD, RN, MSc ,&nbsp;Esther Crespo-Mirasol PhD, RN, MSc ,&nbsp;Alejandro Bosch-Alcaraz PhD, PNP, RN, MSc","doi":"10.1016/j.enfi.2025.500566","DOIUrl":"10.1016/j.enfi.2025.500566","url":null,"abstract":"<div><h3>Aim</h3><div>To analyze the relationship between high-fidelity clinical simulation and levels of anxiety, stress and self-perceived competence in masters level nursing students.</div></div><div><h3>Methods</h3><div>We conducted a quasi-experimental pre–post study from June 2021 to December 2022 at the Faculty of Nursing. 190 Masters students took part in the study. Students were alphabetically divided into four sections of about 20 students and these sections were in turn divided into subgroups of three to four people. Seven clinical scenarios were designed, coinciding with frequent problems in critically ill children and each group of students was assigned one of them. Before and after resolving clinical scenarios students assessed their level of anxiety using the State-Trait Anxiety Inventory (STAI), the Self-Confidence in Learning Scale (SCLS), stress and the Nursing Student Satisfaction.</div></div><div><h3>Results</h3><div>The overall median score for anxiety was 8 (5–10) pre-CS versus 5 (3–7) post-CS, with a statistically significant relationship (<em>p</em> <!-->&lt;<!--> <!-->0.001). As for stress, we observed scores of 3.0 (2–4) points pre-CS vs. 2.0 (1–3) post-CS, also with statistical significance (<em>p</em> <!-->&lt;<!--> <!-->0.001). An overall self-confidence in learning score of 25.0 (22–28) points was obtained. Previous experience in CS was independently related to a lower level of stress after performing the CS, and the older the age, the higher the level of self-confidence in learning.</div></div><div><h3>Conclusion</h3><div>When designing scenarios that focus on the attention of critically ill pediatric patients, professionals should consider the relevant sociodemographic and professional variables in order to reduce anxiety and stress.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500566"},"PeriodicalIF":1.0,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144917880","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}