Enfermeria Intensiva最新文献

{"title":"Uso seguro de la sedación inhalada en pacientes críticos con ventilación mecánica invasiva","authors":"Diana Gil-Castillejos RN, MSN, PhD ,&nbsp;María Luisa Palomanes-Espadalé RN, MSN ,&nbsp;Sara Rosich-Andreu MD ,&nbsp;Olga Vallés-Fructuoso RN, MSN ,&nbsp;Oriol Plans-Galvan MD","doi":"10.1016/j.enfi.2024.04.003","DOIUrl":"10.1016/j.enfi.2024.04.003","url":null,"abstract":"<div><div>Inhaled sedation uses halogenated drugs (isoflurane and sevoflurane) in a liquid state that, through a vaporizer, change to a gaseous state and reach the patient by the respiratory route. These drugs have a rapid onset of action, with minimal metabolism and elimination takes place almost exclusively through the airways. They don’t cause significant tolerance, tachyphylaxis or significant abstinence. Inhaled sedation enables a rapid and more predictable awakening and reduced the need for opioids and neuromuscular relaxants (than intravenous sedation). In addition, have bronchodilatory, anticonvulsing and potential antiinflammatory and cardioprotective effects.</div><div>To date, inhaled sedation has been practically exclusive to the areas of anesthesia and surgery. For its therapeutic application in the environment of the Intensive Care Units (ICU) there are two devices, Sedaconda ACD® and Mirus®. Its design, adaptable to different respirators and with a safe scavenging gas system, has facilitated its introduction in the ICUs. Scientific evidence supports the use of isoflurano and Sevoflurano (with limitations), especially in cases of moderate-deep sedation, and for people with acute respiratory distress syndrome, acute bronchospasm, status epilepticus, people who are difficult to sedate, prolonged sedation (only isoflurano) and patients post cardiac arrest or who need daily neurological assessment.</div><div>Halogenated sedation is safe and effective for the critical patient undergoing mechanical ventilation. However, it is not exempt from risks and requires learning by professionals who will prescribe and/or apply. Nurses must know the characteristics of the drug, its handling, and be an expert in the route of administration so that the therapy is safe for the patient and health professionals.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100490"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141846197","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":"Monitorización fisiológica del dolor en pacientes críticos no comunicativos","authors":"Candelas López-López RN, MSc, PhD ,&nbsp;Gemma Robleda-Font RN, MSc, PhD ,&nbsp;Gemma Via-Clavero RN, MSc, PhD ,&nbsp;Aaron Castanera-Duro RN, MSc, PhD","doi":"10.1016/j.enfi.2024.04.002","DOIUrl":"10.1016/j.enfi.2024.04.002","url":null,"abstract":"<div><div>Electrophysiological monitoring of pain provides objective measures that allow for pain control and adjustment of analgesia in non-communicative patients.</div><div>Among the available electrophysiological devices, automated infrared pupillometry, Analgesia Nociception Index (ANI), and Nociception Level Index (NOL®) stand out. These non-invasive measurement systems analyze the sympathetic or parasympathetic nervous system response to painful stimuli by observing pupillary dilatation and reactivity (pupillometry), heart rate during respiration (ANI), or a combination of multiple parameters from the nociceptive-autonomic medullary circuit (NOL®). These methods have mainly been used in the monitoring of nociception related to procedures in critically ill patients.</div><div>Furthermore, they have allowed for the prediction, adjustment, and customization of analgesia administration prior to painful procedures. To obtain accurate measurements and properly interpret the values provided by these devices, it is important to consider certain limitations in their use, such as the administration of specific medications or the presence of certain pathologies, due to their influence on the autonomic nervous system response. It is also important to note that the reported level of evidence is limited, as randomized clinical trials in the context of intensive care unit regarding these devices are currently lacking.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100489"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141716899","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":"Colaboración interprofesional en las sesiones clínicas de una Unidad de Cuidados Intensivos: percepción de enfermeras y médicos. Una revisión sistemática de la literatura","authors":"Marina Alzate-Moreno RN,&nbsp;Belén Calderón-Breñosa RN,&nbsp;Kenia Rodríguez-San Miguel RN,&nbsp;María del Mar Sarasa-Monreal RN, MSc","doi":"10.1016/j.enfi.2024.03.002","DOIUrl":"10.1016/j.enfi.2024.03.002","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Introducción&lt;/h3&gt;&lt;div&gt;Las Unidades de Cuidados Intensivos son unidades dinámicas y complejas que requieren del trabajo conjunto de varios profesionales. Esto se consigue mediante la práctica colaborativa interprofesional, que es el proceso en el que interactúan diferentes profesionales con metas y objetivos comunes en la toma de decisiones, proporcionando una atención segura y de calidad. Las sesiones clínicas conjuntas brindan a los profesionales la posibilidad de interactuar, mejorando la comunicación y los resultados en la práctica clínica.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objetivos&lt;/h3&gt;&lt;div&gt;Explorar las percepciones de enfermeras y médicos sobre la práctica colaborativa en las sesiones clínicas conjuntas en una Unidad de Cuidados Intensivos.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Metodología&lt;/h3&gt;&lt;div&gt;Se realizó una revisión sistemática de la literatura en las bases de datos Medline, Pubmed, Cinahl, Web of Science y Psycinfo, incluyendo artículos publicados en los últimos diez años.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Resultados&lt;/h3&gt;&lt;div&gt;El análisis de las publicaciones detectó cinco categorías principales: 1) Concepto: definición de colaboración interprofesional según enfermeras y médicos; 2) Repercusión en la práctica clínica: valor otorgado a las sesiones clínicas por enfermeras y médicos; 3) Barreras: aspectos influyentes en las sesiones clínicas según la percepción de enfermeras y médicos; 4) Rol: papel percibido por cada profesional, y 5) Estrategias de mejora: propuestas planteadas por profesionales de enfermería y medicina.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusiones&lt;/h3&gt;&lt;div&gt;A pesar de que médicos y enfermeras son conscientes de la importancia y repercusión de la práctica colaborativa interprofesional en la atención al paciente crítico, no resulta una práctica habitual en la asistencia.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Introduction&lt;/h3&gt;&lt;div&gt;Intensive Care Units are dynamic and complex units that require several professionals to work together. This is achieved through Interprofessional Collaborative Practice, which is the process in which different professionals interact with common goals and objectives in decision making, providing safe and quality care. Joint clinical sessions provide professionals with the opportunity to interact, improving communication and outcomes in clinical practice.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objectives&lt;/h3&gt;&lt;div&gt;To explore nurses’ and physicians’ perceptions of collaborative practice in joint clinical sessions in an Intensive Care Unit.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methodology&lt;/h3&gt;&lt;div&gt;A systematic literature review was conducted in the databases Medline, Pubmed, Cinahl, Web of Science and Psycinfo, including articles published in the last ten years.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The analysis of the publications detected five main categories: 1) Concept: definition of interprofessional collaboration according to nurses and doctors, 2) Impact on clinical practice: value given to clinical sessions by nurses and doctors, 3) Barriers: relevant aspects in clinical sessions according to","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100488"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141847006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"REFLEXIONES SOBRE LA PERSPECTIVA DE GÉNERO EN LA INVESTIGACIÓN","authors":"María Gema Cid-Expósito MA","doi":"10.1016/j.enfi.2025.500509","DOIUrl":"10.1016/j.enfi.2025.500509","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 500509"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344126","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":"Factores de riesgo asociados a eventos adversos por medicación notificados por enfermería en un Hospital Pediátrico de México","authors":"Rosa María Hidalgo-Velasco RN ,&nbsp;Graciela Martínez-Velasco RN ,&nbsp;Martha Martínez-Salazar PhD ,&nbsp;Karina Juárez-González MSc ,&nbsp;Salvador Vázquez-Vega PhD","doi":"10.1016/j.enfi.2024.03.003","DOIUrl":"10.1016/j.enfi.2024.03.003","url":null,"abstract":"<div><h3>Introduction</h3><div>During pediatric medication administration, patient safety-related incidents such as sentinel event, adverse event or quasi-failure still occur.</div></div><div><h3>Objective</h3><div>To identify risk factors associated with adverse events during the medication of pediatric patients reported by nurses.</div></div><div><h3>Methods</h3><div>Cross-sectional study, non-probabilistic sampling. From January to October 2021, 411 reports from the Vencer II System were reviewed, of which only 140 reported notifications of incidents during the medication of pediatric patients. Using root cause analysis 38 factors associated with adverse events were investigated. Descriptive and inferential statistics were used.</div></div><div><h3>Results</h3><div>Of the 411 reports reviewed, 140 (34.0%) correspond to incidents; 116 (83.0%) to adverse events and 24 (17.0%) to quasi-failure, no sentinel events were reported. In the human factor, 6<!--> <!-->of the 7<!--> <!-->proximal factors had a frequency ≥ 40%. Work overload was significantly associated with the occurrence of adverse events; OR<!--> <!-->=<!--> <!-->3.24 (95% CI, 1.31-7.99) <em>(P</em>=.008). Contrary to what has been reported, LASA (Look-Alike, Sound-Alike) medications and double-check omission were identified as protective against the occurrence of incidents; OR<!--> <!-->=<!--> <!-->0.323 (95% CI, 0.13-0.84) (p<!--> <!-->=<!--> <!-->0.017); OR<!--> <!-->=<!--> <!-->0.39 (95% CI, 0.15-0.99) <em>(P</em>=.047).</div></div><div><h3>Conclusions</h3><div>Work overload was identified as a risk factor associated with the occurrence of adverse events, so it is necessary to evaluate this factor from objective medication and from the nurses’ perception of it. Having a documented incident notification and response system in place will allow healthcare institutions to demonstrate diligence and transparency. Finally, the usefulness of root cause analysis and the Ishikawa diagram to identify factors that can cause incidents is again supported, so their integration into the VENCER II instrument would be useful.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100492"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344130","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":"Ritmo intestinal en el paciente trasplantado de pulmón","authors":"Cristina González-Blasco RN ,&nbsp;Blanca Isabel Fernández-Alonso RN ,&nbsp;Beatriz Hernández-Iglesias RN ,&nbsp;Ignacio Zaragoza-García RN, PhD ,&nbsp;Marta María Torres-Romero RN ,&nbsp;Patricia Sotillo-Nieto RN ,&nbsp;Laura Alonso-Pérez RN","doi":"10.1016/j.enfi.2024.06.001","DOIUrl":"10.1016/j.enfi.2024.06.001","url":null,"abstract":"<div><h3>Introduction</h3><div>Lung transplantation is the option for patients with end-stage respiratory pathology. Among the acute post-surgical complications, constipation is novel and relevant, as it has been little studied. Knowing the incidence of patients with constipation during post-implantation allows the creation of an adequate care plan. Several authors relate it to poor postoperative prognosis.</div></div><div><h3>Methodology</h3><div>Descriptive, longitudinal and retrospective study. Target population: lung trasplanted patients in a tertiary hospital with an ICU stay ≥3 days.</div></div><div><h3>Main variable</h3><div>Presence of constipation. Sociodemographic, clinical and pharmacological variables related to the patient's bowel rhythm were collected. Prior authorization was obtained from the hospital research committee.</div></div><div><h3>Results</h3><div>44 trasplanted patients were analyzed. The mean age was 52.75<!--> <!-->±<!--> <!-->13.05 years, 59,1% were male. The 45,4% were overweight-obese. The main diagnosis is COPD. The majority were bipulmonary (88,6%). Constipation was between 97,7% and 67,9%. The median stool onset is 7,40 days. Prokinetics were introduced prophylactically in a median of 4 days and laxatives in 3 days. Enteral nutrition was introduced early in only 6,8% of patients.</div></div><div><h3>Conclusions</h3><div>A high percentage of lung trasplanted patients present constipation; Prophylaxis by means of prokinetics and laxatives is early, although enteral nutrition is not introduced early; It is necessary to review the nutritional protocol to avoid constipation.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100503"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344131","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":"Experiencia de padres de niños que han fallecido en una unidad de cuidados intensivos pediátricos sobre la conexión humana y los cuidados compasivos","authors":"Sara Alcón-Nájera RN, MsC, PhD ,&nbsp;María Teresa González-Gil RN, MsC, PhD","doi":"10.1016/j.enfi.2024.06.002","DOIUrl":"10.1016/j.enfi.2024.06.002","url":null,"abstract":"<div><h3>Introduction</h3><div>The death of a child in an Pediatric Intensive Care Unit (PICU) is a rare event, the main causes being failed resuscitation efforts, brain death or limitation of the therapeutic effort. The family interpretation of this experience has a significant impact on mourning. Knowledge of the elements that condition this interpretation, is fundamental to be able to accompany and care.</div></div><div><h3>Aims</h3><div><em>General:</em> to explore the experience of families who have suffered the loss of a child in the PICU. <em>Specific:</em> to describe the experience of «human connection and family centred compassionate care».</div></div><div><h3>Methodology</h3><div>A qualitative phenomenological study was carried out in the PICU of a high complexity hospital. Thirteen interviews were conducted (11 mothers/9 fathers), with an average duration of 60<!--> <!-->minutes until thematic saturation. Data were analysed following Van Manen's hermeneutic approach.</div></div><div><h3>Results</h3><div>Compassionate family-centred care is based on the human connection between care team and family system with the objectives of: recognising care as a family affair, promoting a collaborative approach to care and strengthening family bonds. Their achievement requires: informing/training parents about the disease process and care, involving them in decision-making, facilitating their participation in care, generating spaces for honest communication with the care team, facilitating care respire and sibling visits, making, promoting «family magic spaces», and generating family memories.</div></div><div><h3>Conclusions</h3><div>The experience of losing a child in the PICU is conditioned by the care team's approach to the management of the families’ suffering. The co-creation of a relationship space centred on their needs and mediated by sincere communication and real collaboration is valued as a valuable gift.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100504"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344603","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":"Modificación de una escala de riesgo de lesión ocular en niños críticamente enfermos","authors":"Beatriz Vilchez-Rodriguez RN ,&nbsp;Marta Marcos-López RN ,&nbsp;Isabel Manzanal-Martín RN ,&nbsp;Pablo González-Navarro MSc ,&nbsp;Jesús López-Herce-Cid MD, PhD","doi":"10.1016/j.enfi.2024.04.007","DOIUrl":"10.1016/j.enfi.2024.04.007","url":null,"abstract":"<div><h3>Introduction</h3><div>There is no validated tool that assesses the risk of eye injury in intensive care units. The aim of this study was to analyse the ability to detect keratopathies after modification of an eye injury risk assessment scale in critically ill children.</div></div><div><h3>Methods</h3><div>Observational, retrospective study. We modified a designed scale of risk of ocular damage tested in 194 children without previous ocular pathology admitted to paediatric intensive care for more than 48<!--> <!-->hours. The original scale classified patients as high/medium/low risk according to a sum of 10 risk factors. The scale was simplified by eliminating the face mask and slow blinking. Intubation was replaced by mechanical ventilation. All patients were re-classified with the new scale and the early detection ability of the modified scale for eye damage was compared.</div></div><div><h3>Results</h3><div>There was no statistically significant difference between the two scales for the ability to detect patients at risk of eye injury (<em>P</em>=.4361). The new scale classified patients’ risk of eye injury with the same reliability, with the exception of one patient whose eye injury with the new scale would have been detected one day later.</div></div><div><h3>Conclusions</h3><div>The new scale had a similar ability to detect eye injury risk as the original scale in critically ill children.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100495"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141840348","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":"Nota de editor","authors":"","doi":"10.1016/S1130-2399(25)00015-X","DOIUrl":"10.1016/S1130-2399(25)00015-X","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 500520"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143344125","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":"Calidad de vida en el trabajo e intención de rotar en enfermeras de cuidado intensivo. Estudio transversal","authors":"Laura del Pilar Quiñones-Rozo RN, MSN, PhD,&nbsp;Paola Andrea Largacha-Medina RN,&nbsp;Ingrid Yulieth Bravo-Bolaños RN,&nbsp;Gladys Eugenia Canaval-Erazo RN, MSc, PhD","doi":"10.1016/j.enfi.2024.02.004","DOIUrl":"10.1016/j.enfi.2024.02.004","url":null,"abstract":"<div><h3>Introduction</h3><div>The high demands and current working conditions of nursing professionals who work in intensive care units’ impact both their quality of life and their intention to rotate, and these in turn impact the quality of care.</div></div><div><h3>Objective</h3><div>Identify the relationship between quality of Work Life (QWL) and the intention to rotate and/or leave the organization of nursing profession in intensive care units.</div></div><div><h3>Method</h3><div>Analytical cross-sectional observational study with 101 nursing professionals (NP) working in adult intensive care with more than one year of experience in the area. Simple random probabilistic sampling (51 NP) and non-probabilistic convenience sampling (50 NP). The Quality of Life at Work (CVT GOHISALO) instrument is applied plus 5<!--> <!-->questions on turnover intention and other sociodemographic questions. The exploratory statistical analysis considered frequency tables and Chi square measures of association to develop the Logit model with the CVT variable as the exposure and the intention to rotate as the outcome.</div></div><div><h3>Results</h3><div>The dimensions of Quality of Life at Work that show the greatest dissatisfaction are integration with work (D3 [61%]), job satisfaction (D4 [72%]), personal development (D6 [67%]) and free time management (D7 [75%]). There is a high intention to change to another institution (57%) and to migrate to another country (63%). The intention to change to another institution can be explained by job satisfaction and institutional support <em>(P</em>&lt;.001).</div></div><div><h3>Conclusions</h3><div>There is an inverse relationship between satisfaction with the dimensions of quality of life at work and the intention to change to another service, institution, or independent work, which would imply developing strategies that improve CVT to reduce the intention to rotate.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 1","pages":"Article 100484"},"PeriodicalIF":1.1,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141844153","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}