Enfermeria Intensiva最新文献

{"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}

{"title":"Advanced Cardiovascular Life Support simulated practice in nursing: A prospective cohort study","authors":"Sónia Ferreira-Sousa RN ,&nbsp;Ana Silva-Poeira PhD ,&nbsp;Guida Silva-Amaral PhD","doi":"10.1016/j.enfi.2025.500567","DOIUrl":"10.1016/j.enfi.2025.500567","url":null,"abstract":"<div><h3>Background</h3><div>Simulation is a pedagogical methodology that promotes the development of technical, scientific, communicational, relational, and leadership skills without compromising people's safety. This study aimed to analyze the association between Advanced Cardiovascular Life Support simulation practice and Internal Medical Emergency Teams nurses’ self-perceived competence and assess changes in their self-perception before, immediately after, and three months post-training.</div></div><div><h3>Methods</h3><div>A prospective cohort study with intervention, consisting of Advanced Cardiovascular Life Support simulation practice and assessment, was carried out before the course, immediately after the course, and three months after the course regarding self-perception of nurse's skills. The sample consists of 26 nurses. The simulation practices were conducted in teams of 4–6 nurses per instructor, and nurses were randomly assigned to the simulated practice teams.</div></div><div><h3>Results</h3><div>Non-parametric analysis was carried out using the Wilcoxon test. Significance was measured. There was a trend of improvement in Advanced Cardiovascular Life Support skills perception, particularly immediately after the course and continued over time. The simulation training was effective and essential to improve the professionals’ skills and perception of their performance, and it lasted for three months to improve the professionals’ skills and performance perceptions.</div></div><div><h3>Conclusions</h3><div>Self-perception skills seem to influence comfort and confidence in acting, and it is possible to affirm that simulated practices contributed to improving nurse's self-assessment of their ability to act.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500567"},"PeriodicalIF":1.0,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144913357","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 pain management in non-communicative critically ill patients: A phenomenological study","authors":"Gemma Robleda RN, MSc, PhD ,&nbsp;Marta Benet PT, MPH, PhD ,&nbsp;Helena Cebrià-Fondevila MD ,&nbsp;Xavier Robleda-Font BA, MSc ,&nbsp;Olga Canet-Vélez RN, MSc, PhD ,&nbsp;Josep-Eladi Baños MD, PhD","doi":"10.1016/j.enfi.2025.500560","DOIUrl":"10.1016/j.enfi.2025.500560","url":null,"abstract":"<div><h3>Background</h3><div>Despite ethical principles and standards of care aiming to ensure proper pain management, inadequate pain treatment is common.</div></div><div><h3>Aim</h3><div>To explore ICU nurses’ beliefs, attitudes, and ethical perspectives regarding pain management in non-communicative critically ill patients, focusing on applying the bioethical principles of beneficence, non-maleficence, autonomy, and justice.</div></div><div><h3>Methods</h3><div>This qualitative study used descriptive phenomenology. We conducted semi-structured interviews with 11 nurses with ≥3 years’ ICU experience selected through purposive sampling. Thematic and content elements were combined for the analysis. Our hospital's ethics committee approved the study, and all participants provided written informed consent.</div></div><div><h3>Findings</h3><div>Nurses’ beliefs, attitudes, and ethical perspectives regarding pain management in non-communicative patients into 15 categories. Inequities in managing communicative and non-communicative patients arose mainly from professionals’ inadequate sensitivity, challenges of managing non-communicative patients, and personal beliefs. Nurses reported significant ethical dilemmas in managing pain of non-communicative patients, highlighting challenges in adequately applying principles of beneficence, non-maleficence, and justice. Findings indicate pain is often under-assessed and undertreated, partly due to misconceptions, high workload, and variability in pain assessment tools. Participants also expressed autonomy is frequently overlooked, as decisions are often made without patient or family input. Institutional factors like insufficient time and heavy workload, were identified as barriers to equitable pain management, limiting the consistent application of bioethical principles.</div></div><div><h3>Conclusions</h3><div>Results underscore the need for standardized ICU pain assessment protocols incorporating validated non-verbal tools, alongside ongoing ethical decision-making training and pain management. Better institutional support, including clearer guidelines and improved resource allocation, could help ICU nurses deliver more consistent, ethical, and patient-centered care, addressing bioethical principles of justice, beneficence, non-maleficence, and autonomy.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 4","pages":"Article 500560"},"PeriodicalIF":1.1,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536049","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":"A commentary on “Development of burnout and moral distress in intensive care nurses: An integrative literature review” (Salas-Bergüés et al., 2024)","authors":"Paula Samanta-Pereira RN ,&nbsp;Ana Carolina-Monteiro MSc ,&nbsp;Matilde Fernandes MSc","doi":"10.1016/j.enfi.2025.500559","DOIUrl":"10.1016/j.enfi.2025.500559","url":null,"abstract":"","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500559"},"PeriodicalIF":1.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144536221","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}