Enfermeria Intensiva最新文献

{"title":"Satisfacción laboral e intención de abandono de la unidad de cuidados intensivos de las enfermeras","authors":"Marta Santana-Martín RN ,&nbsp;José Manuel López-Álvarez MD, PhD ,&nbsp;Yeray Gabriel Santana-Padilla RN, MSN, PhD ,&nbsp;Luciano Santana-Cabrera MD, PhD ,&nbsp;Borja Nicolás Santana-López RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500537","DOIUrl":"10.1016/j.enfi.2025.500537","url":null,"abstract":"<div><h3>Introduction</h3><div>Nurse turnover increases the shortfall in coverage of different health services. Research studies have found high quitting intention rates related to low levels of job satisfaction among nurses in different areas, including intensive care units (ICU). The aim of this study was to compare the level of job satisfaction of ICU nurses according to the population of critically ill patients they care for (paediatric vs. adult) and their intention to leave the ICU.</div></div><div><h3>Method</h3><div>A cross-sectional descriptive study in which nurses from public ICUs on the island of Gran Canaria, 2 adult units and one paediatric unit, participated. An electronic questionnaire was sent out, which included questions on socio-demographic and occupational variables, the validated Font Roja job satisfaction survey and a final question on the participant's own intention to leave. Comparative analysis was performed using Chi-square for qualitative variables and Mann-Whitney U for quantitative variables.</div></div><div><h3>Results</h3><div>A total of 152 nurses were recruited, 55.9% of whom expressed their intention to leave the ICU. Although both types of units had a higher number of nurses who wanted to leave the ICU, there was a higher proportion in the paediatric ICU who had this intention in the short period of time (30.4 vs. 7.0%) (χ² <!-->=<!--> <!-->11.691; p<!--> <!-->=<!--> <!-->0.003). Job satisfaction was generally good (3.37/5), being lower among those who did intend to leave (3.97 vs. 2.91; p<!--> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusions</h3><div>There is a high intention to leave among the professionals consulted. Paediatric ICU nurses had the highest intention to leave the ICU in the short term (&lt;<!--> <!-->6 months). An inverse relationship was found between intention to leave and job satisfaction.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500537"},"PeriodicalIF":1.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680621","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":"Trabajo en equipo a través del programa de entrenamiento basado en TeamSTEPPS® mediante una experiencia de escape room: una investigación mixta","authors":"Oscar Arrogante RN, Psy, MSc, PhD ,&nbsp;Marta Raurell-Torredà RN, MSN, PhD ,&nbsp;Elena Maestre-González RN, MsC ,&nbsp;Francisco Javier Sánchez-Chillón RN, MSN ,&nbsp;Martín Torralba-Melero RN, MSN ,&nbsp;Anna Maria Aliberch-Raurell RN, MSN ,&nbsp;Andrés Rojo-Rojo RN, PhD ,&nbsp;Ignacio Zaragoza-García RN, PhD","doi":"10.1016/j.enfi.2025.500536","DOIUrl":"10.1016/j.enfi.2025.500536","url":null,"abstract":"<div><h3>Introduction</h3><div>The Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS®) program has been shown to improve teamwork among critical care professionals. The <em>escape</em> room as an educational strategy is effective for the learning process of professionals according to recent evidence.</div></div><div><h3>Objectives</h3><div>To analyze the degree of satisfaction and explore the perceptions of intensive care nurses after an <em>escape</em> room experience based on the TeamSTEPPS® program.</div></div><div><h3>Methods</h3><div>Cross-sectional descriptive and phenomenological study using a mixed methodology. A specific and adapted satisfaction survey was applied to the participants of the <em>escape</em> room, including at the end an open-ended question for them to make comments and thus analyze their perceptions of the experience. A thematic content analysis of the comments was carried out using the interpretative paradigm. Quantitative and qualitative data were analyzed using IBM® SPSS® Statistics 29.0 and ATLAS.ti 24™ respectively.</div></div><div><h3>Results</h3><div>Fifty-five nursing professionals from different intensive care units in Spain participated, with a median age of 34 years (RIC = 12) and 9 years of experience in intensive care (RIC = 11), most of them being women (89.1%). The participants expressed high overall satisfaction with the activity, with a median of 47 points out of 50 (RIC = 4). Three main categories with their respective subcategories emerged from their comments: learning through the <em>escape</em> room (learning new tools; fun way to learn); usefulness of TeamSTEPPS® strategies (communication skills, patient safety and teamwork); implementation in clinical practice (applicable strategies and ease of implementation).</div></div><div><h3>Conclusions</h3><div>The <em>escape</em> room can be a dynamic, interactive, engaging, and fun way to promote teamwork training and education in intensive care nurses through the TeamSTEPPS® training program.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500536"},"PeriodicalIF":1.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680620","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":"Caracterización del perfil profesional y condiciones laborales de personal de enfermería en unidades de cuidado intensivo","authors":"Diana Marcela Achury-Saldaña (MSN) ,&nbsp;Luisa Fernanda Achury-Beltrán (MSN) ,&nbsp;Sandra M. Rodríguez-Colmenares (MSN) ,&nbsp;Herly Ruth Alvarado-Romero (MSN) ,&nbsp;Martha Consuelo Romero-Torres (RN) ,&nbsp;Diana Lucero Pardo-Camacho (RN) ,&nbsp;María Teresa Diaz-Muñoz (RN) ,&nbsp;Marcela Moran-Vargas (RN) ,&nbsp;Janeth Daza-Ramírez (RN) ,&nbsp;David Andradre-Fonseca (MSN)","doi":"10.1016/j.enfi.2025.500525","DOIUrl":"10.1016/j.enfi.2025.500525","url":null,"abstract":"<div><h3>Introduction</h3><div>The development of political and academic actions aimed at increasing the quality of care and the outcomes of health care requires knowledge of the conditions of the nursing workforce in intensive care units.</div></div><div><h3>Aim</h3><div>To characterize the professional profile and working conditions of Intensive Care Unit nurses in Colombia.</div></div><div><h3>Methods</h3><div>Multicenter, cross-sectional observational study. A total of 433 Intensive Care Unit nurses in Colombia participated, the information was collected through an online survey. The information was analyzed with RStudio statistical software. Descriptive statistics were used for the presentation of results.</div></div><div><h3>Results</h3><div>79.4% of the nursing professionals were women with a mean age of 35.6 (±<!--> <!-->9,6) years. A total of 63.9% worked in private adult Intensive Care Units and only 22.4% had a degree in Critical Care. The competencies that are permanently applied are care management, problem solving and communication; however, those related to teamwork and personal development are not fully developed. Regarding working conditions, it was found that: 71.6% have a nurse-patient ratio of 1:6 or more; only 47.5% have an indefinite term contract; 62% work have a salary remuneration of 3.5 minimum wages and only 23,5% are satisfied with their work.</div></div><div><h3>Conclusion</h3><div>The profile of nurses shows the need to strengthen specialized training, while skills and working conditions must be improved to guarantee quality care and the well-being of staff.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500525"},"PeriodicalIF":1.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680617","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":"Nursing diagnoses for patients hospitalized with COVID-19 in critical care units in Brazil: A cross-sectional study","authors":"Giovanna Maria de Lima-Medeiros RN ,&nbsp;Caio Rodrigo Menezes-dos-Santos RN ,&nbsp;Thiago de Jesus-Santos MSN ,&nbsp;Edilza Fraga-Santos RN ,&nbsp;Andreia Centenaro-Vaez PhD ,&nbsp;Fernanda Gomes de Magalhães Soares-Pinheiro PhD ,&nbsp;Damião da Conceição-Araújo PhD","doi":"10.1016/j.enfi.2025.500541","DOIUrl":"10.1016/j.enfi.2025.500541","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic had a significant global impact, particularly on patients hospitalized in critical care units. Studies addressing nursing diagnoses in the context of the pandemic are essential to strengthen the evidence and contribute to the development of clinical practice.</div></div><div><h3>Objective</h3><div>Analyze the prevalence of nursing diagnoses in hospitalizations of critically ill adult patients with COVID-19 in northeastern Brazil.</div></div><div><h3>Method</h3><div>This is a cross-sectional study conducted in a university hospital in northeastern Brazil. The sample included 117 hospitalizations between 2020 and 2021. Data were retrospectively collected from electronic medical records and analyzed using absolute frequencies, percentages, and bivariate and multivariate analyses.</div></div><div><h3>Results</h3><div>The results revealed a predominance of nursing diagnoses such as risk for falls in adults (95.7%), risk for infection (94%), and bathing self-care deficit (89.7%). Patients on mechanical ventilation had higher prevalence rates of imbalanced nutrition, diarrhea and impaired physical mobility.</div></div><div><h3>Conclusions</h3><div>The prevalence of nursing diagnoses in critically ill COVID-19 patients highlights the complexity of care required and the importance of evidence-based practice to improve clinical outcomes.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500541"},"PeriodicalIF":1.1,"publicationDate":"2025-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143680618","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":"Moral distress in critical care nurses caring for patients undergoing ECMO: A cross-sectional study","authors":"Elisangela da-Conceição-Jorge RN ,&nbsp;João Paulo-Vitorino RN ,&nbsp;Donna M-Wilson RN, PhD ,&nbsp;Filipe Utuari-de-Andrade-Coelho RN, PhD","doi":"10.1016/j.enfi.2025.500533","DOIUrl":"10.1016/j.enfi.2025.500533","url":null,"abstract":"<div><h3>Background</h3><div>Extracorporeal membrane oxygenation (ECMO) is commonly used now in cases of refractory cardiac and pulmonary failure. Moral distress among nurses is often present; nevertheless, the literature regarding this topic is scarce.</div></div><div><h3>Objective</h3><div>To identify the level of moral distress among nurses providing direct care to patients undergoing ECMO by applying the Moral Distress Scale Revised (MDSR).</div></div><div><h3>Method</h3><div>This is a cross-sectional study conducted in an Adult Intensive Care Unit (ICU) in Brazil, involving nurses providing direct care to patients undergoing ECMO. Data on nurse sociodemographic and professional characteristics were collected, along with MDSR data and Moral Distress Index (MDI).</div></div><div><h3>Results</h3><div>A total of 30 nurses were included, of whom 80.0% were female, with an age of 32 (27.7–38.2) years, professional experience time of 5 (3.0–11.2) years, duration of direct support care experience of 2.5 (1.4–4.0) years, and 83.3% had completed an institutional ECMO course. The questions in the MDRS with the highest mean scores which indicate moral distress were 3 (8.57<!--> <!-->±<!--> <!-->4.83), 6 (7.20<!--> <!-->±<!--> <!-->4.73), 16 (6.10<!--> <!-->±<!--> <!-->6.13), 2 (5.87<!--> <!-->±<!--> <!-->4.39) and 7 (5.77<!--> <!-->±<!--> <!-->4.26), with these collectively resulting in a mean MDI of 70.7<!--> <!-->±<!--> <!-->48.02, indicating a significant intensity and frequency of moral distress experienced by the research participants.</div></div><div><h3>Conclusion</h3><div>Moral distress for nursing professionals caring for ECMO patients appears to be linked to the need for ongoing questioning, discussions, and reflections among the working teams. The greatest intensity and frequency of moral distress were attributed to adhering to the family's wishes to sustain life even when it might not be in the best interest of the patient. The study highlights the importance of developing educational programs to identify and mitigate the presence of moral distress and its triggering factors in critical care teams, aiming to reduce its impact over time.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500533"},"PeriodicalIF":1.1,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143636510","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":"Enfermeras de unidades de cuidados intensivos y formación en donación y trasplantes a adolescentes. Revisión de alcance","authors":"Meritxell Comas-Carrillo RN, MSN, PhDc ,&nbsp;Ignacio Zaragoza-García RN, MSN, PhD ,&nbsp;Concepción Campos-Asensio BPharm, MLS ,&nbsp;Marta Raurell-Torredà RN, MSN, PhD","doi":"10.1016/j.enfi.2025.500532","DOIUrl":"10.1016/j.enfi.2025.500532","url":null,"abstract":"<div><h3>Background</h3><div>The attitude and practice of intensive care unit nurses are crucial for organ donation and transplantation (OTD), for the time and communication they share with family members. Therefore, they can be excellent educators of adolescents, contributing to encourage the authorization of donation among those who represent the future of the community.</div></div><div><h3>Objective</h3><div>To describe teaching methodologies in DTO for adolescents and analyze their influence on attitudes, beliefs, knowledge and predisposition towards donation.</div></div><div><h3>Methods</h3><div>Scoping review using Medline, Cochrane Library, Embase, CINAHL, and ERIC, between January 2022 and June 2023. No time or language limits were applied. Two independent investigators reviewed titles, abstracts, and full text according to inclusion and exclusion criteria.</div></div><div><h3>Results</h3><div>We analyzed 829 abstracts from databases and 50 from citation searches, gray literature and the National Transplant Organization website. A total of 16 articles were selected. The pre-intervention educational knowledge questionnaires showed no significant differences between groups in terms of knowledge and opinions on OTD, but post-intervention, different authors agreed on an improvement in knowledge, linked to less rejection of OTD and promoting a favorable attitude towards donation. None of the experts who gave the training were ICU nurses; only one was a transplant coordinator, but she did not indicate a care unit. In the interventions that had used some technological support (video, presentation, web, etc.), the results seem more favorable compared to traditional educational programs (50 vs. 14%).</div></div><div><h3>Conclusions</h3><div>Fifteen teaching programmes have been found to have favourable results on attitudes, beliefs, knowledge and willingness to donate. However, no validated instrument was used to measure these changes. The use of technology is related to better outcomes. No ICU nurses have been identified as trainers.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 3","pages":"Article 500532"},"PeriodicalIF":1.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529489","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":"Intervención interprofesional en la prevención de PICS y PICS-F","authors":"Beatriz Lobo-Valbuena MD, PhD, MBE ,&nbsp;María Dolores Sánchez-Roca RN ,&nbsp;María Pilar Regalón-Martín RN ,&nbsp;Julia Torres-Morales RN ,&nbsp;Victoria Enciso-Calderón MD","doi":"10.1016/j.enfi.2025.500528","DOIUrl":"10.1016/j.enfi.2025.500528","url":null,"abstract":"<div><div>The follow-up of the critically ill patient at discharge is an essential process to ensure continuity of care and prevent complications after the stay in an intensive care unit (ICU). The nurse's role as coordinator of this follow-up is crucial because of her experience in managing complex care and her ability to act as a liaison between the patient, her family and the interprofessional health care team. The article highlights that the transition of the critically ill patient from the ICU to other inpatient units or home represents a vulnerable period, where the risk of readmission and complications is high. The nurse plays a central role in planning and executing a comprehensive discharge plan, which includes educating the patient and family about continuing care, communicating with other healthcare professionals, and recognising warning signs that require immediate medical attention. In addition, she addresses the emotional and psychological needs of the patient and family, providing support and resources to adjust to life post-ICU. The nurse acts as an advocate for the patient, ensuring that person-centred care is maintained, respecting the patient's preferences and values.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500528"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509042","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":"Especialización de enfermería en cuidados intensivos: una revisión de alcance","authors":"Cristina Pérez-Talavera RN, MSc","doi":"10.1016/j.enfi.2025.500529","DOIUrl":"10.1016/j.enfi.2025.500529","url":null,"abstract":"<div><h3>Introduction</h3><div>Nursing in Intensive Care Units (ICU) presents an additional difficulty due to the highly complex nature of the patients. This implies a demand for training, skills, and management from the nurses attending to this type of patient, which is not currently guaranteed due to the lack of mandatory prior training. Despite the importance of such education and training, there is currently no existing regulation or national or international consensus regarding its mandatory requirement for performing professional activities in ICUs.</div></div><div><h3>Objectives</h3><div>The main research question posed is to identify the existing recommendations on specialized nursing care in adult intensive care.</div></div><div><h3>Methodology</h3><div>A scoping review was conducted using the databases PubMed, CINAHL, MEDLINE, COCHRANE, CUIDEN, and SciELO. The review included studies in both Spanish and English with varied designs on the topic of study. The quality of the articles was analyzed, achieving moderate to high levels of compliance with quality guidelines.</div></div><div><h3>Results</h3><div>A sample of N<!--> <!-->=<!--> <!-->25 was selected, divided according to the primary theme of the articles: 40% (n<!--> <!-->=<!--> <!-->10) on the implementation of training programs in ICUs, 24% (n<!--> <!-->=<!--> <!-->6) on nursing competencies, 16% (n<!--> <!-->=<!--> <!-->4) on the needs identified by ICU staff themselves, and 20% (n<!--> <!-->=<!--> <!-->5) on the clinical specialty of ICU nursing.</div></div><div><h3>Conclusions</h3><div>The findings indicate an improvement in both patient outcomes and the functioning of ICUs following appropriate training of nursing staff. A model for an Intensive Care Nursing Specialty in Spain is proposed as a viable option to develop the necessary specific training.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500529"},"PeriodicalIF":1.1,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143509041","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":"Estrategias de humanización en cuidados intensivos pediátricos: una revisión de alcance","authors":"María Esther Salgado-Reguero PhD candidate, MsC, RN ,&nbsp;Sara Furtado-Eraso PhD, RN ,&nbsp;Arantxa Bujanda-Sainz de Murieta PhD candidate, MsC, RN ,&nbsp;Cristina García-Vivar PhD, RN ,&nbsp;Nelia Soto-Ruiz PhD, RN ,&nbsp;Paula Escalada-Hernández PhD, RN","doi":"10.1016/j.enfi.2025.500531","DOIUrl":"10.1016/j.enfi.2025.500531","url":null,"abstract":"<div><h3>Background</h3><div>The international HU-CI project advocates 8<!--> <!-->strategic strands for the humanization of intensive care units. Despite of adult ICUs have received attention to promote humanization of care, in the pediatric context, the humanization of care continues to receive limited attention, with limited data on pediatric structures and humanization patterns lacking integration into practice.</div></div><div><h3>Objectives</h3><div>Identify available evidence related to humanization concepts according to the theoretical framework of the HU-CI Project and understand the implementations in the field of pediatric intensive care units.</div></div><div><h3>Method</h3><div>A scoping review was conducted through a literature search in PubMed and CINAHL. Studies addressing concepts or elements related to the strategic lines of the HU-CI framework within the context of pediatric intensive care units were included. The perspective of patients, families, and frontline healthcare professionals was considered, using quantitative, qualitative, and mixed methods approaches. Data analysis followed a narrative approach, categorically synthesized according to the strategic lines of the HU-CI framework in pediatric intensive care units.</div></div><div><h3>Results</h3><div>A total of 41 articles were included. Within the 8<!--> <!-->action lines of action of the HU-CI framework, end-of-life care and communication predominated over flexible schedules, family presence and participation in care, patient well-being, professional care, post-ICU syndrome and humanized infrastructure.</div></div><div><h3>Conclusions</h3><div>The analyzed action lines suggest the need for development and improvement through further research to facilitate their full integration into the practice of pediatric intensive care units.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500531"},"PeriodicalIF":1.1,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143480380","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":"Desarrollo y validación psicométrica de la Escala de Conductas Indicadoras de Dolor-Daño Cerebral (ESCID-DC) para la evaluación del dolor en pacientes críticos con daño cerebral adquirido, incapaces de autoinformar y con vía aérea artificial","authors":"Candelas López-López RN, MSc, PhD ,&nbsp;Gemma Robleda-Font RN, MSc, PhD ,&nbsp;Antonio Arranz-Esteban RN ,&nbsp;Teresa Pérez-Pérez PhD ,&nbsp;Montserrat Solís-Muñoz RN, MSc, PhD ,&nbsp;María Carmen Sarabia-Cobo RN, MSc, PhD ,&nbsp;María Jesús Frade-Mera RN, MSc, PhD ,&nbsp;Susana Temprano-Vázquez MD ,&nbsp;Francisco Paredes-Garza RN, MSc, PhDcandidate ,&nbsp;Aaron Castanera-Duro RN, MSc, PhD ,&nbsp;Mónica Bragado-León RN ,&nbsp;Emilia Romero de-San-Pío RN, MSc ,&nbsp;Isabel Gil-Saaf RN ,&nbsp;David Alonso-Crespo RN, MSc, PhDcandidate ,&nbsp;Carolina Rojas-Ballines RN ,&nbsp;Ignacio Latorre-Marco RN ,&nbsp;Grupo ESCID-DC","doi":"10.1016/j.enfi.2025.500523","DOIUrl":"10.1016/j.enfi.2025.500523","url":null,"abstract":"<div><h3>Introduction</h3><div>The aim of this study was to develop and validate the adaptation of the behavioral indicators of pain scale (ESCID) for patients with acquired brain injury (ESCID-DC), unable to self-report and with artificial airway.</div></div><div><h3>Methods</h3><div>Multicenter study conducted in two phases: scale development and evaluation of psychometric properties. Two blinded observers simultaneously assessed pain behaviors with two scales: ESCID-DC and Nociception Coma Scale-Revised version-adapted for Intubated patients (NCS-R-I). Assessments were performed at 3 time points: 5<!--> <!-->minutes before, during and 15<!--> <!-->minutes after the application of the painfull procedures (tracheal suction and application of pressure to the right and left nail bed) and a non-painful procedure (rubbing with gauze). On the day of measurement, the Glasgow Coma Score (GCS) and the Richmond Agitation Sedation Scale (RASS) were evaluated. A descriptive and psychometric analysis was performed.</div></div><div><h3>Results</h3><div>A total of 4,152 pain evaluations were performed in 346 patients, 70% men with a mean age of 56<!--> <!-->years (SD<!--> <!-->=<!--> <!-->16.4). The most frequent etiologies of brain damage were vascular 155 (44.8%) and traumatic 144 (41.6%). The median GCS and RASS on the day of evaluation were 8.50 (IQR<!--> <!-->=<!--> <!-->7 to 9) and −2 (RIQ<!--> <!-->=<!--> <!-->−3 to −2) respectively. In ESCID-DC the median score was 6 (IQR<!--> <!-->=<!--> <!-->4 to 7) during suction, 3 (RIQ<!--> <!-->=<!--> <!-->1 to 4) for right pressure and 3 (RIQ<!--> <!-->=<!--> <!-->1 to 5) for left pressure. During the non-painful procedure it was 0. The ESCID-DC showed a high discrimination capacity between painful and non-painful procedures (AUC<!--> <!-->&gt;<!--> <!-->0.83) and is sensitive to change depending on the time of application of the scale. High interobserver agreement (Kappa<!--> <!-->&gt;<!--> <!-->0.87), good internal consistency during procedures (α-Cronbach<!--> <!-->≥<!--> <!-->0.80) and a high correlation between the ESCID-DC and the NCS-R-I (r<!--> <!-->≥<!--> <!-->0.75) were obtained.</div></div><div><h3>Conclusions</h3><div>The results of this study demonstrate that the ESCID-DC is a valid and reliable tool for assessing pain in patients with acquired brain injury, unable to self-report and with artificial airway.</div></div>","PeriodicalId":43993,"journal":{"name":"Enfermeria Intensiva","volume":"36 2","pages":"Article 500523"},"PeriodicalIF":1.1,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143474593","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}