Australian Critical Care最新文献

{"title":"Nurse-led dysphagia screening in the intensive care unit – An implementation study","authors":"Anne Højager Nielsen CCRN, MCN, PhD ,&nbsp;Robert Winding MD ,&nbsp;Bettina Hvas Busk ,&nbsp;Lillian Noe ,&nbsp;Birthe Husted CCRN, MHH ,&nbsp;Gitte Juhl Kristensen CCRN ,&nbsp;Helle Svenningsen CCRN, MCN, PhD ,&nbsp;Therese Ovesen MD, DMSc","doi":"10.1016/j.aucc.2024.07.081","DOIUrl":"10.1016/j.aucc.2024.07.081","url":null,"abstract":"<div><h3>Background</h3><div>Postextubation is common in the intensive care unit, and bedside screening by nurses is important to detect the condition and avoid aspiration to the airways.</div></div><div><h3>Objective</h3><div>The objective of this study was to assess the implementation of nurse-led, systematic dysphagia screening in the intensive care unit and to identify barriers and facilitators for dysphagia screening.</div></div><div><h3>Methods</h3><div>Design: pragmatic implementation study. Based on a programme theory, key behaviours were identified using the Behaviour Change Wheel framework. Implementation activities included education, e-learning, bedside peer support, feedback, and cues in the environment. Data sources included chart reviews, participant logs, implementation log and focus-group interviews.</div></div><div><h3>Results</h3><div>Participant logs showed 94% of nurses participated in educational sessions, less in e-learning (67%). Chart reviews showed very little use of nurse-led dysphagia screening. Only 19% of extubated patients followed screening protocol. Focus groups showed that nurses accepted the Yale Swallow Protocol as valid that new skills and understandings led to empowerment of nurses and aided decision making. Important barriers were keeping patients nil-per-mouth for intubation, lack of social support from other professionals, and difficulties with documentation. Facilitators were social support from colleagues.</div></div><div><h3>Conclusion</h3><div>Implementation of nurse-led screening in intensive care was possible but challenged by external factors. Attention should be given to alterations of the screening protocol to avoid alteration of the instrument and easy documentation. Implementation of nurse-led dysphagia screening in intensive care may facilitate safe oral intake in patients and identify patients in need of specialised assessment. Implementation should aim to provide nurses with competences in screening patients swallowing function and allow contextualisation without altering the properties of the instrument.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101100"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142114555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Chinese Mandarin COMHON Index and Braden Scale to assess pressure injury risk in intensive care: An inter-rater reliability and convergent validity study","authors":"Josephine Lovegrove RN, PhD ,&nbsp;Paul Fulbrook RN, PhD ,&nbsp;Cui Yuan RN, MN ,&nbsp;Frances Lin RN, PhD ,&nbsp;Xian-Liang Liu RN, MD, PhD","doi":"10.1016/j.aucc.2024.05.015","DOIUrl":"10.1016/j.aucc.2024.05.015","url":null,"abstract":"<div><h3>Background</h3><div>The COMHON Index is an intensive-care-specific pressure injury risk assessment tool, which has demonstrated promising psychometric properties. It has been translated into Chinese Mandarin but requires inter-rater reliability testing and comparison to the standard care instrument (Braden Scale) before clinical use.</div></div><div><h3>Objectives</h3><div>This study aimed to test and compare the inter-rater reliability and convergent validity of the Chinese Mandarin versions of the COMHON Index and Braden Scale.</div></div><div><h3>Methods</h3><div>The study was conducted in a Chinese comprehensive intensive care unit. Based on a sample size calculation, five registered nurse raters with at least 6-months experience independently conducted risk assessments for 20 adult patients using both the COMHON Index and Braden Scale. Intraclass correlations (ICC) for inter-rater reliability, standard errors of measurement (SEM), and minimally detectable change (MDC) were calculated. Convergent validity was assessed using Pearson Product Moment Correlation for sum scores and Spearman's rho for subscales.</div></div><div><h3>Results</h3><div>Inter-rater reliability of COMHON Index and Braden Scale sum scores was very high (ICC [1,1] = 0.973; [95% confidence interval 0.949–0.988]; SEM 0.54; MDC 1.50) and high (ICC [1,1] = 0.891; [95% confidence interval 0.793-0.951]; SEM 0.93; MDC 2.57), respectively. All COMHON-Index subscales demonstrated ICC values &gt;0.6, whereas two Braden Scale subscales (<em>Mobility</em>, <em>Activity</em>) were below this threshold. Instrument sum scores were strongly correlated (Pearson's <em>r =</em> −0.76 [<em>r</em>^<em>2</em> = 0.58]; <em>p</em> &lt; 0.001), as were three subscale item pairs (mobility <em>r</em>_<em>s</em> <em>=</em> −0.56 [<em>r</em>^<em>2</em> = 0.32]; nutrition <em>r</em>_<em>s</em> <em>=</em> −0.63 [<em>r</em>^<em>2</em> = 0.39]; level of consciousness/sensory perception <em>r</em>_<em>s</em> <em>=</em> −0.67 [<em>r</em>^<em>2</em> = 0.45] <em>p</em> &lt; 0.001).</div></div><div><h3>Conclusion</h3><div>Both the COMHON Index and Braden Scale demonstrated high levels of inter-rater reliability and measured similar constructs. However, the COMHON Index demonstrated superior inter-rater reliability and the results suggest that it better detects changes in patient condition and subsequently pressure injury risk. Further testing is recommended.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101093"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141918023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nutritional gap after transfer from the intensive care unit to a general ward – A retrospective quality assurance study","authors":"Anne Wilkens Knudsen RN, RD, PhD ,&nbsp;Simone Møller Hansen RD, BN ,&nbsp;Thordis Thomsen RN, PhD ,&nbsp;Heidi Knudsen RN, BN ,&nbsp;Tina Munk RD, PhD","doi":"10.1016/j.aucc.2024.07.083","DOIUrl":"10.1016/j.aucc.2024.07.083","url":null,"abstract":"<div><h3>Background</h3><div>Adequate nutrition is important for recovery after critical illness. Even so, our knowledge of patients' nutritional intake after intensive care unit (ICU) discharge is scarce.</div></div><div><h3>Objectives</h3><div>We aimed to explore nutritional planning and achieved nutritional intake in ICU patients who transfer from the ICU to general wards.</div></div><div><h3>Methods</h3><div>A retrospective quality assurance study. Inclusion criteria: adult ICU patients transferring to a general ward at Copenhagen University Hospital-Herlev from May to August 2021. Primary outcomes were as follows: having a nutritional plan on the day of ICU transfer. A nutritional plan was defined as follows: (i) individual assessment of energy and protein requirement; (ii) intake, documented as achieved percentage of energy and protein requirements; (iii) prescribed type of nutrition. If using enteral or parenteral nutrition; (iv) the prescribed doses; and (v) the prescribed product. Secondary outcomes were as follows: achieved percentage of energy and protein requirements from day -1 before ICU transfer until day +1 and day +3 after ICU transfer.</div></div><div><h3>Results</h3><div>We included 57 patients; the mean age was 64 years (±11.1); 43 (75%) patients were male; the median ICU stay was 6 days (interquartile range: 3–11). One (2%) patient had a full nutritional plan according to listed criteria. Patients' median percentage of requirements met declined significantly from the day before to the day after ICU discharge (energy: from 94% to 30.5%; p = 0.0051; protein: from 73% to 27.5%; p = 0.0117). The decline in percentage of requirements met remained unchanged from day 1 to 3 after ICU transfer.</div></div><div><h3>Conclusions</h3><div>In conclusion, few patients had a nutritional plan when transferring from the ICU to a general ward. After ICU discharge, percentage of energy and protein requirements met declined significantly and remained insufficient during the first 3 days at the general ward.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101102"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142047487","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EMpowerment of PArents in THe Intensive Care: A multicentre validation study in Japan","authors":"Yujiro Matsuishi RN, PhD ,&nbsp;Joseph C. Manning RN, PhD ,&nbsp;Haruhiko Hoshino RN, PhD ,&nbsp;Yuki Enomoto MD, PhD ,&nbsp;Ikkei Munekawa RN, MS ,&nbsp;Ryo Ikebe RN, MS ,&nbsp;Masanori Tani MD ,&nbsp;Naoko Tanaka RN, MS ,&nbsp;Bryan J. Mathis PhD ,&nbsp;Nobutake Shimojo MD, PhD ,&nbsp;Yoshiaki Inoue MD, PhD ,&nbsp;Jos M. Latour RN, PhD","doi":"10.1016/j.aucc.2024.05.009","DOIUrl":"10.1016/j.aucc.2024.05.009","url":null,"abstract":"<div><h3>Background</h3><div><span>The importance of assessing family satisfaction in paediatric<span> intensive care units (PICUs) is becoming increasingly recognised. The survey, EMpowerment of Parents in THe </span></span>Intensive Care “EMPATHIC-30”, was designed to assess family satisfaction and has been translated and implemented in several countries but not yet in Japan.</div></div><div><h3>Objectives</h3><div>The objective of this study was to translate, culturally adapt, and validate the EMPATHIC-30 questionnaire in Japanese and to identify potential factors for family-centred care satisfaction.</div></div><div><h3>Methods</h3><div><span>We translated and adapted for patient-reported outcome measures via a 10-step process outlined by the Principles of Good Practice. Four paediatric PICUs in Japan participated in the validation study, and the parental enrolment criterion was a child with a PICU stay of &gt;24 h. Reliability was measured by Cronbach's α, and congruent validity was tested with overall satisfaction-with-care scales by correlation analysis. Multivariate </span>linear regression modelling was conducted to identify factors related to each domain of the Japanese EMPATHIC-30.</div></div><div><h3>Results</h3><div>A total of 163 parents (mean age: 31.9 ± 5.4 years; 81% were mothers) participated. The five domains of the Japanese EMPATHIC-30 showed high reliability (α = 0.87 to 0.97) and congruent validity, demonstrating high correlations with overall satisfaction in nurses (r = 0.75) and doctors (r = 0.76). Multivariate modelling found that elective admission, mechanical ventilation<span>, and parents who had experience of a family member in an adult intensive care unit had higher satisfaction scores in all five domains (p &lt; 0.05). Moreover, Buddhists assigned higher satisfaction scores in the Care and Treatment domain (p = 0.03).</span></div></div><div><h3>Conclusions</h3><div>The Japanese EMPATHIC-30 questionnaire has demonstrated adequate reliability and validity measures. We also identified that elective admission, mechanical ventilation, and having previous adult intensive care unit experience of a family member were factors in assigning higher scores for all satisfaction domains. PICU clinicians need to be cognisant of ethical, cultural, and religious factors relating to the critically ill child and their family.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101072"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141565109","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Frailty as a trigger for goals-of-care discussions in rapid response calls: A single-centre retrospective cohort study","authors":"Deb Sharp MN ,&nbsp;Dean McKenzie PhD ,&nbsp;Laven Padayachee MBBS, FACEM, FCICM ,&nbsp;Ashwin Subramaniam PhD","doi":"10.1016/j.aucc.2024.06.011","DOIUrl":"10.1016/j.aucc.2024.06.011","url":null,"abstract":"<div><h3>Background</h3><div>Timely goals-of-care (GOC) discussions are essential for end-of-life planning, particularly during acute hospital admissions, where ambiguity often persists. Frailty, prevalent in the ageing population and linked to adverse outcomes, underscores the need to align treatment strategies with quality of life. Recognising frailty as a trigger for GOC discussions during rapid response calls (RRCs) is critical for efficient resource management and improving patient outcomes.</div></div><div><h3>Methods</h3><div>This single-centre retrospective cohort study included all hospitalised patients aged ≥65 years admitted between September 2021 and June 2023 who experienced an RRC. Frailty was assessed using the Clinical Frailty Scale (CFS) during the RRC. The primary outcome was to investigate whether frailty, specifically assessed by the CFS as screened during an RRC, could be a suitable clinical trigger for initiating GOC discussions. We also aimed to identify the proportion of patients with frailty (CFS score: ≥5) and predictors at the time of RRC, resulting in recommendations for GOC discussions.</div></div><div><h3>Results</h3><div>Among 4954 patients, 1685 (34.0%) were classified as frail (CFS score: ≥5). Recommendations increased with frailty levels (nonfrail [CFS score: 1–4]: 6.6%, mildly frail [CFS score: 5]: 19.3%, moderate-to-severely frail [CFS score: 6–9]: 32.2%; p &lt; 0.001). Frailty independently increased the probability of GOC recommendations during an RRC (area under the receiver operating characteristic curve = 0.71). The CFS cut-off point for GOC recommendations was ≥5. The presence of frailty was associated with higher odds of receiving GOC recommendations for mildly frail (CFS score: 5; odds ratio [OR] = 2.53; 95% confidence interval: 1.96–3.27) and moderate-to-severely frail (CFS score: 6–9; OR = 4.69; 95% confidence interval: 3.81–5.78) compared to nonfrail patients.</div></div><div><h3>Conclusion</h3><div>Frailty, identified during an RRC, served as a robust trigger for GOC recommendations, highlighting the importance of tailored proactive discussions before episodes of deterioration. Higher levels of frailty (CFS score: ≥5) demonstrate practical markers for aiding clinicians with proactive GOC discussions.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101090"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141914554","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Article-based publishing: bring research to clinicians","authors":"Samantha Keogh RN, PhD,&nbsp;Andrea P. Marshall RN, PhD","doi":"10.1016/j.aucc.2024.101160","DOIUrl":"10.1016/j.aucc.2024.101160","url":null,"abstract":"","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101160"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Determining the needs of relatives of patients with a COVID-19 diagnosis in the intensive care unit","authors":"Hasan Şeren Msc, RN ,&nbsp;Gülay Altun Uğraş PhD, RN ,&nbsp;Tuğba Çam Yanik MSc, PhD, RN","doi":"10.1016/j.aucc.2024.06.008","DOIUrl":"10.1016/j.aucc.2024.06.008","url":null,"abstract":"<div><h3>Background</h3><div>The precautions taken in the intensive care unit (ICU) during the COVID-19 pandemic have caused a change in the needs of relatives of patients.</div></div><div><h3>Objective</h3><div>This research was conducted to determine the needs of relatives of ICU patients diagnosed with COVID-19.</div></div><div><h3>Methods</h3><div>The sample of this cross-sectional study consisted of 68 relatives of patients treated with COVID-19 in the ICU. Data were collected with a “Patient Relatives Information Form”, a “Factors Affecting the Needs of the Relatives of Patients in the Intensive Care Unit Form”, and the Critical Care Family Needs Inventory (CCFNI). A multivariate and univariate general linear model was used to determine the factors affecting the CCFNI total and subscale scores. Higher CCFNI scores are indicative of higher family need.</div></div><div><h3>Results</h3><div>The assurance (3.5 ± 0.4), information (3.4 ± 0.5), proximity (3.0 ± 0.6), comfort (2.8 ± 0.6), and support (2.7 ± 0.5) dimensions were important needs of relatives of patients hospitalised in the ICU. There was a weak negative correlation between participants' ages and CCFNI scores (<em>p</em> = 0.041). According to the univariate general linear model, significant difference was found between the total CCFNI scores (<em>p</em> = 0.032; 95% confidence interval [CI]: 2.68–3.03), based on multivariate general linear model proximity scores (<em>p</em> = 0.000; 95% CI: 2.49–2.91), and support scores (<em>p</em> = 0.029; 95% CI: 2.26–2.68) and the effect of ICU visit restrictions on relatives’ anxiety. Additionally, based on the multivariate general linear model, significant difference was found between the assurance scores and the presence of people who provided support to avoid disruption of responsibilities at home (<em>p</em> = 0.025; 95% CI: 3.30–3.54) and between the proximity scores and the expectations of intensive care nurses (<em>p</em> = 0.028; 95% CI: 2.83–3.59).</div></div><div><h3>Conclusion</h3><div>This study showed that relatives of ICU patients had high levels of needs. Relatives had high needs for assurance and information, whereas their needs for comfort and support were low. As the age of patients’ relatives increased, their levels of needs decreased. Relatives of the patients who received support to help with their obligations at home had increased assurance needs, and those who had anxiety about the ICU visit restrictions had increased proximity and support needs.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101085"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141762448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expression of Concern: Comparison of different eye care methods to prevent dry eye and corneal ulcer in older critically ill patients: A randomised controlled trial.","authors":"","doi":"10.1016/j.aucc.2024.101140","DOIUrl":"https://doi.org/10.1016/j.aucc.2024.101140","url":null,"abstract":"","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"101140"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980572","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of point-of-care ultrasound during cardiac arrest in the intensive care unit: A cross-sectional survey","authors":"David A. West MD, MPH, GCertClinUS ,&nbsp;Caroline Killick MBBS, FRACP, FCICM, LLM ,&nbsp;Daryl Jones BSc(Hons), MBBS, MD, PhD, FRACP, FCICM","doi":"10.1016/j.aucc.2024.04.003","DOIUrl":"10.1016/j.aucc.2024.04.003","url":null,"abstract":"<div><h3>Background</h3><div>There is growing interest in the use of point-of-care ultrasound during cardiac arrest, but few studies document its use in the intensive care unit.</div></div><div><h3>Objective</h3><div>We hypothesised this may reflect a low prevalence of use of point-of-care ultrasound during cardiac arrest or negative attitudes towards its use. We aimed to determine the self-reported prevalence, attitudes towards, and barriers to use of point-of-care ultrasound during cardiac arrest in the intensive care unit.</div></div><div><h3>Methods</h3><div>We conducted a web-based survey over 3 months (08/08/2022–06/11/2022), of intensive care unit consultants and registrars in Victoria, Australia. Descriptive and mixed-methods analyses of Likert-type and free-text answers were performed.</div></div><div><h3>Results</h3><div>The response rate was 91/398 (22.8%), split evenly between consultants and registrars. There was a broad range of clinical and ultrasound experience. Only 22.4% (22/91) of respondents reported using point-of-care ultrasound 75–100% of the time during their management of cardiac arrest. Respondents rated the value they place in point-of-care ultrasound during cardiac arrest 3 (interquartile range: 3–4) and that of a “skilled operator” 4 ((interquartile range; 4–5) on a 5-point scale. Free-text analysis suggested exclusion of “tamponade” (40/80 [50%] comments) as the most valuable use-case and “skill” as a personal barrier (20/73 [27.4%] comments). Personal and departmental barriers were not rated highly, although registrars perceived “lack of a structured training program” as a barrier. Respondents were equivocal in the value they gave point-of-care ultrasound during cardiac arrest but saw greater value when conducted by a skilled operator.</div></div><div><h3>Conclusions</h3><div>Point-of-care ultrasound was reported to be infrequently used in cardiac arrest, mostly due to self-perceived skill and lack of a structured training program.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101058"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155747","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The influence of anxiety and depression on critical care nurses’ performance: A multicenter correlational study","authors":"Sameer A. Alkubati RN, PhD ,&nbsp;Salman H. Alsaqri RN, PhD ,&nbsp;Gamil G. Alrubaiee RN, PhD ,&nbsp;Mokhtar A. Almoliky RN, PhD ,&nbsp;Talal Al-Qalah RN, PhD ,&nbsp;Eddieson Pasay-an RN, PhD ,&nbsp;Habib Almeaibed RN, AG-ACNP, PhD ,&nbsp;Shimmaa M. Elsayed RN, PhD","doi":"10.1016/j.aucc.2024.04.008","DOIUrl":"10.1016/j.aucc.2024.04.008","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety and depression among critical care nurses (CCNs) negatively affect performance because of association with clinical medical errors, ineffective communication, absenteeism from work, and burnout.</div></div><div><h3>Objectives</h3><div>The aim of this study was to investigate the prevalence of anxiety and depression and their associated factors as well as their impact on the CCNs’ performance in Hail city, Saudi Arabia.</div></div><div><h3>Methods</h3><div>A cross-sectional correlational study was conducted among 262 CCNs from April to June 2023.</div></div><div><h3>Results</h3><div>The mean scores of anxiety and depression were significantly higher among male and Saudi CCNs than among their counterparts (p &lt; 0.05). CCNs caring for patients in a ratio of 1:5 or more had significantly higher anxiety scores than those with lower nurse-to-patient ratios (p = 0.004). CCNs who were working night shifts had significantly higher mean scores of anxiety (p = 0.005) and lower mean scores of performance (p = 0.041) than their counterparts. Borderline anxiety and depression were prevalent among 43.1% and 38.5% of CCNs, respectively. In contrast, abnormal anxiety and depression were prevalent among 8.8% and 5.7% of CCNs, respectively. CCNs’ mental, general, and total performance showed a significant negative correlation with both anxiety ([r = −0.247, p &lt;0.001], [r = −0.183, p = 0.003], and [r = −0.172, p = 0.005], respectively) and depression (r = −0.287, p &lt;0.001), (r = −0.207, p &lt;0.001), and (r = −0.180, p = 0.003), respectively.</div></div><div><h3>Conclusions</h3><div>Anxiety and depression levels are significantly higher among male, Saudi CCNs, higher nurse-to-patient ratios, those who work night shifts than among their counterparts. Less than half of CCNs experience borderline anxiety and/or depression that had significantly negative correlation with their performance. Anxiety and depression in shift nurses may be treated by reducing workload, causes of stress during night shifts, and giving practical coping mechanisms for typical nurse job pressures.</div></div>","PeriodicalId":51239,"journal":{"name":"Australian Critical Care","volume":"38 1","pages":"Article 101064"},"PeriodicalIF":2.6,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141155842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}