Intensive and Critical Care Nursing最新文献

英文中文

The restraint-free ICU: not quite there yet 无需束缚的重症监护室：还没到那一步。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-26 DOI: 10.1016/j.iccn.2025.104261

Tommaso Rosà, Gaia Tempo, Massimo Antonelli

引用次数: 0

Eye protection chamber versus adhesive tape to prevent corneal injury in critically ill patients: A randomized pilot-controlled trial 眼保护室与胶带预防危重患者角膜损伤：一项随机先导对照试验

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-26 DOI: 10.1016/j.iccn.2025.104263

Patricia Rezende do Prado , Natasha Varjão Volpáti , Waleska Olivares Nascimento , Fernanda Raphael Escobar Gimenes , Natália Pimentel Moreno Mantilla , Edna Lopes Monteiro , Thatiana Lameira Maciel Amaral , Jonas Bodini Alonso , Gustavo Trindade Valio

Objective

To evaluate the efficacy and feasibility of the eye protection chamber compared to adhesive tape in preventing corneal injury in critically ill adult patients.

Method

A two-arm, double-blind pilot randomized controlled trial following CONSORT guidelines. 80 critically ill patients were randomized into an intervention group (n = 40; eye drops plus eye protection chamber) and a control group (n = 40; eye drops plus micropore adhesive tape). Corneal health was assessed by a trained critical care nurse on days 1, 3, 5, 7, and 10 using fluorescein staining and portable slit-lamp examination. The primary outcome was the incidence of corneal injury. Secondary outcomes included the severity and associated risk factors.

Results

During the study period, 203 patients were assessed for eligibility. Of these, 123 (60.6 %) presented with corneal injury upon admission and were excluded, while 80 patients (39.4 %) met the inclusion criteria and were enrolled in the trial. In a randomized trial, corneal injury occurred in 11.2 % of participants, 7.5 % in the control group, and 3.75 % in the intervention group, indicating a 50 % reduction in risk with the chamber. Most injuries were classified as Grade 1. Grade 2 and bilateral injuries occurred only in the control group.

Conclusion

The eye protection chamber was effective and viable in reducing the incidence and severity of corneal injuries compared to adhesive tape.

Implications for clinical practice

The chamber demonstrated efficacy and feasibility in preventing corneal injuries in critically ill patients with impaired or absent blink reflexes, and it can be tested in other centers. Implementing preventive strategies, such as eyelid closure, lubrication, and mechanical protection, is essential to enhance patient safety and reduce avoidable ocular complications in intensive care settings.

目的：比较眼保护室与胶带预防成人危重患者角膜损伤的疗效和可行性。方法：一项遵循CONSORT指南的双盲随机对照试验。80例危重患者随机分为干预组（n = 40，滴眼液加护眼室）和对照组（n = 40，滴眼液加微孔胶带）。角膜健康由训练有素的重症护理护士在第1、3、5、7和10天使用荧光素染色和便携式裂隙灯检查进行评估。主要观察指标是角膜损伤的发生率。次要结局包括严重程度和相关危险因素。结果：在研究期间，203例患者被评估为合格。其中123例（60.6%）在入院时出现角膜损伤而被排除，而80例（39.4%）患者符合纳入标准并被纳入试验。在一项随机试验中，角膜损伤发生率为11.2%，对照组为7.5%，干预组为3.75%，表明使用腔室的风险降低了50%。大部分伤情为1级。2级和双侧损伤仅发生在对照组。结论：与胶布相比，护眼室能有效降低角膜损伤的发生率和严重程度。对临床实践的启示：该室在预防眨眼反射受损或缺失的危重患者角膜损伤方面已经证明了其有效性和可行性，并且可以在其他中心进行测试。实施闭眼、润滑和机械保护等预防策略对于加强患者安全并减少重症监护环境中可避免的眼部并发症至关重要。

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引用次数: 0

Important and feasible patient- and family-centered intensive care interventions: A Delphi study with stakeholders 重要和可行的以病人和家庭为中心的重症监护干预：与利益相关者的德尔菲研究。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-15 DOI: 10.1016/j.iccn.2025.104253

Bram Tilburgs , Carolien Bakker-Crommentuijn , Mirjam de Graaf , Mark van den Boogaard

Background

Intensive care unit (ICU) admissions can be stressful for patients and family members. Patients may face discomfort, pain, delirium, immobility, and uncertainty about recovery, while family members often experience emotional strain, uncertainty and fatigue. Patient- and family-centered care (PFCC) is a guideline recommended approach to reduce ICU-burden for both patient and family members. However, which interventions are important and feasible for PFCC in the ICU is unknown.

Objectives

To explore which PFCC interventions are most important and feasible in the ICU according to Dutch clinicians, patients and family members.

Methods

A 4-stage modified RAND/UCLA Appropriateness Method (RAM) Delphi study was conducted. First, a literature review and focus group interviews were used to identify important and feasible PFCC interventions. Second, ICU-stakeholders (nurses, physicians, patients and family members), rated interventions on importance and feasibility and added comments. Third, stakeholders discussed interventions rated as uncertain on importance and feasibility and created a second set of interventions. Fourth, stakeholders rated interventions from stage 3 on importance and feasibility and ranked interventions resulting in a top 5 of most important interventions.

Results

In total, 30 former patients and family members and 46 healthcare professionals participated. 35 interventions for PFCC in the ICU were identified. Of these, 31 were rated as both important and feasible, and four were rated as uncertain. The five highest-rated interventions focused on regular multidisciplinary conversations with patients and families about care and treatment plans, keeping a patient diary, offering psychological support from consultants, creating a tailored daily schedule, and ensuring consistent communication with the patient’s contact person.

Conclusion and implications for clinical Practice

Implementing interventions rated highly on both importance and feasibility may significantly enhance ICU care experiences for patients and families. The top five rated interventions indicate what was considered most important in minimizing the impact of an ICU admission.

背景：重症监护病房（ICU）入院对患者和家属来说可能是一种压力。患者可能面临不适、疼痛、谵妄、行动不便和不确定的康复，而家庭成员经常经历情绪紧张、不确定和疲劳。以患者和家庭为中心的护理（PFCC）是一种指南推荐的方法，以减轻患者和家庭成员的icu负担。然而，对于ICU的PFCC，哪些干预措施是重要和可行的尚不清楚。目的：探讨荷兰临床医生、患者及家属认为哪些PFCC干预措施在ICU中最重要、最可行。方法：采用改良RAND/UCLA适当性法（RAM）进行四阶段德尔菲研究。首先，通过文献回顾和焦点小组访谈来确定重要和可行的PFCC干预措施。其次，icu利益相关者（护士、医生、患者和家属）对干预措施的重要性和可行性进行了评级，并提出了意见。第三，利益相关者讨论了在重要性和可行性上被评为不确定的干预措施，并创建了第二套干预措施。第四，利益相关者根据重要性和可行性对第三阶段的干预措施进行评级，并对干预措施进行排名，从而得出最重要干预措施的前5名。结果：共有30名前患者及其家属和46名医护人员参与。在ICU中确定了35种PFCC的干预措施。其中，31项被评为重要和可行，4项被评为不确定。评分最高的五项干预措施集中在与患者和家属就护理和治疗计划进行定期的多学科对话，记录患者日记，提供咨询师的心理支持，制定量身定制的每日时间表，以及确保与患者联系人保持一致的沟通。结论和临床实践意义：实施高度重视和可行性的干预措施可以显著提高患者和家属的ICU护理体验。排名前五的干预措施表明，在最大限度地减少ICU入院的影响方面，最重要的是什么。

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引用次数: 0

The next step in ICU pressure injury care: 222-nm ultraviolet-C to reduce microbial burden and support healing in pressure injuries 下一步ICU压伤护理：222nm紫外- c减少微生物负担，支持压伤愈合。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-15 DOI: 10.1016/j.iccn.2025.104256

Jessica Ingleman

引用次数: 0

Multi-domain indoor environmental quality in intensive care units from a healthcare worker perspective: An observational study in Japan 从医护人员的角度看重症监护病房的多领域室内环境质量：日本的一项观察性研究。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-15 DOI: 10.1016/j.iccn.2025.104257

Wataru Umishio , Nobuyuki Nosaka , Ayako Noguchi , Takuya Oki , Yoshiki Sento , Kenji Wakabayashi

Objectives

The well-being of healthcare workers in ICUs is an important interdisciplinary issue, bridging occupational health, clinical medicine, and environmental design. While interventions have focused on staffing and workload management, the ICU environment’s impact on staff remains underexplored. Most previous studies have addressed indoor environmental quality (IEQ) from the patient perspective, lacking comprehensive multi-domain assessments in relation to staff experience. This study applied methods from building environmental engineering and occupational health to objectively and subjectively evaluate IEQ in a university hospital ICU in Japan, examining associations between IEQ and work productivity.

Methods

From July to September 2023, environmental parameters—temperature, humidity, air quality, illuminance, and noise—were measured. Healthcare workers also evaluated their satisfaction with thermal, air, lighting, and acoustic environments, and work productivity (concentration, communication). Multiple linear regression analyses were conducted to examine the associations between satisfaction with IEQ domains and (1) overall environmental satisfaction, and (2) work productivity.

Results

(1) Although the average temperature across 12 ICU beds was 23.2 °C, single-bed rooms were approximately 2 °C cooler, contributing to thermal dissatisfaction. (2) Dissatisfaction with air quality was relatively low, consistent with favourable CO₂ and PM_2.5 levels. (3) Dissatisfaction with lighting stemmed mainly from insufficient daylight; bedsides with daylight had an average illuminance of 754 lx versus 218 lx without. (4) Acoustic dissatisfaction was highest; the average A-weighted equivalent continuous sound levels were 57.7 dB(A) over 24 h and 54.5 dB(A) during nighttime, exceeding the guideline value of 45 dB(A) even at night. (5) Satisfaction with lighting and acoustic environments was significantly associated with overall environmental satisfaction; lighting satisfaction was also positively linked to concentration.

Conclusions

Optimising multi-domain IEQ, particularly lighting and acoustic conditions, may enhance ICU staff productivity and well-being.

Implications for clinical practice

These findings support cross-disciplinary collaboration in hospital design and management, promoting holistic environmental strategies for healthcare workforce support.

目的：icu医护人员的福祉是一个重要的跨学科问题，连接职业健康，临床医学和环境设计。虽然干预措施侧重于人员配备和工作量管理，但ICU环境对工作人员的影响仍未得到充分探讨。以前的大多数研究都是从患者的角度来解决室内环境质量（IEQ）问题，缺乏与工作人员经验相关的综合多领域评估。本研究运用建筑环境工程学和职业卫生学的方法，对日本某大学医院ICU的环境质量进行了客观和主观评价，探讨了环境质量与工作效率的关系。方法：于2023年7 - 9月，对环境参数（温度、湿度、空气质量、照度、噪声）进行测定。医护人员还评估了他们对热、空气、照明和声学环境的满意度，以及工作效率（注意力集中、沟通）。通过多元线性回归分析，研究了对环境质量领域的满意度与(1)整体环境满意度和(2)工作效率之间的关系。结果：(1)12张ICU床位的平均温度为23.2℃，单人床房间的平均温度低约2℃，导致热不满。(2)对空气质量的不满程度相对较低，与良好的CO2和PM2.5水平一致。(3)对照明的不满主要源于日照不足；有日光的床边平均照度为754 lx，而没有日光的床边平均照度为218 lx。(4)声学满意度最高；平均A-加权等效连续声级在24 h内为57.7 dB(A)，夜间为54.5 dB(A)，即使在夜间也超过了45 dB(A)的指导值。(5)对照明和声环境的满意度与整体环境满意度显著相关；照明满意度也与注意力密切相关。结论：优化多领域的IEQ，特别是照明和声学条件，可以提高ICU员工的工作效率和幸福感。对临床实践的启示：这些发现支持医院设计和管理中的跨学科合作，促进医疗保健工作人员支持的整体环境战略。

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引用次数: 0

Sepsis in the older intensive care unit patient: current insights and nursing priorities 脓毒症在老年重症监护室病人：当前的见解和护理重点。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-14 DOI: 10.1016/j.iccn.2025.104249

Cemre Boşnak, Murat Akova

引用次数: 0

Biomarkers in sepsis: Less is more? Yes, it is 败血症的生物标志物：少即是多？是的，它是。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-13 DOI: 10.1016/j.iccn.2025.104243

Gonçalo Guerreiro , Pedro Póvoa

引用次数: 0

Families’ experiences with a novel nurse-led family support intervention in adult intensive care units: A qualitative thematic analysis 在成人重症监护病房，一种新型护士主导的家庭支持干预的家庭体验：一项定性的专题分析

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-10 DOI: 10.1016/j.iccn.2025.104248

Rieke Walkling , Lotte Verweij , Saskia Oesch , Rahel Naef

Background

Families of critically ill patients face considerable distress during and after their significant others’ intensive care unit (ICU) stay. To better address families’ needs and to mitigate high burden and post-ICU adverse health outcomes, we implemented a novel family support intervention (FSI) in ICUs as part of a clinical trial. The FSI consists of three core components (engaging & liaising, supporting, communicating), delivered by an ICU family nurse from admission to the post-ICU phase and have shown to improve quality of care in the ICU.

Objectives

The aim of this study was to explore and understand families’ experiences with and their perspectives on the benefits of the FSI.

Design

A multi-center, qualitative thematic analysis study, embedded within the Family in Intensive Care UnitS (FICUS) cluster-randomized clinical trial.

Participants

Family members (n = 17) and ICU survivors (n = 2) of 16 families from eight ICUs, allocated to the FICUS intervention group in the German speaking part of Switzerland.

Methods

16 semi-structured individual (n = 14), dyadic (n = 1) or group (n = 1) interviews were held from October-December 2023, between three and six months after patients’ ICU discharge. Reflexive thematic data analysis with an inductive approach was used.

Results

Three themes and nine subthemes were identified. The three themes included having individual family needs met (information and education, coordinative and practical help, and emotional support), skilled care (authentic interest, skilled communication, and knowledge and expertise) and experiencing benefits (feeling assured and oriented, reduced burden and stress, and ability to manage and cope as a family).

Implications

Findings highlight the importance of individualized, skilled and strengthening ICU care tailored to families’ needs and situations, which follows families into the post-ICU phase. Families experienced the FSI as a beneficial model of care for both individual and family well-being. ICUs should consider building capacity to ensure structured family care.

在重症监护病房（ICU）期间和之后，危重患者的家庭面临相当大的痛苦。为了更好地满足家庭需求，减轻高负担和icu后不良健康结果，我们在icu中实施了一种新的家庭支持干预（FSI）作为临床试验的一部分。FSI包括三个核心组成部分（参与、联络、支持、沟通），由ICU家庭护士从入院到出院阶段提供，并已证明可以提高ICU的护理质量。目的本研究的目的是探索和了解家庭的经验和他们对家庭服务的好处的看法。设计一项多中心定性专题分析研究，嵌入重症监护病房家庭（FICUS）集群随机临床试验。参与者：来自8个ICU的16个家庭的家庭成员（n = 17）和ICU幸存者（n = 2），分配到瑞士德语区的FICUS干预组。方法于2023年10 - 12月，患者出院后3 - 6个月，对16例半结构化个体（n = 14）、双组（n = 1）或组（n = 1）进行访谈。采用归纳方法进行反身性专题数据分析。结果确定了3个主题和9个副主题。这三个主题包括满足个人家庭需求（信息和教育，协调和实际帮助，情感支持），熟练护理（真正的兴趣，熟练的沟通，知识和专业知识）和体验利益（感到放心和定向，减轻负担和压力，以及作为一个家庭管理和应对的能力）。研究结果强调了个性化、熟练和加强针对家庭需求和情况的ICU护理的重要性，这些护理跟随家庭进入后ICU阶段。家庭经历了FSI作为一个有益的模式，照顾个人和家庭幸福。icu应考虑建设能力，以确保有组织的家庭护理。

{"title":"Families’ experiences with a novel nurse-led family support intervention in adult intensive care units: A qualitative thematic analysis","authors":"Rieke Walkling , Lotte Verweij , Saskia Oesch , Rahel Naef","doi":"10.1016/j.iccn.2025.104248","DOIUrl":"10.1016/j.iccn.2025.104248","url":null,"abstract":"<div><h3>Background</h3><div>Families of critically ill patients face considerable distress during and after their significant others’ intensive care unit (ICU) stay. To better address families’ needs and to mitigate high burden and post-ICU adverse health outcomes, we implemented a novel family support intervention (FSI) in ICUs as part of a clinical trial. The FSI consists of three core components (engaging & liaising, supporting, communicating), delivered by an ICU family nurse from admission to the post-ICU phase and have shown to improve quality of care in the ICU.</div></div><div><h3>Objectives</h3><div>The aim of this study was to explore and understand families’ experiences with and their perspectives on the benefits of the FSI.</div></div><div><h3>Design</h3><div>A multi-center, qualitative thematic analysis study, embedded within the Family in Intensive Care UnitS (FICUS) cluster-randomized clinical trial.</div></div><div><h3>Participants</h3><div>Family members (n = 17) and ICU survivors (n = 2) of 16 families from eight ICUs, allocated to the FICUS intervention group in the German speaking part of Switzerland.</div></div><div><h3>Methods</h3><div>16 semi-structured individual (n = 14), dyadic (n = 1) or group (n = 1) interviews were held from October-December 2023, between three and six months after patients’ ICU discharge. Reflexive thematic data analysis with an inductive approach was used.</div></div><div><h3>Results</h3><div>Three themes and nine subthemes were identified. The three themes included having individual family needs met (information and education, coordinative and practical help, and emotional support), skilled care (authentic interest, skilled communication, and knowledge and expertise) and experiencing benefits (feeling assured and oriented, reduced burden and stress, and ability to manage and cope as a family).</div></div><div><h3>Implications</h3><div>Findings highlight the importance of individualized, skilled and strengthening ICU care tailored to families’ needs and situations, which follows families into the post-ICU phase. Families experienced the FSI as a beneficial model of care for both individual and family well-being. ICUs should consider building capacity to ensure structured family care.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104248"},"PeriodicalIF":4.7,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Asymmetrical high flow nasal cannula: A new interface to improve physiology 非对称高流量鼻插管：改善生理机能的新接口。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-07 DOI: 10.1016/j.iccn.2025.104240

Alessandro Galazzi , Filippo Binda , Tommaso Mauri

引用次数: 0

ICU command centres in critical care: Nursing workflows, organizational models, and implementation challenges. A narrative review 重症监护ICU指挥中心：护理工作流程、组织模式和实施挑战。叙述性评论

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-10-07 DOI: 10.1016/j.iccn.2025.104245

Javier Muñoz , Lourdes Muñoz-Visedo , Elena Moreno-Ortega , Raquel Ribón-Liberal , Javier Muñoz-Visedo

Objectives

To synthesize current evidence on ICU Command Centers as socio-technical systems that support real-time clinical coordination, data-driven resource allocation, and interdisciplinary workflows, with particular emphasis on implications for critical care nursing practice.

Methods

A narrative review of peer-reviewed articles and gray literature published from 2005 to 2024 was conducted through PubMed, Embase, and Web of Science, as well as institutional reports. Findings were grouped thematically across five domains: clinical impact, operational efficiency, enabling technologies, barriers to implementation, and case examples. Nursing-related outcomes were specifically highlighted.

Results

Authoritative ICU Command Center models are associated with improved adherence to best practices, reduced ICU mortality and length of stay, and enhanced operational efficiency. Platforms integrating predictive dashboards and remote expert support improve staff responsiveness and reduce documentation burden. For nurses, Command Centers may reduce alarm fatigue, streamline workflows, and enhance team communication—especially when systems are tailored to frontline needs.

Conclusions

ICU Command Centers represent a scalable, data-driven infrastructure for high-acuity care. Their impact depends on alignment with clinical workflows, especially those of nurses, and on trust-building strategies that promote adoption and sustained use.

Implications for clinical practice

When integrated effectively, ICU Command Centers can reduce cognitive overload and optimize nursing care by supporting prioritization, protocol adherence, and interdisciplinary coordination. Involving nurses in the design and implementation phases is key to ensuring usability and clinical relevance.

目的：综合目前关于ICU指挥中心作为支持实时临床协调、数据驱动资源分配和跨学科工作流程的社会技术系统的证据，特别强调对重症护理实践的影响。方法：通过PubMed、Embase和Web of Science以及机构报告，对2005年至2024年发表的同行评议文章和灰色文献进行叙述性回顾。研究结果按主题分为五个领域：临床影响、操作效率、使能技术、实施障碍和案例。特别强调了护理相关的结果。结果：权威的ICU指挥中心模型可以提高对最佳实践的依从性，降低ICU死亡率和住院时间，提高操作效率。集成预测仪表板和远程专家支持的平台提高了员工的响应能力，减少了文档负担。对护士来说，指挥中心可以减少报警疲劳，简化工作流程，加强团队沟通——特别是当系统适合一线需求时。结论：ICU指挥中心代表了一种可扩展的、数据驱动的高敏度护理基础设施。它们的影响取决于与临床工作流程，特别是护士工作流程的一致性，以及促进采用和持续使用的建立信任战略。对临床实践的启示：当有效整合时，ICU指挥中心可以通过支持优先级、协议遵守和跨学科协调来减少认知超载并优化护理。让护士参与设计和实施阶段是确保可用性和临床相关性的关键。

{"title":"ICU command centres in critical care: Nursing workflows, organizational models, and implementation challenges. A narrative review","authors":"Javier Muñoz , Lourdes Muñoz-Visedo , Elena Moreno-Ortega , Raquel Ribón-Liberal , Javier Muñoz-Visedo","doi":"10.1016/j.iccn.2025.104245","DOIUrl":"10.1016/j.iccn.2025.104245","url":null,"abstract":"<div><h3>Objectives</h3><div>To synthesize current evidence on ICU Command Centers as socio-technical systems that support real-time clinical coordination, data-driven resource allocation, and interdisciplinary workflows, with particular emphasis on implications for critical care nursing practice.</div></div><div><h3>Methods</h3><div>A narrative review of peer-reviewed articles and gray literature published from 2005 to 2024 was conducted through PubMed, Embase, and Web of Science, as well as institutional reports. Findings were grouped thematically across five domains: clinical impact, operational efficiency, enabling technologies, barriers to implementation, and case examples. Nursing-related outcomes were specifically highlighted.</div></div><div><h3>Results</h3><div>Authoritative ICU Command Center models are associated with improved adherence to best practices, reduced ICU mortality and length of stay, and enhanced operational efficiency. Platforms integrating predictive dashboards and remote expert support improve staff responsiveness and reduce documentation burden. For nurses, Command Centers may reduce alarm fatigue, streamline workflows, and enhance team communication—especially when systems are tailored to frontline needs.</div></div><div><h3>Conclusions</h3><div>ICU Command Centers represent a scalable, data-driven infrastructure for high-acuity care. Their impact depends on alignment with clinical workflows, especially those of nurses, and on trust-building strategies that promote adoption and sustained use.</div></div><div><h3>Implications for clinical practice</h3><div>When integrated effectively, ICU Command Centers can reduce cognitive overload and optimize nursing care by supporting prioritization, protocol adherence, and interdisciplinary coordination. Involving nurses in the design and implementation phases is key to ensuring usability and clinical relevance.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104245"},"PeriodicalIF":4.7,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145254134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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