Intensive and Critical Care Nursing最新文献

英文中文

Humanising paediatric care in the PICU: current strategies and emerging insights 在PICU人性化儿科护理：当前的策略和新兴的见解。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-22 DOI: 10.1016/j.iccn.2025.104287

Daniel Joseph E. Berdida , Jos M. Latour

引用次数: 0

Association between 1-h bundle and clinical outcomes in patients with sepsis: Treatment effect is greater for sicker patients! – Letter on Hong et al. 脓毒症患者1-h束与临床结局的关系：病情较重的患者治疗效果更好！——关于洪等人的信

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-21 DOI: 10.1016/j.iccn.2025.104282

Vincent Garrouste , Benoît Vivien , Papa Gueye , Romain Jouffroy

引用次数: 0

Dehumanization in healthcare: is artificial intelligence a threat or a salvation? 医疗保健的非人性化：人工智能是威胁还是拯救？

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-20 DOI: 10.1016/j.iccn.2025.104284

Marieke Geldof , Athiana Ryland , Simon Malfait

引用次数: 0

Effective nursing interventions for infection prevention and control in acute and critically ill patients with a peripherally inserted venous catheter: an umbrella review 有效的护理干预预防和控制感染的急性和危重病人与周围静脉导管：总括回顾。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-20 DOI: 10.1016/j.iccn.2025.104250

José Costa , Joana Teixeira , Eliana Sousa , Maria do Rosário Pinto

Introduction

Infections related to peripherally inserted venous catheters are among the most serious and frequent complications in acute and critical care. If unaddressed, these infections markedly escalate morbidity, mortality, and healthcare expenditures.

Objective

To synthesize scientific evidence about effective nursing interventions that prevent and control infections in acute and critically ill patients with peripherally inserted venous catheters.

Methods

This umbrella review followed Joanna Briggs Institute guidelines and the PRISMA statement for reporting systematic reviews. A systematic search was carried out in CINAHL, MEDLINE, JBI Evidence Synthesis, Cochrane Database of Systematic Reviews, Web of Science, and SCOPUS. Rayyan software supported study extraction and selection. Each study was assessed for methodological quality, grade of recommendation, and level of evidence.

Results

Six systematic reviews were included, allowing the identification of nursing-led interventions that demonstrably reduce catheter-related infection. Evidence supports infection risk reduction through chlorhexidine gluconate for skin preparation, insertion and maintenance bundles, and strategies to support bundle implementation. Additional effective interventions include in-line filters, limiting device dwell time, minimizing continuous antibiotic infusions, and avoiding using Teflon cannulas, instead of polyethylene or Vialon cannulas. For patients with peripherally inserted central catheters (PICCs), quantified grip exercises improved circulation and reduced infection and thrombosis risk. Integrated short peripheral catheters were associated with significantly fewer complications than non-integrated ones.

Conclusions

Nurses are pivotal in preventing peripherally inserted venous catheter-related infection through specific evidence-based interventions. Nurse leaders should also prioritize selecting lower-risk devices to enhance patient outcomes and reduce complications.

Implications for clinical practice

This review underscores the need for nurses to consistently implement evidence-based interventions to prevent infections related to venous catheters, reduce complications, and improve patient outcomes. It reinforces the importance of ongoing education, institutional support, and leadership in fostering safer practices in acute and critical care environments.

前言：与外周静脉导管置入相关的感染是急性和危重症护理中最严重和最常见的并发症之一。如果不加以解决，这些感染会显著增加发病率、死亡率和医疗支出。目的：为预防和控制急性危重病人外周静脉置管感染的有效护理措施提供科学依据。方法：本综述遵循乔安娜布里格斯研究所的指南和PRISMA报告系统评价的声明。在CINAHL、MEDLINE、JBI Evidence Synthesis、Cochrane Database of systematic Reviews、Web of Science和SCOPUS中进行系统检索。Rayyan软件支持研究提取和选择。对每项研究的方法学质量、推荐等级和证据水平进行评估。结果：纳入了六项系统评价，确定了护理主导的干预措施，可明显减少导管相关感染。证据支持通过葡萄糖酸氯己定用于皮肤准备、插入和维护包以及支持包实施的策略来降低感染风险。其他有效的干预措施包括在线过滤器，限制装置停留时间，尽量减少抗生素连续输注，避免使用特氟龙套管，而不是聚乙烯或维亚龙套管。对于外周插入中心导管（PICCs）的患者，量化的握力练习可以改善血液循环，降低感染和血栓形成的风险。整合短外周导管的并发症明显少于非整合短外周导管。结论：护士是通过循证干预措施预防静脉导管相关感染的关键。护士领导还应优先选择低风险设备，以提高患者的预后和减少并发症。对临床实践的启示：本综述强调护士需要始终如一地实施循证干预措施，以预防与静脉导管相关的感染，减少并发症，改善患者预后。它强调了在急性和重症监护环境中促进更安全做法的持续教育、机构支持和领导的重要性。

{"title":"Effective nursing interventions for infection prevention and control in acute and critically ill patients with a peripherally inserted venous catheter: an umbrella review","authors":"José Costa , Joana Teixeira , Eliana Sousa , Maria do Rosário Pinto","doi":"10.1016/j.iccn.2025.104250","DOIUrl":"10.1016/j.iccn.2025.104250","url":null,"abstract":"<div><h3>Introduction</h3><div>Infections related to peripherally inserted venous catheters are among the most serious and frequent complications in acute and critical care. If unaddressed, these infections markedly escalate morbidity, mortality, and healthcare expenditures.</div></div><div><h3>Objective</h3><div>To synthesize scientific evidence about effective nursing interventions that prevent and control infections in acute and critically ill patients with peripherally inserted venous catheters.</div></div><div><h3>Methods</h3><div>This umbrella review followed Joanna Briggs Institute guidelines and the PRISMA statement for reporting systematic reviews. A systematic search was carried out in CINAHL, MEDLINE, JBI Evidence Synthesis, Cochrane Database of Systematic Reviews, Web of Science, and SCOPUS. Rayyan software supported study extraction and selection. Each study was assessed for methodological quality, grade of recommendation, and level of evidence.</div></div><div><h3>Results</h3><div>Six systematic reviews were included, allowing the identification of nursing-led interventions that demonstrably reduce catheter-related infection. Evidence supports infection risk reduction through chlorhexidine gluconate for skin preparation, insertion and maintenance bundles, and strategies to support bundle implementation. Additional effective interventions include in-line filters, limiting device dwell time, minimizing continuous antibiotic infusions, and avoiding using Teflon cannulas, instead of polyethylene or Vialon cannulas. For patients with peripherally inserted central catheters (PICCs), quantified grip exercises improved circulation and reduced infection and thrombosis risk. Integrated short peripheral catheters were associated with significantly fewer complications than non-integrated ones.</div></div><div><h3>Conclusions</h3><div>Nurses are pivotal in preventing peripherally inserted venous catheter-related infection through specific evidence-based interventions. Nurse leaders should also prioritize selecting lower-risk devices to enhance patient outcomes and reduce complications.</div></div><div><h3>Implications for clinical practice</h3><div>This review underscores the need for nurses to consistently implement evidence-based interventions to prevent infections related to venous catheters, reduce complications, and improve patient outcomes. It reinforces the importance of ongoing education, institutional support, and leadership in fostering safer practices in acute and critical care environments.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"92 ","pages":"Article 104250"},"PeriodicalIF":4.7,"publicationDate":"2025-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575112","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

“Do we still need physical restraints in ICU? No!” “我们在重症监护室还需要身体约束吗？”不!”

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-14 DOI: 10.1016/j.iccn.2025.104262

Rens Kooken, Bram Tilburgs, Mark van den Boogaard

引用次数: 0

The Ideal Human Care in Green ICU: An integrated AI framework for future ICU care – Letter on Arabfard et al. 绿色ICU中的理想人类护理：未来ICU护理的集成AI框架-关于Arabfard等人的信。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-13 DOI: 10.1016/j.iccn.2025.104272

Tarun Madan Kanade , Vandana Sonwaney , Sampada V. Bende

引用次数: 0

Impact of delirium in cardiosurgical patients on short- and long-term mortality 心外科患者谵妄对短期和长期死亡率的影响。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-11 DOI: 10.1016/j.iccn.2025.104252

Baland Mohammad , Peter Nydahl , Hanna Gravert , Christina Grothusen , Katharina Huenges , Christine Friedrich , Wiebke Sommer , Assad Haneya , Gregor Warnecke , Bernd Panholzer

Background

Postoperative delirium (POD) is a common and serious complication in intensive care unit (ICU) patients after cardiac surgery. Its long-term impact remains uncertain. The aim was to determine the association between postoperative delirium and 8-year all-cause mortality in adult cardiac ICU patients.

Methods

This retrospective cohort study analysed patients admitted to a university hospital ICU following cardiac surgery. Data from pre-, peri-, and postoperative phases were collected. The primary outcome was mortality up to 8 years after ICU discharge. Secondary outcomes included POD incidence, ICU readmission, mortality at day 7 and 30 post-discharge, and ICU and hospital length of stay (LoS). Regression analyses were conducted to examine associations.

Results

The study included 551 patients, predominantly male (71 %, n = 397), with a median age of 72 (IQR 64–77) years. POD was diagnosed in 18.7 % (n = 103). Overall, the 8-year mortality rate was 16.7 % (n = 92). Compared to non-POD patients, those with POD had significantly higher 6–8 years mortality (n = 9 (8.7 %) vs. n = 16 (3.6 %), p = 0.033). Patients with POD had a longer LoS in ICU (median 4 vs. 2 days, p < 0.001) and hospital (15 vs. 12 days, p < 0.001), as well as higher ICU readmission rates within 30 days (12.3 % vs. 6.6 %, p = 0.037). POD patients also showed higher mortality at 30 days (3.8 % vs. 0.9 %, p = 0.028). However, after adjusting for confounders, POD was no longer significantly associated with long-term 6–8 years mortality (p = 0.205).

Conclusions

POD affects nearly one in five patients after cardiac surgery and is associated with adverse short-term outcomes, including longer stays and higher readmission and early mortality rates. Its independent effect on long-term mortality may be limited. Further studies are needed to explore its influence on quality of life and cognitive function.

背景：术后谵妄（POD）是心脏手术后重症监护病房（ICU）患者常见且严重的并发症。其长期影响仍不确定。目的是确定成人心脏ICU患者术后谵妄与8年全因死亡率之间的关系。方法：本回顾性队列研究分析了一所大学医院心脏手术后ICU收治的患者。收集术前、围手术期和术后各阶段的数据。主要终点是ICU出院后8年的死亡率。次要结局包括POD发生率、ICU再入院率、出院后第7天和第30天的死亡率、ICU和住院时间（LoS）。进行回归分析以检验相关性。结果：该研究纳入551例患者，主要为男性（71%,n = 397），中位年龄为72岁（IQR 64-77）。18.7% （n = 103）诊断为POD。总体而言，8年死亡率为16.7% （n = 92）。与非POD患者相比，POD患者的6-8年死亡率显著高于非POD患者(n = 9 （8.7%) vs. n = 16 (3.6%), p = 0.033）。POD患者在ICU的生存期较长（中位4天vs. 2天，p）。结论：POD影响近五分之一的心脏手术后患者，并与不良的短期预后相关，包括更长的住院时间、更高的再入院率和早期死亡率。它对长期死亡率的独立影响可能有限。其对生活质量和认知功能的影响有待进一步研究。

{"title":"Impact of delirium in cardiosurgical patients on short- and long-term mortality","authors":"Baland Mohammad , Peter Nydahl , Hanna Gravert , Christina Grothusen , Katharina Huenges , Christine Friedrich , Wiebke Sommer , Assad Haneya , Gregor Warnecke , Bernd Panholzer","doi":"10.1016/j.iccn.2025.104252","DOIUrl":"10.1016/j.iccn.2025.104252","url":null,"abstract":"<div><h3>Background</h3><div>Postoperative delirium (POD) is a common and serious complication in intensive care unit (ICU) patients after cardiac surgery. Its long-term impact remains uncertain. The aim was to determine the association between postoperative delirium and 8-year all-cause mortality in adult cardiac ICU patients.</div></div><div><h3>Methods</h3><div>This retrospective cohort study analysed patients admitted to a university hospital ICU following cardiac surgery. Data from pre-, peri-, and postoperative phases were collected. The primary outcome was mortality up to 8 years after ICU discharge. Secondary outcomes included POD incidence, ICU readmission, mortality at day 7 and 30 post-discharge, and ICU and hospital length of stay (LoS). Regression analyses were conducted to examine associations.</div></div><div><h3>Results</h3><div>The study included 551 patients, predominantly male (71 %, n = 397), with a median age of 72 (IQR 64–77) years. POD was diagnosed in 18.7 % (n = 103). Overall, the 8-year mortality rate was 16.7 % (n = 92). Compared to non-POD patients, those with POD had significantly higher 6–8 years mortality (n = 9 (8.7 %) vs. n = 16 (3.6 %), p = 0.033). Patients with POD had a longer LoS in ICU (median 4 vs. 2 days, p < 0.001) and hospital (15 vs. 12 days, p < 0.001), as well as higher ICU readmission rates within 30 days (12.3 % vs. 6.6 %, p = 0.037). POD patients also showed higher mortality at 30 days (3.8 % vs. 0.9 %, p = 0.028). However, after adjusting for confounders, POD was no longer significantly associated with long-term 6–8 years mortality (p = 0.205).</div></div><div><h3>Conclusions</h3><div>POD affects nearly one in five patients after cardiac surgery and is associated with adverse short-term outcomes, including longer stays and higher readmission and early mortality rates. Its independent effect on long-term mortality may be limited. Further studies are needed to explore its influence on quality of life and cognitive function.</div></div>","PeriodicalId":51322,"journal":{"name":"Intensive and Critical Care Nursing","volume":"93 ","pages":"Article 104252"},"PeriodicalIF":4.7,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145508687","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

The Ideal human care in Green ICU: An integrated AI framework for future ICU care − Response to Kanade Tarun Madan et al. 绿色ICU中的理想人类护理：未来ICU护理的集成AI框架——对Kanade Tarun Madan等人的回应。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-11 DOI: 10.1016/j.iccn.2025.104275

Masoud Arabfard , SeyedTayeb Moradian , Vinciya Pandian , Hong-Gu He , Amir Vahedian-Azimi , On the behalf of the ideal human care in green ICU research Team

引用次数: 0

Nurses’ impact on blood pressure after sedation bolus use: Untangling “nurse effects” 镇静丸使用后护士对血压的影响：解开“护士效应”。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-10 DOI: 10.1016/j.iccn.2025.104276

Christian Vincelette , Francois Martin Carrier , Michael Yu , Michael Chassé

引用次数: 0

Sonic overload: Alarm annoyance and its ripple effects on clinicians and patients 声音过载：警报烦恼及其对临床医生和患者的连锁反应。

IF 4.7 2区医学 Q1 NURSING

Intensive and Critical Care Nursing

Pub Date : 2025-11-10 DOI: 10.1016/j.iccn.2025.104268

Alexandra G. Lee , Kendall J. Donohue , Joseph J. Schlesinger

引用次数: 0

首页上一页

下一页尾页

类型

全部化学•材料生命科学医学物理工程技术环境•农林材料科学地球科学法学管理学化学环境科学与生态学计算机科学教育学经济学农林科学人文科学生物学数学物理与天体物理心理学综合性期刊其他工业工程理学历史学农学文学信息工程

数据库

全部 ACS Publications Elsevier ieeexplore Springer The Royal Society of Chemistry Wiley

期刊

Intensive and Critical Care Nursing

全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.

﹀