Nursing in Critical Care

Non-pharmacological interventions to support the cognitive rehabilitation of patients admitted to the intensive care unit: An umbrella review
Holm A, Thorn L, Alrø AB, Nedergaard HK, Jensen HI and Dreyer P
Critically ill patients experience cognitive impairment throughout their intensive care unit trajectory, in the acute phase and the long-term alike. Cognitive impairment may negatively impact patients' quality of life and rehabilitation outcomes.
Development and validation of a nomogram for circuit lifespan of regional citrate anticoagulation-continuous renal replacement therapy in intensive care patients with acute kidney injury
Chen Z, Pan L, Zhang J, Chen Y, Liu Y, Jia P, Liu S, Wang B, Zheng P, Chen F, Zeng B, Zhang W, Yang Q, Huang X and Xie C
Regional citrate anticoagulation-continuous renal replacement therapy (RCA-CRRT) has a wide range of applications in clinical practice, but unplanned downtime due to RCA-CRRT circuit coagulation is as high as 15.75%-66.70%.
Spotlight on respiratory care, delirium, well-being and moral injury
Trapani J, Stewart N, Eltaybani S and Vollam S
Safe and effective pressure of endotracheal tube suctioning based on sputum viscosity grades during artificial airway open suctioning procedures: A double-blind randomized controlled trial
Liu W, Gu C, Li M and Xiong J
Endotracheal tube suctioning is an effective measure to ensure airway patency during mechanical ventilation; however, inappropriate suction pressure often leads to many adverse effects.
Multisensory stimulation to reduce procedural pain in retinopathy of prematurity: A randomized controlled trial
Tasdemir HI
Retinopathy is frequently seen in the neonatal intensive care unit (NICU), and its examination is a painful procedure for infants.
Dynamic change and risk factors of intense thirst in patients admitted to neuro-intensive care unit: An observational study
Zhao P, Luo Y, Xiang L, Cao M, Song X, Liao L, Yan M, Cheng L, Zhu Z and Zhang X
Thirst is a clinical discomfort symptom reported by most patients admitted to intensive care unit (ICU). Little is known about the dynamic change and risk factors of intense thirst in neuro-intensive care unit (Neuro-ICU).
The association of early passive mobilization with intracranial pressure in the adult intensive care unit: A prospective, cohort study
Küçük AO, Hatınoğlu N, Apaydin U, Altunalan T and Küçük MP
Early mobilization are key components of the ABCDEF Care Bundle and critical treatments to reduce acquired muscle weakness, delirium and prolonged intensive care unit (ICU) stay.
Exploring the experience of cardiothoracic ICU clinicians during the COVID-19 pandemic: A grounded theory study
Hughes L, Shelley B and McPeake J
Prior to the COVID-19 pandemic a flexible approach to visiting was adopted by many Intensive Care Units in the United Kingdom. Due to the rapid spread globally of COVID-19, significant policy changes were put in place, including the restriction on visitors to patients in hospital. Evidence has emerged demonstrating the negative impact of these restrictions on patients with COVID-19, their families and the staff caring for them. However, there is limited data about the impact of these restrictions in the non-COVID ICU environment.
Early prediction of sepsis in emergency department patients using various methods and scoring systems
Song YF, Huang HN, Ma JJ, Xing R, Song YQ, Li L, Zhou J and Ou CQ
Early recognition of sepsis, a common life-threatening condition in intensive care units (ICUs), is beneficial for improving patient outcomes. However, most sepsis prediction models were trained and assessed in the ICU, which might not apply to emergency department (ED) settings.
Mental workload as a predictor of burnout in intensive care nurses
Gündüz ES and Öztürk NK
Nurses face a high level of mental workload while performing their duties. High levels of mental workload can negatively impact nurses.
Risk factors for enteral nutrition feeding intolerance in stroke patients: A scoping review
Solomon OM, Gu Y and Wei Y
Feeding intolerance is a common issue in stroke patients who are receiving enteral nutrition, and it has a substantial effect on their recovery and rehabilitation. Understanding the various factors of feeding intolerance in this patient population is vital for improving care and outcomes.
Clinical trial protocol for continuous glucose monitoring in critical care at Hospital Clinic of Barcelona (CGM-UCI23)
Pañero-Moreno M, Guix-Comellas EM and Villamor-Ordozgoiti A
Hyperglycaemia is common in intensive care units (ICUs), with a prevalence of up to 86.2%, increasing mortality. Technology has evolved towards continuous glucose monitoring (CGM), and its use in ICUs began especially during the coronavirus pandemic (COVID-19). Various studies have evaluated the reliability of CGM, indicating that it is safe for use in critically ill patients.
The effect of listening to the voice recording of relatives on chest pain, anxiety and depression in patients hospitalized in the coronary intensive care unit: A randomized controlled trial
Uğurlu YK and Alemdar DK
After acute myocardial infarction, the prevalence of anxiety and depression is quite high in patients because of severe chest pain, distance from relatives, unfamiliar environment and orientation problems.
Comment on "Delirium prevalence in emergency department patients: A systematic review and meta-analysis"
Bushi G, Shabil M and Sah S
The effect of end-of-life care awareness education on the knowledge, attitudes and behaviours of intensive care nurses: A randomized controlled trial
Demir F, Polat Dunya C and Özkan İ
Education in end-of-life care (EoLC) is essential for improving the knowledge, attitudes and behaviours of intensive care nurses.
Health care providers' perceptions of family participation in essential care in the intensive care unit: A qualitative study
Dijkstra BM, Schoonhoven L, Felten-Barentsz KM, van der Valk MJM, van der Hoeven JG and Vloet LCM
Family participation in essential care may benefit patients and relatives.
Effectiveness of spiritual care interventions among patients in the intensive care unit: A systematic review and meta-analysis
Li L, Chen M, Yu N and Zhang Q
Spiritual care interventions can be an important source of emotional support for patients in the intensive care unit (ICU). However, there is wide variation in the literature and no quantitative assessment to synthesize the results of these studies.
Patient follow-up after discharge from the paediatric intensive care unit: A scoping review
Micaëlli D, Naudin J, Dauger S, Levy M and Kerever S
Most children admitted to a paediatric intensive care unit (PICU) now survive because of improvements in care. Many studies have identified the psychological, functional, cognitive and social impact of PICU admission on a child and their family. However, expert recommendations on follow-up are lacking.
Development of the compliance with mechanical ventilator scale in: A validity and reliability study
Pazar B, Savas H, Turgut S and Dal HC
Mechanical ventilation is a widely used treatment modality in cardiac surgery intensive care units (ICUs), especially for patients requiring respiratory support during postoperative management.
The effect of an open-heart surgery patient care protocol on post-sternotomy pain, anxiety and quality of care: A randomized controlled trial
Dağcan Şahin N and Gürol Arslan G
Open-heart surgery patients face many problems because of post-sternotomy pain. Care protocols can eliminate pain and pain-related problems by providing holistic care.
Parents' experiences of psychotherapeutic support on the neonatal unit: A mixed methods systematic review to inform intervention development for a multicultural population
Jane K, Wood D, Gallagher K, Livermore P, Shoemark H and Robert G
Parents of infants admitted to neonatal intensive care require support to minimize the impact on their mental health and to encourage engagement with their infants to support infant neurodevelopment. Many interventions aim to address this need, but there is a lack of research considering the accessibility of these for a multicultural population.