Factors associated with the readiness for oral intake in post-extubated critically ill adult patients: A prospective observational study

المجلة: Nursing in critcal care

سنة النشر: 2024

تاريخ النشر: 2024-03-19

Post-extubation dysphagia (PED) is a common issue in adult patients who have been severely ill, leading to malnutrition and extended hospital and ICU admissions. A study involving 125 extubated patients used the Gugging Swallowing Screen (GUSS) to assess readiness for oral intake. Factors such as age, BMI, smoking history, and longer stay in the ICU were linked to lower GUSS scores. Factors such as muscle relaxant usage, endotracheal and orogastric tube size, and frequency of intubation attempts increased predictability by 86.0%. Over 33% of patients with PED experience severe dysphagia, making it crucial to evaluate high-risk patients, use appropriate tubes, and minimize muscle relaxant administration to improve preparedness for oral intake.

The influence of anxiety and depression on critical care nurses' performance: A multicenter correlational study

المجلة: Australia critical care

سنة النشر: 2024

تاريخ النشر: 2024-02-28

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. Objectives: 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.