Explore our extensive archive of past issues to access valuable resources and past research. Our archives are categorized by year and volume, allowing easy navigation and access to historical data that continues to inform current practices in intensive care and pediatric nursing.
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Volume 2
Issue 2 JULY – DECEMBER 2025
Volume 2(Issue 2) JULY – DECEMBER 2025 Research Articles
Optimizing Nursing Strategies to Mitigate Delirium in ICU Patients Amid the COVID-19 Crisis: A Narrative Perspective
Vol.2(2); Pages:1-9. Published on November 2025
Abstract
Delirium is the most prevalent but underestimated complex associated with critically ill patients in intensive care units (ICUs) and incidence rates increased dramatically during the COVID-19 pandemic due to isolation, sedation, mechanical ventilation and limited contact with their families. In this narrative overview, I delved into the evidence-based nursing practices in the prevention and mitigation of delirium among ICU patients during the pandemic. An excessive focus is put on non-pharmacologic methods like the reorientation techniques, encouragement of sleep, early mobilization, and improved communication strategies. The summary also mentions the presence of individual issues with infection control requirements and professionals shortage during the pandemic, which requires the importance of flexible and patient-oriented nursing care. With proper guidance to these strategies, not only can the patients manage to reduce the rates and severity of delirium, but also enhance long-term cognitive as well as functional outcomes among patients with critical illness.
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Impact of Consciousness Depth and Respiratory Support on the Accuracy of Delirium Detection Tools in Intensive Care
Vol.2(2); Pages:10-20. Published on November 2025
Abstract
Background: Delirium is a common and severe event of critically ill patients but its recognition is problematic in the condition of fluctuating degrees of sedation and mechanical ventilation. In this international, prospective, bi-center observational study the purpose was to review the effect of sedation depth and ventilator status on the validity of common delirium screening instruments in the ICU. The screening of adult ICU patients with specific conventional delirium screening tools was performed at different rates of sedation (according to RASS) and across all types of ventilation (invasive and non-invasive). Medical Expert clinical scale was used as the reference standard to compare the diagnostic accuracy. There were [insert number] patients evaluated. The validity of evaluation tools with regard to diagnosis decreased dramatically among deeply sedated and invasively ventilated patients with decreased sensitivity and specificity regarding all instruments. Conversely, a higher accuracy was observed at the lightest states of sedation and in spontaneously breathing people.
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Comparative Evaluation of Delirium Assessment Scales in Clinical Practice
Vol.2(2); Pages:21-30. Published on November 2025
Abstract
Delirium is one of the most common and serious neuropsychiatric syndromes with acute changes of attention, cognition and consciousness, which are often found in patients during a hospitalization, especially among the elderly and patients in intensive care unit (ICU). It is pertinent to identify delirium correctly as early as possible to manage it and achieve positive patient outcomes. Different assessment tools have been devised in order to identify delirium, and they all have their strengths, limitations and applicability in various clinics. This review gives an extensive analysis of popular delirium assessment scales, such as Confusion Assessment Method (CAM), CAM-ICU, Intensive Care Delirium Screening Checklist (ICDSC), Delirium Rating Scale-Revised-98 (DRS-R-98), and the Nursing Delirium Screening Scale (Nu-DESC). It examines their validity, user friendliness, inter-rater reliability and use in patient of varied groups. This review is hoping to help clinicians in choosing the most applicable assessment tool in the context of their individual practice setting by identifying the comparative characteristics of each diagnostic tool. Finally, better awareness and use of valid and reliable delirium assessment scales can be helpful in early diagnosis that may lead to early interventions and minimization of the long-term effects of delirium.
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Australasian Insights into the Evolving Roles of Aged Care Nurses
Vol.2(2); Pages:31-39. Published on November 2025
Abstract
Aged care sector in Australasia is also experiencing massive metamorphosis that has led to a reconsideration of the multilateral roles played by aged care nurses. These specialists work not only as clinical caretakers but also as advocates, programmers, classifiers, and emotional reenforcers in more and more intricate settings of care. The paper describes the changing role of aged care nurses in the socio-cultural, economic and policy environment of Australia and New Zealand. It points out the role of demographic changes, labor shortages and altered expectations of older people in becoming one of the factors that influence the practice of nursing. Moreover, it emphasizes the need of ongoing professional growth and ethical awareness, as well as cultural capacity to provide comprehensive and person-driven care to the elderly. Comparatively and qualitatively, the research study gives a glimpse into how aged care nurses are responding to change towards achieving the requirements of the contemporary context of gerontological professional practice and at the same time maintaining high quality customer-friendly services.
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Exploring Human-Technology Dynamics in Nursing Workforce Management: Evidence from a Qualitative Study in the UK
Vol.2(2); Pages:40-52. Published on November 2025
Abstract
This paper examines the intricate socio-material interrelations incorporated in the nurse staffing systems in healthcare facilities in England and Wales. The research is qualitative in nature with ethnography and interview-based data as the background to elicit the interactions between material artefacts, which in this case include digital staffing tools, rotas, and hospital infrastructures, with such social actors as nurses, managers, and policy-makers. The implications of the findings indicate that the evaluation of staffing decisions is not only technical or operational but is developed via dynamic inter-twined relationships of human judgement, organizational culture and technological systems. What this study also highlights are important policy frameworks and staffing models that can be developed to factor in such socio-material interdependencies to enhance the sustainability and quality of care as well as the well-being of the staff.
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Issue 1 JANUARY- JUNE 2025
Volume 2(Issue 1) JANUARY- JUNE 2025 Research Articles
Worldwide Study on Pain Management Strategies in Pediatric Critical Care Units
Vol.2(1); Pages:1-9. Published on February 2025
Abstract
The assessment and treatment of pain stands as an important but difficult task in pediatric intensive care units (PICUs) throughout the entire world. The research evaluates existing healthcare practices while investigating management barriers and techniques between various healthcare facilities operating worldwide. The research team obtained data from PICU facilities in different countries to understand how standardized pain assessment instruments are utilized together with medication strategies and non-medicinal techniques in addition to reviewing pain management protocol adherence. The investigation reveals differences between how pain management is done by healthcare professionals and explains how resource availability affects clinical care and demonstrates proven strategies to get better pain control and comfort results. The research emphasizes the requirement for international pain management protocols together with more widespread training and modified policies to enhance treatment of pain in seriously ill children.
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Advanced Ventilator Modes in Pediatric Intensive Care: A Narrative Review
Vol.2(1); Pages:10-18. Published on February 2025
Abstract
Supportive care practices within pediatric intensive care units heavily depend on mechanical ventilation for critical respiratory failure management of ill patients. The advancement of modern ventilators enabled the development of sophisticated ventilation modes to provide optimized lung protection together with improved patient-ventilator synchrony along with decreased ventilator-induced lung injury (VILI).Advanced ventilator modes used in PICU settings are evaluated in this review through a narrative approach which discusses both adaptive support ventilation (ASV) and neurally adjusted ventilatory assist (NAVA) together with proportional assist ventilation (PAV) and highfrequency oscillatory ventilation (HFOV) and airway pressure release ventilation (APRV) as well as extracorporeal CO₂ removal (ECCO₂R). The analysis discusses each mode by examining its physiological concepts together with clinical use and advantages and disadvantages. New modalities show promise for improving outcomes of particular pediatric patient groups when treating patients with acute respiratory distress syndrome (ARDS) alongside neuromuscular disorders or patients who struggle to wean from ventilation therapy. Professionals who specialize in the subject must implement these techniques while the goal is to achieve the best results possible while reducing possible adverse effects.The promising benefits of these new approaches exist with several unmet areas in research about their best use for pediatric patients. Additional randomized controlled trials need to be conducted because they will develop best practice guidelines while revealing the extended effects of complex ventilator modes on children’s clinical results. The review demonstrates that PICU mechanical ventilation improvement depends on ongoing research development and staff training and interprofessional team working to create better ventilation methods which save lives and limit complications for critically ill children.
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Ethical Challenges of Resource Allocation in Pediatric Intensive Care Units
Vol.2(1); Pages:19-25. Published on February 2025
Abstract
PICUs encounter major ethical challenges in their resource allocation processes because life-saving priorities need to be selected from limited resources. A refined ethical framework is needed to manage the three core needs of medical necessity, equity alongside justice while achieving excellent patient results. When rationing occurs in PICUs the allocation of ventilators along with extracorporeal membrane oxygenation (ECMO), critical care beds and lifesaving treatments becomes highly complex. Ethical problems occur when making decisions to prioritize medical care between patients whose health conditions vary in terms of long-term status and social health factors. Healthcare providers together with their teams perform these decisions through ethical principles including beneficence along with non-maleficence and autonomy and justice under guidance from hospital policies and legal mandates and societal expectations. Healthcare providers experience enhanced moral distress because of conflicts that develop between professionals who deliver treatment and families along with institutional guidelines about continued treatment versus discontinuation. The COVID-19 pandemic exposed existing resource challenges so medical professionals require standardized distribution protocols to prevent biased resource allocation. The research analyzes ethical dilemmas which occur during medicine rationing in pediatric intensive care units in combination with ethics committee involvement and possible methods to distribute resources fairly. Both ethical guidance enforcement alongside teamwork between different medical specialties alongside family updates about care plans will help healthcare providers make challenging treatment decisions while preserving pediatric rights and patient wellness.
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Reviewing the Evidence and Frameworks of Trauma-Informed Practice in Pediatric Critical Care
Vol.2(1); Pages:26-34. Published on February 2025
Abstract
PICUs function as lifesaving facilities for children under intensive care but the very stressful atmosphere combined with invasive medical operations and extended hospital stays often creates psychological trauma for patients alongside their families. The emerging healthcare frameworkTrauma-informed care (TIC) focuses on identifying trauma while aiming to prevent it and take actions against it throughout medical settings. This study analyzes TIC practices for pediatric intensive care by evaluating recent research about integration methods along with the barriers and patient results from its utilization. This paper investigates four main concepts in TIC which include psychological safety along with family-centered care and staff training and policy development recommendations. Research has shown that some parts of TIC can be found within PICU clinical practice but full systemwide integration of TIC has not been achieved yet. Additional investigation must focus on creating standardized procedures while evaluating how TIC benefits pediatric recovery together with the wellbeing of families over extended periods.
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Professional Caregivers’ Challenges and Strategies in Communicating with Parents in Pediatric Oncology
Vol.2(1); Pages:35-42. Published on February 2025
Abstract
Effective communication between professional caregivers and parents is crucial in pediatric oncology, where families face emotionally and cognitively demanding situations. This study explores caregivers’ perceptions of providing information to parents of children diagnosed with cancer, focusing on communication strategies, challenges, and ethical considerations. Using qualitative and/or quantitative methods, the research examines how caregivers balance delivering clear, accurate medical information while addressing parental emotions and concerns. Findings highlight the importance of tailored communication approaches, interdisciplinary collaboration, and the need for continuous training to enhance information-sharing practices. Improving these interactions can strengthen trust, support decision-making, and improve overall family-centered care in pediatric oncology.
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Volume 1
Issue 2 JULY – DECEMBER 2024
Volume 1 (Issue 2) JULY – DECEMBER 2024 Research Articles
Marginalization in Women’s Healthcare in Ghana: Colonial Origins, Unveiling Women’s Knowledge, and Empowering Voices
Vol.1(2); Pages:1-10. Published on August 2024
Abstract
This study examines the multifaceted issue of marginalization in women’s healthcare in Ghana, tracing its roots to colonial times and exploring the contemporary implications for women’s health. The colonial legacy has left a profound impact on the healthcare system, perpetuating inequalities and limiting access to essential services for women. This research delves into historical contexts to understand how colonial policies and practices marginalized women, shaping the current landscape of healthcare. Furthermore, the study seeks to unveil and document the indigenous knowledge and practices of Ghanaian women, which have often been overlooked or undervalued by mainstream medical systems. By recognizing and integrating this knowledge, we aim to highlight the critical role that women play in their own health and that of their communities. The research emphasizes the importance of empowering women’s voices, ensuring that they are active participants in the decision-making processes that affect their health outcoms.
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Maternal-Newborn Nursing: Thirteen Obstacles Affecting Practice Excellence
Vol.1(2); Pages:11-20. Published on September 2024
Abstract
Maternal-newborn nursing faces numerous challenges that significantly influence the delivery of excellent care. This paper explores thirteen key challenges impacting the practice of maternal-newborn nursing globally. These challenges range from socio-economic factors affecting access to healthcare, cultural beliefs impacting maternal health decisions, to technological advancements shaping neonatal care practices. Understanding and addressing these challenges are crucial for enhancing the quality and effectiveness of maternal-newborn nursing care, ultimately improving maternal and neonatal health outcomes.
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Defensive Strategies in Pediatric Oncology Nursing: Coping Mechanisms and Workplace Resilience
Vol.1(2); Pages:21-29. Published on October 2024
Abstract
Pediatric oncology nursing is a highly demanding field, requiring nurses to balance the emotional, physical, and psychological challenges of caring for children with cancer. Defensive strategies are often employed by these professionals to manage the stress, emotional fatigue, and moral dilemmas inherent in their work. This article explores the various coping mechanisms used by pediatric oncology nurses, including emotional distancing, teambased support systems, and personal resilience-building techniques. It highlights the benefits and potential drawbacks of these strategies while emphasizing the importance of fostering a supportive work environment. Furthermore, the article discusses the implications of these strategies for nurse well-being, patient care, and organizational outcomes. By understanding and addressing the use of defensive strategies, healthcare institutions can better support their nursing staff and improve the quality of pediatric oncology care.
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Oncology Nursing in the Eastern Mediterranean Region: Addressing Workforce Challenges and Needs
Vol.1(2); Pages:30-35. Published on November 2024
Abstract
Oncology nursing in the Eastern Mediterranean Region faces significant challenges due to workforce shortages, inadequate training, and disparities in access to cancer care.This paper examines the current state of oncology nursing in this region, identifying key issues such as limited professional development opportunities, lack of standardized training programs, and the need for specialized oncology education.It discusses the impact of these challenges on patient care outcomes, emphasizing the importance of tailored workforce interventions to improve the quality and availability of cancer care.Strategies to enhance workforce capacity include the establishment of targeted training programs, regional collaboration, and policy initiatives to strengthen nursing roles in oncology.
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Systematic Review of Empowerment-Based Interventions in Pediatric Oncology: Effects on Child and Parent Outcomes
Vol.1(2); Pages:36-42. Published on November 2024
Abstract
Empowerment-based interventions in pediatric oncology aim to enhance the well-being of both children undergoing treatment and their parents. These interventions focus on strengthening self-efficacy, promoting active participation in decision-making, and enhancing communication skills. This systematic review explores the impact of such interventions on child outcomes (e.g., coping mechanisms, quality of life, psychological distress) and parent outcomes (e.g., caregiver burden, mental health, family cohesion). A comprehensive analysis of recent studies reveals that empowerment-based approaches can significantly improve child resilience, reduce psychological stress, and foster a supportive family environment. Despite the positive effects observed, variations in intervention strategies and outcome measures highlight the need for more standardized research in this field.
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Issue 1 JANUARY – JUNE 2024
Volume 1 (Issue 1) JANUARY – JUNE 2024 Research Articles
Challenges in Transforming Cardiovascular Nursing Care for The Future
Vol.1(1); Pages:1-7. Published on May 2024
Abstract
Cardiovascular nursing faces significant challenges as it transforms to meet future healthcare demands. This article examines the evolving landscape of cardiovascular care, emphasizing the critical role of nursing in adapting to new models of care delivery. Key challenges include integrating advancing technologies into practice, addressing workforce shortages, promoting interdisciplinary collaboration, and enhancing patient-centered care initiatives. Strategies for overcoming these challenges are explored, highlighting the importance of education, leadership development, and policy advocacy in shaping the future of cardiovascular nursing.
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Global Trends in International Nurse Migrations: Challenges and Implications
Vol.1(1); Pages:8-15. Published on May 2024
Abstract
International nurse migration is a complex phenomenon shaped by demographic, economic, and regulatory factors. This paper reviews global trends in nurse migration, emphasizing the challenges and implications for healthcare systems worldwide. Key drivers include disparities in healthcare workforce distribution, economic incentives, and regulatory frameworks that vary across countries. The migration of nurses contributes to both opportunities and challenges in healthcare delivery, affecting patient care, workforce stability, and health equity. This review explores strategies for mitigating negative impacts and enhancing the benefits of nurse migration through improved regulation, international cooperation, and investment in local healthcare education and retention.
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Integrating Genetic and Genomic Insights into Oncology Nursing Practice
Vol.1(1); Pages:16-25. Published on June 2024
Abstract
Advancements in genetics and genomics have revolutionized oncology, offering new insights into cancer prevention, diagnosis, treatment, and prognosis. The integration of genetic and genomic information into oncology nursing practice is essential for providing personalized care and improving patient outcomes. Oncology nurses play a critical role in the multidisciplinary approach to cancer care, necessitating a comprehensive understanding of genetic and genomic principles. This integration involves patient education on genetic risk factors, facilitating genetic testing and counseling, interpreting genetic test results, and participating in research. Furthermore, oncology nurses must stay abreast of rapidly evolving genetic and genomic technologies and therapies. The challenges of incorporating these advancements include ethical considerations, the need for specialized education and training, and the establishment of guidelines and protocols. This abstract explores the impact of genetics and genomics on oncology nursing practice, highlighting the necessary competencies, roles, and responsibilities that nurses must adopt to effectively integrate these insights into patient care.
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Integrating Telehealth into Contemporary Nursing Practice: Opportunities and Challenges
Vol.1(1); Pages:26-34. Published on June 2024
Abstract
Telehealth integration into nursing practice presents significant opportunities to enhance patient care and healthcare delivery efficiency. This paper explores various aspects of integrating telehealth, including technological advancements, patient engagement strategies, regulatory considerations, and challenges such as privacy concerns and technological barriers. By examining these factors, this study aims to provide insights into optimizing telehealth implementation in nursing practice.
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Integration of Genetics and Genomics in Undergraduate Nursing Education
Vol.1(1); Pages:35-43. Published on June 2024
Abstract
The integration of genetics and genomics into undergraduate nursing education is essential to prepare future nurses for the rapidly advancing field of personalized medicine. This integration ensures that nurses are equipped with the knowledge and skills to understand genetic influences on health, perform genetic risk assessments, and provide genetic counseling and education to patients. The curriculum enhancement includes theoretical knowledge, practical applications, and ethical considerations related to genetic information. By incorporating genetics and genomics, nursing programs can produce competent professionals capable of contributing to multidisciplinary healthcare teams and improving patient outcomes through personalized care strategies.
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Whether you’re looking for specific research findings or seeking to explore the history and evolution of nursing, our archives offer a valuable resource for practitioners, researchers, and students alike.
