Welcome to the International Journal of Trends in Intensive Care and Pediatric Nursing (IJTICPN) Current Issues section. Here, you will find the most recent articles and studies published in our journal, showcasing cutting-edge research and innovative practices in intensive care and pediatric nursing.
Featured Articles in the Latest Issue
- 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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Explore the full content of this issue to stay updated on the latest developments. Each article is available in full text and can be downloaded for further reading
