Critical Care Nursing Clinics of North America北美危重症护理临床
Critical Care Nursing Clinics of North America(英文缩写 CRIT CARE NURS CLIN),ISSN 0899-5885,eISSN 1558-3481,中文译名:北美危重症护理临床 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-11-01 至 2026-10-31，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 1.460 | Q4 |
| 2022 | 1.500 | Q3 |
| 2023 | 1.400 | Q3 |
| 2024 | 1.500 | Q3 |
| 2025 | 1.200 | Q3 |
Critical Care Nursing Clinics of North America 最新收录文献
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2. Smart Systems, Saved Lives: Using AI to Identify Deteriorating Sepsis Patients in Adult Critical Care.
PMID:日期:2026-06-24Sepsis remains one of the leading causes of mortality in adult critical care, representing a dysregulated host response to infection. Despite advances in therapeutics and supportive care, it continues to account for over 31 million deaths annually. Its unpredictable trajectory and variable physiologic presentations make early recognition and timely intervention crucial to improving outcomes. Early warning systems were initially developed to standardize the recognition of physiologic instability and guide early recognition. The Modified Early Warning Score, National Early Warning Score 2, and Quick Sequential Organ Failure Assessment remain the most frequently used bedside tools for adult deterioration and sepsis.
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3. Early Recognition and Management of Sepsis: Improving Patient Outcomes.
3. 脓毒症的早期识别与管理：改善患者预后PMID:日期:2026-06-24[中文摘要] 脓毒症仍是导致死亡的主要原因，占全球死亡人数的五分之一。脓毒症管理集束化措施的实施与脓毒症患者死亡率降低相关。重症监护护士必须在脓毒症早期识别中发挥关键作用，并与多学科团队协作以加速方案执行。提高护士的知识、信心和临床推理能力，以及确保护士在其执业许可范围内充分发挥作用，对于改善患者结局、降低死亡率和优化对循证脓毒症管理策略的依从性至关重要。
[英文摘要] Sepsis remains a leading cause of mortality, accounting for 1 in 5 deaths worldwide. The implementation of the sepsis management bundle has been associated with reduced mortality in sepsis patients. Critical care nurses must play a pivotal role in early sepsis recognition and work collaboratively with the multidisciplinary team to accelerate protocols. Increasing nurse's knowledge, confidence, and clinical reasoning skills as well as assuring nurses work to the full extent of their licensure, is vital to improving patient outcomes, reducing mortality, and optimizing adherence to evidence sepsis management strategies.
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4. Antimicrobial Stewardship in the Intensive Care Unit: Combating Resistance and Optimizing Therapy.
4. 重症监护病房中的抗菌药物管理：对抗耐药性与优化治疗PMID:日期:2026-06-24[中文摘要] 重症监护护士在重症监护病房的抗菌药物管理（AMS）中发挥着至关重要的作用，其专业能力对于抗击耐药性和优化治疗不可或缺。重症监护护士处于患者照护的最前沿，确保抗菌药物的合理使用，以最大限度地减少抗菌药物耐药性并改善患者结局。重症监护护士与多学科团队协作实施AMS策略，例如监测和记录抗菌药物使用情况、对患者及其家属开展关于遵循处方治疗重要性的教育，以及在适当情况下倡导降阶梯使用广谱抗生素。
[英文摘要] Critical care nurses play a crucial role in antimicrobial stewardship (AMS) within the intensive care unit, where their expertise is essential in combating resistance and optimizing therapy. Critical care nurses are at the forefront of patient care, ensuring the appropriate use of antimicrobials to minimize antimicrobial resistance and improve patient outcomes. Critical nurses collaborate with multidisciplinary teams to implement AMS strategies, such as monitoring and documenting antimicrobial use, educating patients and families about the importance of adherence to prescribed therapies, and advocating for the de-escalation of broad-spectrum antibiotic use when appropriate.
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5. Ethical Considerations in the Management of Severe Infectious Diseases in the Intensive Care Unit.
PMID:日期:2026-06-22Integrating ethics into clinical practice when caring for critically ill patients with serious infectious diseases (IDs) is challenging due to the complexities of the ethical considerations and multitude of populations at risk for IDs. It is imperative for critical nurses to understand the ethical tenets and integrate these ethical considerations into their clinical practice. Additionally, they should be aware of the resources available in their institution to assist with the care of their patients.
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6. The Role of Biomarkers in the Diagnosis and Management of Severe Infections in the Critically Ill.
6. 生物标志物在危重症患者严重感染诊断与管理中的作用PMID:日期:2026-06-22[中文摘要] 重症感染危重患者的诊断与管理较为复杂。危重人群中的严重感染是美国发病率和死亡率的主要原因，包括脓毒症、耐药菌感染、免疫功能受损疾病（如癌症、人类免疫缺陷病毒等）中的机会性感染、社区获得性肺炎（病毒性和细菌性）、呼吸机相关性肺炎、复杂性泌尿生殖系统感染等。通过全面采集病史和体格检查进行的临床评估方法，不足以产生足够的诊断数据来识别病原体、控制感染源或监测患者病情的进展或恶化。
[英文摘要] The diagnosis and management of critically ill patients with severe infection is complex. Severe infections in critically ill populations is a leading cause of morbidity and mortality in the United States and includes sepsis, drug resistant infections, opportunistic infections in immunocompromising illness (eg, cancer, human immunodeficiency virus, etc.), community acquired pneumonia (viral and bacterial), ventilator-associated pneumonia, complicated genitourinary infection, and others. The clinical evaluation methods through a comprehensive history collection and physical examination does not yield enough diagnostic data to identify the pathogen(s), control the source of infection, or monitor the progress or deterioration of the patient's condition.
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7. Infection Prevention and Control in the Intensive Care Unit: Preventing the Spread of Multi-Drug-Resistant Organisms.
PMID:日期:2026-06-22Antimicrobial resistance is a growing threat to human health and especially relevant in critical care settings. Intensive care unit patients are particularly vulnerable to multidrug-resistant organisms (MDROs) because of characteristic immunosuppression, reliance on medical devices, treatment with broad-spectrum antibiotics, and exposure to the hospital environment. Nurses play a critical role in preventing the spread of MDROs by leading coordinated, multimodal interventions including antibiotic and laboratory stewardship, passive and active pathogen surveillance, implementation and de-escalation of isolation precautions, and evidence-based hygiene measures. Collectively, these team-based interventions can foster a culture of safety that protects individual patients and the wider community.
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8. Navigating the Frontlines of Critical Care and Infectious Disease.
8. 在重症监护与传染病的前沿领域探索前行PMID:日期:2026-06-05该文献暂无摘要。
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9. Interprofessional Collaboration in the Management of Complex Infectious Disease Cases.
PMID:日期:2026-06-03Patients and health care organizations alike can benefit from interprofessional teams in the intensive care unit to manage infectious diseases. Interprofessional team frameworks within organizations bring these teams to fruition and have shown positive benefits. These teams not only promote antimicrobial stewardship and recognition of the whole-patient care needs, but also can be a cost-saving way to manage these complex patients. Each team member brings a specific skill set and competencies to create an optimized approach to treating infections with antibiotics and antivirals.
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10. Managing Pain, Sedation, and Delirium in Intensive Care Unit Patients with Fungal Central Nervous System Infections.
10. 重症监护室真菌中枢神经系统感染患者的疼痛、镇静和谵妄管理PMID:日期:2026-05-28Critically ill patients with fungal meningitis present complex challenges in pain and sedation management due to the need for accurate neurologic assessments, immunosuppression, and high intracranial pressure. This article explores pathophysiology, clinical presentation, and diagnostic strategies for fungal meningitis, with a focus on evidence-based, interdisciplinary approaches to pain and sedation. Emphasis is placed on multimodal analgesia delirium prevention, and critical role of nurses in optimizing outcomes. Ethical considerations and long-term recovery planning are also discussed to support comprehensive care.