Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that provides current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.

Critical Care Nursing Quarterly (CCNQ) is a peer-reviewed journal that aims to provide current practice-oriented information for the continuing education and improved clinical practice of critical care professionals, including nurses, physicians, and allied health care professionals.

《Critical Care Nursing Quarterly》是一本经过同行评审的期刊，旨在为重症护理专业人员（包括护士、医生和其他医疗保健专业人员）提供最新的实践导向信息，以促进继续教育和改善临床实践。

Critical Care Nursing Quarterly

Violence against health care providers is one of the most pressing problems faced by health care systems around the world. Because of unpredictability and acuity of emergency cases, emergency nurses are more vulnerable to workplace violence. Violence against emergency nurses is a complex and multidimensional problem that has a devastating impact on the physical, psychological, and social well-being of nurse victims. The purpose of this review is to integrate evidence on manifestations, contributing factors, and consequences of workplace violence perpetrated by patients and/or their relatives against emergency nurses, in addition to behavioral responses of emergency nurse victims toward workplace violence. An integrative review was conducted by searching 3 main electronic databases: Web of Sciences, MEDLINE, and ScienceDirect. Eighteen studies met the inclusion criteria and were included in the final review process. The review identified the most common forms, contributing factors, unpleasant consequences of workplace violence, and behavioral reaction of nurse victims toward violence acts. Reporting rates of workplace violence among emergency nurses were found to be low. It is recommended to develop more effective workplace violence prevention and reporting programs.

Ibrahim R. Ayasreh

Ferial A. Hayajneh

Workplace Violence Against Emergency Nurses

针对急诊护士的工作场所暴力

Patients requiring continuous mechanical ventilation benefit from easier airway management through tracheostomy, a standard treatment in critical care. However, gaps in nurses’ comprehension of tracheostomy car can lead to complications such as infections and airway blockages. Therefore, understanding nurses’ competency in tracheostomy care is essential for enhancing patient outcomes in intensive care units (ICUs). A cross-sectional study was conducted in the southern West Bank of Palestine among 237 nurses working in ICUs to assess their level of knowledge in tracheostomy care. Data were gathered via a structured questionnaire and analyzed using inferential tests and descriptive. Most nurses showed moderate knowledge of tracheostomy care, with significant differences observed based on age, gender, years of experience, and educational level. To significantly improve patient outcomes and safety in ICUs, it is imperative that nurses participate in continuous education and training programs focused on tracheostomy care.

Moath Abu Ejheisheh

Ahmad Ayed

Basma Salameh

Waed A. Salameh

Alaa H. Obeyat

Riham H. Melhem

Sanaa Alkhatib

Bahaaeddin M. Hammad

Mohammed ALBashtawy

Ahmad Batran

Enhancing Tracheostomy Care

增强气管切开护理

Background: Approximately 48% of patients with chronic respiratory disorders experience post-extubation respiratory failure necessitating noninvasive respiratory support or reintubation, which is linked to higher morbidity and mortality. So, it is necessary to determine patients’ preparedness for weaning and extubation. Objectives: To examine the effect of implementing respiratory care unit (RCC) ventilator weaning assessment checklist on weaning and extubation outcomes. Methods: Randomized controlled trial, carried out in 70 patients receiving mechanical ventilation from January 2023 to September 2023 at the respiratory intensive care units at Assiut University Hospital, Egypt. Patients were randomly assigned to a study and a usual care group, with 35 patients for each group. The usual care group weaned using the routine method, while the study group weaned using (RCC) ventilator weaning assessment checklist; the 2 groups were compared concerning weaning and extubation outcomes. Results: Compared to the usual care group, the study group’s weaning success rate was significantly higher than that of the usual care group (88.6% vs 51.4%; P = .008), and extubation failure rate was significantly lower (17.1% vs 45.7%; P = .010). Conclusions: Using RCC ventilator weaning assessment checklist improving weaning and extubation outcomes.

Salwa Hassan Ahmed

Mogedda Mohamed Mehany

Emad Zarief Kamel

Asmaa Aly Mahgoub

Effect of Implementing Respiratory Care Unit Ventilator Weaning Assessment Checklist on Weaning and Extubation Outcomes

实施呼吸监护病房呼吸机脱机评估清单对脱机和拔管结果的影响

The objective of this literature review was to examine and summarize knowledge of best practices for the management of patients suffering traumatic brain injury based on studies using a variety of practices to improve outcomes published 2018 - 2021. From a clinical perspective, when a patient suffers an acute traumatic brain injury, providers and clinicians ask themselves and each other, “What else could we do? What could we have tried to improve the outcome with this patient?” Astute clinicians spend ample time reviewing contemporary studies to improve their patients’ outcomes. This project aimed not to find all studies about a specific treatment, but to review all studies about a topic to evaluate the studies for rigor and results to improve bedside patient care in times of crisis. A quality assessment model was used in four domains: design, bias, synthesis, and dissemination with a Quality Assessment Score assigned for each of the four domains. Ten studies met the rigor of the quality assessment evaluation. The highest ranked studies indicate a common theme of prevention of extension of injury .

Anna Jarrett

Alan F. Jarrett

Ethan R. Estes

Management of Patients Suffering Acute Traumatic Brain Injuries

急性创伤性脑损伤患者的管理

Alpha-gal syndrome is a serious, potentially life-threatening allergic reaction to mammalian products that has been linked to the lone star tick. Early recognition and management of alpha-gal syndrome is key for desirable patient outcomes and informed nursing care can make all the difference. The purpose of this article is to provide background information regarding alpha-gal syndrome, review common sources of potential reaction triggers including food and medications, and discuss strategies to detect and avoid allergic reactions from occurring.

Trevor J. Silbernagel

Zackery T. Bullard

Alpha-Gal Syndrome

Alpha-半乳糖综合征

The author has disclosed that he has no significant relationships with, or financial interest in, any commercial companies pertaining to this article.

Abbreviation	Crit. Care Nurs. Q.
Journal Impact	0.92
Quartiles(Global)	CRITICAL CARE MEDICINE(Q4)

ISSN	0887-9303, 1550-5111
h-index	38

Publication Information	Publisher: Lippincott Williams and Wilkins Ltd.，Publishing cycle: ，Journal Type: journal，Open Access Journals: No
Basic data	Year of publication: 1987，Proportion of original research papers: 86.84%，Self Citation Rate:0.00%， Gold OA Rate: 0.00%

Critical Care Nursing Quarterly

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Workplace Violence Against Emergency Nurses

Enhancing Tracheostomy Care

Effect of Implementing Respiratory Care Unit Ventilator Weaning Assessment Checklist on Weaning and Extubation Outcomes

Management of Patients Suffering Acute Traumatic Brain Injuries

Alpha-Gal Syndrome

Enhancing Tracheostomy Care

Effect of Implementing Respiratory Care Unit Ventilator Weaning Assessment Checklist on Weaning and Extubation Outcomes

Management of Patients Suffering Acute Traumatic Brain Injuries

Alpha-Gal Syndrome

Foreword