Research & Review: Management of Emergency and Trauma Nursing

Post-Intensive Care Syndrome: Nursing Assessment and Management – A Comprehensive Review

2026-06-29T11:33:58+00:00

Background: Advances in intensive care medicine have significantly improved survival rates among critically ill patients. However, increasing numbers of survivors experience persistent physical, cognitive, and psychological impairments that continue long after hospital discharge. These complications are collectively referred to as Post-Intensive Care Syndrome (PICS) and are increasingly recognized as a major public health concern affecting patients, families, healthcare systems, and society.

Objective: To critically review current evidence regarding the epidemiology, pathophysiology, risk factors, clinical manifestations, assessment approaches, preventive interventions, and nursing management of Post-Intensive Care Syndrome.

Methods: A comprehensive narrative review of peer-reviewed literature published between 2020 and 2025 was conducted. Relevant studies addressing ICU survivorship, rehabilitation, nursing interventions, ICU recovery programs, and long-term outcomes following critical illness were analyzed and synthesized.

Results: Evidence indicates that approximately 50–70% of ICU survivors develop one or more manifestations of PICS. Physical impairments include ICU-acquired weakness, reduced exercise tolerance, and functional disability. Cognitive dysfunction commonly affects memory, attention, and executive functioning, while psychological sequelae include anxiety, depression, and post-traumatic stress disorder. Emerging evidence supports the effectiveness of ICU liberation strategies, early rehabilitation, multidisciplinary follow-up programs, and nurse-led interventions in improving long-term recovery.

Conclusion: Post-Intensive Care Syndrome has emerged as a major consequence of critical illness survival. Nurses are central to prevention, early identification, rehabilitation, education, and long-term management. Evidence-based survivorship-focused care models are essential for optimizing recovery and improving quality of life among ICU survivors.

Impact of Clinical Training Trauma on Psychological Wellbeing and Academic Performance in Nursing Students

2026-06-05T06:04:53+00:00

Although clinical training is a crucial part of nursing school, students may encounter emotionally taxing situations that have a detrimental impact on their mental health and academic achievement. Anxiety, emotional tiredness, and symptoms associated with trauma can be exacerbated by the difficult clinical scenarios that nursing students commonly encounter, such as patient suffering, emergency, and death. This research proposal uses a quantitative cross-sectional approach to examine the effects of clinical training trauma on the academic performance and psychological well-being of undergraduate nursing students. Standardized self-administered questionnaires measuring academic performance, psychological wellness, and trauma-related symptoms will be used to gather data. It is anticipated that the proposed study would contribute to the creation of supportive educational and psychological interventions within nursing institutions and offer a deeper knowledge of the psychological and academic problems faced by nursing students throughout clinical training.

Principles and Practices of Emergency and Trauma Nursing Care

2026-06-19T06:58:41+00:00

Background: Emergency and trauma nursing is a critical speciality focused on the rapid assessment, stabilization, and management of patients with life-threatening injuries and acute illnesses. Trauma remains a major global cause of mortality and disability, highlighting the need for timely and evidence-based emergency care.

Objective: This narrative review aims to discuss the principles, nursing management strategies, assessment approaches, triage systems, and evidence-based practices involved in emergency and trauma nursing care.

Overview: Evidence indicates that structured trauma management approaches, including the ABCDE primary survey, secondary assessment, and effective triage systems, significantly improve early identification of critical conditions and patient outcomes. Key nursing interventions such as airway management, haemorrhage control, fluid resuscitation, continuous monitoring, pain management, and interdisciplinary collaboration are essential in trauma care. Recent evidence also emphasizes the role of standardized protocols, simulation-based training, and quality improvement initiatives in enhancing patient safety and reducing preventable mortality. However, challenges such as inadequate resources, training gaps, workforce shortages, and psychological stress among nurses continue to affect emergency care delivery.

Conclusion: Emergency and trauma nursing plays a vital role in improving survival and reducing complications among critically ill and injured patients. Strengthening evidence-based nursing practice, trauma education, standardized clinical protocols, and healthcare infrastructure is essential to improve the quality and effectiveness of emergency and trauma care services.