Retrospective Study
Copyright ©The Author(s) 2024. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 16, 2024; 12(20): 4166-4173
Published online Jul 16, 2024. doi: 10.12998/wjcc.v12.i20.4166
Effects of nursing team communication and collaboration on treatment outcomes in intensive care unit patients with severe pneumonia
Xi-Fang Wei, Ting Zhu, Qiao Xia
Xi-Fang Wei, Ting Zhu, Department of Intensive Care Medicine, The first People’s Hospital of Jiangxia District, Union Jiangnan Hospital Huazhong University of Science and Technology, Wuhan 430200, Hubei Province, China
Qiao Xia, Respiratory and Critical Care Medicine, The first People’s Hospital of Jiangxia District, Union Jiangnan Hospital Huazhong University of Science and Technology, Wuhan 430200, Hubei Province, China
Co-first authors: Xi-Fang Wei and Ting Zhu.
Author contributions: Wei XF, Zhu T, Xia Q contributed equally to this work, designed the research study; Xia Q performed the primary literature and data extraction; Wei XF, Zhu T analyzed the data and wrote the manuscript, were responsible for revising the manuscript for important intellectual content; and all authors read and approved the final version.
Institutional review board statement: The study was reviewed and approved by the First People’s Hospital of Jiangxia District, Union Jiangnan Hospital Huazhong University of Science and Technology.
Informed consent statement: All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.
Conflict-of-interest statement: The authors declare no conflicts of interest for this article.
Data sharing statement: Technical appendix, statistical code, and dataset available from the corresponding author at 18771995127@163.com. Participants gave informed consent for data sharing.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Qiao Xia, BM BCh, Supervisor nurse, Respiratory and Critical Care Medicine, The first People’s Hospital of Jiangxia District, Union Jiangnan Hospital Huazhong University of Science and Technology, No. 1 Wenhua Avenue, Jiangxia District, Wuhan 430200, Hubei Province, China. 18771995127@163.com
Received: April 3, 2024
Revised: April 29, 2024
Accepted: May 20, 2024
Published online: July 16, 2024
Processing time: 87 Days and 12.6 Hours
Abstract
BACKGROUND

Severe pneumonia is a common severe respiratory infection worldwide, and its treatment is challenging, especially for patients in the intensive care unit (ICU).

AIM

To explore the effect of communication and collaboration between nursing teams on the treatment outcomes of patients with severe pneumonia in ICU.

METHODS

We retrospectively analyzed 60 patients with severe pneumonia who were treated at the ICU of the hospital between January 1, 2021 and December 31, 2023. We compared and analyzed the respiratory mechanical indexes [airway resistance (Raw), mean airway pressure (mPaw), peak pressure (PIP)], blood gas analysis indexes (arterial oxygen saturation, arterial oxygen partial pressure, and oxygenation index), and serum inflammatory factor levels [C-reactive protein (CRP), procalcitonin (PCT), cortisol (COR), and high mobility group protein B1 (HMGB1)] of all patients before and after treatment.

RESULTS

Before treatment, there was no significant difference in respiratory mechanics index and blood gas analysis index between 2 groups (P > 0.05). However, after treatment, the respiratory mechanical indexes of patients in both groups were significantly improved, and the improvement of Raw, mPaw, plateau pressure, PIP and other indexes in the combined group after communication and collaboration with the nursing team was significantly better than that in the single care group (P < 0.05). The serum CRP and PCT levels of patients were significantly decreased, and the difference was statistically significant compared with that of nursing group alone (P < 0.05). The levels of serum COR and HMGB1 before and after treatment were also significantly decreased between the two groups.

CONCLUSION

The communication and collaboration of the nursing team have a significant positive impact on respiratory mechanics indicators, blood gas analysis indicators and serum inflammatory factor levels in the treatment of severe pneumonia patients in ICU.

Keywords: Intensive care unit, Severe pneumonia, Nursing team, Communication and collaboration, Respiratory mechanics indicators, Blood gas analysis indicators, Serum inflammatory factors

Core Tip: This retrospective analysis highlights the crucial role of nursing team communication and collaboration in improving treatment outcomes for severe pneumonia patients in intensive care units. Enhanced interaction among nurses led to significantly better improvements in respiratory mechanics, blood gas parameters, and reduced inflammation markers (C-reactive protein, procalcitonin, cortisol, and high mobility group protein B1) compared to single-handed care, emphasizing the value of teamwork in critical care settings.