ArticlePloS one2020
Impact of having a certified nurse specialist in critical care nursing as head nurse on ICU patient outcomes.
Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 1 synthesis or guideline pooled it, 39 citations in OpenAlex.
- A systematic integrative review of specialized nurses' role to establish a culture of patient safety: A modelling perspective.Journal of advanced nursing · 2025Pooled it
- Interdisciplinary collaboration in neurocritical care management.Acute and critical care · 2026Article
- Critical care nurses' knowledge, attitude, and practice regarding hypothermia management during continuous renal replacement therapy: a cross-sectional study.BMC nursing · 2026Article
- An Ecological Panel Analysis of Trends in the Geographic Disparities of the Certified Nurse and Certified Nurse Specialist in Japan from 1996 to 2022.Nursing reports (Pavia, Italy) · 2026Article
- Effects of critical care nurses' emotional intelligence on patient safety at King Fahad Hospital in Jazan province.SAGE open medicine · 2026Article
- Design and Development of a Machine Learning Model for Predicting ICU Patients' Length of Stay.Cureus · 2025Article
- Nurse Specialist in the Organ and Tissue Donation Process with Coordination Role: A Scoping Review.Nursing reports (Pavia, Italy) · 2025Review
- Patterns, trends, and factors influencing hospitalizations for craniosynostosis in Western Australia. A population-based study.European journal of pediatrics · 2023Article
- Health workforce capacity of intensive care units in the Eastern Mediterranean Region.PloS one · 2023Review
- Nurses' perception on competency requirement and training demand for intensive care nurses.International journal of nursing sciences · 2022Article
- Nursing care factors influencing patients' outcomes in the intensive care unit: Findings from a rapid review.International journal of nursing practice · 2022Review
- Article
- Article
- The Role of Infection Control Nurse in Prevention and Control of Hospital Acquired Infection in ICU.Iranian journal of nursing and midwifery researchArticle
- Understanding Work Meaning: A Qualitative Comparative Study of Novice and Experienced Head Nurses in Hospital Leadership.SAGE open nursingArticle
- Article
- Identifying Structure, Process and Outcome Factors of the Clinical Specialist Nurse: A Scoping Review Study.Iranian journal of nursing and midwifery researchArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThis study evaluated the impact of the presence of a certified nurse specialist in critical care (CNS) as ICU head nurse in an open ICU on clinical outcomes.
methodsThe presence of a CNS as ICU head nurse was implemented in practice in April 2017. To evaluate the impact on patient outcomes before and after the implementation, patients were divided into two groups: before (April 2014 to March 2017; 1988 patients) and after (April 2017 to March 2019; 1664 patients). Patients' demographic data were collected from the ICU database.
resultsMultivariable logistic regression analysis revealed that the presence of a CNS as ICU head nurse was associated with lower ICU mortality (odds ratio (OR): 0.52, 95% CI: 0.36-0.73, p < .001) and fewer patients receiving mechanical ventilation in the ICU (OR: 0.20, 95% CI: 0.15-0.26, p < .001).
conclusionCNSs are defined as one type of advanced practice nurses. Having a CNS as a head nurse in the ICU may have helped improve patient outcomes by leveraging these practical skills in nursing management.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.