Evidence map›Paper›PMID 41556718›Full record

ArticleNursing in critical care2026

Primary Nursing in Intensive Care Units.

Lars Krüger, Thomas Mannebach, Francesco Squiccimarro, Laura-Carina Kurz, Christian Höke, Almut Pörner, Benjamin Sarx, Christian Siegling, Esther Mertins, Tobias Becker and 5 more

Abstract read
In one paragraph

Article in Nursing in critical care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Primary Nursing in Intensive Care Units.Nursing in critical care · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Lars KrügerProject and Knowledge Management/Care Development Intensive Care, Care Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID https://orcid.org/0000-0003-4234-0022
Thomas MannebachCare Development, Care Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID https://orcid.org/0000-0001-9217-3299
Francesco SquiccimarroSurgical Intensive Care Unit, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Laura-Carina KurzCardiology/Angiology Intensive Care Unit, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Christian HökeCardiology/Angiology Intensive Care Unit, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Almut PörnerSurgical Intensive Care Unit, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Benjamin SarxSurgical Intensive Care Unit, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Christian SieglingCare Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Esther MertinsCare Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID https://orcid.org/0009-0006-0660-4309
Tobias BeckerClinic for Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
René SchrammClinic for Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.
Jan GummertClinic for Thoracic and Cardiovascular Surgery, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID https://orcid.org/0000-0002-6956-9110
Volker RudolphClinic for General and Interventional Cardiology/Angiology, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID https://orcid.org/0000-0001-5385-6839
Gero LangerInstitute of Health, Midwifery and Nursing Sciences, Medical Faculty, Martin Luther University Halle-Wittenberg, Halle (Saale), Germany.ORCID https://orcid.org/0000-0001-7716-5207
Franziska WeferCare Development, Care Directorate, Heart and Diabetes Center NRW, Ruhr University Bochum, Bad Oeynhausen, Germany.ORCID https://orcid.org/0000-0001-9405-3143

Funding

Heart and Diabetes Center NRW, Ruhr University Bochum
6 · The paper itself

Abstract

backgroundAs a patient-centred model of nursing care, primary nursing (PN) ensures continuity of care while promoting systematic involvement of patients and family members in the therapeutic process. To date, comprehensive published research projects that address the implementation of PN on intensive care units (ICUs) are rare.

aimsPrimary aim was to evaluate the overall process of development and implementation of PN in two German ICUs of a university hospital. Secondary aims were to identify changes on ICU, as well as nursing performance indicators. STUDY

designQuantitative design on a surgical (ICU 1) and medical (ICU 2) ICU. We used the validated German Instrument zur Erfassung von Pflegesystemen (IzEP(c)) with separate questionnaires for patients, relatives and medical staff at three data collection points as an as-is analysis before (t

resultsData collection took place between September 2023 and March 2025, and 264 questionnaires were analysed. The overall profile on ICU 1 started with individual nursing (44.5%, t

conclusionsPN was practiced in all included patients in both ICUs, but implementation was not fully achieved in ICU 2. Nevertheless, PN was practiced in included patients on ICU 2. Another evaluation on ICU 2 should be planned. RELEVANCE TO CLINICAL PRACTICE: PN on ICU is feasible and needs continuous support from nursing managers for successful implementation. An accompanying evaluation is mandatory for this purpose.

trial registrationThis study is registered at the German Clinical Trials Register as DRKS00030966.

Indexed as

Critical Care NursingIntensive Care UnitsGermanyHumansPatient-Centered CareSurveys and Questionnaireschange managementnursingnursing processpatient care planningpatient‐centred care

Identifiers

PMID41556718
PMCPMC12818099

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.