Evidence map›Paper›PMID 41709448›Full record

SynthesisWorldviews on evidence-based nursing2026

Technologies in Intensive Care Therapy and the Obstacles in Nursing Practice: Systematic Review.

Antonio Henrique Braga Martins de Aguiar, Patrícia Ribeiro Azevedo, Wildilene Leite Carvalho, Rodrigo Alves Marques, Cibele Silva Lima, Maria Almira Bulcão Loureiro, Rosilda Silva Dias, Andrea Cristina Oliveira Silva

Abstract readSystematic Review
In one paragraph

Synthesis in Worldviews on evidence-based nursing, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Antonio Henrique Braga Martins de AguiarFederal University of Maranhão (UFMA), São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0002-6145-2444
Patrícia Ribeiro AzevedoSchool of Nursing, Federal University of Maranhão (UFMA), São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0001-7726-1063
Wildilene Leite CarvalhoUniversity Hospital of the Federal University of Maranhão (HUFMA-EBSERH), São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0002-8847-1493
Rodrigo Alves MarquesFederal University of Maranhão (UFMA), São Luís, Maranhão, Brazil.ORCID https://orcid.org/0009-0008-1765-2562
Cibele Silva LimaFederal University of Maranhão (UFMA), São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0002-8856-899X
Maria Almira Bulcão LoureiroFederal University of Maranhão (UFMA), São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0003-3234-2833
Rosilda Silva DiasGraduate Program in Nursing and at the School of Nursing, UFMA, São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0002-7969-9613
Andrea Cristina Oliveira SilvaGraduate Program in Nursing and at the School of Nursing, UFMA, São Luís, Maranhão, Brazil.ORCID https://orcid.org/0000-0003-1154-6394

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo identify obstacles faced by nurses when using health technologies in Intensive Care Units (ICUs).

designSystematic review following PRISMA and registered in PROSPERO.

methodsSix databases were searched. Two reviewers independently screened studies and appraised methodological quality using the Joanna Briggs Institute tool. Data were synthesized narratively.

resultsEight studies met eligibility criteria. Barriers clustered around limited training and technical competence, shorter professional experience, increased workload with multiple devices, organizational culture, and reduced direct patient contact, which may undermine patient-centered care. Heterogeneity of study designs precluded meta-analysis.

conclusionsObstacles to technology use in ICUs arise from individual and organizational factors. Addressing these barriers requires structured education, mentoring for novice nurses, workload management, and supportive policies that integrate technology without displacing bedside care. LINKING EVIDENCE TO ACTION: Nursing leaders and educators should implement ongoing, ICU-specific technology training and mentoring. Managers and policymakers must ensure adequate staffing and promote Health Technology Assessment to align device implementation with clinical needs, safeguarding patient safety and the human dimensions of care.

Indexed as

Biomedical TechnologyHumansIntensive Care Unitsbiomedical technologycritical careintensive care unitsnursingsystematic review

Identifiers

PMID41709448
PMCPMC12917291

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.