{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,22]],"date-time":"2026-10-22T00:11:13Z","timestamp":1792627873134,"version":"4.5.0"},"reference-count":56,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T00:00:00Z","timestamp":1740355200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Patients in intensive care units are faced with multiple stressors. The presence of invasive procedures, immobility, pain, lack of privacy, being away from family and loved ones, alarm sounds of devices, and frequent interruptions of sleep cause high levels of anxiety and restlessness in patients. The environmental characteristics of the intensive care unit can also create discomfort and stress in the individual, affecting their care satisfaction and therefore the perception of care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This research was conducted to examine the environmental stressors and individualized care perceptions of intensive care patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>The research was conducted in a descriptive and cross\u2010sectional design.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The sample of the research consisted of 190 patients who had been receiving care and treatment for at least 24\u2009hours in the ICU of a city hospital in Manisa province. In data collection, a \u201cPatient Information Form\u201d, the \u201cIntensive Care Unit Environmental Stressors Scale (ICUESS)\u201d and the \u201cIndividualized Care Scale\u2010B (ICSB)\u201d were used.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of the patients was 62.52\u2009\u00b1\u200913.17\u2009years, 51.1% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200997) of them were female, the mean length of stay in the ICU was 1.28\u2009\u00b1\u20090.45\u2009days, 42.6% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200981) of the patients were in the second\u2010level ICU, and 35.8% (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200968) of them were found to be hospitalized in the ICU because of heart and vascular diseases. Patients' mean score was 109.27\u2009\u00b1\u200919.19 on the total Intensive Care Unit Environmental Stressors Scale (ICUESS) and 2.64\u2009\u00b1\u20090.81 on the total Individualized Care Scale\u2010B (ICSB). The mean sub\u2010dimension scores of the ICSB were 3.05\u2009\u00b1\u20090.92 on the \u201cDecision Making Control\u201d, 2.85\u2009\u00b1\u20091.15 on the \u201cClinical Condition\u201d and 1.65\u2009\u00b1\u20090.91 on the \u201cPersonal Life Situation.\u201d It was determined that some individual characteristics affected these mean scores. There was a very weak and negative correlation between patients' mean scores on the total ICUESS and total ICSB (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.034,\n                      <jats:italic>r<\/jats:italic>\n                      : \u2212.154), \u201cClinical Condition\u201d (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.019,\n                      <jats:italic>r<\/jats:italic>\n                      : \u2212,170) and \u201cDecision Making Control\u201d (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.045,\n                      <jats:italic>r<\/jats:italic>\n                      : \u2212.145) sub\u2010dimensions.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It was found that as patients' perceptions of environmental stressors increased, their perceptions of individualized care decreased, and some individual and disease characteristics affected these perceptions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Nurses in the intensive care unit can positively impact the perception of individualized care by addressing environmental stressors and implementing appropriate interventions to reduce them. They should continuously monitor patients and the ICU environment to identify stressors, such as noise, light or lack of privacy. By assessing patients' responses to these stressors, they can plan and implement appropriate interventions tailored to individual needs, thereby reducing the effects of these stressors. In doing so, nurses can improve the patient experience and support better outcomes for individualized care perceptions in the ICU.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.13299","type":"journal-article","created":{"date-parts":[[2025,3,12]],"date-time":"2025-03-12T05:42:10Z","timestamp":1741758130000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Investigation of environmental stressors and individualized care perceptions of inpatients in the intensive care unit"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-1227-0748","authenticated-orcid":false,"given":"Tu\u011f\u00e7e","family":"Duymaz","sequence":"first","affiliation":[{"name":"Institute of Graduate Studies Fundamentals of Nursing Master Program Istanbul University\u2010Cerrahpa\u015fa  Istanbul Turkey"},{"name":"Manisa City Hospital  Manisa Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5460-5844","authenticated-orcid":false,"given":"Yeliz","family":"\u00c7ulha","sequence":"additional","affiliation":[{"name":"Department of Fundamentals of Nursing, Florence Nightingale Nursing Faculty Istanbul University\u2010Cerrahpa\u015fa  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,2,24]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.5152\/dcbybd.2015.652"},{"issue":"1","key":"e_1_2_12_3_1","first-page":"1","article-title":"Reanimasyon yo\u011fun bak\u0131m \u00fcnitesinde yatan hastalar\u0131n \u00e7evresel stres\u00f6rlerden etkilenme durumlar\u0131","volume":"23","author":"Tezcan Karadeniz F","year":"2019","journal-title":"Yo\u011fun Bak\u0131m Hem\u015fireli\u011fi Dergisi"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/smi.1333"},{"issue":"2","key":"e_1_2_12_5_1","first-page":"61","article-title":"Intensive care unit environmental stressors scale: validity and reliability study","volume":"15","author":"\u00c7\u0131nar S","year":"2011","journal-title":"Yo\u011fun Bak\u0131m Hem\u015fireli\u011fi Dergisi"},{"issue":"3","key":"e_1_2_12_6_1","first-page":"867","article-title":"Touching, music theraphy and aroma theraphy's effect on the physiological situation of thepatients in intensive care unit","volume":"9","author":"Arslan S","year":"2016","journal-title":"Int J Caring Sci"},{"key":"e_1_2_12_7_1","first-page":"76","article-title":"Yo\u011fun bak\u0131m hem\u015firelerinin etik duyarl\u0131l\u0131klar\u0131n\u0131n incelenmesi","volume":"52","author":"Ba\u015fak T","year":"2010","journal-title":"G\u00fclhane T\u0131p Elektronik Dergisi"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.34087\/cbusbed.665597"},{"key":"e_1_2_12_9_1","unstructured":"AkyolDA.Yo\u011fun Bak\u0131m Hem\u015fireli\u011fi. \u0130stanbul T\u0131p Kitabevi Yo\u011fun Bak\u0131m \u00dcnitelerinin Planlanmas\u0131 ve S\u0131n\u0131fland\u0131r\u0131lmas\u0131 (ss.53\u201067).2017."},{"issue":"2","key":"e_1_2_12_10_1","first-page":"33","article-title":"Hastalar\u0131n Yo\u011fun Bak\u0131m \u00dcnitesinin Fiziksel Ortam \u00d6zelliklerine \u0130li\u015fkin G\u00f6r\u00fc\u015fleri","volume":"17","author":"Tuncay GY","year":"2010","journal-title":"Sa\u011fl\u0131k Bilimleri Fak\u00fcltesi Hem\u015firelik Dergisi"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.17672\/fnhd.77883"},{"key":"e_1_2_12_12_1","volume-title":"Yo\u011fun bak\u0131m \u00fcnitesinde hasta yak\u0131nlar\u0131n\u0131n farkl\u0131 ki\u015filerce bilgilendirilmesinin ve bilgilendirme s\u0131kl\u0131\u011f\u0131n\u0131n aile memnuniyeti \u00fczerine etkisi","author":"Yalamao\u011flu M","year":"2012"},{"issue":"1","key":"e_1_2_12_13_1","first-page":"10","article-title":"Bireyselle\u015ftirilmi\u015f Bak\u0131m\u0131 De\u011ferlendirme Skalalar\u0131","volume":"20","author":"Acaro\u011flu R","year":"2012","journal-title":"\u0130stanbul \u00dcniversitesi Florance Nightingale Hem\u015firelik Dergisi"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.17672\/fnhd.93977"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/0969733018796682"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.55646\/jaren.2022.55376"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.15452\/CEJNM.2018.09.0002"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm10173928"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12641"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.5543\/khd.2022.211422"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.61535\/bseusbfd.1320616"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.26550\/2209\u20101092.1151"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.2009.05256.x"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12553"},{"key":"e_1_2_12_25_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612848109140863"},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102648.1989.tb01515.x"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365\u20102702.2010.03468.x"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020\u20107489(03)00082\u20108"},{"key":"e_1_2_12_29_1","doi-asserted-by":"publisher","DOI":"10.1177\/1744987114524202"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.31461\/ybpd.453981"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.4274\/tybd.galenos.2021.28290"},{"issue":"5","key":"e_1_2_12_32_1","first-page":"61","article-title":"Gender differences in stressors and coping strategies during admission to the intensive care unit","volume":"25","author":"Aitken K","year":"2016","journal-title":"Am J Crit Care"},{"issue":"1","key":"e_1_2_12_33_1","first-page":"21","article-title":"Gender differences in psychological symptoms among ICU survivors","volume":"47","author":"Turnbull AE","year":"2019","journal-title":"Crit Care Med"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2013.10.004"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1097\/NNR.0000000000000252"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1080\/20502877.2021.2019979"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2005.11.025"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.5543\/khd.2019.20982"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.5152\/turkjsurg.2017.3736"},{"issue":"3","key":"e_1_2_12_40_1","first-page":"152","article-title":"Genel Cerrahi Yo\u011fun Bak\u0131m \u00dcnitesinde Tedavi G\u00f6ren Hastalar\u0131n Alg\u0131lad\u0131klar\u0131 \u00c7evresel Stres\u00f6rlerin Uyku D\u00fczenine Olan Etkisinin \u0130ncelenmesi","volume":"25","author":"Koyuncu F","year":"2021","journal-title":"Yo\u011fun Bak\u0131m Hem\u015fireli\u011fi Dergisi"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.5336\/nurses.2019\u201072255"},{"issue":"59","key":"e_1_2_12_42_1","first-page":"61","article-title":"The effect of individualized nursing care on the patient satisfaction and quality of life","volume":"15","author":"Acaro\u011flu R","year":"2007","journal-title":"J Istanbul Univer Florance Nightingale Nurs School"},{"issue":"2","key":"e_1_2_12_43_1","first-page":"369","article-title":"Patients' perception of \u0131ndividualized care and satisfaction with nursing care levels in Turkey","volume":"8","author":"G\u00fcrdo\u011fan EP","year":"2015","journal-title":"Int J Caring Sci"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.1111\/jonm.12400"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13187-020-01708-2"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/NOR.0000000000000194"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.47115\/jshs.1194456"},{"issue":"3","key":"e_1_2_12_48_1","first-page":"1271","article-title":"Surgical Patients' awareness of individualized care and their satisfaction with nursing care","volume":"16","author":"Karadag Arli \u015e","year":"2023","journal-title":"Int J Caring Sci"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.04.018"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.2147\/JMDH.S438269"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.profnurs.2006.03.001"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1744\u20101609.2010.00185.x"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.33808\/clinexphealthsci.980790"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12650"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrc.2015.03.021"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/23743735221092545"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1111\/nicc.12465"}],"container-title":["Nursing in Critical Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.13299","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/nicc.13299","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/nicc.13299","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T06:42:45Z","timestamp":1775976165000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/nicc.13299"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,24]]},"references-count":56,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1111\/nicc.13299"],"URL":"https:\/\/doi.org\/10.1111\/nicc.13299","archive":["Portico"],"relation":{},"ISSN":["1362-1017","1478-5153"],"issn-type":[{"value":"1362-1017","type":"print"},{"value":"1478-5153","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,2,24]]},"assertion":[{"value":"2024-08-04","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-01-17","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-02-24","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e13299"}}