{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T19:43:50Z","timestamp":1785527030963,"version":"3.56.0"},"reference-count":46,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T00:00:00Z","timestamp":1762300800000},"content-version":"vor","delay-in-days":4,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"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":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>\n                      Despite limited evidence on nursing interventions for cardiogenic shock (CS) patients with mechanical circulatory support (\n                      <jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content>\n                      ), nurses play a key role in ensuring device function, monitoring and preventing complications.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>\n                      This scoping review aimed to map the nursing role in patients with\n                      <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>\n                      supported by\n                      <jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content>\n                      , including extracorporeal membrane oxygenation (\n                      <jats:styled-content style=\"fixed-case\">ECMO<\/jats:styled-content>\n                      ).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>\n                      A comprehensive search was conducted in\n                      <jats:styled-content style=\"fixed-case\">PubMed<\/jats:styled-content>\n                      ,\n                      <jats:styled-content style=\"fixed-case\">CINAHL<\/jats:styled-content>\n                      , Scopus and Web of Science from database inception to May 2025. Eligible sources included primary studies and relevant grey literature reporting nursing care for patients treated with\n                      <jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content>\n                      . Eligible studies focused on adult individuals with\n                      <jats:styled-content style=\"fixed-case\">CS<\/jats:styled-content>\n                      receiving\n                      <jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content>\n                      and explored nursing aspects within intensive or critical care environments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Ten studies met the inclusion criteria, encompassing various geographic and clinical contexts. Thematic analysis identified four primary domains of nursing intervention: (1) continuous monitoring of haemodynamic and device\u2010specific parameters; (2) complication prevention and management, including haemorrhage, thromboembolism, and infection; (3) delivery of supportive care such as sedation, ventilation, nutrition and fluid balance; and (4) application of protocol\u2010guided care to standardise interventions and ensure safety<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>\n                      Nurses play an essential role in managing patients with CS supported by\n                      <jats:styled-content style=\"fixed-case\">MCS<\/jats:styled-content>\n                      , with critical contributions across all phases of care. However, variability in practice and lack of standardised models persist.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>Reinforcing nurse training, using evidence\u2010based protocols and ensuring adequate staffing are key to improving care quality, while structured competencies and standardised documentation enhance continuity and patient safety.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70212","type":"journal-article","created":{"date-parts":[[2025,11,6]],"date-time":"2025-11-06T06:21:21Z","timestamp":1762410081000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Nursing Management of Cardiogenic Shock Patients With Mechanical Circulatory Support: A Scoping Review"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-8296-710X","authenticated-orcid":false,"given":"Simone","family":"Amato","sequence":"first","affiliation":[{"name":"Cardiac Intensive Care Unit, Heart Transplant Centre and ECMO Service San Camillo Forlanini Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3548-6018","authenticated-orcid":false,"given":"Francesco","family":"Gravante","sequence":"additional","affiliation":[{"name":"Intensive Care Unit, Department of Critical Care Local Health Authority of Caserta  Caserta Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Battisti","sequence":"additional","affiliation":[{"name":"Cardiovascular Perfusion Unit, Department of Cardiac Surgery and Heart Transplantation San Camillo Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Cartolano","sequence":"additional","affiliation":[{"name":"Emergency and Critical Care Department Umberto I University Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Soro","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery San Camillo Forlanini Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emanuele","family":"Buccione","sequence":"additional","affiliation":[{"name":"Paediatric Intensive Care Unit Local Health Authority No. 3 of Pescara  Pescara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hamilton","family":"Dollaku","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation IRCCS Don Carlo Gnocchi Foundation\u2014ONLUS  Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessio","family":"Lo Cascio","sequence":"additional","affiliation":[{"name":"Supportive and Palliative Care Unit La Maddalena Cancer Center  Palermo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2481-5354","authenticated-orcid":false,"given":"Daniele","family":"Napolitano","sequence":"additional","affiliation":[{"name":"Centre for Digestive Diseases (CEMAD) Fondazione Policlinico Universitario A. Gemelli IRCCS  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Limonti","sequence":"additional","affiliation":[{"name":"Department of Biomedicine and Prevention University of Rome tor Vergata  Rome Italy"},{"name":"Cardio\u2010Toraco Vascular Department, A.O.U. Sant'anna  Ferrara Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Rita","family":"Marucci","sequence":"additional","affiliation":[{"name":"Department of Health Professions San Camillo Forlanini Hospital  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guglielmo","family":"Imbriaco","sequence":"additional","affiliation":[{"name":"Emergency Medical Communication and Prehospital Emergency Service (118 Emilia Est) Maggiore Hospital Carlo Alberto Pizzardi  Bologna Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,11,5]]},"reference":[{"key":"e_1_2_15_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/eht066"},{"key":"e_1_2_15_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.483"},{"key":"e_1_2_15_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0807265"},{"key":"e_1_2_15_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"key":"e_1_2_15_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00392\u2010024\u201002396\u20104"},{"key":"e_1_2_15_7_1","doi-asserted-by":"publisher","DOI":"10.5152\/AnatolJCardiol.2015.6567"},{"key":"e_1_2_15_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.1624"},{"key":"e_1_2_15_9_1","doi-asserted-by":"publisher","DOI":"10.1714\/1465.16179"},{"key":"e_1_2_15_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.956"},{"key":"e_1_2_15_11_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz098"},{"key":"e_1_2_15_12_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1900486"},{"key":"e_1_2_15_13_1","volume-title":"StatPearls","author":"Kosaraju A.","year":"2023"},{"key":"e_1_2_15_14_1","doi-asserted-by":"publisher","DOI":"10.4037\/ccn2020764"},{"key":"e_1_2_15_15_1","doi-asserted-by":"publisher","DOI":"10.31661\/gmj.v12i0.2994"},{"key":"e_1_2_15_16_1","volume-title":"The Future of Nursing 2020\u20132030: Charting a Path to Achieve Health Equity","author":"National Academies of Sciences, Engineering, and Medicine","year":"2021"},{"key":"e_1_2_15_17_1","doi-asserted-by":"publisher","DOI":"10.11124\/JBIES\u201020\u201000167"},{"key":"e_1_2_15_18_1","unstructured":"Corporation for Digital Scholarship \u201cZotero (version 7.0.15) [computer software] \u201d2025."},{"key":"e_1_2_15_19_1","unstructured":"Oxford Centre for Evidence\u2010Based Medicine \u201cThe Oxford Levels of Evidence 2. 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