{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:26:11Z","timestamp":1777865171650,"version":"3.51.4"},"reference-count":31,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,9]],"date-time":"2026-03-09T00:00:00Z","timestamp":1773014400000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"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":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Intra\u2010abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) are potentially life\u2010threatening complications in critically ill children, yet nursing awareness, knowledge and management of these syndromes remain poorly understood.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To assess paediatric critical care nurses' awareness, knowledge and management of IAH\/ACS and intra\u2010abdominal pressure (IAP) measurement, identifying gaps and barriers to guide training and protocol standardisation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This is a descriptive cross\u2010sectional study. Paediatric critical care nurses (convenience sample) from nine settings in six Zhejiang Province hospitals were surveyed online (April\u2013May 2025). The survey evaluated IAH\/ACS awareness\/knowledge (13 items) and IAP measurement practices (12 items).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In this study, 235 nurses from nine centres responded (response rate: 61.8%). The survey revealed significant deficiencies in nurses' awareness and implementation of World Society of the Abdominal Compartment Syndrome (WSACS) guidelines: 52.8% were unaware of them, 12.3% reported familiarity, and 44.7% indicated non\u2010adoption in their hospitals. Knowledge of IAH\/ACS was limited: 54.9% had never heard of ACS, and 62.6% were unfamiliar with IAH's impact on organ function. Notably, 68.9% had never managed paediatric IAH\/ACS cases. In practice, only 23.8% received IAP measurement training, and 26.0% had performed it. Transbladder measurement was most common (96.7%) but lacked standardisation. Main barriers were procedural skill deficits (61.5%), inadequate indication recognition (52.9%) and clinical inexperience (50.6%). Key facilitators included educational training (88.5%), simplified\/standardised IAP techniques (88.1%) and evidence\u2010based guidelines (80.4%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Substantial knowledge\u2013practice gaps exist in paediatric IAH\/ACS management, characterised by low guideline awareness, insufficient clinical knowledge and inadequate\/unstandardised IAP monitoring. To address these gaps, efforts should prioritise enhancing stratified training, standardising technical practices and implementing guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>There is an urgent need for paediatric critical care nurses to receive standardised training on IAP monitoring, to adopt unit\u2010specific protocols and to lead or participate in the implementation of evidence\u2010based guidelines at the bedside.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70426","type":"journal-article","created":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T05:13:11Z","timestamp":1773119591000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Multicentre Survey of Paediatric Critical Care Nurses' Awareness, Knowledge and Practice of Intra\u2010Abdominal Hypertension and Abdominal Compartment Syndrome"],"prefix":"10.1111","volume":"31","author":[{"given":"ZhiRu","family":"Li","sequence":"first","affiliation":[{"name":"Department of Nursing The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"},{"name":"Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"FangYan","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Nursing The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"},{"name":"Liver Transplantation Center The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"YanHong","family":"Dai","sequence":"additional","affiliation":[{"name":"Liver Transplantation Center The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Ji","sequence":"additional","affiliation":[{"name":"Liver Transplantation Center The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"HaiLi","family":"Huang","sequence":"additional","affiliation":[{"name":"Liver Transplantation Center The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"PanPan","family":"He","sequence":"additional","affiliation":[{"name":"Liver Transplantation Center The First Affiliated Hospital, Zhejiang University School of Medicine  Hangzhou Zhejiang China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"WanYing","family":"Zhang","sequence":"additional","affiliation":[{"name":"Liver Transplantation Center The First Affiliated 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