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Aims: To examine whether nursing diagnoses were associated with delirium in patients with sepsis. Background: Nursing diagnosis is a nurse's clinical judgement about clients' current or potential health conditions. Delirium is regarded as an important nurse‐sensitive outcome. Nonetheless, nursing diagnoses associated with delirium have not yet been identified. Design: Retrospective correlational study. Methods: This study was carried out from December 2021 to January 2023. We analysed electronic health records of patients with sepsis admitted to the intensive care units (ICUs) of a tertiary hospital in Seoul, South Korea. Delirium was defined based on the Intensive Care Delirium Screening Checklist score. Nursing diagnoses established within 24 h of admission to the ICU were included and were based on the North American Nursing Diagnosis Association diagnostic classification. The data were analysed using logistic regression. Demographics, comorbidities, procedures and physiological measures were adjusted. Regression model was evaluated via receiver operating characteristic curve, Nagelkerke R2, accuracy and F1 score. Results: The prevalence of delirium in patients with sepsis was 51.8%. Ineffective breathing patterns, decreased cardiac output and impaired skin integrity were significant nursing diagnoses related to delirium. Age ≥ 65 years, Acute Physiology and Chronic Health Evaluation II score, mechanical ventilation, continuous renal replacement therapy, physical restraint and comatose state were also associated with delirium in patients with sepsis. The area under the receiver operating characteristic curve was 0.806. Conclusion: Ineffective breathing patterns, decreased cardiac output and impaired skin integrity could manifest as prodromal symptoms of delirium among patients with sepsis. Impact: The prodromal symptoms of delirium revealed through nursing diagnoses can be efficiently used to identify high‐risk groups for delirium. The use of nursing diagnosis system should be recommended in clinical practice caring for sepsis patients. Reporting Methods: STROBE checklist. Patient or Public Contribution: No patient or public involvement. [ABSTRACT FROM AUTHOR]

Aim: This study seeks to gain a comprehensive understanding of the experiences of frontline nurses who provided direct care for COVID‐19 patients. Background: Due to the COVID‐19 pandemic, the demands on healthcare systems have been higher than before. Although previous studies have explored the experiences of frontline nurses, these experiences could vary depending on each country's social, cultural, and historical contexts. Introduction: In the midst of the global pandemic, sharing the experiences of COVID‐19 frontline nurses could have implications for both nursing and nursing policies that could be applied to future pandemics. Methods: This descriptive qualitative study comprised 14 South Korean nurses with a minimum of one month of experience working within a COVID‐19 department. Individual interviews were conducted on a virtual platform, and a thematic analysis was employed. The consolidated criteria for reporting qualitative studies were used to ensure a detailed reporting of the study. Results: Four themes and 12 subthemes were developed. The themes included: (1) feeling forced into a world of uncertainty; (2) providing unique care for COVID‐19 patients; (3) perceiving barriers to providing quality care; and (4) seeking meaning in caring for COVID‐19 patients. Discussion: Nurses recognized their unique roles in caring for COVID‐19 patients and sought new meanings within their profession. However, the poor work environment exacerbated the physical and emotional burden among the nurses and compromised the provision of quality care. Conclusion: This study highlighted the nursing policy issues that need to be improved to ensure better quality care and a stronger healthcare system. Implications for nursing policy: Governmental action is essential to ensure that nurses can maintain the quality of care they have provided during COVID‐19 and any future pandemics. [ABSTRACT FROM AUTHOR]