Pupillary Light Reflex Variability as a Predictor of Clinical Outcomes in Subarachnoid Hemorrhage
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: CE Test Source Type: research

Glasgow Coma Scale: Generating Clinical Standards: Erratum
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Erratum Source Type: research

Subcutaneous Immunoglobulin Therapy for Chronic Inflammatory Demyelinating Polyneuropathy: A Nursing Perspective
Chronic inflammatory demyelinating polyneuropathy (CIDP), an immune-mediated peripheral neuropathy, is frequently treated with long-term maintenance intravenous immunoglobulin (IVIG). However, disadvantages of IVIG are the systemic adverse reactions, lengthy infusions, and need for vascular access. Subcutaneous immunoglobulin (SCIG) addresses many of the issues encountered by those unable, or unwilling, to tolerate the treatment burden of long-term IVIG. Subcutaneous immunoglobulin, a 20% solution stabilized with L-proline, is US Food and Drug Administration–approved for CIDP maintenance therapy in patients after bei...
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Pharmacology Update Source Type: research

Successful Intrathecal Rituximab Administration in Refractory Nonteratoma Anti–N-Methyl-D-Aspartate Receptor Encephalitis: A Case Report
We present a case of anti–NMDA-R encephalitis that was refractory to first- and second-line therapies, who responded to intrathecal rituximab, to highlight a novel treatment that may be able to prevent long-term disability and improve clinical outcomes. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Case Study Source Type: research

Acute Flaccid Myelitis
Acute flaccid myelitis is a poliolike illness affecting mainly children, which seems to occur every 2 years in the late summer and early fall. The 2018 outbreak was alarming to parents and healthcare providers because the etiology is still under investigation and long-term outcomes are unclear. Becoming familiar with what is known about the epidemiology and clinical characteristics of acute flaccid myelitis enables neuroscience nurses to disseminate accurate information and recognize and report suspicious symptoms. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Clinical Nursing Focus Source Type: research

The Effect of Low Back Pain on Daily Activities and Sleep Quality in Patients With Lumbar Disc Herniation: A Pilot Study
The aim of this study was to determine the effect of low back pain on the daily activities and sleep quality of patients with lumbar disc herniation. This cross-sectional study was performed between January and July 2015 in 77 patients. A visual analog scale (VAS), the Oswestry Disability Index (ODI), and the Pittsburgh Sleep Quality Index were used for patient assessment. The mean (SD) ODI score was 58.84 (9.51), and the mean (SD) VAS score of patients was 73.26 (24.37) mm. The VAS and ODI scores increased with age. This disability was mainly observed during weight lifting (67.6%), walking (48.1%), and standing (50.7%). A...
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Article Source Type: research

Pupillary Light Reflex Variability as a Predictor of Clinical Outcomes in Subarachnoid Hemorrhage
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Research Bytes Source Type: research

Pupillary Light Reflex Variability as a Predictor of Clinical Outcomes in Subarachnoid Hemorrhage
BACKGROUND: A change in the pupillary light reflex (PLR) is a sensitive indicator for detecting expanding intracranial lesions. Changes in PLR may be a prognostic marker for patients with intracranial lesions. The purpose of this analysis was to explore how PLR readings, size, constriction velocity (CV), dilation velocity (DV), Neurologic Pupil Index (NPi), and latency predict clinical outcome in patients with subarachnoid hemorrhage. METHODS: This is a secondary analysis of prospectively collected multicenter registry data. The within-subject standard deviation (WSD) of PLR values, NPi, size, CV, DV, and latency were expl...
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Article Source Type: research

Resolving Clinical Trial Subject Disengagement in Socioeconomically Disadvantaged Subjects
We describe the LTFU problem associated with disadvantaged participants and propose strategies to reduce clinical trial disengagement. METHODS: Difficulties encountered in recruiting and retaining socioeconomically disadvantaged participants along with antecedents of disengagement are discussed. Data in the public domain were used to derive, symbolize, and map engagement by census tract. Exemplars of engaged and disengaged clinical trial participants are shared, and geospatial distribution of socio-spatial disengagement risk is presented. RESULTS: Subject disengagement can be visualized by geospatial informatics suggesting...
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Reflections Source Type: research

Executive Summary: Post–Intensive Care Syndrome in the Neurocritical Intensive Care Unit
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Executive Summary Source Type: research

The Science of Being a Charge Nurse
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - July 9, 2019 Category: Neuroscience Tags: Editorial Source Type: research

Motivational Interviewing: Improving Confidence With Self-care Management in Postoperative Thoracolumbar Spine Patients
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: CE Test Source Type: research

Empathy Huddles: Cultivating a Culture of Empathy
This article is the story of how 1 neuroscience unit’s experience with Empathy Huddles improved the staff’s ability to respond to their patients and families with empathy. The hospital collects quarterly patient satisfaction data using the Hospital Consumer Assessment of Healthcare Provider and Systems. In the third and fourth quarters of 2015, the unit’s patient satisfaction scores had declined significantly and remained low, in particular, the score for “how often did nurses listen carefully to you.” In February 2016, Empathy Huddles were implemented on the unit. Hospital Consumer Assessment...
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Clinical Nursing Focus Source Type: research

Reliability and Validity of the Patient Health Questionnaire-9 as a Screening Tool for Poststroke Depression
Conclusion: Evidence regarding the sensitivity and specificity of the PHQ-9 to screen stroke patients for PSD is inconclusive. Additional research is needed to address the appropriateness of the PHQ-9 as a depression screening tool in this population. Clinicians should validate the results of PHQ-9 screening of ischemic stroke patients for PSD with the Structured Clinical Interview for DSM-5, the standard for diagnosing depression, before initiating treatment of PSD. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Literature Review Source Type: research

Glasgow Coma Scale: Generating Clinical Standards
Conclusion: Participants reported that the education has informed the unit culture and emboldened clinical nurses to speak to their practice with more authority. Educational interventions should be aimed toward applied transfer of knowledge to the case-based scenarios in the clinical setting. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Article Source Type: research

Injury, Sleep, and Functional Outcome in Hospital Patients With Traumatic Brain Injury
Conclusion: Patients with severe TBI on the NSDU have poor actigraphic sleep at night. GCS has a stronger association to functional outcome than nighttime rest-activity variables. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Article Source Type: research

A Decision Algorithm Is Not Superior to Clinician Judgment to Determine Need for Peripheral vs Central Venous Catheterization
Conclusion: The results of this study indicate that the quality improvement intervention and algorithm decision-making tool did not improve accuracy of use of access devices. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Article Source Type: research

Turkish Version of the Motivation for Changing Lifestyle and Health Behavior for Reducing the Risk of Dementia Scale
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Research Bytes Source Type: research

Turkish Version of the Motivation for Changing Lifestyle and Health Behavior for Reducing the Risk of Dementia Scale
Conclusions: These results show that the scale has validity and reliability for use in the Turkish population. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Article Source Type: research

Motivational Interviewing: Improving Confidence With Self-care Management in Postoperative Thoracolumbar Spine Patients
Patients undergoing thoracic or lumbar spine surgery often lack confidence with self-care management of symptoms contributing to disability, such as pain, lack of sleep, depression, and immobility. The purpose of this pilot study was to examine whether a targeted motivational interview, focused on evidence-based recommendations to manage postoperative symptoms related to thoracolumbar spine surgery, would improve patient confidence with self-care management of their symptom-related disability. A quasiexperimental, 1-group, pretest-posttest design was used on a convenience sample of 15 adult surgical spine patients at a lar...
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Article Source Type: research

Home-time Is a Patient-Centered Outcome Variable for Stroke: An Executive Summary
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Executive Summary Source Type: research

How Do We Know…If We Simply Do Not Know?
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Letter to the Editor Source Type: research

Peer Review Is a Collaborative Process
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - May 14, 2019 Category: Neuroscience Tags: Editorial Source Type: research

Triage of Mild Head-Injured Intoxicated Patients Could Be Aided by Use of an Electroencephalogram-Based Biomarker
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: CE Test Source Type: research

Virtual Reality and Cognitive Rehabilitation in People With Stroke: An Overview
Conclusions: Rehabilitation using new VR tools could positively affect stroke patient cognitive outcomes by boosting motivation and participation. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Literature Review Source Type: research

The Feasibility and Impact of the EMOVE Intervention on Self-efficacy and Outcome Expectations for Exercise in Epilepsy
The purpose of this pilot study was to evaluate the feasibility of the self-efficacy based Epilepsy-Motivate and Outcome Expectations for Vigorous Exercise (EMOVE) intervention and report on the preliminary efficacy of this intervention aimed at improving exercise behaviors in adults with epilepsy. Methods: A single-group, repeated-measures design was used in 30 outpatients. Data were collected at baseline and 12 weeks after the intervention. Participant outcomes included Self-Efficacy and Outcome Expectations for Exercise in Epilepsy, Beck Depression Inventory-II, Quality of Life in Epilepsy Inventory-31, seizure frequenc...
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Article Source Type: research

Direct-Acting Oral Anticoagulants and Warfarin-Associated Intracerebral Hemorrhage Protocol Reduces Timing of Door to Correction Interventions
This study used a retrospective quality assessment research approach in examining an oral anticoagulant reversal protocol to compare the control and intervention groups. Phytonadione was the first intervention treatment for most study participants diagnosed with warfarin-associated ICH with an international normalized ratio greater than 1.4. Factor IX was the first intervention treatment for all but one study participant with DOAC-associated ICH. Results: Findings were statistically significant (P (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Article Source Type: research

Feasibility and Variability of Automated Pupillometry Among Stroke Patients and Healthy Participants: Potential Implications for Clinical Practice
Conclusions: Automated pupillometry represents an alternative to manual pupillary assessment that may have greater interrater agreement and reliability. As an optimized method of neurological assessment, it has the potential to improve detection and treatment of conditions leading to END after stroke. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Article Source Type: research

Triage of Mild Head-Injured Intoxicated Patients Could Be Aided by Use of an Electroencephalogram-based Biomarker
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Research Bytes Source Type: research

Bispectral Index Values Are Accurate Diagnostic Indices Correlated With Glasgow Coma Scale Scores
This study explores the correlation between GCS scores and BIS values in patients with brain injury. Methods: Fifty patients were divided into 2 groups—moderate (GCS 9–12) and severe (GCS 3–8)—in this prospective, double-blind, observational study. Bispectral index data were recorded when electromyography was less than 40 and signal quality index was greater than 75 for 5 minutes. Linear regression was used to examine the correlation between BIS and GCS, and receiver operating characteristic curves were plotted. Cutoff points were identified to show the feasibility and accuracy of BIS for assessing ...
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Article Source Type: research

The Case for an Amharic Term for Stroke: “Ye-Angol Tikat”
Conclusion: This pilot project demonstrates a strong support for a descriptive and standardized terminology for stroke within the Amharic-speaking community. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Article Source Type: research

Triage of Mild Head-Injured Intoxicated Patients Could Be Aided by Use of an Electroencephalogram-Based Biomarker
Conclusion: This EEG-based assessment technology used to identify the likelihood of structural or functional brain injury in mildly head-injured patients represents an objective way to aid in triage patients with DA on presentation, with the potential to decrease overscanning while not sacrificing sensitivity to injuries visible on CT. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Article Source Type: research

What Is Usual Care?
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - March 5, 2019 Category: Neuroscience Tags: Editorial Source Type: research

Treatment With Intravenous Alteplase for Acute Ischemic Stroke After Reversal of Dabigatran With Idarucizumab: A Case Study
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: CE Test Source Type: research

Timeliness of Nursing Care Delivered by Stroke Certified Registered Nurses as Compared to Non–Stroke Certified Registered Nurses to Hyperacute Stroke Patients
In this retrospective, nonexperimental, comparative descriptive design using convenience sampling, the timeliness of care delivered by 11 Stroke Certified Registered Nurses (SCRNs) to 95 hyperacute stroke patients (last known well of 4.5 hours or less) on the acute stroke protocol set by Target: Stroke Phase II Campaign Manual was compared with that of 13 non-SCRNs in a small, rural, level III stroke facility in the southwestern region of the United States. There was statistical significance in the total timeliness of care delivered by SCRNs to hyperacute stroke patients as compared with the non-SCRNs (t = −4.109, P ...
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Article Source Type: research

Mathematical Models of Sleep and Circadian Rhythms: A Case for Using the 2-Process Model in Neuroscience Nursing
Acute and chronic neurological disorders impair sleep. Despite the availability of theoretical/mathematical frameworks about sleep, the nursing profession rarely incorporates these models. The purpose of this article was to analyze the 2-process model of sleep regulation using Fawcett and DeSanto-Madeya’s method, a systematic approach for determining whether a theory is relevant to nursing. The 2-process model has 3 concepts: process S (sleep-dependent process), process C (circadian-timing–dependent process), and total sleep propensity (summation of processes S and C). Nonnursing theories do not explicitly inco...
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Literature Review Source Type: research

The Cue-Response Theory and Nursing Care of the Patient With Acquired Brain Injury
The cue-response theory is herewith proposed to replace the coma cue-response conceptual framework as a nursing theory for care of patients with acquired brain injury (ABI). After ABI, nurses assess patients and develop an understanding of their condition by interpreting meaning from physiologic and observational or behavioral cues. These interpretations form the basis for optimizing the timing of discrete nursing interventions; the outcome of which influences the trajectory toward recovery or toward secondary brain injury. The cue-response theory applies specifically for nurses’ use to determine which interventions ...
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Clinical Corner Source Type: research

The Relationship Among Multiple Sclerosis–Related Symptoms, Sleep Quality, and Sleep Hygiene Behaviors
Conclusion: Adults with MS experience the burden of many symptoms that impact sleep quality. Interventions that include education to improve symptoms, sleep hygiene behaviors, and sleep quality are needed. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Article Source Type: research

Rehab MATRIX: Content Validity of a Nursing-Led Patient Assignment Algorithm
Conclusions: Nursing staff at a wide-ranging IRF created Rehab MATRIX, an equitable patient assignment tool, representative of nursing effort needed to provide quality care. Clinical Relevance: Nursing-led patient assignment tools increase autonomy and provide the opportunity for all nursing staff to influence healthcare practice. These factors may lead to increased nursing satisfaction and decreased burnout. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Clinical Nursing Focus Source Type: research

Treatment With Intravenous Alteplase for Acute Ischemic Stroke After Reversal of Dabigatran With Idarucizumab: A Case Study
Treatment options for anticoagulated patients presenting with ischemic stroke are limited. Off-label use of idarucizumab to rapidly reverse the anticoagulant effect of dabigatran may ensure eligibility for thrombolytic therapy with alteplase. This case describes a 77-year-old white male who presented to the hospital 89 minutes after sudden onset of right-sided hemiparesis, dysarthria, and facial palsy. Significant history included atrial fibrillation and previous right-sided cortical stroke. Medication reconciliation revealed he was taking dabigatran 150 mg twice a day, with the last dose being 179 minutes before presentat...
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Case Study Source Type: research

Evaluation of Hospital-wide Readmission Risk Calculator to Predict 30-Day Readmission in Neurocritical Care Patients
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Research Bytes Source Type: research

Evaluation of Hospital-wide Readmission Risk Calculator to Predict 30-Day Readmission in Neurocritical Care Patients
Conclusions: This small set of data in a specific patient population found that the current risk prediction score was inaccurate in predicting readmission in the neuroscience intensive care unit population. Further evaluation is needed of a larger patient population to generalize these results for all neuroscience intensive care unit patients. To design an accurate readmission risk tool, centers should create unique readmission scores based on less heterogeneous patient populations. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Article Source Type: research

Electroencephalographic Patterns During Common Nursing Interventions in Neurointensive Care: A Descriptive Pilot Study
Conclusion: The results of this pilot study indicate that muscle artifacts seem prevalent during nursing interventions and may be a sign of stress. Nurses should be aware of the risk of inducing stress by performing regular nursing interventions in daily practice, consider shorter or fewer interventions at a time in sensitive patients, and administer sedation accordingly. Considering that this was a pilot study, more research that investigates correlations between EEG patterns and nursing interventions in larger samples is needed. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Article Source Type: research

Reflections on 50 Years
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Reflections Source Type: research

Of Zombies and Evidence
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Editorial Source Type: research

Thank You to Reviewers 2018
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - January 8, 2019 Category: Neuroscience Tags: Thank You to Reviewers Source Type: research

Unique Stroke Symptoms in Women: A Review
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - November 13, 2018 Category: Neuroscience Tags: CE Test Source Type: research

Symptom Monitoring in Glioma Patients: Development of the Edmonton Symptom Assessment System Glioma Module
Conclusion: The glioma module has initial validity and will benefit from prospective validation in a larger cohort of patients with glioma. (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - November 13, 2018 Category: Neuroscience Tags: Article Source Type: research

Effect of Auditory Stimulation on the Level of Consciousness in Comatose Patients Admitted to the Intensive Care Unit: A Randomized Controlled Trial
This study examines the effect of organized voice, performed by a nurse, on the state of consciousness of comatose patients in intensive care units. Method: This randomized controlled trial study of 60 patients was conducted fitting between August 2017 and February 2018. For 10 days, patients received the voice of a male nurse twice a day in the morning and night shifts, recorded on MP3 and repeated at least 3 to 4 times. Glasgow Coma Scale (GCS) scores were recorded by the researcher before and after auditory stimulation. Results: Patient mean age was 69.2 years; 56.7% of the experimental group and 53.3% of the control gr...
Source: Journal of Neuroscience Nursing - November 13, 2018 Category: Neuroscience Tags: Article Source Type: research

Pupillometry Trends in the Setting of Increased Intracranial Pressure
No abstract available (Source: Journal of Neuroscience Nursing)
Source: Journal of Neuroscience Nursing - November 13, 2018 Category: Neuroscience Tags: Research Bytes Source Type: research