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 of Healthcare Provi...
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