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 = .0...
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 incorporate ...
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 shou...
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
