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Total 262 results found since Jan 2013.

Family Functioning Mediates the Relationship Between Activities of Daily Living and Poststroke Depression
This study revealed the importance of family functioning in the association between depression and daily activities in stroke survivors. To the best of our knowledge, this study was the first to explore the mediating role of family functioning in poststroke depression, emphasizing the importance of family for the mental health of stroke patients. To reduce the incidence of poststroke depression, interventions that enhance daily activities and family functioning may include nurses, family therapists, rehabilitation physicians, and community workers.
Source: Nursing Research - December 9, 2020 Category: Nursing Tags: ORIGINAL ARTICLES Source Type: research

Scientific Approach to Assess if Change Led to Improvement —Methods for Statistical Process Control Analysis in Quality Improvement
Quality improvement is an expectation in most hospitals and emergency departments throughout the United States. With hospitals requiring reporting on key metrics such as readmission rates, time to thrombolytic administration in stroke, or time to cardiac catheterization laboratory activation for ST-elevation myocardial infarctions, many emergency departments deploy quality improvement teams to monitor and improve these metrics and others to promote quality and safety. Emergency nurses and managers are key members and leaders of these quality improvement teams.
Source: Journal of Emergency Nursing: JEN - October 23, 2020 Category: Nursing Authors: Maegan S. Reynolds, Sandra P. Spencer, Ashley Dunaway, Don Buckingham, Thomas Bartman Tags: Understanding Research Source Type: research

A Prediction Model of Rehabilitation Motivation in Middle-Aged Survivors of Stroke in Rehabilitation Facilities in Korea
Background To improve the health outcomes of survivors of stroke, it is critical that they are highly motivated to engage in rehabilitation activities. Despite the increasing prevalence of strokes among middle-aged adults, there is limited knowledge regarding factors that may affect survivors' motivation to engage in rehabilitation. Objective The aim of this study was to examine the relationship among factors that predict the rehabilitation motivation of middle-aged survivors after a stroke through structural equation modeling. Methods A total of 200 middle-aged (40–64 years) survivors of stroke from 9 rehabilita...
Source: Journal of Cardiovascular Nursing - August 13, 2020 Category: Nursing Tags: ARTICLES: Stroke Source Type: research

Psychometric properties of the care dependency scale in stroke survivors in Indonesian hospitals
Publication date: Available online 8 July 2020Source: International Journal of Nursing SciencesAuthor(s): Nursiswati Nursiswati, Ruud JG. Halfens, Christa Lohrmann
Source: International Journal of Nursing Sciences - July 9, 2020 Category: Nursing Source Type: research

The Effect of Home Base Physical Activity Program based on the BASNEF Model on Motor Recovery in Patients with Stroke.
Authors: Esteki-Ghashghaei F, Saadatnia M, Khorvash F, Shahnazi H Abstract The present study aimed to determine the effect of education based on the BASNEF model on the physical activity and improvement of motor activity in patients with stroke. This randomized control trial study was conducted on 40 patients with acute ischemic stroke admitted to a teaching hospital in Isfahan, Iran from August 2017 to September 2018. The patients were randomly divided into intervention and control groups. The intervention included personal education and a manual CD of physical activity for the intervention group. After education,...
Source: Home Health Care Services Quarterly - May 14, 2020 Category: Nursing Tags: Home Health Care Serv Q Source Type: research

Introducing an oral care assessment tool with advanced cleaning products into a high-risk clinical setting.
This study aimed to establish whether the use of a 24-hour oral care kit and an oral care assessment tool can meet the needs of patients on an acute stroke unit. In comparison with the same period the preceding year, the introduction of the oral care kit and assessment tool improved compliance with oral care by more than 4 times; the overall costs of antibiotics to treat NV-HAP patients fell by 79%, with the number of doses falling by 70%, and the mortality rate decreased from 27% to 20%. According to a survey of multidisciplinary team (MDT) members keeping oral care tools available at the point of use saved time, and the ...
Source: British Journal of Nursing - March 11, 2020 Category: Nursing Authors: Chick A, Wynne A Tags: Br J Nurs Source Type: research

Mobile stroke units: taking stroke care to the patient
Purpose of review Since the development of intravenous tissue plasminogen activator (tPA) for acute ischemic stroke (AIS), functional outcome has improved when treatment occurs within 4.5 h of stroke onset and treatment benefits are greater with earlier treatment. Endovascular revascularization also is better the sooner it is delivered. Recent findings The Get with the Guidelines Stroke registry found that less than one-third of treatment-eligible AIS patients receive intravenous tPA within 60 min of hospital arrival. Initiatives have tried to improve public education and awareness of stroke symptoms to decrease t...
Source: Current Opinion in Critical Care - March 6, 2020 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Peter Le Roux Source Type: research

Early mobilization in neurocritical care patients
Purpose of review To examine the potential benefits of early mobilization in neurocritically ill patients and to summarize the recent evidence for and against early mobilization. Recent findings Early ICU mobilization in medically critically ill patients may decrease ICU and hospital length of stay, increase discharge-to-home, and reduce medical costs. Whether these benefits apply to neurologically critically ill patients remains unclear, as neuro ICU patients are often excluded from trials of early mobility. Neurocritically ill patients may present with hemodynamic instability, acute hemiplegia, altered consciousness...
Source: Current Opinion in Critical Care - March 6, 2020 Category: Nursing Tags: ACUTE NEUROLOGICAL PROBLEMS: Edited by Peter Le Roux Source Type: research

Beware of Discharge: A Case Exploring the Ethics of Societal Expectations Placed on Families at Hospital Discharge
As the population ages and medical therapies advance, more individuals are living in the community with complex health conditions. These individuals, as well as their clinicians, often assume their family members and friends will be capable of, and willing to, provide the caregiving work necessary to continue living at home. There is an ethical problem in this assumption that unpaid community care will be provided by family or friends. Using the Hunt and Ells Patient-Centered Care Ethics Analysis Model for Rehabilitation (2013), this article explores the ethical considerations involved in the hospital discharge planning of...
Source: Home Healthcare Nurse - March 1, 2020 Category: Nursing Tags: Feature Source Type: research

What Is Stroke Certification and Does It Matter?
Many academic and community hospitals have obtained, or are considering obtaining, stroke center certification. Participation in structured quality improvement programs that also incorporate an objective assessment has been shown to improve outcomes and foster team building. Although obtaining certification can be challenging and costly, it can provide a framework to ensure hospitals deliver high- level, evidence-based stroke care. For the intensive care unit nurse, awareness and participation in the certification programs process is an important part of professional nursing practice.
Source: Critical Care Nursing Clinics of North America - December 18, 2019 Category: Nursing Authors: Linda M. Bresette Source Type: research

Couples coping in the community after the stroke of a spouse: A scoping review
AbstractAimTo summarize evidence on the poststroke coping experiences of stroke patients and spousal caregivers living at home in the community.DesignA scoping review.MethodsExtensive searches were conducted in credible databases. Articles published in the English language were retrieved. Data were extracted based on study location, aims, study design, sample size, time after stroke and key findings.ResultsOut of 53 identified articles, 17 studies were included in the review. Five key themes were as follows: (a) emotional challenges; (b) role conflicts; (c) lack of strategies in coping; (d) decreased life satisfaction of t...
Source: Nursing Open - November 15, 2019 Category: Nursing Authors: Sheena Ramazanu, Alice Yuen Loke, Vico Chung Lim Chiang Tags: REVIEW ARTICLE Source Type: research

Weight! Weight! … Don’t Tell Me!
Weight-based, lifesaving medications are commonly used in hospitals and routinely used in emergency departments.1 Many weight-based medications are listed in the Institute for Safe Medication Practices (ISMP) high-alert medication list. According to ISMP, “high-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error.”2 These frequently used medications include anticoagulants (eg, heparin and enoxaparin), antibiotics for septic shock (eg, vancomycin and tobramycin), fibrinolytic agent s for stroke (eg, alteplase), and antiepileptic drugs (eg, phenytoin and fosphenytoin).
Source: Journal of Emergency Nursing: JEN - August 22, 2019 Category: Nursing Authors: Avani Bhalodia, Mona Hammam, Susan F. Paparella Tags: Danger Zone Source Type: research

Prehospital and hospital delays for stroke patients treated with thrombolysis: access to health care facility – still a bottle neck in stroke care in developing nation
We read with much interest, the article “Prehospital and hospital delays for stroke patients treated with thrombolysis: A retrospective study from mixed rural- urban area in Northern Finland” by Varjoranta et al published in your esteemed journal. Authors have done an excellent retrospective study including 232 stroke patients, compar ing the distribution of time taken by patients from diagnosis to administration of thrombolysis in an urban versus a rural population [1].
Source: Australasian Emergency Nursing Journal - August 16, 2019 Category: Nursing Authors: Ajay Kumar Mishra, Ramya Iyadurai Tags: Letter to the Editor Source Type: research

Predicting the functional independence during the recovery phase for poststroke patients
This study aimed to evaluate stroke self ‐efficacy of poststroke patients and identify the differences in stroke self‐efficacy level among some relevant variables.DesignA descriptive cross ‐sectional design was employed to achieve the aforementioned objectives.MethodsA purposive sample of 207 poststroke patients who were recovering from stroke in three major teaching hospitals at Baghdad city were recruited to participate in the study. Data collection process started 3 November 2016 –15 May 2017. Inclusion criteria embraced stroke patients who were adult, have Glasgow Coma Scale score 14–15, capable of giving wri...
Source: Nursing Open - July 10, 2019 Category: Nursing Authors: Sadeq AL ‐Fayyadh Tags: RESEARCH ARTICLE Source Type: research

Common Post Cardiothoracic Surgery Arrhythmias
Cardiac arrhythmias are common after cardiac surgery and have profound sequelae. Bradycardias are typically transient and have reversible causes; however, persistent atrioventricular block is an indicator for permanent pacemaker implantation after valvular surgery. Transcatheter aortic valve surgery is associated with even higher rates of permanent pacemaker implantation. Atrial fibrillation, the most common postoperative arrhythmia, is associated with ischemic stroke, myocardial infarction, congestive heart failure, and short-term mortality. Ventricular arrhythmias have extremely high in-hospital mortality, as well as lon...
Source: Critical Care Nursing Clinics of North America - July 4, 2019 Category: Nursing Authors: Kirstan Clay-Weinfeld, Melissa Callans Source Type: research