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Neurosciences nursing

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https://www.readbyqxmd.com/read/28277450/intracranial-pressure-values-are-highly-variable-after-cerebral-spinal-fluid-drainage
#1
Michael Rogers, Sonja E Stutzman, Folefac D Atem, Samarpita Sengupta, Babu Welch, DaiWai M Olson
Intracranial pressure (ICP) is often obtained via external ventricular drain (EVD) placement and is discussed as a key vital sign in neuroscience. Nurses are most often delegated the task of observing, adjudicating, and documenting ICP. Cerebrospinal fluid drainage requires that the transducer connected to the EVD is open to drain, prohibiting ICP monitoring. There are no recent data to support an evidence-based standard for the period an ICP waveform should be observed, after the EVD is clamped, to be able to adjudicate a value that represents the patient's status...
April 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/28169814/-scoping-review-on-the-concepts-of-touch-and-massage-and-their-effects-on-agitation-and-stress-in-aged-hospitalized-patients-suffering-from-dementia
#2
Corinne Schaub, Armin von Gunten, Diane Morin
This scoping review examines the effects of touch/massage on agitation and stress in aged hospitalized patients suffering from dementia. This intervention is multidimensional, at the edges of medical neurosciences, nursing sciences, and social sciences. This review is primarily supported by a biological model of social relations, describing the interconnection between cognition, affect, and endocrine aspects of attachment modes. It is also guided by nursing sciences conceptualizations which anchors touch/massage in the heart of nursing practice...
2016: Recherche en Soins Infirmiers
https://www.readbyqxmd.com/read/28125431/sensitivity-specificity-and-receiver-operating-characteristics-a-primer-for-neuroscience-nurses
#3
Molly McNett, Shelly Amato, DaiWai M Olson
It is important for neuroscience nurses to have a solid understanding of the instruments they use in clinical practice. Specifically, when reviewing reports of research instruments, nurses should be knowledgeable of analytical terms when determining the applicability of instruments for use in clinical practice. The purpose of this article is to review 3 such analytical terms: sensitivity, specificity, and receiver operating characteristic curves. Examples of how these terms are used in the neuroscience literature highlight the relevance of these terms to neuroscience nursing practice...
January 25, 2017: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27999526/cme-cne-article-a-framework-of-care-in-multiple-sclerosis-part-1-updated-disease-classification-and-disease-modifying-therapy-use-in-specific-circumstances
#4
Scott D Newsome, Philip J Aliotta, Jacquelyn Bainbridge, Susan E Bennett, Gary Cutter, Kaylan Fenton, Fred Lublin, Dorothy Northrop, David Rintell, Bryan D Walker, Megan Weigel, Kathleen Zackowski, David E Jones
Activity Available Online: To access the article, post-test, and evaluation online, go to http://www.cmscscholar.org. TARGET AUDIENCE: The target audience for this activity is physicians, physician assistants, nursing professionals, and other health-care providers involved in the management of patients with multiple sclerosis (MS). LEARNING OBJECTIVES: Apply new information about MS to a comprehensive individualized treatment plan for patients with MSIntegrate the team approach into long-term planning in order to optimize rehabilitation care of patients with MSAccreditation Statement: This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the Consortium of Multiple Sclerosis Centers (CMSC), Nurse Practitioner Alternatives (NPA), and Delaware Media Group...
November 2016: International Journal of MS Care
https://www.readbyqxmd.com/read/27941413/agitation-in-patients-recovering-from-traumatic-brain-injury-nursing-management
#5
Diane Schretzman Mortimer, Wesley Berg
This article reviews clinical and research literature regarding the nursing management of agitation after severe traumatic brain injury. Neuroscience nurses in acute rehabilitation settings use an evidence-based approach to perform multifaceted assessments and implement effective individualized plans of care. These essential efforts minimize the effects of agitation and help patients achieve optimal outcomes.
December 8, 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27851706/promoting-bedside-nurse-led-research-through-a-dedicated-neuroscience-nursing-research-fellowship
#6
Sonja Stutzman, DaiWai Olson, Charlene Supnet, Caryn Harper, Shelley Brown-Cleere, Becky McCulley, Mark Goldberg
OBJECTIVE: We hypothesized that nurses would benefit from the fellowship model traditionally used to engage physicians in clinical research. The Neuroscience Nursing Research Center (NNRC) fellowship program was created as a model for engaging nurses at all levels of clinical practice to become active in clinical research. BACKGROUND: The NNRC was established in 2013 as a novel approach to promote bedside nurses as primary investigators in clinical research. METHODS: The NNRC developed 4 pathways to nursing research success: research fellowship, student-nurse internship, didactic training, and research consultation...
December 2016: Journal of Nursing Administration
https://www.readbyqxmd.com/read/27766734/program-evaluation-of-neuroscience-competency-programs-to-implement-evidence-based-practices
#7
Staci Sue Reynolds, Susan M McLennon, Patricia R Ebright, Laura L Murray, Tamilyn Bakas
RATIONALE: Program evaluation is essential to help determine the success of an evidence-based practice program and assist with translating these processes across settings. AIMS: The purpose of this study was to evaluate the usefulness of 2 competency programs that sought to improve neurocritical care nurses' knowledge of and adherence to evidence-based stroke and spinal cord injury guidelines. These programs consisted of 3 specific implementation strategies, including local opinion leaders, printed educational materials, and educational outreach...
February 2017: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27763820/is-there-hope-is-she-there-how-families-and-clinicians-experience-severe-acute-brain-injury
#8
Rachael E C Schutz, Heather L Coats, Ruth A Engelberg, J Randall Curtis, Claire J Creutzfeldt
BACKGROUND: Patients with severe acute brain injury (SABI) raise important palliative care considerations associated with sudden devastating injury and uncertain prognosis. OBJECTIVE: The goal of this study was to explore how family members, nurses, and physicians experience the palliative and supportive care needs of patients with SABI receiving care in the neuroscience intensive care unit (neuro-ICU). DESIGN: Semistructured interviews were audiotaped, transcribed, and analyzed using thematic analysis...
February 2017: Journal of Palliative Medicine
https://www.readbyqxmd.com/read/27602531/idiopathic-intracranial-hypertension-pseudotumor-cerebri
#9
Susan Bell
Idiopathic intracranial hypertension has been recognized in the literature for over 100 years. It is a disease of elevated intracranial pressure without evidence of a space-occupying lesion found most often in obese women of childbearing age. The signs and symptoms have been well described; however, the etiology is yet unknown. Medical and surgical treatment is aimed at the preservation of vision and improvement in symptoms. The medical literature is replete with articles addressing the epidemiology, pathophysiology, clinical and imaging features, and treatment...
December 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27579966/reliability-and-validity-for-neuroscience-nurses
#10
(no author information available yet)
No abstract text is available yet for this article.
October 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27579963/external-ventricular-catheters-is-it-appropriate-to-use-an-open-monitor-position-to-adequately-trend-intracranial-pressure-in-a-neuroscience-critical-care-environment
#11
Nicole E Sunderland, Nancy E Villanueva, Susan J Pazuchanics
Intracranial pressure (ICP) monitoring can be an important assessment tool in critically and acutely ill patients. An external ventricular drain offers a comprehensive way to monitor ICP and drain cerebrospinal fluid. The Monro-Kellie hypothesis, Pascal's principle, and fluid dynamics were used to formulate an assumption that an open/monitor position on the stopcock is an adequate trending measure for ICP monitoring while concurrently draining cerebrospinal fluid. Data were collected from 50 patients and totaled 1053 separate number sets...
October 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27579956/reliability-and-validity-for-neuroscience-nurses
#12
Janice M Buelow, Janice L Hinkle, Molly McNett
The concepts of reliability and validity are important for neuroscience nurses to understand, particularly because they evaluate existing literature and integrate common scales or tools into their practice. Nurses must ensure instruments measuring specified concepts are both reliable and valid. This article will review types of reliability and validity-sometimes referred to collectively as a psychometric testing-of an instrument. Relevant examples in neuroscience are included to illustrate the importance of reliability and validity to neuroscience nurses...
October 2016: Journal of Neuroscience Nursing: Journal of the American Association of Neuroscience Nurses
https://www.readbyqxmd.com/read/27487752/implementation-of-a-nurse-led-family-meeting-in-a-neuroscience-intensive-care-unit
#13
Huixin Wu, Dianxu Ren, Glenn R Zinsmeister, Gretchen E Zewe, Patricia K Tuite
PURPOSE/OBJECTIVES: The aims of this study were to develop, implement, and evaluate the impact of early intensive care unit (ICU) nurse-led family meetings on nurse-family communication, family decision making, and satisfaction of family members. BACKGROUND: Intensive care unit nurses are in an ideal position to meet family needs, and family members may cope better with the crisis of an ICU admission if consistent honest information is provided by nurses; however, there are no early ICU family meetings led by bedside nurses...
September 2016: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/27468600/critical-ethnography-an-under-used-research-methodology-in-neuroscience-nursing
#14
Cheryl Ross, Cath Rogers, Diane Duff
Critical ethnography is a qualitative research method that endeavours to explore and understand dominant discourses that are seen as being the 'right' way to think, see, talk about or enact a particular 'action' or situation in society and recommend ways to re-dress social power inequities. In health care, vulnerable populations, including many individuals who have experienced neurological illnesses or injuries that leave them susceptible to the influence of others, would be suitable groups for study using critical ethnography methodology...
2016: Canadian Journal of Neuroscience Nursing
https://www.readbyqxmd.com/read/27456330/referrals-to-integrative-medicine-in-a-tertiary-hospital-findings-from-electronic-health-record-data-and-qualitative-interviews
#15
Kristen H Griffin, Kent C Nate, Rachael L Rivard, Jon B Christianson, Jeffery A Dusek
OBJECTIVE: To examine patterns of, and decision-making processes, informing referrals for inpatient access to integrative medicine (IM) services at a large, acute care hospital. DESIGN: Retrospective electronic health record review and structured qualitative interviews. SETTING: A 630-bed tertiary care hospital with an IM service available to inpatients. PARTICIPANTS: IM referrals of all inpatients aged ≥18 years between July 2012 and December 2014 were identified using the hospital's electronic health record...
2016: BMJ Open
https://www.readbyqxmd.com/read/27369029/a-secure-social-media-based-case-of-the-month-module-in-a-neurocritical-care-unit
#16
Briana Witherspoon, Kathryn Braunlin, Avinash B Kumar
BACKGROUND: Systems to meet the on-demand learning needs of nurses in intensive care units are not well studied beyond the traditional classroom models. OBJECTIVE: To study the feasibility and effect of implementing an online discussion forum for nurses in a busy neuroscience intensive care unit. METHODS: A baseline survey was done to highlight the areas of educational need in the unit. Freeform-a password-protected, online discussion forum supported by the university-was used for the pilot project...
July 2016: American Journal of Critical Care: An Official Publication, American Association of Critical-Care Nurses
https://www.readbyqxmd.com/read/27301949/recognising-and-responding-to-cutting-corners-when-providing-nursing-care-a-qualitative-study
#17
Angela Jones, Megan-Jane Johnstone, Maxine Duke
AIMS AND OBJECTIVES: The aim of this study is to report on a key finding of a larger study investigating the 'gaps' in patient care that registered nurses encounter during the course of their practice. A key finding of this larger study was that 'cutting corners' was a gap discerned by nurses. BACKGROUND: 'Cutting corners' has been characterised as a 'violation' and threat to patient safety, although there is a paucity of research on this issue. DESIGN: Naturalistic inquiry using a qualitative exploratory descriptive approach...
August 2016: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/27291891/do-daily-ward-interviews-improve-measurement-of-hospital-quality-and-safety-indicators-a-prospective-observational-study
#18
Mitchell N Sarkies, Kelly-Ann Bowles, Elizabeth H Skinner, Romi Haas, Deb Mitchell, Lisa O'Brien, Kerry May, Marcelle Ghaly, Melissa Ho, Terry P Haines
RATIONALE, AIMS AND OBJECTIVES: The aim of this study was to determine if the addition of daily ward interview data improves the capture of hospital quality and safety indicators compared with incident reporting systems alone. An additional aim was to determine the potential characteristics influencing under-reporting of hospital quality and safety indicators in incident reporting systems. METHODS: A prospective, observational study was performed at two tertiary metropolitan public hospitals...
October 2016: Journal of Evaluation in Clinical Practice
https://www.readbyqxmd.com/read/27229281/suicide-across-the-life-span
#19
REVIEW
Jeffery Ramirez
Suicide remains a major public health issue. There have been more than 40,000 deaths by suicide in 2014. Understanding both the neuroscience and psychological development is key for nursing care so adequate interventions and treatment strategies are developed when working with people thinking about suicide. It is critical to assess and recognize risk and protective factors to ensure patient safety. The older adult, children, and adolescent populations remain vulnerable to suicide. A discussion regarding the psychiatric, psychosocial, and treatment considerations for these populations is included...
June 2016: Nursing Clinics of North America
https://www.readbyqxmd.com/read/27219073/intentional-rounding-a-staff-led-quality-improvement-intervention-in-the-prevention-of-patient-falls
#20
Lauren Morgan, Lorna Flynn, Eleanor Robertson, Steve New, Carol Forde-Johnston, Peter McCulloch
AIMS AND OBJECTIVES: This study designed and evaluated the use of a specific implementation strategy to deliver a nursing staff-led Intentional Rounding intervention to reduce inpatient falls. BACKGROUND: Patient falls are a common cause of harm during hospital treatment. Intentional Rounding has been proposed as a potential strategy for prevention, but has not received much objective evaluation. Previous work has suggested that logical interventions to improve patient care require an integrated implementation strategy, using teamwork training and systems improvement training, to instigate positive change and improvement...
January 2017: Journal of Clinical Nursing
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