Journal of Neuroscience Nursing最新文献_第10页

Mobilizing Ventilated Neurosurgery Patients: An Integrative Literature Review. 动员通气神经外科患者:综合文献综述。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2022-02-01 DOI: 10.1097/JNN.0000000000000624

Adrianna Lall, Deborah Behan

{"title":"Mobilizing Ventilated Neurosurgery Patients: An Integrative Literature Review.","authors":"Adrianna Lall, Deborah Behan","doi":"10.1097/JNN.0000000000000624","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000624","url":null,"abstract":"Abstract: BACKGROUND: Lack of mobilization in ventilated neurosurgery patients is problematic due to significant consequences. Although early mobility addresses these complications, few studies have been conducted in this population, resulting in infrequent mobilization efforts. Nurses prioritize and implement patient care interventions, including mobilization, with multidisciplinary teams. This integrative literature review examines what is known regarding nursing perceptions on mobilization and their role within a multidisciplinary team for mobilization in ventilated neurosurgery patients. METHODS: A comprehensive literature search was conducted using online databases to identify research articles on early mobility studies in ventilated critically ill and neurosurgical patients from 2010 to 2020. RESULTS: Twenty studies were identified and indicated a paucity of research specific to mobilizing ventilated neurosurgery patients. Nurses understand the purpose and benefits of early mobility in critically ill and mechanically ventilated patients. Mixed perceptions exist regarding the responsibility for prioritizing and initiating mobilization. Main barriers include patient safety concerns, untimeliness due to limited resources, unit culture, lack of nursing knowledge, and need for improved teamwork. Associations between teamwork-based interventions and decreased length of stay, increased rates of mobility, and faster time to early mobilization exist. Nurse-led interventions showed additional benefits including positive perceptions such as empowerment, confidence, increased knowledge, and a progressive shift in unit culture. CONCLUSION: This review demonstrates a continued need for understanding nursing perceptions and role in teamwork to mobilize ventilated neurosurgery patients. Future research should focus on testing nurse-led mobility interventions so higher rates of mobilization and provision of holistic patient care can be achieved.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 1","pages":"13-18"},"PeriodicalIF":2.3,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10018264","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Nimodipine in Clinical Practice: A Pharmacological Update. 尼莫地平在临床中的应用:药理学更新。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2022-02-01 DOI: 10.1097/JNN.0000000000000625

Brendon Clough, Josephine Tenii, Claribel Wee, Elizabeth Gunter, Tara Griffin, Venkatesh Aiyagari

引用次数: 1

Stroke-Specific Refinements to Naylor's Transitional Care Model to Address the Storm of Uncertainty and Unmet Survivor and Caregiver Needs. 对内勒过渡性护理模型的中风特异性改进，以解决不确定性风暴和未满足的幸存者和照顾者需求。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2022-02-01 DOI: 10.1097/JNN.0000000000000629

Lorre Laws, Leslie Ritter, Lois Loescher, Marylyn McEwen

{"title":"Stroke-Specific Refinements to Naylor's Transitional Care Model to Address the Storm of Uncertainty and Unmet Survivor and Caregiver Needs.","authors":"Lorre Laws, Leslie Ritter, Lois Loescher, Marylyn McEwen","doi":"10.1097/JNN.0000000000000629","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000629","url":null,"abstract":"Abstract: BACKGROUND: By 2030, there will be approximately 7.6 million stroke survivors (SSs) in the United States, yet comprehensive transitional care (TC) for stroke is not widely available. Stroke strikes without warning and leaves in its wake a \"storm\" of uncertainty for SSs and caregivers (CGs) as they encounter a myriad of unmet physical, mental, emotional, and financial needs that are not wholly addressed by passive healthcare delivery systems. Needed is a stroke-specific TC model that bridges this storm to active delivery of SS and CG postacute care. Naylor's Transitional Care Model (NTCM) has not been examined for how it can frame comprehensive stroke care. The purpose of this study was to solicit SS and CG descriptions of TC experiences to inform the NTCM with refined operational definitions and exemplars specific to stroke. METHODS: Focus groups conducted for this qualitative descriptive study were guided by interview questions based on the 8 NTCM operational definitions. Data were analyzed using inductive and deductive qualitative content analysis methods. RESULTS: Post-acute-stroke care does not comprehensively meet the needs of SSs and CGs. Participants described TC deficits across all 8 NTCM components. Two new subcomponents that could be applied for a stroke-specific NTCM emerged: psychological and transportation challenges. CONCLUSION: Unmet needs identified by SSs and CGs were used to extend NTCM specific to the stroke population and to develop the Recommendations and Exemplars for Stroke Specific Comprehensive Transitional Care Delivery (see Supplementary Digital Content, available at http://links.lww.com/JNN/A385). Researchers and practitioners can use the findings to develop and deliver more comprehensive TC to SSs and CGs.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 1","pages":"23-29"},"PeriodicalIF":2.3,"publicationDate":"2022-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

End-of-Life Healthcare Service Needs Among Children With Neurological Conditions: A Latent Class Analysis. 患有神经系统疾病的儿童的临终保健服务需求:一个潜在类别分析。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000615

Lisa C Lindley, Radion Svynarenko, Kim Mooney-Doyle, Annette Mendola, Wendy C Naumann, Christine A Fortney

{"title":"End-of-Life Healthcare Service Needs Among Children With Neurological Conditions: A Latent Class Analysis.","authors":"Lisa C Lindley, Radion Svynarenko, Kim Mooney-Doyle, Annette Mendola, Wendy C Naumann, Christine A Fortney","doi":"10.1097/JNN.0000000000000615","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000615","url":null,"abstract":"Abstract: BACKGROUND: At the end of life, children with neurological conditions have complex healthcare needs that can be met by providing care of their life-limiting conditions concurrently with hospice care (ie, concurrent care). Given the limited literature on concurrent care for children with neurologic conditions, this investigation aimed to identify patterns of nonhospice, healthcare service needs and to assess characteristics of children within each group. METHODS: A nationally representative sample children with neurological conditions enrolled in concurrent hospice care was used. Latent class analysis and descriptive statistics were calculated to identify patterns of healthcare needs and characteristics of children within the groups. A subgroup analysis of infants was conducted. RESULTS: Among the 1601 children, the most common types of services were inpatient hospitals, durable medical equipment, and home health. Two classes of service needs were identified: moderate intensity (58%) and high intensity (42%). Children in the moderate-intensity group were predominantly between 1 and 5 years old, male, White, and non-Hispanic. The most common neurological condition was central nervous system degeneration. They also had significant comorbidities, mental/behavioral health conditions, and technology dependence. They commonly resided in urban areas in the South. Children in the high-intensity group had a wide range of neurological conditions and high acuity. The subgroup analysis of infants indicated a different neurological profile. CONCLUSIONS: Two distinct classes of nonhospice, healthcare service needs emerged among children with neurological conditions at the end of life. The groups had unique demographic profiles.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"238-243"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578283/pdf/nihms-1728265.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10369891","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

I've Come Here for an Argument. 我是来和你争论的。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000618

DaiWai M Olson

引用次数: 0

Letter Regarding "Prevalence and Factors Affecting Postoperative Delirium in a Neurosurgical Intensive Care Unit". 关于“神经外科重症监护病房中谵妄的患病率及影响因素”的信函。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000610

Ying-Gang Xiao, Fu-Shan Xue, Liu-Jia-Zi Shao

引用次数: 2

Exploring the Relationship Between Objective Pupillometry Metrics and Midline Shift. 探讨客观瞳孔测量指标与中线偏移的关系。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000614

Kathryn Giamarino, Robert Blessing, Christopher Boelter, Julie A Thompson, Staci S Reynolds

{"title":"Exploring the Relationship Between Objective Pupillometry Metrics and Midline Shift.","authors":"Kathryn Giamarino, Robert Blessing, Christopher Boelter, Julie A Thompson, Staci S Reynolds","doi":"10.1097/JNN.0000000000000614","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000614","url":null,"abstract":"Abstract: BACKGROUND: Pupillary examinations provide early subtle signs of worsening intracranial pathology. Objective pupillomtery assessment, although not yet the standard of care, is considered best practice. However, inconsistent findings from objective pupillometry studies have caused a lack of consensus among clinicians; as such, no clinical guidelines are available to guide clinical use of objective pupillometer devices. To add to the body of evidence, the purpose of this project was to explore the relationship between objective pupillometry metrics and midline shift (MLS). METHODS: A retrospective chart review of pupillometer data was conducted. Midline shift was correlated with objective pupillometry metrics including Neurological Pupil Index (NPi), pupil size, and anisocoria. Midline shift was measured for the patient's initial neuroimaging and with any defined neurological change. Spearman ρ was used for statistical analysis of correlations between pupillometer metrics and MLS measured at both the septum pellucidum and pineal gland. RESULTS: A total of 41 patients were included in the analysis; most were White (58.5%) and male (58.5%), with a mean (SD) age of 58.49 (16.92) years. Spearman ρ revealed statistically significant positive correlations between right pupil NPi and anisocoria with MLS, and significant negative correlations between left pupil NPi and pupil size with MLS. CONCLUSIONS: Results from this project are consistent with previous studies. Objective pupillometry continues to be a valuable component of a comprehensive neurological examination, because it has the ability to discern early and subtle changes in a patient's neurological status, leading to lifesaving interventions.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"233-237"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10369887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

A Meta-analysis of the Effect of Motivational Interviewing on Depression, Anxiety, and Quality of Life in Stroke Patients. 动机性访谈对脑卒中患者抑郁、焦虑和生活质量影响的meta分析。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000617

Ni Qiqi, Li Hangting, Wu Jia, Shen Jiaoni, Wan Xinrui, He Guijuan

{"title":"A Meta-analysis of the Effect of Motivational Interviewing on Depression, Anxiety, and Quality of Life in Stroke Patients.","authors":"Ni Qiqi, Li Hangting, Wu Jia, Shen Jiaoni, Wan Xinrui, He Guijuan","doi":"10.1097/JNN.0000000000000617","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000617","url":null,"abstract":"Abstract: BACKGROUND: Motivational interviewing has become a popular approach for relieving mood disturbances. We aimed to investigate whether motivational interviewing can effectively improve depression, anxiety, and quality of life among stroke patients. METHODS: Seven electronic databases were searched from inception to March 15, 2021. Other potentially related studies were identified through manually searching the reference lists of empirical articles and relevant review articles. Randomized controlled trials that investigated the effects of motivational interviewing on stroke patients with mood disturbances were deemed eligible. The Cochrane Handbook 5.1.0 was used to assess the risk of bias. Meta-analyses were conducted using the Review Manager Version 5.3. RESULTS: Six articles with 1419 participants were included. The subgroup analysis revealed that motivational interviewing was associated with improvement of depression (P < .00001) and quality of life (P = .0007) among patients having stroke at less than 12 months of follow-up. No significant differences were detected for improving depression (P = .40) and quality of life (P = .38) at 12 months of follow-up. Furthermore, the meta-analysis showed that motivational interviewing was not associated with alleviation of anxiety (P = .81) among stroke patients. CONCLUSION: This meta-analysis indicated that motivational interviewing might have beneficial effects on depression and quality of life in stroke patients at less than 12 months of follow-up. However, large and well-designed randomized controlled trials are needed to confirm these findings.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"244-250"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10006621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

Constipation Management in Parkinson Disease. 帕金森病的便秘管理。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000611

Molly Cheesman, Haily Ho, Krista Bishop, Mo-Kyung Sin

引用次数: 1

Anisocoria Correlates With Injury Severity and Outcomes After Blunt Traumatic Brain Injury. 与钝性创伤性脑损伤后的损伤严重程度和预后相关。

IF 2.3 3区医学

Journal of Neuroscience Nursing Pub Date : 2021-12-01 DOI: 10.1097/JNN.0000000000000613

Daniel Nyancho, Folefac D Atem, Aardhra M Venkatachalam, Arianna Barnes, Michelle Hill, Jeffrey I Traylor, Sonja E Stutzman, Nicole Bedros, Venkatesh Aiyagari, Salah G Aoun

{"title":"Anisocoria Correlates With Injury Severity and Outcomes After Blunt Traumatic Brain Injury.","authors":"Daniel Nyancho, Folefac D Atem, Aardhra M Venkatachalam, Arianna Barnes, Michelle Hill, Jeffrey I Traylor, Sonja E Stutzman, Nicole Bedros, Venkatesh Aiyagari, Salah G Aoun","doi":"10.1097/JNN.0000000000000613","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000613","url":null,"abstract":"Abstract: BACKGROUND: Automated infrared pupillometry (AIP) has been shown to be helpful in the setting of aneurysmal subarachnoid hemorrhage and stroke as an indicator of imminent irreversible brain injury. We postulated that the early detection of pupillary dysfunction after light stimulation using AIP may be useful in patients with traumatic brain injury (TBI). METHODS: We performed a retrospective review of the Establishing Normative Data for Pupillometer Assessment in Neuroscience Intensive Care database, a prospectively populated multicenter registry of patients who had AIP measurements taken during their intensive care unit admission. The primary eligibility criterion was a diagnosis of blunt TBI. Ordinal logistic modeling was used to explore the association between anisocoria and daily Glasgow Coma Scale scores and discharge modified Rankin Scale scores from the intensive care unit and from the hospital. RESULTS: Among 118 subjects in the who met inclusion, there were 6187 pupillometer readings. Of these, anisocoria in ambient light was present in 12.8%, and that after light stimulation was present in 9.8%. Anisocoria after light stimulation was associated with worse injury severity (odds ratio [OR], 0.26 [95% confidence interval (CI), 0.14-0.46]), lower discharge Glasgow Coma Scale scores (OR, 0.28 [95% CI, 0.17-0.45]), and lower discharge modified Rankin Scale scores (OR, 0.28 [95% CI, 0.17-0.47]). Anisocoria in ambient light showed a similar but weaker association. CONCLUSION: Anisocoria correlates with injury severity and with patient outcomes after blunt TBI. Anisocoria after light stimulation seems to be a stronger predictor than does anisocoria in ambient light. These findings represent continued efforts to understand pupillary changes in the setting of TBI.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"53 6","pages":"251-255"},"PeriodicalIF":2.3,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10016185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 7