Journal of Neuroscience Nursing最新文献

{"title":"Data Is a Gift.","authors":"Lori M Rhudy","doi":"10.1097/JNN.0000000000000669","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000669","url":null,"abstract":"","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"178"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370372","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}

{"title":"Preparing a Pediatric Palliative Care Program for Sustainable Support: A Practice Reflection.","authors":"Kenneth J Pituch, Natalia Simon, Meaghann S Weaver, Lisa C Lindley","doi":"10.1097/JNN.0000000000000659","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000659","url":null,"abstract":"","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"199-200"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013904","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}

{"title":"Post-Thrombolytic Care Steps Up the Step-Down Unit.","authors":"Michelle Hill, Steve Potkrajac, Keesha Cunningham","doi":"10.1097/JNN.0000000000000662","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000662","url":null,"abstract":"n 1995, the National Institute of Neurologic Disorders and Stroke trial was published, prompting alteplase approval for acute ischemic stroke treatment. Since 1995, there have been quite a few changes in managing stroke patients post alteplase, including administration inclusion and exclusion criteria. With a few exceptions at high-performing academic centers, postalteplase patients are admitted to a critical care area for frequent monitoring during the first 24 hours regardless of stroke severity. The latest ischemic stroke guidelines from the American Heart/ American StrokeAssociation encourage treatment with alteplase in patients with mild but disabling symptoms regardless of the stroke severity score. Although this is good news for stroke patients, wewere facedwith challenges in critical care bed availability. Often, patients with a low stroke severity score who received alteplase would be prioritized admission to critical care over a patient with higher acuity and a greater need for critical care–level nursing care. Our organization is in the Midwest and composed of 1 comprehensive stroke center, 4 primary stroke centers, 5 affiliate hospitals, and vascular neurology coverage through telemedicine for 28 facilities across the state. Our comprehensive stroke center houses a 32-bed integrated stroke unit (ISU), a 32-bed neurocritical care unit (NCCU), and a 32-bed general neurology unit. As alteplase volumes increased, we saw an opportunity to expand the scope of care and knowledge by empowering the step-down registered nurses (RNs) to care for low-severity stroke scale patients on the ISU.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"190-192"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015953","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}

{"title":"Results From the Perceived Value of Certification Tool-12 Survey: Analysis of the Perceived Value of Certification Among Stroke and Neuroscience Nurses.","authors":"Suzy Mascaro Walter, Norma D McNair, Rebecca Banat, Tracey Anderson, Zheng Dai, Kesheng Wang","doi":"10.1097/JNN.0000000000000667","DOIUrl":"10.1097/JNN.0000000000000667","url":null,"abstract":"<p><strong>Abstract: </strong>AIM: The purpose of this study was to explore the perceived value of certification among those with a neuroscience or stroke nursing certification. METHODS: The Perceived Value of Certification Tool-12 (PVCT-12) consists of 12 value statements related to the benefits of certification, using a 4-point Likert scale ranging from strongly disagree to strongly agree. Descriptive statistics were used to determine the percentage of agreement among respondents with each of the PVCT-12 items. A generalized linear model approach was then used to estimate the associations between age, sex, race, experience, certification, highest degree earned, primary responsibility, and primary work setting with intrinsic and extrinsic values. An exploratory factor analysis was performed to identify factors on which related variables were found. RESULTS: The 632 certificants were predominantly female (90%) with a mean age of 54 years. Approximately 80% were White, followed by Asian (11%), Hispanic (4%), and Black (3%). Certification included certified neuroscience registered nurse (34%), stroke certified registered nurse (47%), or both (20%). Approximately 57% of the certificants work in critical care/medical-surgical units. Work setting included academic (46%) and community (42%). Responses indicated lower levels of agreement with the value statements regarding certification challenges, professional autonomy, being listened to, and monetary gain. Those in administration had statistically significant higher intrinsic and extrinsic value scores ( P = .005) as compared with those in nonadministrative roles. There was no significant difference on perceived intrinsic or extrinsic values for those who work in an academic environment versus those who work in a community environment ( P = .25). After factor analysis, the PVCT-12 was found to have 3 factors that accounted for 53.4% of the total variation in the data: recognition of specialization, personal achievement, and professional accomplishment. CONCLUSION: The PVCT-12 incorporated a Likert-type scale to provide levels of agreement for intrinsic and extrinsic values among stroke certified registered nurses and certified neuroscience registered nurses. To complement these findings, further research using open-ended questions is needed to improve our understanding of participant responses regarding complex values such as \"autonomy\" and the \"extent of being listened to.\"</p>","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"208-214"},"PeriodicalIF":1.5,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10015956","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}

{"title":"The Prephase Nursing in Levodopa Carbidopa Intestinal Gel Therapy.","authors":"Pierluigi Lezzi,&nbsp;Roberto Lupo,&nbsp;Tania Lezzi,&nbsp;Elsa Vitale","doi":"10.1097/JNN.0000000000000671","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000671","url":null,"abstract":"<p><strong>Abstract: </strong>INTRODUCTION: Parkinson disease (PD) affects approximately 1% of women and men worldwide, particularly older than 60 years. It is a multisystem and neurodegenerative disease with genetics and environmental factors that result in deficits in the production of neurotransmitters, including dopamine. The levodopa-carbidopa intestinal gel (LCIG) system delivers a continuous infusion of levodopa directly into the proximal small intestine via percutaneous endoscopic jejunostomy, largely bypassing gastric emptying and absorption problems and producing more stable plasma concentrations of levodopa, eliminating the development of motor complications (dyskinesias). The aim of this review was to summarize scientific evidence on the nursing role that, together with the multidisciplinary team, made the patient's choice in this therapeutic path (pre-LCIG phase). METHODS: A literature review was carried out, conducted on the MEDLINE databases (through PubMed), The Cochrane Library, Google Scholar, and CINAHL (through EBSCO). Relevant articles for the topic were found to identify indexed primary studies that investigated the relationship between the nurse and the patient/caregiver with PD who undertakes treatment with LCIG according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses checklist. RESULTS: Nineteen studies were included in the review. The selected studies suggested how the pre-LCIG phase of patient choice and the subsequent education and training could avoid selection errors for these therapeutic paths. CONCLUSION: Trained and specialized nursing staff who carry out an adequate pre-LCIG phase associated to the multidisciplinary team improved the choice of the patient and the start of treatment and, consequently, the quality of life of PD patients.</p>","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"215-219"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370373","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}

{"title":"Preferences Toward Attributes of Disease-Modifying Therapies: The Role of Nurses in Multiple Sclerosis Care.","authors":"Beatriz Del Río-Muñoz,&nbsp;Cristina Azanza-Munarriz,&nbsp;Noelia Becerril-Ríos,&nbsp;Haydee Goicochea-Briceño,&nbsp;Rosalía Horno,&nbsp;Alejandro Lendínez-Mesa,&nbsp;César Sánchez-Franco,&nbsp;Mònica Sarmiento,&nbsp;Guillermo Bueno-Gil,&nbsp;Nicolás Medrano,&nbsp;Jorge Maurino","doi":"10.1097/JNN.0000000000000661","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000661","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Nurses play an essential role in coordinating the care of patients with multiple sclerosis (MS) throughout their disease trajectory in a complex treatment landscape. The aim of this study was to assess nurses' preferences toward different disease-modifying therapy attributes. METHODS: We conducted a multicenter, noninterventional, cross-sectional study in collaboration with the Sociedad Española de Enfermería Neurológica. Nurses actively involved in MS care were invited to participate in the study. Prevention of disability progression, preservation of cognitive function, side effect profile and safety monitoring, and method of administration were the treatment attributes tested. Conjoint analysis was used to assess preferences in 8 simulated treatment options and rank them from most to least preferred. RESULTS: A total of 98 nurses were included in the study. The mean (SD) age was 44.7 (9.8) years, and 91.8% were female with a mean (SD) time of experience in MS care of 7.5 (5.4) years. Participants prioritized preservation of cognition (38.6%), followed by preventing disability progression (35.2%) and side effect risk and safety monitoring (13.5%). Route and frequency of administration were the least preferred attributes (7.4% and 5.3%, respectively). Estimated utilities were consistent across the sample according to sociodemographic and professional practice characteristics. CONCLUSIONS: Nurses' preferences toward treatments were mainly driven by efficacy attributes. This information may support the role of nurses in the multidisciplinary management of MS facilitating shared decision making.</p>","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"220-225"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/73/ee/neuronurse-54-220.PMC9426737.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10072569","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}

{"title":"Protective Orders: A Discussion on Needs, Necessity, and Liability.","authors":"Emily Rogers,&nbsp;Sarah Peacock,&nbsp;Amanda Tomlinson,&nbsp;Christan Santos","doi":"10.1097/JNN.0000000000000664","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000664","url":null,"abstract":"","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"177"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10013877","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}

{"title":"Effect of the Preparatory School FAST Stroke Educational Program.","authors":"Abdul Salam,&nbsp;Ashfaq Shuaib,&nbsp;Saadat Kamran,&nbsp;Iman Hassanin,&nbsp;Nosheen Shahid,&nbsp;Mohammed S Al-Darwish,&nbsp;Rubina Bibi,&nbsp;Maher Saqqur,&nbsp;Numan Amir,&nbsp;Elaine T Miller","doi":"10.1097/JNN.0000000000000665","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000665","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: The aim of this study was to assess the effectiveness of FAST stroke educational program among all preparatory school students in the state of Qatar. METHODS: The pretest-posttest experimental research design was used to evaluate the effectiveness of the FAST educational program in Qatar. A 30-minute audiovisual presentation was given to improve knowledge of stroke. We included grade 7 to 9 students during the academic year 2018-2019. The FAST program consisted of a pretest, an educational intervention, and immediate and long-term posttests at 2 months. RESULTS: A sample of 1244 students completed presurvey and immediate postsurvey, with an average age of 13.5 (1.12) years (range, 11-18 years) and 655 (53%) females. Students had significantly ( P < .01) greater knowledge of stroke signs, symptoms, and risk factors at intermediate posttest (5.9 [2.6] and 6.2 [2.4]) and at 2 months posttest (5.6 [2.8] and 5.6 [2.7]) compared with pretest (4.8 [2.6] and 4.9 [2.6], respectively). Students also had a higher self-efficacy to seek assistance, which was sustained from pretest to long-term posttest. CONCLUSION: The FAST program improved stroke knowledge that was retained at 2 months.</p>","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 5","pages":"202-207"},"PeriodicalIF":2.3,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10007135","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}

{"title":"Healthcare Professionals' Electroencephalography Competency: A Disconnect Between Self-Assessment and Objective Testing.","authors":"Elina Linnavuori,&nbsp;Helena Leino-Kilpi,&nbsp;Minna Stolt","doi":"10.1097/JNN.0000000000000653","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000653","url":null,"abstract":"ABSTRACT BACKGROUND: The role of the healthcare professional (HCP) in performing high-quality electroencephalography (EEG) is critical to ensuring accurate results. This study analyzes HCPs' subjectively and objectively assessed EEG competence to provide information on their EEG competence and competence needs for the development of their education and training. METHODS: The study was a descriptive cross-sectional study. The target group of the study was HCPs working in the clinical neurophysiology departments of university hospitals in Finland. The research data were collected using the EEG Competence instrument created for this research. The instrument consisted of a self-assessment section and a knowledge test component. RESULTS: The participants (N = 65; response rate, 81%) consisted of 34 registered nurses and 31 laboratory technologists. In the self-assessment section, the highest mean score was in patient observation (mean, 4.6) and the lowest was in EEG theoretical knowledge (mean, 3.9). In the test section, most of the respondents (73.8%) answered all questions correctly (maximum, 6 points). There was a positive correlation between age, work experience, own satisfaction with EEG competence, and subjective self-assessment. Those familiar with EEG guidelines and who participated in training days assessed their competence as significantly better (P < .05). Respondents who read EEG-related literature on their own identified artifacts better (P = .005). CONCLUSIONS: Laboratory technologists' and registered nurses' subjectively and objectively assessed EEG competence was high. In the future, the EEG competence instrument should be developed further, and more research is needed to assess its psychometric properties to provide more information on HCPs' competence in the diagnostic process.","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 4","pages":"153-158"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10072554","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}

{"title":"Nurses Lead the Way for In-Hospital Stroke Care.","authors":"Josh Snavely","doi":"10.1097/JNN.0000000000000652","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000652","url":null,"abstract":"","PeriodicalId":50113,"journal":{"name":"Journal of Neuroscience Nursing","volume":"54 4","pages":"143"},"PeriodicalIF":2.3,"publicationDate":"2022-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10370342","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}