Canadian journal of neuroscience nursing最新文献

"Time is Brain:" A concept anaiysis. “时间就是大脑”，一个概念分析。

Canadian journal of neuroscience nursing Pub Date : 2016-10-01

Susan Alcock, Jo-Ann V Sawatzky

{"title":"\"Time is Brain:\" A concept anaiysis.","authors":"Susan Alcock, Jo-Ann V Sawatzky","doi":"","DOIUrl":"","url":null,"abstract":"Time is brain has been heard echoing in the world of acute stroke since the early nineties. At that time, the use of intravenous recombinant tissue plasminogen activator (rt-PA) revolutionized the approach to treating acute ischemic stroke. However, the use of rt-PA is strongly time dependant, with a narrow window of opportunity of only 4.5 hours. There is also convincing scientific evidence of a significant relationship between time to rt-PA treatment and patient outcomes. Similar to rt-PA in the '90s, time sensitive endovascular therapy has transformed the treatment of acute stroke. Hence, time is brain has been referred to as a battle cry, with these three words significantly influencing the multidisciplinary stroke teams who provide care to stroke victims. Despite agreement in the scientific literature that time is brain represents the essence of hyperacute stroke care, this concept has not been studied through the methodological approach of a concept analysisframework. Therefore, the purpose of this concept analysis was to explore the concept of time is brain within the context of acute stroke. Walker and Avants (2011) approach to concept analyses was used to gain insight into the provision of optimal acute stroke care in clinical nursing practice.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"38 2","pages":"5-11"},"PeriodicalIF":0.0,"publicationDate":"2016-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"35849871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the challenges to improve transition to palliative care: An issue for the primary malignant brain tumour population. 了解改善向姑息治疗过渡的挑战:原发性恶性脑肿瘤人群的问题。

Canadian journal of neuroscience nursing Pub Date : 2016-01-01

Brenda Sabo, Grace Johnston

{"title":"Understanding the challenges to improve transition to palliative care: An issue for the primary malignant brain tumour population.","authors":"Brenda Sabo, Grace Johnston","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: Reports highlight the growing unmet need for palliative care as it applies to all cancers, yet the system and health care professionals (HCP) appear slow to respond. The following discussion paper highlights the current state of palliative care within the context of the primary malignant brain tumour (PMBT) population and argues for a shift in the current health care system's approach, which continues to place greater emphasis on cure over care.Methods: An exploration of extant literature over the past 10 years.Results: The current literature demonstrates that timely referrals to palliative care consult teams and access to community-based resources have been associated with fewer hospitalizations and visits to emergency departments and a decrease in the initiation of invasive, aggressive treatment at end of life. Timely referral to palliative care has also been shown to reduce distress, enhance quality of life and, in some cases, increase life expectancy.Conclusion: Earlier referral to palliative care has yet to become a reality for many patients diagnosed with life-limiting illnesses and, in particular, those with a PMBT. More research is needed to uncover and challenge the barriers to early transition including communication issues among professionals, patients and families around palliative care.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"38 1","pages":"48-55"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34614676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

[Making a safe transition home after a meningioma resection: The impact of nursing care]. [脑膜瘤切除术后的安全过渡:护理的影响]。

Canadian journal of neuroscience nursing Pub Date : 2016-01-01

Clémence Dallaire, Martine Dallaire, Lucille Juneau, Sandrine Hegg-Deloye

{"title":"[Making a safe transition home after a meningioma resection: The impact of nursing care].","authors":"Clémence Dallaire, Martine Dallaire, Lucille Juneau, Sandrine Hegg-Deloye","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: This study originated from patients' demands that they be better informed and that their meningioma diagnosis be considered serious. Meningioma are brain tumours that represent about 30% of all primary brain tumours. In 90% of the cases, they are non-cancerous. The objective was to identify whether educational intervention by nurses would have a positive impact on transition.Method: The study lasted 12 months and included two groups: intervention and control. Intervention involved the verbal and written delivery of answers to frequently asked questions, as well as patient follow-up for six weeks post-surgery. Nurses were available during the preparation for discharge, as well as the follow-up call 48-72 hours later.Results: Educational nursing care had no demonstrable effect.Discussion: Differences between the groups might have influenced the effect of educational intervention. Our results suggest certain lines of thought as to the doses of information that should be given based on stages of care and individual particularities.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"38 1","pages":"65-74"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34614678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Critical ethnography: An under-used research methodology in neuroscience nursing. 批判民族志:神经科学护理中未充分利用的研究方法。

Canadian journal of neuroscience nursing Pub Date : 2016-01-01

Cheryl Ross, Cath Rogers, Diane Duff

{"title":"Critical ethnography: An under-used research methodology in neuroscience nursing.","authors":"Cheryl Ross, Cath Rogers, Diane Duff","doi":"","DOIUrl":"","url":null,"abstract":"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. Critical ethnography has also been used to study workplace culture. While ethnography has been effectively used to underpin other phenomena of interest to neuroscience nurses, only one example of the use of critical ethnography exists in the published literature related to neuroscience nursing. In our \"Research Corner\" in this issue of the Canadian Journal of Neuroscience Nursing (CJNN) our guest editors, Dr. Cheryl Ross and Dr. Cath Rogers will briefly highlight the origins of qualitative research, ethnography, and critical ethnography and describe how they are used and, as the third author, I will discuss the relevance of critical ethnography findings for neuroscience nurses.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"38 1","pages":"4-7"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34614675","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hope, Coping, and Quality of Life in Adults with Myasthenia Gravis. 成人重症肌无力患者的希望、应对和生活质量。

Canadian journal of neuroscience nursing Pub Date : 2016-01-01

Wilma J Koopman, Nicole LeBlanc, Sue Fowler, Michael W Nicolle, Denise Hulley

{"title":"Hope, Coping, and Quality of Life in Adults with Myasthenia Gravis.","authors":"Wilma J Koopman, Nicole LeBlanc, Sue Fowler, Michael W Nicolle, Denise Hulley","doi":"","DOIUrl":"","url":null,"abstract":"Unlabelled: Myasthenia gravis significantly impacts quality of life. However, the relationship between hope, coping, and quality of life (QOL)in myasthenia patients has not been studied (Kulkantrakorn & Jarungkiatkul, 2009; Raggi et al., 2010).Objective: The aim of this study was to explore the relationship between hope, coping, and quality of life in adults with myasthenia gravis.Data collection: Subjects with MG (n = 100) completed six questionnaires, including a demographic profile, the Myasthenia Gravis Activities of Daily Living Scale (MG-ADL), Herth Hope Index (HHI), Jalowiec Coping Scale (JCS), Myasthenia Gravis Quality-of-Life Scale (MG-QOL15), and Short Form Health Survey (SF-36v2).Results: Mean hope scores indicated a high level of hope. An optimistic coping style was the most common and effective coping strategy identified by subjects. Positive thinking and humour were also frequently used strategies. Participants identified quality of life as good tolerability, above general population mental well-being, and below general populationphysical well-being. Participants who identified good quality of life had low scores on the MG-QOL15 scale and high scores on the SF36v2. Hope and independence for activities of daily living were found to correlate with improved quality of life and mental well-being(p < 0.001). Age and length of illness were not significant factors. There was no mediation by well-being or quality of life in the relationship between hope and coping. Hope and coping were not important factors for well-being or quality of life.Conclusion: Nurses caring for adults with myasthenia gravis should use interventions that continue to support hope, quality of life, and coping throughout the unpredictable and chronic course of MG.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"38 1","pages":"56-64"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34614677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An evaluation study of the implementation of stroke best practice guidelines using a Knowledge Transfer Team approach. 利用知识转移团队方法对中风最佳实践指南的实施进行评估研究。

Canadian journal of neuroscience nursing Pub Date : 2015-01-01

Mina Singh, Michaela Hynie, Tiziana Rivera, Laura Macisaac, Annie Gladman, Abel Cheng

{"title":"An evaluation study of the implementation of stroke best practice guidelines using a Knowledge Transfer Team approach.","authors":"Mina Singh, Michaela Hynie, Tiziana Rivera, Laura Macisaac, Annie Gladman, Abel Cheng","doi":"","DOIUrl":"","url":null,"abstract":"Introduction: Strokes will become an increasing burden on the Canadian health care and social systems in coming years. Caring for people who have experienced a stroke is a challenging issue. The Registered Nurses Association of Ontario (RNAO) developed Stroke Assessment Across the Continuum Best Practice Guidelines (BPGs) to support the best possible care for this population. This article reports the findings of an evaluation of the implementation of recommendations from the stroke BPGs using a Knowledge Transfer Team (KTT) at Mackenzie Health's Integrated Stroke Unit in Richmond Hill, Ontario.Methods: Over a 12-month period, an evaluation of the implementation activities using structure, process, and outcome indicators, as well as identifying effective strategies for system-wide dissemination of BPG implementation and outcomes was completed. Data were collected from the staff, KTT members, and patients and their providers.Results: The results clearly illustrate that all of the health care professionals involved in the study felt the KT approach was an effective method of implementing and disseminating the stroke BPGs. The main limitations perceived by staff and KTT members were time constraints, difficulty recruiting a larger sample size, competing priorities, lack of compliance, changes to charting, staff attrition, and a lack of financial support.Conclusion: The KTT approach resulted in improved patient care and outcomes, as illustrated by the high patient satisfaction levels.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"37 1","pages":"24-33"},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33988350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Retrospective analysis of phone queries to an epilepsy clinic hotline. 癫痫门诊热线电话查询的回顾性分析。

Canadian journal of neuroscience nursing Pub Date : 2014-01-01

Anny Laforme, Suzie Jubinville, Micheline Gravel, Patrick Cossette, Dang K Nguyen

引用次数: 0

Challenges in providing culturally-competent care to patients with metastatic brain tumours and their families. 向转移性脑肿瘤患者及其家属提供符合文化的护理的挑战。

Canadian journal of neuroscience nursing Pub Date : 2014-01-01

Lianne Longo, Serena Slater

{"title":"Challenges in providing culturally-competent care to patients with metastatic brain tumours and their families.","authors":"Lianne Longo, Serena Slater","doi":"","DOIUrl":"","url":null,"abstract":"Being diagnosed with a metastatic brain tumour can be devastating as it is characterized by very low cure rates, as well as significant morbidity and mortality. Given the poor life expectancy and progressive disability that ensues, patients and family members experience much turmoil, which includes losses that bring about changes to family roles, routines and relationships. Crisis and conflict are common during such major disruptions to a family system, as individual members attempt to make sense of the illness experience based on cultural and spiritual beliefs, past experiences and personal philosophies. It is imperative health care providers strive towards increased awareness and knowledge of how culture affects the overall experience of illness and death in order to help create a mutually satisfactory care plan. Providing culturally-competent care entails the use of proper communication skills to facilitate the exploration of patient and family perspectives and allows for mutual decision making. A case study will illustrate the challenges encountered in providing culturally-competent care to a woman with brain cancer and her family. As the patient's health declined, the family entered into a state of crisis where communication between family members and health care professionals was strained; leading to conflict and sub-optimal outcomes. This paper will address the ethical dilemma of providing culturally-competent care when a patient's safety is at risk, and the nursing implications of upholding best practices in the context of differing beliefs and priorities.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"36 2","pages":"8-14"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"32705321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clustered stroke patients on a general medical unit: what nursing skills and knowledge contribute to optimal patient outcomes? 聚集在一个普通医疗单位的脑卒中患者:哪些护理技能和知识有助于患者的最佳预后?

Canadian journal of neuroscience nursing Pub Date : 2014-01-01

Brenda Clayton

引用次数: 0

Primary malignant brain tumours, psychosocial distress and the intimate partner experience: what do we know? 原发性恶性脑肿瘤、心理社会困扰和亲密伴侣经历:我们知道些什么?

Canadian journal of neuroscience nursing Pub Date : 2014-01-01

Brenda Sabo

{"title":"Primary malignant brain tumours, psychosocial distress and the intimate partner experience: what do we know?","authors":"Brenda Sabo","doi":"","DOIUrl":"","url":null,"abstract":"From the time of diagnosis of a primary malignant brain tumour (PMBT) and throughout the illness trajectory, the patient and intimate partner face many psychosocial challenges ranging from fear and uncertainty to hope and loss (Fox & Lantz, 1998; Janda et al., 2007; Kvale, Murthy, Taylor, Lee, & Nabors, 2009). While many patients diagnosed with cancer may go on to live with cancer as a chronic illness, this may not be said of individuals diagnosed with a PMBT, in particular those diagnosed with a glioma, the most common form of brain tumour (Gupta & Sarin, 2002). Gliomas are associated with a short disease trajectory and multiple deficits (functional, cognitive and psychiatric). What makes the PMBT experience unique from other cancers is that the intimate partner must not only deal with the diagnosis of cancer in their spouse, but also the accompanying personality, functional and behavioural changes wrought by the disease, as well as grieve the loss of the person they once knew (Sherwood et al., 2004). These multi-dimensional deficits are thought to place the intimate partner, as caregiver, at greater risk for adverse psychosocial effects such as anxiety, depression and post traumatic stress (Goebel, von Harscher, & Mehdorn, 2011; Keir, Farland, Lipp, & Friedman, 2009). The following discussion will provide an overview of the extant literature on the experience of living with a PMBT from the intimate partner (spouse) perspective with a particular emphasis on how intimate partners cope. The intimate partner is considered to be the heterosexual or same-sex, married or common-law partner of the patient. Highlights from the psychotherapy practice of the author will be used to further strengthen the need for more research, education and enhanced practice to more effectively meet the unique needs of this under-researched and supported population.","PeriodicalId":87567,"journal":{"name":"Canadian journal of neuroscience nursing","volume":"36 3","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33018815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0