{"title":"Rethinking Intensive Care Unit Protocols for Deep Brain Stimulator Patients.","authors":"Katherine Archer, Jessica Schultz","doi":"10.1097/JNN.0000000000000850","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000850","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126914","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}
{"title":"Incorporating a Tool to Quantify Agitation Among Patients With Brain Injuries Into Neuroscience Nursing Practice in the Inpatient Setting.","authors":"Catherine Thresher, Sarah Hong","doi":"10.1097/JNN.0000000000000848","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000848","url":null,"abstract":"<p><strong>Background: </strong>Patients with a brain injury (BI) frequently experience agitation during their initial postinjury hospitalization. Nurses at one hospital struggled to characterize, quantify, and trend the agitation experienced by patients with a BI and sought to incorporate a tool to assist them in their everyday practice.</p><p><strong>Methods: </strong>Nurses and providers selected the Agitated Behavior Scale (ABS) as the tool they would implement. A multiyear educational project ensued using various teaching strategies, and eventually, a toolkit was created to aid other units and hospitals with implementation of the ABS.</p><p><strong>Results: </strong>The education project led to neuroscience nurses using the ABS to effectively characterize, quantify, and intervene for agitation among patients with a BI. Furthermore, the neuroscience nurses recommended the expansion of this project to include all hospitalized patients experiencing agitation. They hypothesized that utilizing the ABS for other patients may positively impact patient outcomes and potentially reduce the length of stay for patients exhibiting agitated behaviors.</p><p><strong>Conclusion: </strong>The ABS is a valuable tool for the management of agitation among patients with BI. The multiyear, tiered implementation of this project utilizing various education strategies was essential for its success. To enculturate change in nursing practice, educators should prepare and implement long-term education strategies.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126908","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}
{"title":"Development of a Competency-based Standardized Training Content System for Newly Recruited Neurology Nurses.","authors":"Li-Wei Zhang, Bao-Lin Luo, Xin-Yan Chen, Mei-Juan Chen, Yu-Qing Zhang, Yan-Juan Lin","doi":"10.1097/JNN.0000000000000847","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000847","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study is to develop a standardized training content system for newly recruited nurses in neurology departments based on the Competency-based Education (CBE) model, thereby supporting the systematic professional development of early-career nursing personnel. METHODS: Preliminary training indicators at all levels were formulated using a literature review, situational analysis, expert panel consultations, and the CBE framework. The modified Delphi method was used to refine and finalize the content system. RESULTS: Ten experts participated in the modified Delphi consultation. Both rounds of surveys achieved a 100% effective response rate. The expert authority coefficient was 0.920, and Kendall's coefficient of concordance ranged from 0.159 to 0.300 (P<0.05). All coefficients of variation were below 0.25, and the coefficient of importance exceeded 40%. The finalized training content system included 3 primary indicators, 12 secondary indicators, and 82 tertiary indicators. CONCLUSION: The resulting training content system demonstrated scientific rigor and reliability, incorporating the specific competencies required in neurology nursing. It offers a practical framework for standardizing the orientation and training of newly recruited nurses, thereby contributing to the enhancement of overall nursing competence within the specialty.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126857","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}
{"title":"A Review of Nursing Care for Sleep-Disordered Breathing After Stroke.","authors":"Ayami Suzuki, Megumi Hori, Noriyoshi Tanaka","doi":"10.1097/JNN.0000000000000839","DOIUrl":"10.1097/JNN.0000000000000839","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Sleep-disordered breathing (SDB) occurs in 70% of stroke patients and is a risk factor for secondary stroke and poor outcomes. Discretionary nursing care provided to stroke patients with SDB is unexplored. This review examines nursing care for SDB after stroke. METHODS: We used Arksey and O'Malley's 5-stage framework. We systematically searched the PubMed and CINAHL databases through December 2023 for studies of interventions for SDB after stroke that could be implemented by nursing staff. Data on intervention characteristics, stroke and SDB types, timing, and outcomes were extracted. RESULTS: From 2866 screened articles, 10 studies met inclusion criteria. From these, we identified 5 distinct interventions: positional therapy, oropharyngeal muscle exercises, physical exercise, compression devices, and education. As confirmed by polysomnography or home sleep testing, 9 studies targeted obstructive sleep apnea. CONCLUSION: This review provides the first analysis of nurse-implementable interventions for poststroke SDB. The identified interventions appear promising for improving SDB parameters, particularly when adapted for stroke-specific care. Future research on developing standardized protocols that integrate these interventions into comprehensive care pathways will enhance the role of nurses in the early detection and management of poststroke SDB.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"181-184"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259801","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}
{"title":"\"The Light in My Eyes\": Patient Perspectives on Pupil Examination After Intracranial Surgery.","authors":"","doi":"10.1097/JNN.0000000000000852","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000852","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":"57 5","pages":"E5"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017048","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}
{"title":"\"The Light in My Eyes\": Patient Perspectives on Pupil Examination After Intracranial Surgery.","authors":"Nevra Kalkan, Hülya Bulut, Sevil Güler","doi":"10.1097/JNN.0000000000000842","DOIUrl":"10.1097/JNN.0000000000000842","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Pupil examination, a fundamental part of the neurologic examination, is essential to detect problems after intracranial surgery. However, this examination may be worrying to patients because it requires close physical proximity and a light source directed at the patient's eyes. This study aimed to describe patient perspectives on pupil examination after intracranial surgery. METHODS: This is a qualitative descriptive study. Semistructured face-to-face, individual interviews were conducted with 12 patients after intracranial surgery. RESULTS: Three main themes, namely, \"what I know about pupil examination,\" \"what I felt during the pupillary examination,\" and \"my expectations,\" were identified through thematic analysis. CONCLUSION: Pupil examination, a routine practice for nurses, may result in worry and uncertainty for patients. This study revealed the importance of nurses using practical communication skills during pupil examinations.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"177-180"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144562511","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}
{"title":"A Small Step or a Giant Leap?","authors":"Lori M Rhudy","doi":"10.1097/JNN.0000000000000841","DOIUrl":"10.1097/JNN.0000000000000841","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"175"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144334750","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}
{"title":"Bridging the Gap Between Routine Practice and Patient Experience: A Call for Empathy in Postoperative Neurological Care.","authors":"Yuan Li, Michael Franklin, DaiWai M Olson","doi":"10.1097/JNN.0000000000000843","DOIUrl":"10.1097/JNN.0000000000000843","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"176"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144786326","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}
{"title":"Reflections of the 2025 American Association of Neuroscience Nurses Annual Conference.","authors":"Sarah M Ortenzo, Erin Conahan, Fiona S Smith","doi":"10.1097/JNN.0000000000000845","DOIUrl":"10.1097/JNN.0000000000000845","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"185-186"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765935","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}
{"title":"Intolerance of Uncertainty, Symptom Severity, and Disease Self-management in Patients With Multiple Sclerosis.","authors":"Feride Taskin Yilmaz, Selda Celik, Emine Ezgi Ozcelik","doi":"10.1097/JNN.0000000000000844","DOIUrl":"10.1097/JNN.0000000000000844","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Persons diagnosed with multiple sclerosis (PwMS) may experience uncertainty regarding the etiology, symptoms, treatment, and course of the disease. In these patients, intolerance of uncertainty may also make disease management difficult. METHODS: This study used a descriptive and correlational design to explore the relationship between intolerance of uncertainty, symptom severity, and disease self-management in MS patients. A total of 105 MS patients followed in the neurology clinic were included in the study. RESULTS: A positive moderate correlation was found between the participants' mean scores on the Intolerance of Uncertainty Scale and the mean scores on the Monitoring My Multiple Sclerosis Scale ( r =0.429; P <0.01), while a negative moderate correlation was found between the participants' mean scores on the Intolerance of Uncertainty Scale and the mean scores on the Multiple Sclerosis Self-Management Scale ( r =-0.558; P <0.01). CONCLUSIONS: Intolerance of uncertainty explained 18% of the total variance in symptom severity and 30% of the total variance in self-management of PwMS patients ( P <0.01). Intolerance of uncertainty increased symptom severity and decreased self-management level in PwMS and was an important predictor of both symptom severity and self-management. Nurses should address intolerance of uncertainty and take initiatives to reduce uncertainty in the care and treatment process of PwMS.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"187-191"},"PeriodicalIF":2.0,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144765934","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}