The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses最新文献

{"title":"Impact of Postoperative Delirium on Multidimensional Recovery After Craniotomy: A Prospective Cohort Study.","authors":"Prapapan Dumrongthai, Thitipong Tankumpuan, Ketsarin Utriyaprasit, Bunpot Sitthinamsuwan","doi":"10.1097/JNN.0000000000000899","DOIUrl":"10.1097/JNN.0000000000000899","url":null,"abstract":"<p><strong>Background: </strong>Postoperative delirium (POD) is a frequent complication following neurosurgery, yet research on its specific impact on multidimensional recovery in craniotomy patients is limited. This study aimed to determine the incidence of POD and investigate its impact on physical, psychological, and cognitive recovery at both hospital discharge and the first follow-up visit.</p><p><strong>Methods: </strong>A prospective cohort study was conducted with 164 postcraniotomy patients at a tertiary hospital in Bangkok. POD was assessed 48 to 72 hours postoperatively using the Confusion Assessment Method for the ICU (CAM-ICU). Recovery was evaluated across 3 dimensions: physical (Sickness Impact Profile), psychological (State Anxiety Inventory), and cognitive (Montreal Cognitive Assessment). Multiple regression analysis was used to analyze the impact of CAM-ICU positive, adjusting for surgical duration, postoperative complications, and consciousness levels.</p><p><strong>Results: </strong>The incidence of CAM-ICU positive was 18.29%. Patients who were CAM-ICU negative demonstrated significantly better physical and cognitive recovery and shorter lengths of stay, although they reported poorer psychological recovery. At the first follow-up, better physical and poorer psychological recovery persisted in the CAM-ICU-negative group, while cognitive recovery no longer differed between groups. After adjusting for confounding variables, CAM-ICU positive was a significant predictor of poorer physical ( B =8.218, P =.01) and cognitive ( B =-1.545, P <.001) recovery.</p><p><strong>Conclusions: </strong>POD significantly impairs physical and cognitive recovery in patients following craniotomy. Routine perioperative screening for delirium is essential for neuroscience nurses to identify at-risk patients early and implement interventions to promote recovery across all dimensions.</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":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148152879","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":"End-of-Life Care in an Acute Neurological Ward: A Retrospective Analysis of Clinical Practices During the Last Week of Life.","authors":"Gudrun Jonsdottir, Runar Vilhjalmsson, Valgerdur Sigurdardottir, Haukur Hjaltason, Marianne Elisabeth Klinke, Helga Jonsdottir","doi":"10.1097/JNN.0000000000000906","DOIUrl":"10.1097/JNN.0000000000000906","url":null,"abstract":"<p><strong>Background: </strong>The care of patients with neurological diseases near the end of life (EOL) is challenging and often complicated by prognostic uncertainty. Difficulty recognizing the terminal phase may delay transitions to EOL care, leading to continued use of diagnostic procedures and medical interventions with a limited focus on comfort.</p><p><strong>Methods: </strong>This retrospective observational study included medical records of 209 deceased patients with neurological diseases who died in an acute hospital ward. Diagnostic procedures and medical and supportive interventions delivered during the final 7 days of life were extracted. Patients were categorized into 2 groups: acute neurological diseases (ischemic stroke and hemorrhagic stroke) and progressive neurological diseases (Parkinson disease or extrapyramidal and movement disorders, and amyotrophic lateral sclerosis). Frequencies of interventions were compared between diagnostic groups and according to documented EOL decision status.</p><p><strong>Results: </strong>In both groups, documented EOL decisions were associated with reduced use of diagnostic procedures and increased use of support measures. Medication administration and supportive care patterns differed between the acute and progressive disease groups and were related to documented EOL decisions. The most frequently administered interventions were oral suctioning (97%), intravenous fluids (70%), antibiotics (45%), pain relief medications (98%), and benzodiazepines (93%). Patients with progressive neurological diseases received more respiratory support interventions than those with acute neurological diseases.</p><p><strong>Conclusions: </strong>Our findings suggest that documenting EOL decisions was related to comfort-focused care, although the frequency varied by disease group. Neurological disease-specific EOL guidelines should be implemented to identify the terminal phase in alignment with the goals of comfort-focused care in a timely manner.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"201-206"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13592826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148815301","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quantifying Artificial Intelligence Contribution in Academic Writing: Development of the Transparency and Reporting of Artificial Intelligence Contribution for Evaluating Submissions Instrument.","authors":"","doi":"10.1097/JNN.0000000000000913","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000913","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":"58 5","pages":"E5"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149013484","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":"Quantifying Artificial Intelligence Contribution in Academic Writing: Development of the Transparency and Reporting of Artificial Intelligence Contribution for Evaluating Submissions Instrument.","authors":"Marianne B Vyas, Lori M Rhudy, Suzanne Weckman, Joshua Ennis, Elizabeth A Hundt, Amanda Werner, Fiona Smith, Eugena Bergvall, Florence Chukwuneke, Lindsay M Riskey, DaiWai M Olson","doi":"10.1097/JNN.0000000000000903","DOIUrl":"10.1097/JNN.0000000000000903","url":null,"abstract":"<p><strong>Background: </strong>There has been an increase in the availability and use of artificial intelligence (AI) across many professional domains, and there are traces of AI in nearly every manuscript published using modern technology. It is becoming increasingly difficult for peer reviewers, editorial teams, and journal readers to identify the degree to which authors have used AI in the development of their manuscripts.</p><p><strong>Methods: </strong>Our research group developed an AI scoring rubric to provide authors with an opportunity to self-disclose their use of AI.</p><p><strong>Results: </strong>The Transparency and Reporting of Artificial Intelligence Contribution for Evaluating Submissions (TRACES) instrument provides a score from 0 to 40 across 3 domains: mechanics, writing, and illustrations. Higher scores indicate increased use of AI by the authors when writing or preparing a manuscript for submission.</p><p><strong>Conclusion: </strong>Authors in any field should self-report a TRACES score when submitting their manuscript. Journals may benefit from requiring authors to include a TRACES score when submitting a manuscript for peer review. While higher TRACES scores indicate greater use of AI, there is no specific cutoff provided to determine manuscript acceptance or rejection.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"192-195"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148538036","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":"Media Review: Speak Up, Start Now.","authors":"Rachel Malloy","doi":"10.1097/JNN.0000000000000910","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000910","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":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877021","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":"Kiss it and Make it Better: Trust, Confidence, and Caring.","authors":"DaiWai M Olson","doi":"10.1097/JNN.0000000000000914","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000914","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":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148877023","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":"Summary of the 2025 AANN Guidelines for Aneurysmal Subarachnoid Hemorrhage: An Update to the 2018 Guidelines.","authors":"Joan M Walsh, Jennifer L Wessol, Elizabeth A Crago, Chen-Chen Tu, Joan L Censullo","doi":"10.1097/JNN.0000000000000900","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000900","url":null,"abstract":"<p><strong>Background: </strong>The American Association of Neuroscience Nurses (AANN) has published Clinical Practice Guidelines (CPGs) and evidence-based clinical reviews to help guide nursing practice for more than 25 years. This is a summary of findings of the 2025 AANN aneurysmal subarachnoid hemorrhage (aSAH) CPG.</p><p><strong>Methods: </strong>Population, intervention, comparison, outcome (PICO) questions were formulated based on membership feedback. Systematic literature searches were performed for each PICO question. Literature between January 1, 2013, and December 31, 2022, and seminal research were synthesized to inform practice recommendations. Critical evaluation of the evidence is detailed in the AANN CPG Methods paper.</p><p><strong>Results: </strong>The literature search yielded 5217 publications; 190 were included after review and backward referencing. Quality evidence was low and scarce for 5 out of 9 PICO search topics.</p><p><strong>Conclusions: </strong>Despite significant morbidity, mortality, and incidence, there remain numerous research opportunities in aSAH nursing care. This paper provides summary recommendations for nursing care of the aSAH population. It also identifies gaps in the evidence as areas for future research.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148804035","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 Effect of Acupressure on Beta-Endorphin, Hypocretin, Cognition, and Patient-Reported Outcome Measures in Multiple Sclerosis Patients.","authors":"Seyma Demir Erbas, Elif Gencer Sendur, Dilek Yilmaz, Sule Aydin Turkoglu, Seda Takim Karaca","doi":"10.1097/JNN.0000000000000909","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000909","url":null,"abstract":"<p><strong>Background: </strong>Multiple sclerosis (MS) is associated with neurochemical alterations, cognitive impairment, and patient-reported symptoms that substantially affect quality of life. Although self-acupressure has shown promise for symptom management, its effects on neuropeptides and cognition remain unclear. This study aimed to evaluate the effects of self-acupressure on beta-endorphin, hypocretin, cognition, and patient-reported outcome measures in individuals with MS.</p><p><strong>Methods: </strong>A single-center, randomized, single-blind controlled trial was conducted in Türkiye. Ninety-two participants with MS were randomly assigned to an intervention group receiving an 8-week self-acupressure program or a control group receiving standard care. Eighty-two participants completed the study. Primary outcomes were changes in serum beta-endorphin and hypocretin levels. Secondary outcomes included cognitive performance, pain, fatigue, depressive symptoms, and health-related quality of life.</p><p><strong>Results: </strong>Compared with the control group, the intervention group demonstrated a significantly greater increase in beta-endorphin levels (mean change: 56.7 vs. 12.5; P<0.001), whereas no significant between-group difference was observed for hypocretin levels (P=0.685). Cognitive performance did not differ significantly between groups. However, the intervention group showed significantly greater improvements in pain (P<0.001), fatigue (P<0.001), depressive symptoms (P=0.002), and health-related quality of life (P=0.016).</p><p><strong>Conclusion: </strong>Self-acupressure improved several patient-reported outcomes and increased beta-endorphin levels in people with MS but had no significant effect on hypocretin levels or cognitive performance. These findings support self-acupressure as a feasible complementary nursing intervention for symptom management in MS and suggest that beta-endorphin may represent a potential biological mechanism underlying its therapeutic effects.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148804106","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":"Understanding the Order for How Nurses Should List Their Credentials.","authors":"Katherine Archer, Spencer Busler, Rachel Malloy","doi":"10.1097/JNN.0000000000000908","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000908","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":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709202","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":"Use of the Mini-Delphi Method to Develop Behavioral Interventions From Expert and Patient Perspectives: An Example in Epilepsy Self-Management.","authors":"Wendy R Miller, Amanda N Gesselman","doi":"10.1097/JNN.0000000000000905","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000905","url":null,"abstract":"<p><strong>Background: </strong>Epilepsy is a chronic neurological disease affecting more than 3.5 million Americans. Epilepsy requires lifelong self-management, the most important predictor of epilepsy-related outcomes. There is a lack of epilepsy self-management interventions that comprehensively address psychological motivations underlying self-management: autonomy, competency, and relatedness. Most existing interventions specifically focus on autonomy and competence via self-efficacy and/or patient activation; while somewhat effective, their effects wane over time. A more comprehensive intervention that addresses all 3 components of motivated behavior, including relatedness, is needed. We developed an intervention targeting autonomy, competence, and relatedness-in the form of intimate relationship satisfaction-to improve epilepsy self-management in people with epilepsy. Because no similar interventions exist, we implemented a mini-Delphi technique to garner perspectives on our intervention from invested parties before formal testing.</p><p><strong>Methods: </strong>The Delphi technique gathers evaluations on a new method through repeated rounds of discussion with experts or other invested parties. These repeated discussions lead to gradual improvement until all participants agree that the method is satisfactory. We established 2 advisory boards of invested parties: 1 with professionals (eg, a Clinical Nurse Specialist) and 1 with people with epilepsy. Advisory boards reviewed the intervention and provided qualitative and quantitative feedback.</p><p><strong>Results: </strong>Advisory board members' feedback provided guidance on inclusion criteria, participant compensation, intervention timelines, and content structure. After iterative revisions and rounds of feedback over a 3-month period, all members gave the finalized version of the intervention a highly positive evaluation.</p><p><strong>Conclusions: </strong>Guidance from the advisory boards allowed us to refine intervention content, delivery structure, and implementation strategies. The mini-Delphi technique provided a practical advantage in our development process, offering a low-cost, efficient way to obtain meaningful feedback from a diverse group of people with varied expertise and lived experience.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148611619","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}