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

{"title":"Factors Affecting Functional Improvement in the Initial Months of Recovery After Stroke: A Pilot Study.","authors":"Mary C Forgea, Carla Jungquist, Jeanne Langan, Chin-Shang Li, Christina Zaccarini, Rebecca A Lorenz","doi":"10.1097/JNN.0000000000000828","DOIUrl":"10.1097/JNN.0000000000000828","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: The purpose of this study is to examine factors affecting functional improvement among survivors of stroke during the initial months of stroke recovery. METHODS: A 1-group repeated measures sequential mixed methods design was used. Quantitative longitudinal data were collected on admission, discharge, and postdischarge from the inpatient rehabilitation unit to evaluate the change in patient engagement and the relationship between environmental, personal, and behavioral factors, and functional independence. Semistructured interviews were conducted up to 6 months postdischarge. RESULTS: The sample included 27 participants with a mean age of 64.67 (SD = 13.56). There was a significant increase in patient engagement from admission to discharge ( P < .0001), followed by a nonsignificant decrease from discharge to follow-up ( P = .36). The change in functional improvement from admission to discharge was significant ( P < .0001). Stroke severity was the only significant predictor of functional improvement ( P = .008). There was a significant but weak negative correlation between Patient Health Engagement scale (PHE-s®) total score and sleep disturbance ( r = -0.344, P = .008) and sleep disturbance and self-efficacy ( r = -0.362, P = .005). There was a moderate positive correlation between PHE-s total score and self-efficacy ( r = 0.662, P < .001). Five participants participated in follow-up interviews. The 5 main themes that emerged from interview data were (1) feeling happy to be home, (2) wishing recovery was quicker, (3) living with disability, (4) overcoming obstacles, and (5) social support. CONCLUSION: This pilot study provides insight into the experiences of survivors of stroke during rehabilitation and recovery. The results of this study indicate a need for additional support (eg, transportation, social/emotional) for survivors of stroke after discharge from the rehabilitation unit. Further research to investigate the barriers and facilitators of recovery for survivors of stroke after discharge and the development of interventions aimed at improving sustainable recovery outcomes is needed.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"120-126"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560311","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":"Stroke Risk Prediction and Diabetes Management in Multiethnic Rural Communities.","authors":"Sheena Ramazanu, Agani Afaya, Ang Seng Hock Martin, Priya Baby","doi":"10.1097/JNN.0000000000000823","DOIUrl":"10.1097/JNN.0000000000000823","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"119"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143443056","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":"AANN 2024: Reflecting on a Year of Growth and Impact.","authors":"Kimberly S Meyer, Erin Fecske","doi":"10.1097/JNN.0000000000000827","DOIUrl":"10.1097/JNN.0000000000000827","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"102-103"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143559836","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":"Nursing Initiation of Rapid Electroencephalography Point-of-Care Monitoring: Lessons From the Pioneer Summit.","authors":"Mary Kay Bader, Stephan A Mayer, Parshaw J Dorriz, Masoom Desai, Matthew Kaplan, Michel T Torbey, DaiWai M Olson, Paul M Vespa","doi":"10.1097/JNN.0000000000000820","DOIUrl":"10.1097/JNN.0000000000000820","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Status epilepticus is an emergency, and applying electroencephalography (EEG) monitoring is an important part of diagnosing and treating seizure. The use of rapidly applied limited array continuous EEG (rapid EEG) has become technologically feasible in recent years. Nurse-led protocols using rapid EEG as a point-of-care monitor are increasingly being adopted. METHODS: A virtual summit meeting of nurses and physicians was convened to discuss various technological and practical aspects of rapid EEG, including the use of nurse-led protocols using rapid EEG. After oral presentations, participants responded to a survey indicating their level of agreement with key position statements. RESULTS: From the 52 participants who participated in the 2-hour summit, there was a strong agreement with the statement \"Bedside nurses can start point-of-care EEG with automated seizure alert software to provide more informed care,\" with a median Likert score of 5 (completely agree) and an interquartile range of 4 to 5. CONCLUSION: Using rapid EEG to monitor for seizure is a valid and valuable method that falls within the nursing domain. Nurse-driven protocols may provide the opportunity to enhance patient care through early identification of seizures.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"114-118"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070387","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":"False Implications Based on Well-Intentioned Sampling Errors.","authors":"DaiWai M Olson","doi":"10.1097/JNN.0000000000000837","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000837","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129906","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 Blueprint for the Future: Why the \"Call to Action\" in Acute and Critical Care Nursing Matters to Neuroscience Nursing.","authors":"Cathy Cartwright, Lori Kennedy","doi":"10.1097/JNN.0000000000000836","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000836","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144096568","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 Impact of Epilepsy Education on Knowledge, Self-Management, and Stigma in Individuals With Epilepsy.","authors":"İrem İlgezdi Kaya, Aysel Çavuşoğlu, Ayşe Deniz Elmalı, Nerses Bebek","doi":"10.1097/JNN.0000000000000835","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000835","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Epilepsy should be approached in a multidimensional manner, considering its biological, psychological, and social aspects. The aim of this study is to examine the impact of epilepsy education on people with epilepsy regarding knowledge level, self-management, and stigma. METHODS: An online survey, including an epilepsy information form, epilepsy self-management scale, and stigma scale was sent to registered patients in our epilepsy clinic. After the survey, patients were invited to a 1.5-hour epilepsy education program, conducted by 2 instructors on different days, followed by a question-and-answer session. Participants were retested posttraining. RESULTS: Of 265 patients who filled out the pretraining survey, 69 (26%) attended the education program. Those who participated were generally more knowledgeable at the baseline. University graduates and those using the internet as a source of information were more inclined to attend, whereas unmarried individuals attended less. The participant age was 39.1 years (9.2 years), with 61% female, 65% having a university degree, and 61% actively working. Seizure types included focal (45%), generalized (22%), and both (33%), with 70% experiencing less than 1 seizure per month. Posteducation, participants answered more knowledge questions correctly (P < .001, before: 37.0 [6.0], after: 40.7 [6.1]). Awareness about swimming risks increased in the self-management scale, along with the tendency to carry informative cards, join support groups, and educate relatives. There was no change in the stigma scale. CONCLUSION: Epilepsy education has a positive impact on raising awareness about the disease and promoting self-management in people with epilepsy. The fight against stigma needs to involve broader segments of society.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056408","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":"Deep Brain Stimulator Surgery Does Not Require Postoperative Intensive Care Unit Admission.","authors":"Kristin Rupich, Alison Schlegel, Gordon Baltuch, Maya N Clark-Cutaia","doi":"10.1097/JNN.0000000000000834","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000834","url":null,"abstract":"<p><strong>Abstract: </strong>BACKGROUND: Historically, patients in an academic tertiary care center were admitted to the intensive care unit (ICU) after Deep brain stimulation (DBS) placement. DBS patients progressed quickly through the ICU and did not require traditional ICU management. We identified an opportunity to shift DBS postoperative care from the ICU to the floor. METHODS: Key stakeholders were engaged to create a protocol to transition postoperative DBS patients from ICU to medical-surgical care. Forty-one DBS patients were admitted postoperatively to the ICU in the 6 months before implementation of the new process, and 22 patients were admitted postoperatively to a medical-surgical level of care in the 6 months of the study. A retrospective chart review of patient outcomes and metrics was completed at the end of the study period. RESULTS: A reduction in ICU use was noted. Only 3 of 22 (14%) patients required ICU care postoperatively because of medical comorbidities in the postimplementation group (P < .0001). CONCLUSION: We were able to manage patients postoperatively on a medical-surgical unit without transfer to a higher level of care. Length of stay was lower without an increase in readmission. Implementation of this pathway resulted in a safe transition of care. Further research could explore financial benefits, a larger sample size, and review of patient demographics.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002445","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":"Is the Electronic Medical Record Also Causing Harm?","authors":"DaiWai M Olson","doi":"10.1097/JNN.0000000000000817","DOIUrl":"10.1097/JNN.0000000000000817","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"57-58"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143124289","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":"Empowered Family-Centered Care: Our Story.","authors":"Linda L Pierce, Julie L Smith, Scott W Pierce, Edna R Smith","doi":"10.1097/JNN.0000000000000800","DOIUrl":"10.1097/JNN.0000000000000800","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"80-82"},"PeriodicalIF":0.0,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607876","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}