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

{"title":"Improving Awareness of Health Care Disparities in Stroke Patients: A Coffee Talk Approach.","authors":"Chris Kleckner, Nicky Anderson, Mimi Amelang, Lori M Rhudy","doi":"10.1097/JNN.0000000000000907","DOIUrl":"https://doi.org/10.1097/JNN.0000000000000907","url":null,"abstract":"<p><strong>Background: </strong>Stroke is a leading cause of mortality and morbidity in the United States and worldwide. Unfortunately, stroke deaths and disabilities continue to disproportionately affect minority populations and those living in rural areas. The social determinants of health also have a tremendous impact on the outcomes of stroke prevention and disease. There are gaps in provider awareness and confidence in recognizing how health disparities affect stroke outcomes, highlighting the ongoing need to strengthen understanding and capacity to address these disparities. By increasing awareness of the impact of health disparities, stroke outcomes can improve.</p><p><strong>Methods: </strong>Stroke coordinators from the Minnesota Statewide Stroke System were invited to participate in an Evidence-Based Practice project to increase their confidence in understanding the impact health care disparities have on stroke outcomes. The education for this project was in the form of informal discussions (dubbed \"coffee talks\") on the topic of health care disparities. Video segments from the American Heart Association International Stroke Conference 2023 were used as the catalyst for conversation. After 4 discussion sessions, the stroke coordinators were questioned with a retrospective survey on the pre- and post-discussion confidence of their knowledge of the impact of health disparities on stroke outcomes.</p><p><strong>Results: </strong>A survey was deployed after the last discussion date to 89 stroke coordinators within the Minnesota Stroke System. Of the 89 stroke coordinators, 15 responded to the survey; 9 attended the coffee talks. The 9 stroke coordinators reported an increase in confidence in understanding the impact of health disparities on stroke outcomes. The respondents were also able to articulate how they would use the knowledge from the discussions in their place of work.</p><p><strong>Conclusions: </strong>Informal discussions may be an effective way to improve knowledge of health care disparities.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":2.0,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148586463","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":"Integrating the 4Ms Framework into Neuroscience Nursing: Reflections on a Path to Age-Friendly Stroke Care.","authors":"Ann Leonhardt-Caprio, Lisa Kitko, Adam G Kelly","doi":"10.1097/JNN.0000000000000890","DOIUrl":"10.1097/JNN.0000000000000890","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"164-167"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148152946","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":"Michelle Hill","doi":"10.1097/JNN.0000000000000894","DOIUrl":"10.1097/JNN.0000000000000894","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"148"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148261157","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":"Effect of Kegel Pelvic Floor Muscle Exercises on Postoperative Urinary Retention, Pain, and Comfort After Elective Single-Level Lumbar Microdiscectomy.","authors":"Büşra Demirci, Emine Arici Parlak, Emine Iyigün","doi":"10.1097/JNN.0000000000000889","DOIUrl":"10.1097/JNN.0000000000000889","url":null,"abstract":"<p><strong>Background: </strong>Postoperative urinary retention is the inability to urinate spontaneously after surgery and may occur after lumbar spine surgical procedures, potentially leading to complications. This study aimed to determine the effects of postoperative Kegel pelvic floor muscle exercises on urinary retention, pain, and comfort levels in patients undergoing elective single-level lumbar microdiscectomy.</p><p><strong>Methods: </strong>This was a single-blind, randomized controlled clinical trial. Patients undergoing elective single-level lumbar microdiscectomy were selected from the neurosurgery clinic of a training and research hospital in Turkey. The intervention group (n=29) performed Kegel pelvic floor muscle exercises during the postoperative period, while the control group (n=29) received routine postoperative care. Data were collected before surgery and within the first 8 hours after surgery.</p><p><strong>Results: </strong>The incidence of urinary retention was higher in the control group (24.1%) than in the intervention group (3.8%), but the difference was not statistically significant ( P =0.503). Surgical incisional pain scores were lower in the intervention group at the second postoperative hour, but the difference was not statistically significant ( P =0.111). Surgical incision pain scores were statistically significantly different at the sixth postoperative hour ( P =0.035). Comfort scores were significantly higher in the intervention group at the eighth hour ( P =0.01).</p><p><strong>Conclusion: </strong>Postoperative urinary retention did not differ significantly between the groups. In patients undergoing elective single-level lumbar microdiscectomy, Kegel pelvic floor muscle exercises were associated with reduced incision pain at the sixth postoperative hour, while higher comfort scores were observed at the eighth postoperative hour.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"158-163"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147701387","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":"Clinical Competence of Neuroscience Nurses in Inpatient Wards and Intensive Care Units: A Mixed-Methods Systematic Review.","authors":"Inkeri Hutri, Tiia Saastamoinen, Aki Laakso, Toni Haapa","doi":"10.1097/JNN.0000000000000893","DOIUrl":"10.1097/JNN.0000000000000893","url":null,"abstract":"<p><strong>Background: </strong>Neuroscience nurses need clinical competence (CC) when taking care of neuropatients. In this study the selected nursing context is inpatient wards and intensive care units (ICU) in university hospitals and tertiary referral centers where neuroscience patients are treated 24/7, patients' conditions can change rapidly, and nurses execute clinical interventions continually for adult patients. The aim was to describe and synthesize the available information on the types of CC needed in neuroscience nursing (NSN) and to describe how the competencies are or should be ensured.</p><p><strong>Methods: </strong>A mixed-method systematic review of literature from 2014 to 2024. Descriptive qualitative and quantitative studies were included in a convergent integrated approach. Qualitative synthesis was conducted through thematic inductive analysis of the combined data.</p><p><strong>Results: </strong>Twenty studies met the inclusion criteria. CC in NSN in inpatient wards and ICUs was categorized into four main categories: neurospecific interventions, core nursing interventions, psychosocial interventions, and ensuring the quality and safety of patient care. Regarding how CC is ensured in clinical practice, the categories were postgraduate education, training sessions and feedback, extensive work experience and belonging to a neuroscience work community, and evidence-based materials and protocols. In terms of recommendations for ensuring CC, the categories identified were education and training in varying facilities, increasing knowledge and theoretical basis, and local opinion leaders, and the use of standardized tools.</p><p><strong>Conclusion: </strong>NSN requires specific and general CC in executing nursing interventions in hospital inpatients wards and ICUs. CC in NSN is ensured through various methods, and it will remain important to ensure and assess nurses' competence to deliver high-quality and safe nursing care. This review emphasized the need to evaluate the CC of NSN in clinical practice.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"175-180"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13317913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848283","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":"More than a Sample Size: Community Engagement as a Missing Infrastructure in Stroke Caregiving Nursing Research.","authors":"Charles J Shamoun","doi":"10.1097/JNN.0000000000000898","DOIUrl":"10.1097/JNN.0000000000000898","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"155-157"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148201820","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 Systematic Review of Psychometric Instruments Used to Measure Stroke Family Caregiver Health.","authors":"Cleopatra Kum, Natalie Kreitzer, Holly J Jones, Elaine L Miller, Atiphat Promsombut, Islam Banisalman, Tamilyn Bakas","doi":"10.1097/JNN.0000000000000896","DOIUrl":"10.1097/JNN.0000000000000896","url":null,"abstract":"<p><strong>Background: </strong>Stroke family caregivers have been found to neglect their own health as they provide much-needed care to their loved ones. They have been shown to experience significantly poorer health than non-caregiving populations. Studies addressing stroke family caregiver health tend to use a wide variety of instruments to measure this concept. The purpose of this review is to examine the psychometric instruments currently used in the stroke family caregiving literature to measure stroke caregivers' health. During this process, relevance will be assessed, key measurement gaps will be identified, and recommendations will be provided for future research and clinical practice.</p><p><strong>Methods: </strong>Guided by PRISMA guidelines, a comprehensive search was conducted across multiple databases and included peer-reviewed studies published between January 2000 and October 2025.</p><p><strong>Results: </strong>A total of 39 studies met the inclusion criteria. The most frequently used were the Medical Outcomes Short Form (SF-36), followed by the European Quality of Life Instrument (EuroQol), the Bakas Caregiving Outcomes Scale (BCOS), the Abbreviated World Health Organization Quality of Life Measure (WHOQoL-Bref), the Unhealthy Days Measure, and the Sickness Impact Profile (SIP). All were global measures, except for the BCOS, which was caregiver-specific. The BCOS did not measure healthy behaviors.</p><p><strong>Conclusions: </strong>Currently available instruments remain useful, but their selection and interpretation in stroke family caregiver populations require awareness of their strengths and limitations.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"149-154"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147984971","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":"Enhancing Patient Experience Through the Commit-to-Sit Initiative: A Quality Improvement Study.","authors":"Jennifer Lettieri, Alexandra Rodriguez","doi":"10.1097/JNN.0000000000000892","DOIUrl":"10.1097/JNN.0000000000000892","url":null,"abstract":"<p><strong>Background: </strong>The Commit-to-Sit initiative, where the nurses will sit with patients during bedside shift report (BSR), has been proposed as a strategy to improve patient engagement, communication, and satisfaction. This quality improvement study evaluates the effectiveness of the Commit-to-Sit initiative in improving patient experience, as measured by Press Ganey Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) scores, on a neurological unit.</p><p><strong>Methods: </strong>The initiative was implemented in our Neuroscience unit in May 2024, and HCAHPS scores were collected quarterly.</p><p><strong>Results: </strong>Neuroscience unit demonstrated a notable increase in the \"Rate the Hospital 0-10\" score, rising from the 9 th percentile rank in Q1 2024 to the 77 th percentile rank in Q3 2025; \"Communication with Nursing\" also demonstrated notable increase from 58 th percentile rank in Q1 2024 to 99 th in Q3 2025. The percentile ranks for \"Nurses listen carefully to you\" and \"Nurse treat with courtesy and respect\" remained consistently above an 87 th percentile rank for over a 5-quarter timeframe.</p><p><strong>Conclusion: </strong>Integration of Commit-to-Sit during BSR and reinforcement through midday huddle report-outs and leadership rounds was associated with higher HCAHPS percentile rank scores. Patient feedback captured through Press Ganey and leadership rounds indicated that patients felt more engaged, heard, and involved in their care.</p>","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"171-174"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148255298","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":"Systematic Review of Psychometric Instruments Used to Measure Stroke Family Caregiver Health.","authors":"","doi":"10.1097/JNN.0000000000000901","DOIUrl":"10.1097/JNN.0000000000000901","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":"58 4","pages":"E4"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148400377","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 Forgotten Patient: When Caregiver Sleep Disruption Derails Rehabilitation.","authors":"Ahmad Jasem Abdulsalam, Mohammad Abdulsalam, Diaa Shehab","doi":"10.1097/JNN.0000000000000895","DOIUrl":"10.1097/JNN.0000000000000895","url":null,"abstract":"","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"168-170"},"PeriodicalIF":2.0,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147848319","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}