The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses最新文献_第3页

The Effect of Interventions on Quality of Life, Depression, and the Burden of Care of Stroke Patients and Their Caregivers: A Systematic Review. 干预措施对中风患者及其护理人员的生活质量、抑郁和护理负担的影响：系统回顾

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-02-01 Epub Date: 2024-11-05 DOI: 10.1097/JNN.0000000000000803

Hossein Bakhtiari-Dovvombaygi, Akbar Zare-Kaseb, Amir Mohamad Nazari, Yusof Rezazadeh, Fatemeh Bahramnezhad

{"title":"The Effect of Interventions on Quality of Life, Depression, and the Burden of Care of Stroke Patients and Their Caregivers: A Systematic Review.","authors":"Hossein Bakhtiari-Dovvombaygi, Akbar Zare-Kaseb, Amir Mohamad Nazari, Yusof Rezazadeh, Fatemeh Bahramnezhad","doi":"10.1097/JNN.0000000000000803","DOIUrl":"10.1097/JNN.0000000000000803","url":null,"abstract":"Abstract: BACKGROUND: The impact of stroke is a global concern for health policymakers. A large proportion of survivors require long-term support from family members who are typically unprepared for their caregiving duties. This study determined the effect of different interventions on quality of life (QoL), depression, and the burden of care of stroke patients and their caregivers. METHODS: A systematic review was conducted from 2000 up to May 2023. Study inclusion criteria were as follows: individuals serving as informal caregivers for stroke survivors 18 years and older, devoting a significant portion of their time to the care of such survivors; involvement in psychoeducational, informational, supportive, psychosocial, or combined interventions; exposure to standard or conventional care practices; evaluation of outcomes relating to the QoL for stroke caregivers, depression, caregiver burden, and levels of stroke survivors; and consideration of randomized controlled trials and quasi-experimental studies. RESULTS: Thirty-seven studies met the inclusion criteria and were synthesized in this systematic review. Details of intervention were divided into 3 groups: educational and psychoeducational programs, multidisciplinary approaches, and support and caregiver skill-building programs; 12 studies focused on different interventions affecting the QoL, 23 studies focused on the burden of stroke caregivers, and 20 studies focused on depression of stroke patients and their caregivers. CONCLUSION: The desired effectiveness of particular interventions was evident in the results, although conflicting findings have emerged. The study emphasizes the need for well-structured preliminary studies for each intervention type. More studies on interventions and outcomes might lead secondary researchers to conduct analyses to ensure the certainty of results.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"44-50"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607877","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

The Essential Components of Adult Critical Care Neuroscience Nursing Orientation: A Delphi Study. 成人重症监护神经科学护理指导的基本要素：德尔菲研究。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-02-01 Epub Date: 2024-11-22 DOI: 10.1097/JNN.0000000000000807

Marianne Beare Vyas, Cynthia Bautista, Lorin Daniels, Mary McKenna Guanci, Lori Rhudy

{"title":"The Essential Components of Adult Critical Care Neuroscience Nursing Orientation: A Delphi Study.","authors":"Marianne Beare Vyas, Cynthia Bautista, Lorin Daniels, Mary McKenna Guanci, Lori Rhudy","doi":"10.1097/JNN.0000000000000807","DOIUrl":"10.1097/JNN.0000000000000807","url":null,"abstract":"Abstract: BACKGROUND: Critical care neuroscience nursing is a specialized field requiring a complex knowledge base and unique clinical orientation. A comprehensive orientation for nurses new to this specialty can improve retention, performance, and satisfaction. Critical care neuroscience orientations are often hospital based and regionally specific, and lack a systematic approach. The aim of this research was to obtain expert consensus on the essential components of a 12- to 18-week critical care neuroscience nursing orientation. METHODS: A Delphi methodology was used to collect expert consensus on the components of a critical care neuroscience nursing orientation. Electronic surveys were distributed to 161 neuroscience critical care orientation experts in 2 Delphi rounds. Participant demographic data and a Likert rating scale (1-5) of literature-based components of a critical care neuroscience orientation were collected. Participants identified additional critical care neuroscience orientation components that were not included in the listed components in round 1 or round 2 of the survey. RESULTS: Round 1 of the survey had 38 responses (23.6%), and round 2 had 23 responses (14.2%). The round 1 survey included 47 elements, and 36 of 47 met the a priori threshold of ≥75% consensus of being important or very important. Two additional elements resulted from write-in recommendations. In round 2, 38 elements were included in the survey, and 37 of 38 elements met consensus. Expert consensus on the essential components of a critical care neuroscience orientation included 37 elements divided among 5 major components. CONCLUSION: Expert consensus was achieved on the essential components of a 12- to 18-week adult critical care neuroscience nursing orientation. Five components and 37 elements were agreed upon by expert consensus.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"3-8"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741774","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

Novel Seizure Assessment Tool for Unified Seizure Evaluation: Correspondence. 统一癫痫评估的新型癫痫评估工具：通信。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-02-01 Epub Date: 2024-11-20 DOI: 10.1097/JNN.0000000000000805

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Pilot Study of Weighted Blankets on Agitation. 加厚毛毯搅拌试验研究。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-02-01 Epub Date: 2024-11-21 DOI: 10.1097/JNN.0000000000000799

Adrianne Dimas, Angela Lober, Renae Reeves

{"title":"Pilot Study of Weighted Blankets on Agitation.","authors":"Adrianne Dimas, Angela Lober, Renae Reeves","doi":"10.1097/JNN.0000000000000799","DOIUrl":"10.1097/JNN.0000000000000799","url":null,"abstract":"Abstract: BACKGROUND: Hospitalized patients who have had neurological trauma often require interventions to reduce agitation. Weighted blankets deliver deep pressure touch stimulation, which influences parasympathetic activity through increased vagal tone, to induce calmness and reduce sympathetic activation and reduction of the stress response. The purpose of this study was to investigate the effect of weighted blankets as an intervention on agitation scores in hospitalized adults who have experienced neurologic trauma. METHOD: This was a quasi-experimental design, pilot study with a convenience sample of patients who experienced neurological trauma. Participants who met the inclusion criteria received a weighted blanket that remained in place for 30 minutes. The Agitated Behavior Scale was used to measure the effect of the weighted blanket before and after the intervention with each participant serving as their own control. RESULTS: Twelve participants were included in the study. Related-samples Wilcoxon signed rank test indicated a significant difference for heart rate ( P = .05) and Agitated Behavior Scale scores ( P = .005). There were no significant differences with blood pressure or oxygen saturation levels. CONCLUSION: This pilot study demonstrated a reduction in agitation scores with the use of a weighted blanket. The deep pressure touch stimulation provided by a weighted blanket may provide a low-risk intervention to decrease agitation and prevent escalation. Future studies with larger sample sizes may demonstrate weighted blankets to decrease agitation and provide an adjunct therapy for patients.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"37-40"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142776127","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

Reducing Blood Loss From Phlebotomy in Adult Neurocritical Care Patients: An Evidence-Based Practice Project. 减少成人神经重症患者抽血过程中的失血量：循证实践项目。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-02-01 Epub Date: 2024-11-22 DOI: 10.1097/JNN.0000000000000809

Patricia J Simonowicz, Kristin Bott, Joy Elwell, Matthew N Jaffa

{"title":"Reducing Blood Loss From Phlebotomy in Adult Neurocritical Care Patients: An Evidence-Based Practice Project.","authors":"Patricia J Simonowicz, Kristin Bott, Joy Elwell, Matthew N Jaffa","doi":"10.1097/JNN.0000000000000809","DOIUrl":"10.1097/JNN.0000000000000809","url":null,"abstract":"Abstract: BACKGROUND : Blood loss from phlebotomy is a significant cause of hospital-acquired anemia. Use of small-volume (Pedi) tubes in adult patients reduces blood loss by 40% and does not increase need for repeated labs. Although this practice is evidencebased, it has not been widely implemented. Using Pedi tubes for phlebotomy is a key component of blood management programs to decrease the incidence of hospital-acquired anemia and blood transfusions in the intensive care unit (ICU). Our aim was to implement the use of Pedi tubes for labs in the adult neurocritical care unit to demonstrate feasibility in this population. METHODS : This was a pre-/postintervention quality improvement project. All consecutive patients admitted to the neurocritical care unit from April 10, 2023, to October 10, 2023, aged 18-99 years, were included in the project. During the intervention period from July 10, 2023, to October 10, 2023, Pedi tubes were used for all laboratory draws except admission and crisis labs. A retrospective chart review from April 10 to July 9, 2024, established standard practice for comparison. We recorded hospital and ICU admission, nadir, and discharge hemoglobin, length of stay, number of rejected specimens, number of blood transfusions, discharge disposition, and 30-day readmission for all subjects. RESULTS : Pedi tube use was successfully implemented with significantly less need for repeat laboratory collections in the postintervention cohort ( P = .001). Although no difference was noted in hemoglobin levels, there was a decrease in both ICU and hospital length of stay by 1 day in the intervention arm. Fewer transfusions were required in the intervention cohort. CONCLUSIONS : Small-volume tube use for phlebotomy in adult neurocritical care patients is feasible and can lead to decreased blood transfusion need in the ICU.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"21-25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741752","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

Nursing Myth, Meet Nursing Evidence. 护理神话，迎接护理证据。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-02-01 Epub Date: 2024-11-02 DOI: 10.1097/JNN.0000000000000812

DaiWai M Olson

引用次数: 0

The 2025 International Neuroscience Nursing Research Symposium Abstracts.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-01-28 DOI: 10.1097/JNN.0000000000000816

Rita J Norte, Maxine Adegbola, Jose Alejandro-White, Moez Bashir, Anna Bashmakov, Amanda Berney, Maria Denbow, Brittany Doyle, Shripal Gunna, Erica Jones, Sonia Joseph, Wonkyung Jung, Abdulkadir Kamal, Christine Kleckner, Jungmin Lee, Deanna Mattison, Emerson B Nairon, Angeline Namirembe, DaiWai M Olson, Sunday Opeyemi, Molly Ormand, Margaret Payne, Anjali Perera, Wiphawadee Potisopha, Michael V Preciado, Natchaya Puemgul, Lindsay Riskey, Amber Salter, Charles J Shamoun, Emma Sloan-Garza, Lisa Smith, Asmiet Techan, Himahansika Weerasinghe, Jennifer Wilson

引用次数: 0

Nursing Initiation of Rapid Electroencephalography Point-of-Care Monitoring: Lessons From the Pioneer Summit.

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2025-01-28 DOI: 10.1097/JNN.0000000000000820

Mary Kay Bader, Stephan A Mayer, Parshaw J Dorriz, Masoom Desai, Matthew Kaplan, Michel T Torbey, DaiWai M Olson, Paul M Vespa

{"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":"Abstract: 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.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","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}

引用次数: 0

Exploring Perspectives on Stroke Standard Set Data Collection: A Qualitative Descriptive Study. 探索卒中标准组数据收集的视角：定性描述研究。

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2024-12-01 Epub Date: 2024-08-16 DOI: 10.1097/JNN.0000000000000791

Amanda McIntyre, Ovesiri Fueta, Shannon Janzen, Alexander Smith, Matthew Meyer

{"title":"Exploring Perspectives on Stroke Standard Set Data Collection: A Qualitative Descriptive Study.","authors":"Amanda McIntyre, Ovesiri Fueta, Shannon Janzen, Alexander Smith, Matthew Meyer","doi":"10.1097/JNN.0000000000000791","DOIUrl":"10.1097/JNN.0000000000000791","url":null,"abstract":"Abstract: BACKGROUND: The International Consortium on Health Outcome Measurement developed a standard set for stroke (SSS) that includes patient-reported outcome measures to help capture patients' perspectives on their poststroke recovery. The objective of this study was to explore the experiences and perspectives of individuals who collected SSS data from patients who were admitted to hospital for a stroke. METHODS: A qualitative descriptive approach was taken. Semistructured, audio-recorded interviews were conducted with individuals employed at 2 acute neurological inpatient units in Southwestern Ontario, Canada. Interviews were transcribed verbatim and written text responses were analyzed directly. Transcripts were coded line by line and then organized into 5 overarching themes: adoption, acceptance, appropriateness, feasibility, and sustainability. RESULTS: Six interviews were conducted with participants from varying roles (eg, nurses, manager, web developer, social worker, medical clerk). Participants reported that patients were receptive to completing the SSS. Follow-up phone calls provided a significant opportunity to monitor patients' recovery postdischarge. Many patients requested medical guidance and help navigating health and social resources for unmet stroke-related needs. Barriers to consistent SSS assessment included high employee turnover and lack of time, space, or capacity for follow-up. To sustain data collection, a dedicated, financially supported neurological nursing role was suggested. CONCLUSION: Participants were supportive of SSS data collection that could provide monitoring, oversight, and follow-up of stroke patients after discharge from acute care. However, the utility of the dataset is heavily dependent on having the data collection process properly resourced.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"219-223"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141992483","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

The Relationship Between Social Support and Stress in Family Caregivers of Stroke Patients. 中风患者家庭照顾者的社会支持与压力之间的关系

The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses Pub Date : 2024-12-01 Epub Date: 2024-08-26 DOI: 10.1097/JNN.0000000000000786

Pei-Ru Ou, Mei-Hui Wu, Sheng-Tzung Tsai, Yu-Chin Ma

{"title":"The Relationship Between Social Support and Stress in Family Caregivers of Stroke Patients.","authors":"Pei-Ru Ou, Mei-Hui Wu, Sheng-Tzung Tsai, Yu-Chin Ma","doi":"10.1097/JNN.0000000000000786","DOIUrl":"10.1097/JNN.0000000000000786","url":null,"abstract":"Abstract: BACKGROUND: Stroke is a significant cause of disability. Family Informal caregivers face numerous stressors. This study examines whether social support during hospitalization would mediate the relationship between care time per day and stress in family caregivers of stroke patients. METHODS: A cross-sectional study design in Taiwan recruited 137 family caregivers. Descriptive information forms, the Caregiver Strain Index, and the Social Support Scale were used to collect data. RESULTS: Social support was negatively correlated with stress ( r = -0.23, P = .006). By contrast, caregiving hours and physical support were significantly associated with psychological stress. Physical support mediated the association between caregiving hours and psychological stress (95% CI = 0.000-0.005), accounting for 22.02% of the total effect. CONCLUSION: Social support decreased family caregiver stress, notably psychological stress, due to prolonged care of 18 hours per day in the hospital. Physical support resources to alleviate caregiver stress.","PeriodicalId":94240,"journal":{"name":"The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses","volume":" ","pages":"209-213"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142086455","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