1,901 results match your criteria Journal of Neuroscience Nursing[Journal]


Executive Summary: Post-Intensive Care Syndrome in the Neurocritical Intensive Care Unit.

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Cynthia A. Bautista, PhD APRN FNCS, at She is an Associate Professor, Egan School of Nursing and Health Studies, Fairfield University, Fairfield, CT. Peter Nydahl, MScN RN, is Nurse Researcher, University Hospital of Schleswig-Holstein, Kiel, Germany. Mary Kay Bader, MSN RN CCNS FNCS FAHA, is Neuro/Critical Care Clinical Nurse Specialist, Mission Hospital, Mission Viejo, CA. Sarah Livesay, DNP RN FNCS, is Associate Professor, Rush University College of Nursing, Chicago, IL. Anne-Kathrin Cassier-Woidasky, PhD RN, is Professor, Nursing Sciences, Baden-Wuerttemberg, Cooperative State University, Stuttgart, Germany. DaiWai M. Olson, PhD RN FNCS, is Professor, University of Texas Southwestern, Dallas, TX.

Background: Post-intensive care syndrome (PICS) is a constellation of cognitive, physical, emotional, or psychiatric impairments that begins during or immediately after intensive care unit (ICU) hospitalization and persists beyond discharge. This executive review summarizes literature on PICS in the general ICU population and identifies gaps in the literature specific to the neurocritical care patient.

Method: The electronic databases PubMed, CINAHL, Cochrane Library, and Google Scholar were searched to identify any available literature on PICS. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000438DOI Listing
April 2019
1 Read

How Do We Know…If We Simply Do Not Know?

Authors:
Madona Plueger

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Madona Plueger, MSN RN APRN ACNS-BC CNRN FAES, at She is a Neuroscience Clinical Nurse Specialist, Neurology, Barrow Neurological Institute, Phoenix, AZ.

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http://dx.doi.org/10.1097/JNN.0000000000000436DOI Listing

A Decision Algorithm Is Not Superior to Clinician Judgment to Determine Need for Peripheral vs Central Venous Catheterization.

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Venkatesh Aiyagari, MD, at He is a Professor of Neurological Surgery and Neurology and Neurotherapeutics at the University of Texas Southwestern Medical Center, Dallas, TX. Melissa Panter, BSN RN, is Registered Nurse, Neurointensive Care Unit, University of Texas Southwestern Medical Center, Dallas, TX. DaiWai M. Olson, PhD RN, is Professor, Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX. Sonja E. Stutzman, PhD, is Manager of Clinical Research, Department of Neurology and Neurotherapeutics, University of Texas Southwestern Medical Center, Dallas, TX.

Background: Venous access, via a midline peripheral catheter (midline) or a peripherally inserted central catheter, is used regularly in the neurointensive care unit as a means for prolonged infusion of drugs or medications. There is little research on how to choose the appropriate access device to use in this setting. The aim of this study is to trial an algorithm to assist clinicians in determining which device to use, as a way to reduce patient complications such as central line-associated bloodstream infection and deep vein thrombosis. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000439DOI Listing
April 2019
1 Read

Injury, Sleep, and Functional Outcome in Hospital Patients With Traumatic Brain Injury.

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Ellita T. Williams, PhD RN, at She is a Postdoctoral Scholar, Department of Health Promotion and Development, University of Pittsburgh School of Nursing, Pittsburgh, PA. Diana Taibi Buchanan, PhD RN, is Associate Professor, Department of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, WA. Daniel J. Buysse, MD, is Professor of Sleep Medicine, Psychiatry, and Clinical & Translational Science, Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA. Hilaire J. Thompson, PhD RN ARNP CNRN AGACNP-BC FAAN, is Professor, Department of Biobehavioral Nursing and Health Informatics, University of Washington School of Nursing, Seattle, WA.

Problem: Uninterrupted nighttime sleep is associated with better cognition and functional outcomes in healthy adults, but the relationship between sleep and functional outcome in individuals hospitalized with severe traumatic brain injury (TBI) remains to be clarified.

Objective: The aims of this study were to (1) describe nighttime rest-activity variables-wake bouts (counts), total wake time (minutes), and sleep efficiency (SE) (percentage; time asleep/time in bed)-in people on a neuroscience step-down unit (NSDU) post-TBI and (2) describe the association between injury and nighttime rest-activity on post-TBI functional outcome (using Functional Independence Measure [FIM] at discharge from inpatient care).

Methods: This study is a cross-sectional, descriptive pilot study. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000441DOI Listing
April 2019
1 Read

Empathy Huddles: Cultivating a Culture of Empathy.

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Jacque Carpenter, PhD RN, at She is Nursing Research Program Director, Saint Luke's Health System, Kansas City, MO. Kevin Turner, BSN RN, is CCRN Nurse Manager, Saint Luke's Hospital of Kansas City, Kansas City, MO. Angela Locke, MBA BSN, is RN Director of Patient Care Services, Saint Luke's Hospital, Kansas City, MO. Tina Jones, MHA CPXP, is Director of Quality, Risk and Patient Experience, Golden Valley Memorial Healthcare, Clinton, MO.

Managing complex neurological patients challenges new nurses with minimal experience, which can interfere with their ability to relate empathetically to their patients. This article is the story of how 1 neuroscience unit's experience with Empathy Huddles improved the staff's ability to respond to their patients and families with empathy. The hospital collects quarterly patient satisfaction data using the Hospital Consumer Assessment of Healthcare Provider and Systems. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000444DOI Listing
April 2019
1 Read

Peer Review Is a Collaborative Process.

Authors:
DaiWai M Olson

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

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http://dx.doi.org/10.1097/JNN.0000000000000445DOI Listing

The Effect of Low Back Pain on Daily Activities and Sleep Quality in Patients With Lumbar Disc Herniation: A Pilot Study.

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Gulsah Kose, PhD RN, at He/She is a Lecturer and an Assistant Professor, Health Science Faculty, Department of Nursing, Mugla Sitki Kocman University, Mugla, Turkey. Sevinc Tastan, PhD RN, is Professor, Eastern Mediterranean University, Health Sciences Faculty, Nursing Department, Via Mersin 10, Famagusta, North Cyprus, Turkey. Nail Caglar Temiz, MD, is Assistant Professor, Department of Neurosurgery, Gulhane Education and Research Hospital, Ankara, Turkey. Melek Sari, is Nurse, Department of Neurosurgery, Gulhane Education and Research Hospital Ankara, Turkey. Yusuf Izci, MD, is Professor, Department of Neurosurgery, Gulhane Education and Research Hospital, Ankara, Turkey.

The aim of this study was to determine the effect of low back pain on the daily activities and sleep quality of patients with lumbar disc herniation. This cross-sectional study was performed between January and July 2015 in 77 patients. A visual analog scale (VAS), the Oswestry Disability Index (ODI), and the Pittsburgh Sleep Quality Index were used for patient assessment. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000446DOI Listing
April 2019
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Executive Summary: Home-time Is a Patient-Centered Outcome Variable for Stroke.

J Neurosci Nurs 2019 Apr 5. Epub 2019 Apr 5.

Questions or comments about this article may be directed to Emily C. O'Brien, PhD, at She is an Assistant Professor at Duke Clinical Research Institute, Durham, NC. Shreyansh Shah, MD, is Assistant Professor, Department of Neurology, Duke University Hospital, Durham, NC. Ying Xian, MD PhD, is Associate Professor, Department of Neurology, Duke University Hospital; and Duke Clinical Research Institute, Durham, NC. DaiWai M. Olson, PhD RN, is Professor, University of Texas Southwestern, Dallas, TX. Gregg C. Fonarow, MD, is Professor, Division of Cardiology, UCLA Medical Center, Los Angeles, CA. Eric E. Smith, MD MPH, is Associate Professor, Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, Calgary, Alberta, Canada. Lesley Maisch, BA, is a PROSPER Patient Investigator (therefore, she is not affiliated with a particular research institution).

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http://dx.doi.org/10.1097/JNN.0000000000000437DOI Listing
April 2019
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Triage of Mild Head-Injured Intoxicated Patients Could Be Aided by Use of an Electroencephalogram-based Biomarker.

J Neurosci Nurs 2019 Apr;51(2):82-83

Questions or comments about this article may be directed to Jane R. von Gaudecker, PhD RN, at She is an Assistant Professor, Indiana University School of Nursing, Indianapolis, IN.

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http://dx.doi.org/10.1097/JNN.0000000000000434DOI Listing

Bispectral Index Values Are Accurate Diagnostic Indices Correlated With Glasgow Coma Scale Scores.

J Neurosci Nurs 2019 Apr;51(2):74-78

Shuojie Li, BA, is Resident Doctor, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Jue Zhang, MD, is Physician-in-Charge, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Guowei Shu, MD, is Associate Chief Physician, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Jingyu Wang, MD, is Associate Chief Physician, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Peihao Cai, MD, is Associate Chief Physician, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Li Gong, MD, is Physician-in-Charge, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Lingjun Kong, MD, is Physician-in-Charge, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Leyi Xu, MD, is Physician-in-Charge, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Feng Qiu, MD, is Physician-in-Charge, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Li Chen, BA, is Nurse, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Jie Yuan, BA, is Resident Doctor, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China. Dejun Zhou, BA, is Resident Doctor, Department of Neurosurgery, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, P.R. China.

Objective: The Glasgow Coma Scale (GCS) is widely used in neurosurgery to evaluate the depth of coma in patients with brain injury. The bispectral index (BIS) was developed primarily to monitor the depth of unconsciousness. Recent evidence suggests that BIS may also help in the assessment of brain injury. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000424DOI Listing
April 2019
13 Reads

What Is Usual Care?

Authors:
DaiWai M Olson

J Neurosci Nurs 2019 Apr;51(2):61

DaiWai M. Olson, PhD RN, University of Texas Southwestern Medical Center, Dallas, TX.

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http://dx.doi.org/10.1097/JNN.0000000000000432DOI Listing

Turkish Version of the Motivation for Changing Lifestyle and Health Behavior for Reducing the Risk of Dementia Scale.

J Neurosci Nurs 2019 Feb 20. Epub 2019 Feb 20.

Questions or comments about this article may be directed to Ozlem Kucukguclu, PhD, at Faculty of Nursing, Department of Internal Medicine Nursing, Dokuz Eylül University, Izmir, Turkey. Merve Erunal, MSc, is Research Assistant, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey. PhD Student, Internal Medicine Nursing Doctorate Programme, Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey. Merve Aliye Akyol, MSc, is Research Assistant, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey. PhD Student, Internal Medicine Nursing Doctorate Programme, Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey. Hatice Mert, PhD, is Associate Professor, Faculty of Nursing, Department of Internal Medicine Nursing, Dokuz Eylül University, Izmir, Turkey. Nur Sehnaz Hatipoglu, MD, Elderly Health Doctorate Programme, Institute of Health Sciences, Adnan Menderes University, Aydin, Turkey; and Ministry of Health, Konak 24th M.F. Özsaruhan Primary Care Clinic, Izmir, Turkey. Lemye Zehirlioglu, MSc, is PhD Student, Internal Medicine Nursing Doctorate Programme, Department of Nursing, Institute of Health Sciences, Dokuz Eylül University, Izmir, Turkey.

Objective: This methodological study evaluates the validity and reliability of the Motivation for Changing Life Style and Health Behavior for Reducing the Risk of Dementia scale in Turkish.

Methods: The study enrolled 220 individuals aged 40 years and older between September 2017 and June 2018. The Kendall W analysis and content validity index were used for validity; test-retest and confirmatory factor analyses were used for the reliability analysis. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000433DOI Listing
February 2019

Direct-Acting Oral Anticoagulants and Warfarin-Associated Intracerebral Hemorrhage Protocol Reduces Timing of Door to Correction Interventions.

J Neurosci Nurs 2019 Apr;51(2):89-94

Questions or comments about this article may be directed to Rosemary C. Olivier, MSN RN CCRN SCRN, at She is a Critical Care Nurse Leader, St Jude Medical Center, Fullerton, CA. Diane Gleeson, MSN ANP-BC, is Neurology Nurse Practitioner, St Jude Medical Center, Fullerton, CA. Claudia Skinner, DNP RN CIC CCRN-K NE-BC FAPIC, is Director, Center of Excellence, St Jude Medical Center, Fullerton, CA. Marysol Cacciata, MSN RN CCRN-K, is Research Coordinator, St Jude Medical Center, Fullerton, CA. Mary Wickman, PhD RN, is Professor and Director, Nursing, Vanguard University, Costa Mesa, CA.

Background: Intracerebral hemorrhage (ICH) is a life-threatening complication of oral anticoagulant therapy that sometimes results in hematoma expansion after onset. Our facility did not have a standardized process for treating oral anticoagulant-associated ICH; this resulted in lag times from order to reversal agent administration.

Purpose: The aim of this study was to examine the impact of a rapid anticoagulant reversal protocol, combined with warfarin and direct-acting oral anticoagulant therapy, in decreasing door to first intervention times. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000430DOI Listing
April 2019
11 Reads

Motivational Interviewing: Improving Confidence With Self-care Management in Postoperative Thoracolumbar Spine Patients.

J Neurosci Nurs 2019 Feb 20. Epub 2019 Feb 20.

Questions or comments about this article may be directed to Kimberly Scheffel, DNP RN CNRN NE-BC, at She is an Assistant Professor, College of Nursing and Health Professions, Lewis University, Romeoville, IL. Christina Amidei, PhD RN CNRN CCRN FAAN, is Director of Clinical Research and Research Assistant Professor, Neurological Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL. Kathleen A. Fitzgerald, PhD RN, is Associate Professor, College of Nursing and Health Professions, Lewis University, Romeoville, IL.

Patients undergoing thoracic or lumbar spine surgery often lack confidence with self-care management of symptoms contributing to disability, such as pain, lack of sleep, depression, and immobility. The purpose of this pilot study was to examine whether a targeted motivational interview, focused on evidence-based recommendations to manage postoperative symptoms related to thoracolumbar spine surgery, would improve patient confidence with self-care management of their symptom-related disability. A quasiexperimental, 1-group, pretest-posttest design was used on a convenience sample of 15 adult surgical spine patients at a large university spine center. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000431DOI Listing
February 2019
1 Read

The Feasibility and Impact of the EMOVE Intervention on Self-efficacy and Outcome Expectations for Exercise in Epilepsy.

J Neurosci Nurs 2019 Apr;51(2):95-100

Questions or comments about this article may be directed to Irene H. Dustin, PhD CRNP, at She is a Senior Nurse Consultant, National Institutes of Health, Bethesda, MD. Barbara Resnick, PhD CRNP FAAN FAANP, is Professor, University of Maryland, Baltimore, Baltimore, MD. Elizabeth Galik, PhD CRNP FAAN FAANP, is Professor, University of Maryland, Baltimore, Baltimore, MD. N. Jennifer Klinedinst, PhD MPH MSN FAHA, is Assistant Professor, University of Maryland, Baltimore, Baltimore, MD. Kathleen Michael, PhD CRRN, is Associate Professor, University of Maryland, Baltimore, Baltimore, MD. Edythe Wiggs, PhD, is Clinical Neuropsychologist, National Institutes of Health, Bethesda, MD. William H. Theodore, MD, is Chief, Clinical Epilepsy Section, National Institutes of Health, Bethesda, MD.

The purpose of this pilot study was to evaluate the feasibility of the self-efficacy based Epilepsy-Motivate and Outcome Expectations for Vigorous Exercise (EMOVE) intervention and report on the preliminary efficacy of this intervention aimed at improving exercise behaviors in adults with epilepsy. Methods: A single-group, repeated-measures design was used in 30 outpatients. Data were collected at baseline and 12 weeks after the intervention. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000425DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6399022PMC
April 2019
2 Reads

Virtual Reality and Cognitive Rehabilitation in People With Stroke: An Overview.

J Neurosci Nurs 2019 Apr;51(2):101-105

Maria Grazia Maggio, PsyD, is Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina. Desirèe Latella, PsyD, is Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina, Italy. Giuseppa Maresca, PsyD, is Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina, Italy. Francesca Sciarrone, MSc, is Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina, Italy. Alfredo Manuli, MSc, is Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina, Italy. Antonino Naro, MD PhD, is Senior Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina, Italy. Rosaria De Luca, MSc, is Researcher, IRCCS Centro Neurolesi "Bonino Pulejo," Messina, Italy.

Objective: This review evaluates the use of virtual reality (VR) tools in cognitive rehabilitation of stroke-affected individuals.

Methods: Studies performed between 2010 and 2017 that fulfilled inclusion criteria were selected from PubMed, Scopus, Cochrane, and Web of Sciences databases. The search combined the terms "VR," "rehabilitation," and "stroke. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000423DOI Listing
April 2019
15 Reads

The Case for an Amharic Term for Stroke: "Ye-Angol Tikat".

J Neurosci Nurs 2019 Apr;51(2):69-73

Sosena Aseffa, BS, is Pre-Medical Intern, University of Texas Southwestern, Dallas, TX. Sonja Stutzman, PhD, is Clinical Research Manager, University of Texas Southwestern, Dallas, TX. Abulkadir Kamal, BSN, is Staff Nurse, University of Texas Southwestern, Dallas, TX. Dawit Measho, RD, is Registered Dietitian, University of Texas Southwestern, Dallas, TX.

Background: This study was developed to explore the efficacy of introducing the Amharic phrase "Ye-Angol Tikat," which translates to "brain attack" in English, as a mechanism to enhance stroke education among the Amharic-speaking Ethiopian community.

Methods: A prospective, nonrandomized, survey was completed by 294 Amharic-speaking persons. The survey explored support and desire for a culturally appropriate terminology for stroke. Read More

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http://Insights.ovid.com/crossref?an=01376517-900000000-9986
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http://dx.doi.org/10.1097/JNN.0000000000000422DOI Listing
April 2019
7 Reads

Triage of Mild Head-Injured Intoxicated Patients Could Be Aided by Use of an Electroencephalogram-Based Biomarker.

J Neurosci Nurs 2019 Apr;51(2):62-66

J. Stephen Huff, MD, University of Virginia School of Medicine, Charlottesville, VA. John Garrett, MD, Baylor University Medical Center, Dallas, TX. Rosanne Naunheim, MD, Washington University Barnes Jewish Medical Center, St Louis, MO.

Objective: Drug and alcohol (DA)-related emergency department (ED) visits represent an increasing fraction the head-injured population seen in the ED. Such patients present a challenge to the evaluation of head injury and determination of need for computed tomographic (CT) scan and further clinical path. This effort examined whether an electroencephalogram (EEG)-based biomarker could aid in reducing unnecessary CT scans in the intoxicated ED population. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000420DOI Listing
April 2019
8 Reads

Timeliness of Nursing Care Delivered by Stroke Certified Registered Nurses as Compared to Non-Stroke Certified Registered Nurses to Hyperacute Stroke Patients.

J Neurosci Nurs 2019 Feb;51(1):54-59

Questions or comments about this article may be directed to Janet M. Lakomy, PhD RN, at She is an Adjunct Faculty, Texas A&M University, Texarkana, TX. Grace N. Fant, MSN RN SCRN, CHRISTUS St. Michael Health System, Texarkana, TX.

In this retrospective, nonexperimental, comparative descriptive design using convenience sampling, the timeliness of care delivered by 11 Stroke Certified Registered Nurses (SCRNs) to 95 hyperacute stroke patients (last known well of 4.5 hours or less) on the acute stroke protocol set by Target: Stroke Phase II Campaign Manual was compared with that of 13 non-SCRNs in a small, rural, level III stroke facility in the southwestern region of the United States. There was statistical significance in the total timeliness of care delivered by SCRNs to hyperacute stroke patients as compared with the non-SCRNs (t = -4. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000414DOI Listing
February 2019
6 Reads

The Cue-Response Theory and Nursing Care of the Patient With Acquired Brain Injury.

J Neurosci Nurs 2019 Feb;51(1):43-47

Questions or comments about this article may be directed to DaiWai M. Olson, PhD RN CCRN FNCS, at He is a Professor, University of Texas Southwestern, Dallas, TX. Stefany Ortega, PhD(c) MSc RN, is Upsilon Nu Assistant Professor, Universidad del Norte School of Nursing, Barranquilla, Colombia.

The cue-response theory is herewith proposed to replace the coma cue-response conceptual framework as a nursing theory for care of patients with acquired brain injury (ABI). After ABI, nurses assess patients and develop an understanding of their condition by interpreting meaning from physiologic and observational or behavioral cues. These interpretations form the basis for optimizing the timing of discrete nursing interventions; the outcome of which influences the trajectory toward recovery or toward secondary brain injury. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000426DOI Listing
February 2019
5 Reads

Rehab MATRIX: Content Validity of a Nursing-Led Patient Assignment Algorithm.

J Neurosci Nurs 2019 02;51(1):33-36

Department of Neurology and the Institute of Stroke and Cerebrovascular Disease, McGovern Medical School at UTHealth, Houston, TX.

Purpose: The provision of conscientious nursing care is at the forefront of health quality. Unfortunately, a lack of standardization in the assignment of patients to nurses can lead to care inequities. Rehab MATRIX is a nursing-led tool that equitably assigns patients using select acuity variables. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000418DOI Listing
February 2019
1 Read

Electroencephalographic Patterns During Common Nursing Interventions in Neurointensive Care: A Descriptive Pilot Study.

J Neurosci Nurs 2019 Feb;51(1):10-15

Kristin Elf, MD PhD, is Clinical Neurophysiologist and Researcher, Department of Neuroscience, Clinical Neurophysiology, Uppsala University, Uppsala, Sweden. Tommy Carlsson, PhD PGDip RN RM, is Postdoctoral Researcher, Department for Health Promoting Science, Sophiahemmet University, Stockholm; and Intensive Care Nurse and Researcher, Department of Neuroscience, Neurosurgery, Uppsala University; and Midwife and Researcher, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. Liliana Santeliz Rivas, MSc RN, is Intensive Care Nurse, Department of Neuroscience, Neurosurgery, Uppsala University, Uppsala, Sweden. Emma Widnersson, MSc RN, is Intensive Care Nurse, Department of Neuroscience, Neurosurgery, Uppsala University, Uppsala, Sweden.

Background: Many patients with neurological insults requiring neurointensive care have an increased risk of acute symptomatic seizures. Various nursing interventions performed when caring for these patients may elicit pathological cerebral electrical activity including seizures and stimulus-induced rhythmic, periodic, or ictal discharges (SIRPIDs). The aim was to explore changes in electroencephalogram (EEG) due to neurointensive care nursing interventions. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000411DOI Listing
February 2019
2 Reads

Reflections on 50 Years.

J Neurosci Nurs 2019 Feb;51(1):8-9

Tracey Berlin, MSN-Ed RN CNRN CCRN-K, is Director-at-Large, American Association of Neuroscience Nurses, and JNN Board Liaison Consultant and Clinical Applications Specialist.

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http://dx.doi.org/10.1097/JNN.0000000000000417DOI Listing
February 2019
1 Read

Of Zombies and Evidence.

J Neurosci Nurs 2019 Feb;51(1)

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http://dx.doi.org/10.1097/JNN.0000000000000421DOI Listing
February 2019
6 Reads

Feasibility and Variability of Automated Pupillometry Among Stroke Patients and Healthy Participants: Potential Implications for Clinical Practice.

J Neurosci Nurs 2019 Apr;51(2):84-88

Questions or comments about this article may be directed to Matthew Marshall, MSc, at He is a Medical Student, King's College, London, England. Ritesh Deo, University of Sheffield, Western Bank, Sheffield S10 2TN, England. Charmaine Childs, PhD MPhil BNurs, Sheffield Hallam University, Collegiate Campus, Sheffield, England. Ali Ali, MBChB FRCP MSc, Sheffield Teaching Hospitals and University of Sheffield, Sheffield, England.

Background: Early neurological deterioration (END) is common after stroke and represents a poor prognostic marker. Manual pupillary assessment to detect END is subjective and has poor interrater reliability. Novel methods of automated pupillometry may be more reliable and accurate. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000416DOI Listing
April 2019
5 Reads

Treatment With Intravenous Alteplase for Acute Ischemic Stroke After Reversal of Dabigatran With Idarucizumab: A Case Study.

J Neurosci Nurs 2019 Feb;51(1):21-25

Questions or comments about this article may be directed to Sheila Jala, MHSSMCN, at She is the Stroke Clinical Nurse Consultant, Neurology Department, Royal North Shore Hospital, St Leonards, Australia.

Treatment options for anticoagulated patients presenting with ischemic stroke are limited. Off-label use of idarucizumab to rapidly reverse the anticoagulant effect of dabigatran may ensure eligibility for thrombolytic therapy with alteplase. This case describes a 77-year-old white male who presented to the hospital 89 minutes after sudden onset of right-sided hemiparesis, dysarthria, and facial palsy. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000412DOI Listing
February 2019
16 Reads

Evaluation of Hospital-wide Readmission Risk Calculator to Predict 30-Day Readmission in Neurocritical Care Patients.

J Neurosci Nurs 2019 Feb;51(1):16-19

Jason Siegel, MD, Departments of Critical Care and Neurology, Mayo Clinic, Jacksonville, FL. Emily Harmer, ARNP, Department of Critical Care, Mayo Clinic, Jacksonville, FL. David Alejos, MD, Department of Internal Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY. W. David Freeman, MD, Departments of Critical Care, Neurology, and Neurosurgery, Mayo Clinic, Jacksonville, FL.

Background And Purpose: Thirty-day hospital readmissions have been shown to be a measure of quality and result in higher mortality and increased costs. Readmissions are a target for hospitals and payers; thus, several centers have developed predictive readmission scores to identify high-risk patients. The purpose of this study was to evaluate the current hospital-wide readmission risk calculator and the ability of this tool to predict 30-day readmissions in the neurocritical care population. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000410DOI Listing
February 2019
1 Read

The Relationship Among Multiple Sclerosis-Related Symptoms, Sleep Quality, and Sleep Hygiene Behaviors.

J Neurosci Nurs 2019 Feb;51(1):37-42

Questions or comments about this article may be directed to Pamela Newland, PhD RN CMSRN, at She is an Associate Professor, Goldfarb School of Nursing at Barnes Jewish College, St Louis, MO. Rebecca A. Lorenz, PhD RN, is Associate Professor, University at Buffalo School of Nursing, Buffalo, NY. Judith M. Smith, PhD RN GCNS-BC, is Professor, Goldfarb School of Nursing at Barnes Jewish College, St Louis, MO. Emily Dean, BSN, is Staff Nurse, Barnes Jewish Hospital, St Louis, MO. John Newland, BS, Pediatric Computing Facilities Development, Department of Pediatrics, Washington University in St. Louis, St Louis, MO. Patricia Cavazos, PhD, is Associate Professor, Department of Psychiatry, Washington University School of Medicine, St Louis, MO.

Aims And Objectives: The aim of this study was to examine the relationships among multiple sclerosis (MS)-related symptoms, sleep hygiene behaviors, and sleep quality in adults with MS who self-report fatigue.

Background: Fatigue is a frequent, prevalent symptom among adults with MS. Few studies have examined the relationship among fatigue and other symptoms with sleep quality and sleep behaviors. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000409DOI Listing
February 2019
2 Reads

Mathematical Models of Sleep and Circadian Rhythms: A Case for Using the 2-Process Model in Neuroscience Nursing.

J Neurosci Nurs 2019 Feb;51(1):48-53

Questions or comments about this article may be directed to Sara Mithani, BSN RN, at She is a Doctoral Student, Sleep Neurobiology Laboratory, Center for Narcolepsy, Sleep, and Health Research, University of Illinois at Chicago College of Nursing, Chicago, IL. Anne M. Fink, PhD RN, Sleep Neurobiology Laboratory, Center for Narcolepsy, Sleep, and Health Research, University of Illinois at Chicago College of Nursing, Chicago, IL. A.M.F. is currently receiving a grant (R00NR01436) from the National Institute of Nursing Research and is on the advisory board for Data Sciences International.

Acute and chronic neurological disorders impair sleep. Despite the availability of theoretical/mathematical frameworks about sleep, the nursing profession rarely incorporates these models. The purpose of this article was to analyze the 2-process model of sleep regulation using Fawcett and DeSanto-Madeya's method, a systematic approach for determining whether a theory is relevant to nursing. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000408DOI Listing
February 2019
2 Reads

Unique Stroke Symptoms in Women: A Review.

Authors:

J Neurosci Nurs 2018 Dec;50(6):E1-E2

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http://dx.doi.org/10.1097/JNN.0000000000000415DOI Listing
December 2018
1 Read

Symptom Monitoring in Glioma Patients: Development of the Edmonton Symptom Assessment System Glioma Module.

J Neurosci Nurs 2018 Dec;50(6):381-387

Questions or comments about this article may be directed to Margriet IJzerman-Korevaar, MSc RN, at Oncology Nurse, Department of Medical Oncology, Cancer Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. Tom J. Snijders, MD PhD, is Neuro-Oncologist, Brain Center Rudolf Magnus, Department of Neurology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. Saskia C. C. M. Teunissen, PhD, RN, is Professor, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. Alexander de Graeff, MD PhD, is Medical Oncologist, Department of Medical Oncology, Cancer Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. Filip Y. F. De Vos, MD, PhD, is Medical Oncologist, Department of Medical Oncology, Cancer Center, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands.

Background And Purpose: Symptoms in glioma patients are distinctly different from symptoms in patients with other types of cancer and have a high impact on quality of life. In this study, a stepwise approach of developing a glioma module for assessment of symptoms, based on a Dutch adapted and validated version of the Edmonton Symptom Assessment System, is described.

Methods: Three phases of instrument development were conducted: a systematic literature review and a focus group interview with experts were performed (phase I) to generate relevant symptoms and construct a preliminary module (phase II). Read More

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http://dx.doi.org/10.1097/JNN.0000000000000400DOI Listing
December 2018
12 Reads

Effect of Auditory Stimulation on the Level of Consciousness in Comatose Patients Admitted to the Intensive Care Unit: A Randomized Controlled Trial.

J Neurosci Nurs 2018 Dec;50(6):375-380

Questions or comments about this article may be directed to Kivan Çevik, PhD, at She is an Assistant Professor at the Faculty of Health Sciences, Department of Nursing, Manisa Celal Bayar University, Manisa, Turkey. Emre Namik, is Nurse, Dokuz Eylül University Hospital, İzmir, Turkey.

Background: Comatose patients are exposed to sensory deprivation in the intensive care units. Auditory stimulation of patients who are unconscious is a nonmedical procedure. This study examines the effect of organized voice, performed by a nurse, on the state of consciousness of comatose patients in intensive care units. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000407DOI Listing
December 2018
12 Reads

Pupillometry Trends in the Setting of Increased Intracranial Pressure.

J Neurosci Nurs 2018 Dec;50(6):357-361

Questions or comments about this article may be directed to Molly McNett, PhD RN CNRN FNCS, at She is Director, Nursing Research and Evidence Based Practice, The MetroHealth System, Cleveland, OH. Cristina Moran, MSN RN CCRN, is Clinical Nurse, Surgical Intensive Care Unit, The MetroHealth System, Cleveland, OH. Dawnetta Grimm, MSN CCNS RN, is Clinical Nurse Specialist, Trauma/Critical Care/Burns, The MetroHealth System, Cleveland, OH. Anastasia Gianakis, MSN RN CCRN, is Nurse Manager, Surgical Trauma Intensive Care Unit, The MetroHealth System, Cleveland, OH.

Serial pupil examinations remain a mainstay of neurological assessments performed by neuroscience nurses. Integration of pupillometer technology has increased in recent years, because of its ability to address limitations of manual examinations and to evaluate trended data over time. Preliminary research has linked pupillometer values to intracranial pressure (ICP) values, but data on pupillary changes in the setting of increased ICP remain sparse. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000401DOI Listing
December 2018
44 Reads

A Pilot Primary Stroke Prevention Program for Elderly Korean Americans.

J Neurosci Nurs 2018 Dec;50(6):327-333

Eun-Shim Nahm, PhD RN FAAN, is Professor, University of Maryland Baltimore School of Nursing, Baltimore, MD. Marianne Shaughnessy, PhD RN, is Director, Policy, Practice and Population Health Integration, Veterans Affairs Medical Center, Washington, DC. Carla L. Storr, ScD MPH, is Professor, University of Maryland School of Nursing, Baltimore, MD. Hae-Ra Han, PhD RN FAAN, is Professor, Johns Hopkins University School of Nursing, Baltimore, MD. JuHee Lee, PhD RN, is Professor, Yonsei University College of Nursing, Seoul, South Korea.

Background: Stroke is a significant health issue with devastating consequences among older adults in the United States. However, it can be prevented by improving stroke knowledge and managing risk factors. Many stroke education programs have been shown to be effective. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000397DOI Listing
December 2018
11 Reads

The Impact of Head-of-Bed Positioning and Transducer Location on Cerebral Perfusion Pressure Measurement.

J Neurosci Nurs 2018 Dec;50(6):322-326

Sarah Livesay, DNP ACNP FNCS, is Associate Professor, Rush University, Chicago, IL. Susan Yeager, MS ACNP FNCS, is Nurse Practitioner Lead, Wexner Medical Center, The Ohio State University, Columbus, OH. Cristina Moran, MSN RN CCRN, is Clinical Nurse, The MetroHealth System, Cleveland, OH. Erin Supan, MSN RN, is Clinical Nurse Specialist, Neurosciences, University Hospitals Cleveland Medical Center, Cleveland, OH. Stefany Ortega, MSc RN, is Assistant Professor, Universidad del Norte, Barranquilla, Colombia. DaiWai M. Olson, PhD RN CCRN FNCS, is Professor of Neurosurgery and Neurotherapeutics, University of Texas Southwestern, Dallas, TX.

Introduction: Head-of-bed (HOB) elevation is the standard of care for patients with intracranial pressure monitoring at risk for intracranial hypertension. Measurement of cerebral perfusion pressure (CPP) based on HOB elevation and arterial transducer position has not been adequately studied.

Methods: This is a planned secondary analysis of prospectively collected data in which paired, serial arterial blood pressure (ABP), intracranial pressure, and CPP measures were obtained once per day for 3 days, with measures leveled at the tragus (Tg) and the phlebostatic axis (PA). Read More

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December 2018
17 Reads

Vote.

Authors:
DaiWai M Olson

J Neurosci Nurs 2018 Dec;50(6):313

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http://dx.doi.org/10.1097/JNN.0000000000000396DOI Listing
December 2018
1 Read

Unique Stroke Symptoms in Women: A Review.

J Neurosci Nurs 2018 Dec;50(6):336-342

Glenda Lindseth, PhD RN FADA FAAN, is Professor, University of North Dakota, Grand Forks, ND.

Background: Research suggests that there is a delay in recognizing unique stroke symptoms in women by both healthcare professionals and the general population. The purpose of this review was to identify and summarize the most relevant literature regarding recognition and assessment of unique stroke symptoms in women.

Methods: Literature review using PubMed, CINAHL, ERIC, MEDLINE, PsycINFO, and Google Scholar was used to search literature describing unique stroke symptoms. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000402DOI Listing
December 2018
35 Reads

Choosing the Right Delirium Assessment Tool.

J Neurosci Nurs 2018 Dec;50(6):343-348

Questions or comments about this article may be directed to Malissa Mulkey, MSN APRN, at East Carolina University, Greenville, NC. Donna W. Roberson, PhD FNP-BC, East Carolina University, Greenville, NC. Erik Everhart, PhD ABPP, East Carolina University, Greenville, NC. Sonya R. Hardin, PhD CCRN NP-C FAAN, University of Louisville, Louisville, KY.

Delirium is an increasing concern with current combined annual costs for the United States and Europe of approximately $350 billion. Although standardized definitions and diagnostic criteria exist, more than 80% of delirium in the acute care setting is overlooked or misdiagnosed. Delays in identification result in increases in severity and mortality and a reduction in quality of life. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000403DOI Listing
December 2018
16 Reads

Poststroke Sleep Disorders: An Executive Summary.

J Neurosci Nurs 2018 Dec;50(6):314-317

Da-In Park, MSN RN, is PhD Student and Adjunct Instructor, College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea. Smi Choi-Kwon, PhD RN, is Professor, College of Nursing, The Research Institute of Nursing Science, Seoul National University, Seoul, Republic of Korea.

Background: Poststroke sleep disorders (PSSDs) are common manifestations that may lead to adverse outcomes that pose a negative impact on the daily lives of stroke survivors. However, PSSD is poorly understood in terms of etiology, assessment, treatment, and nursing management. The purpose of this executive summary is to provide an overview to broaden our understanding of PSSDs. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000404DOI Listing
December 2018
1 Read

Challenges in Conducting Ethnography Among Hidden Populations in Rural South India.

J Neurosci Nurs 2018 Dec;50(6):351-355

International qualitative researchers confront many challenges while conducting studies among hidden populations. This article describes challenges experienced as a US-based researcher and native Indian woman conducting a focused ethnography among women with epilepsy in rural south India. The 5 challenges encountered during this research were (1) obtaining ethical approvals to conduct the study, (2) recruiting hidden participants, (3) being a halfie, (4) addressing a sensitive topic with a vulnerable population, and (5) managing researcher distress and intrapersonal conflicts. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000399DOI Listing
December 2018
13 Reads

Effect of Multiple Sclerosis on Dyadic Adjustment.

J Neurosci Nurs 2018 Oct;50(5):303-307

Questions or comments about this article may be directed to Nurgül Güngör Tavşanli, PhD, at She is an Assistant Professor, Internal Medicine Nursing, Health Science Faculty, Midwifery Department, Manisa Celal Bayar University, Manisa, Turkey. Dilek Hacivelioğlu, MSc, Health Science Institute, Manisa Celal Bayar University, Manisa, Turkey. Funda Kosova, is Associate Professor, Health Science Faculty, Midwifery Department, Medical Biochemistry, Manisa Celal Bayar University, Manisa, Turkey. Hatice Mavioğlu, is Professor, Medicine Faculty, Neurology Department, Manisa Celal Bayar University, Manisa, Turkey.

Purpose: This study examines the dyadic adjustment of married men and women with multiple sclerosis (MS).

Method: This cross-sectional study consists of 40 patients with MS who were married and being followed in the neurology clinic of a university hospital. Data collection was performed by face-to-face interviews with only the participant and the researcher present. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000389DOI Listing
October 2018
18 Reads

Factors Affecting the Adherence to Disease-Modifying Therapy in Patients With Multiple Sclerosis.

J Neurosci Nurs 2018 Oct;50(5):302

Questions or comments about this article may be directed to Jane R. von Gaudecker, PhD RN, at She is an Assistant Professor, Indiana University School of Nursing, Indianapolis, IN.

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http://dx.doi.org/10.1097/JNN.0000000000000405DOI Listing
October 2018
15 Reads

It's Not Brain Surgery.

Authors:
DaiWai M Olson

J Neurosci Nurs 2018 Oct;50(5):259

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http://dx.doi.org/10.1097/JNN.0000000000000392DOI Listing
October 2018
1 Read

Salivary Cortisol Profile Under Different Stressful Situations in Female College Students: Moderating Role of Anxiety and Sleep.

Authors:
Minhee Suh

J Neurosci Nurs 2018 Oct;50(5):279-285

Objectives: This study investigated the level of cortisol under different stressful situations and its relationship with sleep and anxiety in female college students.

Methods: Salivary cortisol was measured 6 times a day during a routine period free of examination stress and a stressful period. Area under the curve (AUC) was calculated for cortisol level for awakening response (AUCAG) and during the day (AUCTG). Read More

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http://dx.doi.org/10.1097/JNN.0000000000000394DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135468PMC
October 2018
2 Reads

Factors Affecting the Adherence to Disease-Modifying Therapy in Patients With Multiple Sclerosis.

J Neurosci Nurs 2018 Oct;50(5):291-297

Questions or comments about this article may be directed to Öznur Erbay at She is a PhD Student at the Faculty of Nursing, Department of Internal Medicine Nursing, Ege University, Bornova, Turkey. Öznur Usta Yeşilbalkan, PhD RN, Faculty of Nursing, Department of Internal Medicine Nursing, Ege University, Bornova, Turkey. Nur Yüceyar, is Professor, Faculty of Medicine, Department of Neurology, Ege University, Bornova, Turkey.

Background: Adherence to medication treatment in patients with multiple sclerosis (MS) is important to increase its effectiveness, reduce patient disability, prevent attacks, and increase the quality of life.

Aim: This study investigated factors that influence adherence to disease-modifying therapy in patients with MS.

Methods: This descriptive study was conducted with 198 patients with MS who met the inclusion criteria and agreed to participate between July 2016 and February 2017. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000395DOI Listing
October 2018
4 Reads