1,886 results match your criteria Journal of Neuroscience Nursing[Journal]


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

J Neurosci Nurs 2019 Jan 14. Epub 2019 Jan 14.

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
January 2019
1 Read

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

J Neurosci Nurs 2019 Jan 14. Epub 2019 Jan 14.

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
January 2019
3 Reads

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

J Neurosci Nurs 2019 Jan 14. Epub 2019 Jan 14.

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://dx.doi.org/10.1097/JNN.0000000000000422DOI Listing
January 2019

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

J Neurosci Nurs 2019 Jan 14. Epub 2019 Jan 14.

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
January 2019
3 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
3 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

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

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

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

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

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

J Neurosci Nurs 2018 Nov 27. Epub 2018 Nov 27.

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
November 2018
4 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
12 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

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
1 Read

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
1 Read

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

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
8 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
4 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
28 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
6 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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http://dx.doi.org/10.1097/JNN.0000000000000398DOI Listing
December 2018
11 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

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
18 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
10 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

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
8 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
10 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
14 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

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
1 Read

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
2 Reads

Reflections on 50 Years of Pediatric Neuroscience Nursing.

J Neurosci Nurs 2018 Oct;50(5):260-264

Questions or comments about this article may be directed to Lindsey Weak, DNP, at She is a Pediatric Neurosurgery Nurse Practitioner, Banner Children's Specialists at Cardon Children's Medical Center, Mesa, AZ. Erin Fecske, APRN, Neurology/Epilepsy, Children's Mercy Hospital, Kansas, MO. Amanda Breedt, APRN, is Neurosurgery Supervisor NP, Seattle Children's Hospital, Seattle, WA. Cathy Cartwright, is Director of Advanced Practice Education, Children's Mercy Hospital, Kansas, MO. Daniel Crawford, DNP, is Clinical Assistant Professor, College of Nursing & Health Innovation, Arizona State University, Phoenix, AZ. Angela Forbes, APRN, Seattle Children's Hospital, Seattle, WA.

Throughout the past 50 years, the role of the neuroscience nurse has become more specialized as we continue to keep pace with new innovations and improvement in care for our patients. This is evident when reviewing the hundreds of articles that have been published in the Journal of Neuroscience Nursing over the last half-century. These authors have had a tremendous influence over neuroscience nursing through dissemination of their expert knowledge. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000393DOI Listing
October 2018
1 Read

Effectiveness of Initiating Deep Vein Thrombosis Prophylaxis in Patients With Stroke: An Integrative Review.

J Neurosci Nurs 2018 Oct;50(5):308-312

Questions or comments about this article may be directed to Mark Angel M. Dizon, BSN, at He is an Assistant Nurse Unit Manager at the NeuroCritical Care and Epilepsy Monitoring Units, St. Lukes Medical Center, Quezon City, Philippines. Josephine M. De Leon, PhD MAN BSN, is Associate Professor, School of Nursing and Graduate School, Centro Escolar University, Manila, Philippines.

Venous thromboembolism (VTE) is a frequent and potentially fatal complication of immobility caused by cerebrovascular disease. This review examines the efficiency of deep vein thrombosis (DVT) prophylaxis methods. Patients with stroke initiated on DVT prophylaxis were compared with those who did not have any prophylaxis. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000385DOI Listing
October 2018
13 Reads

Staffing Is More Than a Number: Using Workflow to Determine an Appropriate Nurse Staffing Ratio in a Tertiary Care Neurocritical Care Unit.

J Neurosci Nurs 2018 Oct;50(5):268-272

Questions or comments about this article may be directed to Michelle Hill, MS RN AGCNS-BC CNRN CCRN SCRN, at She is Stroke Program Coordinator, Riverside Methodist Hospital, Columbus, OH. Jessica DeWitt, BSN RN, is Neuroscience Outcomes Manager, Riverside Methodist Hospital, Columbus, OH.

Objective: To enhance nursing staff retention and ensure a consistently high standard of care, a study was conducted to determine an appropriate nurse staffing model for a neurocritical care unit. In addition to being critically ill, these patients often require extensive diagnostic testing to determine treatment. Nurses traveling with patients leave higher nurse-patient ratios remaining on the unit. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000387DOI Listing
October 2018
27 Reads

Cerebral Amyloid Angiopathy: A Different Kind of Stroke.

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J Neurosci Nurs 2018 Aug;50(4):E1-E2

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http://dx.doi.org/10.1097/JNN.0000000000000391DOI Listing
August 2018
18 Reads

Posttraumatic Growth of Stroke Survivors and Its Correlation With Rumination and Social Support.

J Neurosci Nurs 2018 Aug;50(4):252-257

Zhou-yuan Peng, MSN, School of Nursing, Sun Yat-sen University, Guangzhou, China, and PhD Student, Human Health Sciences, Graduates School of Medicine, Kyoto University, Kyoto City, Japan.

Objective: This study focused on gaining insight into the positive changes of stroke survivors. This study aimed to describe the level of posttraumatic growth (PTG) and explore its correlation with rumination and social support in stroke survivors. The impacts of individual characteristics on PTG were also discussed. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000371DOI Listing
August 2018
1 Read

Effects of Different Head-of-Bed Elevations and Body Positions on Intracranial Pressure and Cerebral Perfusion Pressure in Neurosurgical Patients.

J Neurosci Nurs 2018 Aug;50(4):247-251

Gülay A. Uğraş, PhD, is Assistant Professor, Department of Surgical Nursing, The University of Mersin, Mersin, Turkey. Serpil Yüksel, PhD, is Assistant Professor, Department of Surgical Nursing, The University of Necmettin Erbakan, Konya, Turkey. Zeynep Temiz, PhD, is Assistant Professor, Department of Surgical Nursing, The University of Artvin Çoruh, Artvin, Turkey. Selin Eroğlu, RN, is Nurse, Neurosurgery Intensive Care Unit, Cerrahpaşa Faculty of Medicine, The University of İstanbul, İstanbul, Turkey. Keziban Sirin, RN, is Nurse, Cerrahpaşa Faculty of Medicine, Department of Neurosurgery, The University of Istanbul, İstanbul, Turkey. Yüksel Turan, RN, is Nurse, Neurosurgery Intensive Care Unit, Cerrahpaşa Faculty of Medicine, The University of Istanbul, Istanbul, Turkey.

Purpose: The aim of this study was to evaluate the effects of different head of bed (HOB) elevations and body positions on intracranial pressure (ICP) and cerebral perfusion pressure (CPP) and to identify safe positions for neurosurgical patients with different Glasgow Coma Scale (GCS) scores.

Methods: This study with a quasi-experimental, prospective repeated measures is designed with control over the intervention consisted of 30 patients hospitalized in the neurocritical care units (NCU). Patients' HOB was elevated (degree of 15,30,45) and the patients were at supine, left lateral and right lateral positions. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000386DOI Listing
August 2018
12 Reads

Stroke Education Video Does Not Affect Patient Satisfaction Scores: A System Analysis.

J Neurosci Nurs 2018 Aug;50(4):233-237

With limited time and resources in the acute care hospital, the most effective methods of stroke education are crucial. A combination of methods of one-on-one counseling or teaching, print, and video has been shown to have the greatest effect. Video education is a component of a combination educational approach. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000383DOI Listing
August 2018
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Vasopressor Infusion After Subarachnoid Hemorrhage Does Not Increase Regional Cerebral Tissue Oxygenation.

J Neurosci Nurs 2018 Aug;50(4):225-230

Elizabeth Crago, PhD RN, School of Nursing, University of Pittsburgh, Pittsburgh, PA. Yuefang Chang, PhD, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA. Theodore F. Lagattuta, RN, School of Nursing, University of Pittsburgh, Pittsburgh, PA. Khadejah Mahmoud, BSN RN, School of Nursing, University of Pittsburgh, Pittsburgh, PA. Lori Shutter, MD, University of Pittsburgh School of Medicine, and Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA. Jeffrey R. Balzer, PhD, School of Nursing, University of Pittsburgh, and Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA. Michael R. Pinsky, MD CM DrHC, University of Pittsburgh School of Medicine, and Department of Critical Care Medicine, University of Pittsburgh Medical Center, Pittsburgh, PA. Robert M. Friedlander, MD, Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA. Marilyn Hravnak, PhD RN ACNP-BC FCCM FAAN, School of Nursing, University of Pittsburgh, Pittsburgh, PA.

Introduction: Vasopressors are commonly used after aneurysmal subarachnoid hemorrhage (aSAH) to sustain cerebral pressure gradients. Yet, the relationship between vasopressors and the degree of cerebral microcirculatory support achieved remains unclear. This study aimed to explore the changes in cerebral and peripheral regional tissue oxygen saturation (rSO2) as well as blood pressure (BP) before and after vasopressor infusion in patients with aSAH. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000382DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6044455PMC
August 2018
9 Reads

Secondary Brain Injury: A Concept Analysis.

J Neurosci Nurs 2018 Aug;50(4):220-224

Questions or comments about this article may be directed to Stefany Ortega Pérez, PhD(c) MSc RN, at She is an Assistant Professor, Nursing School, Universidad del Norte, Barranquilla, Colombia. Becario Colciencias 757. PhD student at Universidad Nacional de Colombia, Bogotá, Colombia. María Consuelo Amaya Rey, PhD MSN BS FNP RN, is a Full-Emeritus Professor, Nursing School, Universidad Nacional de Colombia, Bogotá, Colombia.

Background: Traumatic brain injury and cerebrovascular disease may lead to motor, behavioral, and/or cognitive disabilities. The associated neurologic and vascular damage triggers a chain of events that lead to a secondary brain injury (SBI), a preventable cause of adverse neurological outcomes. Proper prevention of these factors may limit undesirable outcomes. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000384DOI Listing

Complications Associated With Nasogastric Tube Placement in the Acute Phase of Stroke: A Systematic Review.

J Neurosci Nurs 2018 Aug;50(4):193-198

Ana Nascimento, MSc, is PhD Student, Center for Interdisciplinary Research in Health, Institute of Health Sciences, Universidade Católica Portuguesa, Lisbon, and Neurology Department, Algarve University Hospital Centre, Faro, Portugal. Mariana Carvalho, RN, is Clinical Nurse, Neurology Department, Algarve University Hospital Centre, Faro, Portugal. Jerina Nogueira, RN, is MSc Student, Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal. Pedro Abreu, RN, is MSc Student, Department of Biomedical Sciences and Medicine, University of Algarve, Faro, Portugal.

This systematic review explores the frequency of complications associated with nasogastric tube (NGT) placement in patients with acute stroke. The unique condition of the dysphasic, immobile, confused immunosuppressed patient who has had an acute stroke hampers any consistent inference from other neurological or nonneurological condition in which NGT placement is used. Twelve studies including 921 patients fed by NGT in the acute phase (first 4 weeks) were included in the analysis. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000372DOI Listing
August 2018
7 Reads

Words Matter.

Authors:
DaiWai M Olson

J Neurosci Nurs 2018 Aug;50(4):187

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http://dx.doi.org/10.1097/JNN.0000000000000388DOI Listing
August 2018
1 Read

Cerebral Amyloid Angiopathy: A Different Kind of Stroke.

J Neurosci Nurs 2018 Aug;50(4):213-217

Lisa Ruth-Sahd, DEd RN CEN CCRN, is Nursing Faculty, York College of Pennsylvania, York, PA.

When a patient presents with stroke-type symptoms, the correct diagnosis is imperative to determine appropriate treatment. Cerebral amyloid angiopathy (CAA), a buildup of amyloid proteins on the brain artery walls, is a cause of intracerebral hemorrhage. Improved diagnostic criteria and enhanced neuroimaging have resulted in earlier detection of CAA, which will hopefully lead to better outcomes for these patients. Read More

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http://Insights.ovid.com/crossref?an=01376517-900000000-9989
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http://dx.doi.org/10.1097/JNN.0000000000000380DOI Listing
August 2018
51 Reads

Uncertainty of Acute Stroke Patients: A Cross-sectional Descriptive and Correlational Study.

J Neurosci Nurs 2018 Aug;50(4):238-243

Questions or comments about this article may be directed to Chunping Ni, PhD, at She is Professor of Nursing, School of Nursing, the Fourth Military Medical University, Xi'an, P.R. China. Jing Peng, MSN RN, is Assistant of Nursing, Department of Nursing, Northwest University for Nationalities, Lanzhou, P.R. China. Yuanyuan Wei, BSN RN, is Nursing Graduate Student, School of Nursing, the Fourth Military Medical University, Xi'an, P.R. China. Yan Hua, MSN RN, is Lecturer of Nursing, School of Nursing, the Fourth Military Medical University, Xi'an, P.R. China. Xiaoran Ren, MSN RN, is Nurse, Department of Nursing, Traditional Chinese Medicine Hospital of Shaanxi Province, Xi'an, P.R. China. Xiangni Su, MSN RN, is Lecturer of Nursing, School of Nursing, the Fourth Military Medical University, Xi'an, P.R. China. Ruijie Shi, MSN RN, is Lecturer of Nursing, School of Nursing, the Fourth Military Medical University, Xi'an, P.R. China.

Background: Uncertainty is a chronic and pervasive source of psychological distress for patients and plays an important role in the rehabilitation of stroke survivors. Little is known about the level and correlates of uncertainty among patients in the acute phase of stroke.

Purpose: The purposes of this study were to describe the uncertainty of patients in the acute phase of stroke and to explore characteristics of patients associated with that uncertainty. Read More

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http://dx.doi.org/10.1097/JNN.0000000000000373DOI Listing
August 2018
20 Reads

Music as Therapy Versus Music in Therapy.

J Neurosci Nurs 2018 Aug;50(4):218-219

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http://dx.doi.org/10.1097/JNN.0000000000000379DOI Listing