"Time is Brain:" A concept anaiysis.
Authors: Alcock S, Sawatzky JV Abstract Time is brain has been heard echoing in the world of acute stroke since the early nineties. At that time, the use of intravenous recombinant tissue plasminogen activator (rt-PA) revolutionized the approach to treating acute ischemic stroke. However, the use of rt-PA is strongly time dependant, with a narrow window of opportunity of only 4.5 hours. There is also convincing scientific evidence of a significant relationship between time to rt-PA treatment and patient outcomes. Similar to rt-PA in the '90s, time sensitive endovascular therapy has transformed the treatmen...
Source: Canadian Journal of Neuroscience Nursing - February 25, 2018 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Critical ethnography: An under-used research methodology in neuroscience nursing.
Authors: Ross C, Rogers C, Duff D Abstract Critical ethnography is a qualitative research method that endeavours to explore and understand dominant discourses that are seen as being the 'right' way to think, see, talk about or enact a particular 'action' or situation in society and recommend ways to re-dress social power inequities. In health care, vulnerable populations, including many individuals who have experienced neurological illnesses or injuries that leave them susceptible to the influence of others, would be suitable groups for study using critical ethnography methodology. Critical ethnography has...
Source: Canadian Journal of Neuroscience Nursing - July 31, 2016 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Understanding the challenges to improve transition to palliative care: An issue for the primary malignant brain tumour population.
CONCLUSION: Earlier referral to palliative care has yet to become a reality for many patients diagnosed with life-limiting illnesses and, in particular, those with a PMBT. More research is needed to uncover and challenge the barriers to early transition including communication issues among professionals, patients and families around palliative care. PMID: 27468601 [PubMed - in process] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - July 31, 2016 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Hope, Coping, and Quality of Life in Adults with Myasthenia Gravis.
CONCLUSION: Nurses caring for adults with myasthenia gravis should use interventions that continue to support hope, quality of life, and coping throughout the unpredictable and chronic course of MG. PMID: 27468602 [PubMed - in process] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - July 31, 2016 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

[Making a safe transition home after a meningioma resection: The impact of nursing care].
This study originated from patients' demands that they be better informed and that their meningioma diagnosis be considered serious. Meningioma are brain tumours that represent about 30% of all primary brain tumours. In 90% of the cases, they are non-cancerous. The objective was to identify whether educational intervention by nurses would have a positive impact on transition. METHOD: The study lasted 12 months and included two groups: intervention and control. Intervention involved the verbal and written delivery of answers to frequently asked questions, as well as patient follow-up for six weeks post-surgery. Nurs...
Source: Canadian Journal of Neuroscience Nursing - July 31, 2016 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Aggressive surgical interventions for severe stroke: Impact on quality of life, caregiver burden and family outcomes.
DISCUSSION: Overall, patients and families were satisfied with quality of life and decisions made at the time of the initial stroke. There was consensus among study participants that formal community-based support (e.g., handibus, caregiving relief, rehabilitation assessments) should be continued for extended periods (e.g, years)post-stroke. Ongoing contact with health care professionals is valuable to help them navigate in the community as needs change over time. PMID: 26647490 [PubMed - in process] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - December 13, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Factors that influence the decision-making of an interdisciplinary rehabilitation team when choosing a discharge destination for stroke survivors.
This study explored the culture of one interdisciplinary rehabilitation team in British Columbia (BC), Canada, to identify the specific client, clinical, and family factors considered by team members when determining post-hospital discharge placement. The study took the form of an ethnography of a health care team on a stroke unit of a Canadian hospital using observations of the interdisciplinary rehabilitation team meetings and follow-up interviews with team members. The findings from the study indicate post-hospital discharge destination decisions were influenced by specific social, economic, and policy factors; specific...
Source: Canadian Journal of Neuroscience Nursing - December 13, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Collaborative research teams: It is amazing what you can accomplish if you do not care who gets the credit.
This article focuses on working as a collaborative in conducting research. A common recommendation for those who want to get started in scholarly work is to collaborate with a team of like-minded individuals as part of an interest group. As researchers, we all have personal agendas in undertaking research. We need to reflect on the following: our own agendas; being honest with ourselves, and our research teammates; ensuring that our aims are not mutually exclusive or detrimental to the aspirations of our colleagues and students; and on the ethical conduct of the research work itself. PMID: 26647492 [PubMed - in pro...
Source: Canadian Journal of Neuroscience Nursing - December 13, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Pseudoprogression: Patient experience and nursing in uncertainty.
Authors: Miller CA Abstract Glioblastoma Multiforme (GBM) is the most common primary brain malignancy in humans and has a limited survival (median of 14.6 months). The goal of treatment is supportive rather than curative. Patients with a GBM struggle with uncertainty related to the illness trajectory. This uncertainty is compounded when possible progression is noted on imaging. Pseudoprogression (PsP) is an early treatment-related effect where there are apparent imaging changes suggesting progression, which then improve or stabilize through time. This paper provides a review of the literature on PsP in pat...
Source: Canadian Journal of Neuroscience Nursing - December 13, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Early detection of cognitive disorders: Follow-up study.
CONCLUSION: We present a new test designed to detect patients with mild cognitive impairment and/or early symptoms of AD. A larger cohort is needed to improve the internal validity. PMID: 26647494 [PubMed - in process] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - December 13, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Standards of neuroscience nursing practice.
Authors: Canadian Association of Neuroscience Nurses PMID: 19280729 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Barriers and facilitators to caring for individuals with stroke in the community: the family's experience.
CONCLUSIONS: The results indicate there are facilitators that caregivers perceive as important both to undertaking and to sustaining the caregiving role. Consideration of these results in the design of interventions may lead to more effective interventions to support caregivers in undertaking and continuing in the caregiver role. PMID: 18240626 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Education in stroke prevention: efficacy of an educational counselling intervention to increase knowledge in stroke survivors.
CONCLUSIONS: Although contact with patients in ambulatory clinical settings is limited due to time constraints, it is still possible to improve knowledge and initiate lifestyle changes utilizing motivational interviewing and a stage of change model. Stroke nurses may wish to consider these techniques in their practice setting. PMID: 18240627 [PubMed - indexed for MEDLINE] (Source: Canadian Journal of Neuroscience Nursing)
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

Brain Tumour Foundation Award 2007. Glomus jugulare tumours: are they really so benign?
Authors: Blackburn W, Leung G, Morash C Abstract Glomus jugulare tumours are rare, hypervascular and usually benign tumours involving the skull base. Diagnosis can be significantly delayed due to the slow and insidious clinical presentation. The primary manifestations involve auditory and lower cranial nerve deficits. Treatment options may include surgery, radiation and embolization. Surgery is the optimal treatment modality, but is not without serious potential complications. These complications are linked to the location and vascular nature of the tumour. Glomus jugulare tumours present a significant dia...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research

What are the risk factors for nausea and vomiting after neurosurgery? A systematic review.
Authors: Neufeld SM, Newburn-Cook CV Abstract In their practice of post-operative neurosurgical care, nurses frequently encounter the problem of post-operative nausea and vomiting (PONV). Knowledge of risk factors for PONV can help nurses to identify groups of patients who may encounter PONV and develop related therapeutic guidelines. The purpose of this systematic review was to identify and summarize risk factor research for PONV after neurosurgical procedures. Of 272 papers identified through a systematic search, 13 studies met the criteria for this review. These studies varied considerably in their outc...
Source: Canadian Journal of Neuroscience Nursing - November 18, 2015 Category: Nursing Tags: Can J Neurosci Nurs Source Type: research