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A Cross-sectional Survey of Comprehension and Satisfaction of Spanish-Reading Adults Regarding RÁPIDO as a Stroke Awareness Acronym. 关于阅读西班牙语的成年人对 RÁPIDO 作为脑卒中认知缩写的理解和满意度的横断面调查。
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引用次数: 0
Implementing a Critical Thinking Tool to Evaluate Educational Needs for Inpatient Rehabilitation Nurses. 采用批判性思维工具评估住院康复护士的教育需求。
Pub Date : 2024-05-01 Epub Date: 2024-02-07 DOI: 10.1097/JNN.0000000000000749
Cynthia Hill, Sonja E Stutzman, Emerson B Nairon, Ayushi Vashisht, DaiWai M Olson

Abstract: BACKGROUND: Most critical thinking assessment tools are resource intensive and require significant time and money to administer. Moreover, these tools are not tailored to evaluate critical thinking skills among inpatient rehabilitation facility (IRF) nurses. This pilot study explores the efficacy of using short videos to evaluate critical thinking for nurses working in an IRF. METHODS: We developed and filmed 3 clinical scenarios representative of common IRF events that require critical thinking on behalf of the nurse. Thirty-one IRF nurses participated in the study and independently scored their own critical thinking skills using a visual analog scale. Using the same scale, nurse managers and assistant managers who worked closely with the nurses also rated the critical thinking ability of each nurse. The nurse then viewed and responded in narrative form to each of the 3 videos. A scoring rubric was used to independently evaluate the critical thinking skills for each nurse based on the nurses' responses. RESULTS: Nurses rated their own critical thinking skills higher than mangers rated them (m = 85.23 vs 62.89). There was high interrater reliability for scoring video 1k (0.65), video 2k (0.90), and video 3k (0.84). CONCLUSION: The results demonstrate efficacy for further study of low-cost alternatives to evaluate critical thinking among neuroscience nurses providing IRF care.

摘要:背景:大多数批判性思维评估工具都是资源密集型的,需要花费大量的时间和金钱来管理。此外,这些工具并不适合评估住院康复设施(IRF)护士的批判性思维能力。本试验性研究探讨了使用短视频评估在 IRF 工作的护士批判性思维的效果。方法:我们开发并拍摄了 3 个临床场景,这些场景代表了需要护士进行批判性思维的常见 IRF 事件。31 名 IRF 护士参与了这项研究,并使用视觉模拟量表对自己的批判性思维能力进行了独立评分。与护士密切合作的护士长和经理助理也使用相同的量表对每位护士的批判性思维能力进行评分。然后,护士分别观看 3 段视频,并以叙述的形式做出回答。根据护士的回答,使用评分标准对每位护士的批判性思维能力进行独立评估。结果:护士对自己批判性思维能力的评分高于管理人员的评分(m = 85.23 vs 62.89)。对视频 1k(0.65)、视频 2k(0.90)和视频 3k(0.84)进行评分的相互间可靠性很高。结论:研究结果表明,进一步研究低成本替代方法对提供 IRF 护理的神经科学护士的批判性思维进行评估是有效的。
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引用次数: 0
Validation of a Novel Neurologic Assessment Test for Healthcare Staff. 验证面向医护人员的新型神经学评估测试。
Pub Date : 2024-05-01 Epub Date: 2024-03-07 DOI: 10.1097/JNN.0000000000000754
Brittany R Doyle, Jane R von Gaudecker, Asmiet K Techan, Emerson B Nairon, DaiWai M Olson

Abstract: BACKGROUND: To measure the effectiveness of an educational intervention, it is essential to develop high-quality, validated tools to assess a change in knowledge or skills after an intervention. An identified gap within the field of neurology is the lack of a universal test to examine knowledge of neurological assessment. METHODS: This instrument development study was designed to determine whether neuroscience knowledge as demonstrated in a Neurologic Assessment Test (NAT) was normally distributed across healthcare professionals who treat patients with neurologic illness. The variables of time, knowledge, accuracy, and confidence were individually explored and analyzed in SAS. RESULTS: The mean (standard deviation) time spent by 135 participants to complete the NAT was 12.9 (3.2) minutes. The mean knowledge score was 39.5 (18.2), mean accuracy was 46.0 (15.7), and mean confidence was 84.4 (24.4). Despite comparatively small standard deviations, Shapiro-Wilk scores indicate that the time spent, knowledge, accuracy, and confidence are nonnormally distributed ( P < .0001). The Cronbach α was 0.7816 considering all 3 measures (knowledge, accuracy, and confidence); this improved to an α of 0.8943 when only knowledge and accuracy were included in the model. The amount of time spent was positively associated with higher accuracy ( r2 = 0.04, P < .05), higher knowledge was positively associated with higher accuracy ( r2 = 0.6543, P < .0001), and higher knowledge was positively associated with higher confidence ( r2 = 0.4348, P < .0001). CONCLUSION: The scores for knowledge, confidence, and accuracy each had a slightly skewed distribution around a point estimate with a standard deviation smaller than the mean. This suggests initial content validity in the NAT. There is adequate initial construct validity to support using the NAT as an outcome measure for projects that measure change in knowledge. Although improvements can be made, the NAT does have adequate construct and content validity for initial use.

摘要:背景:为了衡量教育干预措施的有效性,必须开发高质量、经过验证的工具来评估干预措施后知识或技能的变化。在神经病学领域已发现的一个缺陷是缺乏一种通用测试来检查神经病学评估知识。方法:该工具开发研究旨在确定神经评估测试(NAT)中所展示的神经科学知识在治疗神经系统疾病患者的医护人员中是否呈正态分布。在 SAS 中对时间、知识、准确性和信心等变量进行了单独探讨和分析。结果:135 名参与者完成 NAT 所花费的平均时间(标准差)为 12.9 (3.2) 分钟。平均知识分数为 39.5 (18.2),平均准确分数为 46.0 (15.7),平均信心分数为 84.4 (24.4)。尽管标准偏差相对较小,但 Shapiro-Wilk 分数表明,所花费的时间、知识、准确性和信心均呈非正态分布(P < .0001)。考虑到所有三个测量指标(知识、准确性和信心),Cronbach α 为 0.7816;当模型中只包括知识和准确性时,α 提高到 0.8943。花费的时间与较高的准确度呈正相关(r2 = 0.04,P < .05),较高的知识与较高的准确度呈正相关(r2 = 0.6543,P < .0001),较高的知识与较高的信心呈正相关(r2 = 0.4348,P < .0001)。结论:知识、信心和准确性的得分均围绕一个估计点略有倾斜分布,标准偏差小于平均值。这表明 NAT 具有初步的内容效度。NAT 具有足够的初步结构效度,支持将其作为衡量知识变化项目的结果测量指标。尽管还可以进行改进,但 NAT 在初始使用时确实具有足够的构造和内容效度。
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引用次数: 0
2024 Annual Meeting Abstracts. 2024 年年会摘要。
Pub Date : 2024-05-01 Epub Date: 2024-03-23 DOI: 10.1097/JNN.0000000000000758
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引用次数: 0
The Use of the Acute Stroke Management Questionnaire to Measure Acute Care Nurses' Stroke Knowledge. 使用急性卒中管理问卷测量急诊护理护士的卒中知识。
Catherine T Leach, Linda P Bolin, Melvin S Swanson, Ashley E Burch, Patricia C Woltz
ABSTRACTBACKGROUND: Nurses are key in identifying and treating in-hospital strokes (IHSs). Delayed treatment times and poor patient outcomes are associated with IHSs. Information is needed on nurses' stroke knowledge and the objective measurement of stroke knowledge using a validated tool. The Acute Stroke Management Questionnaire (ASMaQ) was recently developed to test stroke knowledge of healthcare professionals but has not been used on a nursing-specific population. METHODS: Through online surveying and use of ASMaQ, we will measure stroke knowledge of nurses caring for adult, hospitalized patients in an urban, southeast US health system. RESULTS: Total N is 196. Most participants (74.5%, n = 146) never worked on a stroke floor; however, almost all (95.9%, n = 188) cared for a stroke patient in the past. Most participants (65.3%, n = 128) reported receiving prelicensure stroke education, and 98.5% (n = 193) received postlicensure stroke education. Acute Stroke Management Questionnaire total scores ranged from 93 to 133 (mean [SD], 117.35 [8.15]). Most participants scored in the good stroke knowledge range for all 3 ASMaQ domains and total ASMaQ score. CONCLUSION: The online delivery of the ASMaQ was successful in testing nurses' stroke knowledge, and nurses were shown to have good stroke knowledge. Future initiatives should focus on discerning whether certain nurse characteristics predict higher or lower levels of stroke knowledge to help inform educational initiatives to improve IHS outcomes.
摘要背景:护士是识别和治疗院内中风(IHS)的关键。延迟治疗时间和不良的患者预后与院内中风有关。我们需要了解护士的卒中知识,并使用有效工具对卒中知识进行客观测量。最近开发了急性卒中管理问卷(ASMaQ)来测试医护人员的卒中知识,但尚未用于特定的护理人群。方法:通过在线调查和使用 ASMaQ,我们将测量美国东南部城市医疗系统中护理成人住院患者的护士的卒中知识。结果:总人数为 196 人。大多数参与者(74.5%,n = 146)从未在卒中楼层工作过;但几乎所有参与者(95.9%,n = 188)过去都护理过卒中患者。大多数参与者(65.3%,n = 128)表示接受过执业前卒中教育,98.5%(n = 193)接受过执业后卒中教育。急性卒中管理问卷总分从 93 分到 133 分不等(平均分 [标码],117.35 [8.15])。大多数参与者在 ASMaQ 全部 3 个领域和 ASMaQ 总分中的卒中知识得分都在良好范围内。结论:在线提供 ASMaQ 成功地测试了护士的卒中知识,表明护士具有良好的卒中知识。未来的计划应重点关注护士的某些特征是否能预测较高或较低的卒中知识水平,从而为改善 IHS 结果的教育计划提供依据。
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引用次数: 0
A Cross-sectional Survey of Comprehension and Satisfaction of Spanish-Reading Adults Regarding RÁPIDO as a Stroke Awareness Acronym. 关于阅读西班牙语的成年人对 RÁPIDO 作为脑卒中认知缩写的理解和满意度的横断面调查。
Fiona S Smith, Hongyin Lai, Irene Tamí-Maury, Angelica Cornejo Gonzalez, Susan Stuart, M. Denny, Andrea Ancer Leal, A. Sharrief, V. Maroufy, S. Savitz, J. Beauchamp
ABSTRACTBACKGROUND: Delay time to hospital arrival may be influenced by lack of recognition of stroke signs and the necessity to seek emergency medical, which in turn is influenced by language barriers to, a modifiable risk factor, stroke awareness education. The objective was to determine the comprehension and satisfaction of a Spanish stroke awareness acronym, RÁPIDO, among community-living, Hispanic and Latino, Spanish-reading adults. METHODS: A 33-item survey was completed by 166 adults. Data on sociodemographics, language preferences, stroke education, and comprehension and satisfaction with RÁPIDO were collected. Descriptive characteristics were calculated. Fisher exact tests were performed to determine whether reading language (group 1, only or predominantly reads in Spanish; group 2, reads in Spanish and English equally or reads predominately in English) influenced survey responses. Responses to open-ended questions were categorized. RESULTS: Sixty-nine percent of the participants were born outside of the United States, 82% currently resided in the United States, 34% read only or predominately in Spanish, and 7% had a stroke. Most participants thought RÁPIDO was informative, eye-catching, and easily remembered. Significant differences were found between reading language preference groups for correctly identifying RÁPIDO images for facial drooping (group 1, 80%; group 2, 95%; P ≤ .001) and dizziness/loss of balance (group 1, 54%; group 2, 73%; P = .027). Eighty percent or more of all participants were able to correctly interpret RÁPIDO images for facial drooping, blurry vision, impaired speech, and call emergency services. Adding "911" to the RÁPIDO image of the clock was a common suggestion. CONCLUSIONS: RÁPIDO was well received among the participants. Modifications to RÁPIDO images representing dizziness/loss of balance and arm weakness, and the addition of "911" may improve its usefulness. Obtaining more extensive feedback across the United States and testing the effect of RÁPIDO on increasing knowledge of stroke signs and retention of that knowledge are necessary next steps.
摘要背景:由于缺乏对中风征兆的识别和急诊就医的必要性,延误了到达医院的时间,而这又受到中风意识教育这一可改变风险因素的语言障碍的影响。本研究旨在确定在社区生活、阅读西班牙语的西班牙裔和拉丁裔成年人对西班牙语卒中意识缩写词 RÁPIDO 的理解程度和满意度。方法:166 名成年人完成了一项 33 个项目的调查。调查内容包括社会人口学、语言偏好、中风教育、对 RÁPIDO 的理解和满意度。计算了描述性特征。对阅读语言(第 1 组,只阅读或主要阅读西班牙语;第 2 组,同样阅读西班牙语和英语或主要阅读英语)是否影响调查回答进行了费雪精确检验。对开放式问题的回答进行了分类。结果:69%的参与者出生在美国境外,82%目前居住在美国,34%只阅读或主要阅读西班牙语,7%曾中风。大多数参与者认为《RÁPIDO》信息量大、醒目、易记。在正确识别RÁPIDO面部下垂图像(第一组,80%;第二组,95%;P ≤ .001)和头晕/失去平衡图像(第一组,54%;第二组,73%;P = .027)方面,阅读语言偏好组之间存在显著差异。80%或更多的参与者能够正确解读RÁPIDO图像中的面部下垂、视力模糊、言语障碍,并拨打急救电话。在RÁPIDO时钟图像上添加 "911 "也是一个常见的建议。结论:RÁPIDO深受参与者的欢迎。对代表头晕/失去平衡和手臂无力的RÁPIDO图像进行修改以及添加 "911 "字样可能会提高其实用性。下一步有必要在全美范围内获得更广泛的反馈,并测试 RÁPIDO 对增加中风征兆知识和保持这些知识的效果。
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引用次数: 0
Nursing and the Art of Making It Happen. 护理与实现的艺术。
DaiWai M Olson
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引用次数: 0
The Effect of the Stopping Elderly Accidents, Deaths, and Injuries Program on Falls Prevention in Neurosurgical Patients. 制止老年人意外事故、死亡和伤害计划对预防神经外科患者跌倒的影响。
Hebah Alsaqer, Jehad A. Rababah, M. Al-Hammouri, Mohamed M Barbarawi, Mohammad Suliman
ABSTRACTBACKGROUND: Despite the negative consequences of falls among neurosurgery patients in acute care settings, there is a lack of high-quality evidence for successful fall prevention programs. This study was conducted to evaluate the effectiveness of the Stopping Elderly Accidents, Deaths, and Injuries (STEADI) program on falling prevention compared with routine falling protocol in neurosurgical patients in Jordan. METHODS: A prospective quasi-experimental design was used in this study. The sample comprised 70 neurosurgical patients from a major university-affiliated hospital in Jordan. The study sample was assigned into a control group (35 patients) and an intervention group (35 patients). A demographics questionnaire, and different fall risk screening tools and tests were used in this study as recommended by the STEADI program. RESULTS: Multivariate analysis of variance results showed a significant effect (P = .001) of the STEADI program on the linear combination of outcome measures. Independent samples t tests further confirmed the program's effectiveness, with statistically significant mean differences in most outcome measures between the intervention and control groups post intervention. After implementing the study intervention, participants in the intervention group had a statistically significant lower risk for falls. CONCLUSION: The findings indicate potential effectiveness in improving neurosurgery patients' outcomes and reducing the risk of falls. Implementing the study recommendations can enhance patient safety and promote evidence-based fall prevention interventions in neurosurgery patients.
摘要背景:尽管神经外科患者在急症护理环境中跌倒会造成不良后果,但目前还缺乏成功预防跌倒计划的高质量证据。本研究旨在评估 "制止老年人意外事故、死亡和伤害(STEADI)"项目与常规跌倒预防方案相比,对约旦神经外科患者跌倒预防的有效性。方法:本研究采用前瞻性准实验设计。样本包括来自约旦一所大型大学附属医院的 70 名神经外科患者。研究样本被分为对照组(35 名患者)和干预组(35 名患者)。根据 STEADI 计划的建议,本研究使用了人口统计学问卷、不同的跌倒风险筛查工具和测试。结果:多变量方差分析结果显示,STEADI 计划对结果测量的线性组合有显著影响(P = .001)。独立样本 t 检验进一步证实了该计划的有效性,干预后,干预组和对照组之间大多数结果测量的平均值差异具有统计学意义。在实施研究干预后,干预组参与者的跌倒风险在统计学上明显降低。结论:研究结果表明,在改善神经外科患者的治疗效果和降低跌倒风险方面具有潜在的有效性。实施研究建议可提高患者安全,促进神经外科患者采取循证预防跌倒干预措施。
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引用次数: 0
Essential Components of a Neuroscience Nursing Orientation: A Delphi Study. 神经科学护理方向的基本要素:德尔菲研究。
Pub Date : 2024-04-01 Epub Date: 2024-02-03 DOI: 10.1097/JNN.0000000000000748
Cynthia Bautista, Marianne Beare Vyas, Lorin Daniels, Mary Guanci, Lori Rhudy

Abstract: BACKGROUND: The essential components of an effective neuroscience nurse orientation program for those caring for the adult general care population have not been well defined or standardized. METHODS : Using a 2-round, modified Delphi methodology, electronic surveys were distributed to 53 experts in neuroscience nursing orientation to gain consensus on the essential components of orientation for the neuroscience nurse. Survey data included demographics of the expert, literature-based components of neuroscience nurse orientation, and an opportunity to agree/disagree or write in additional components. RESULTS : Round 1 of the consensus survey elicited a response rate of 55% (29/53), and round 2 had a 51% (27/53) response rate. On the basis of round 1 expert responses, 4 new orientation components were added, and 36 components of a neuroscience nursing orientation were revised to include only the elements with ≥75% agreement. Twenty-two elements in round 2 met the criteria of ≥75% very important and important to include as components of a neuroscience nursing orientation. CONCLUSION : An expert consensus was reached on the necessary components of a neuroscience nursing orientation. The identified neuroscience nursing orientation components concentrated on improving nursing practice and provision of care to adult neuroscience patients. This study demonstrates priority components within a standardized orientation program for neuroscience nurses based on literature and expert consensus. A comprehensive neuroscience nursing orientation is a vital step in sustaining high-quality care for patients and improving neurological outcomes.

摘要:背景:针对成人普通护理人群的有效神经科学护士指导计划的基本组成部分尚未得到很好的定义或标准化。方法:采用两轮改良德尔菲法,向 53 名神经科学护理指导专家发放了电子调查问卷,以就神经科学护士指导的基本要素达成共识。调查数据包括专家的人口统计数据、基于文献的神经科学护士入职培训内容,以及同意/不同意或写入其他内容的机会。结果:第一轮共识调查的回复率为 55%(29/53),第二轮的回复率为 51%(27/53)。在第 1 轮专家回复的基础上,增加了 4 个新的指导要素,并对神经科学护理指导的 36 个要素进行了修订,仅包括同意率≥75% 的要素。第二轮中有 22 项内容符合非常重要和重要程度≥75% 的标准,可作为神经科学护理指导的组成部分。结论:专家就神经科学护理方向的必要组成部分达成了共识。所确定的神经科学护理指导内容集中于改善护理实践和为成年神经科学患者提供护理服务。本研究在文献和专家共识的基础上,展示了神经科学护士标准化指导计划的重点内容。全面的神经科学护理指导是持续为患者提供高质量护理和改善神经系统预后的重要一步。
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引用次数: 0
Letter to the Editor: Telestroke and Artificial Intelligence. 致编辑的信:远程中风与人工智能。
Pub Date : 2024-04-01 Epub Date: 2023-12-26 DOI: 10.1097/JNN.0000000000000747
Jennifer L Wessol
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引用次数: 0
期刊
The Journal of neuroscience nursing : journal of the American Association of Neuroscience Nurses
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