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Strategies nurses use when caring for patients with moderate-to-severe traumatic brain injury who have cognitive impairments.

Abstract：

AIMS AND OBJECTIVES:Adults with moderate-to-severe traumatic brain injury (TBI) may have immediate and chronic cognitive impairments that require use of specific nursing strategies. Nurses must be knowledgeable about strategies to use to accommodate these impairments. However, available clinical guidelines and research lack information to direct nonacute nursing management of cognition, limiting guidance for nurses when developing their care plans. The purpose of this study was to investigate strategies nurses use when caring for patients with moderate-to-severe TBI who have cognitive impairments. DESIGN:Cross-sectional, exploratory study. METHODS:A total of 692 nurses from three hospitals answered the following open-ended question via electronic survey: "Imagine you are caring for a patient with moderate-to-severe TBI who has problems with cognition (e.g., issues with memory, attention, and executive function). Please state your typical nursing routine to care for this type of patient." Data were analysed using summative content analysis. Methods are reported using COREQ guidelines (See File S1). RESULTS:Most respondents were female (89%), middle-aged (40.3 years), staff registered nurses (77%) practicing on an inpatient unit (51%) with prior experience caring for patients with moderate-to-severe TBI (95%). Nurses described 189 strategies used in their care plan when caring for patients with TBI who have cognitive impairments, including the following: (a) cognitive techniques; (b) communication techniques; (c) patient safety techniques; (d) agitation and behaviour management techniques; and (e) education techniques. CONCLUSIONS:Findings have implications for education and training of nurses, direction for future research aimed at determining the effectiveness of nursing strategies with this patient population, and for development of clinical guidelines for nonacute nursing management of patients with moderate-to-severe TBI who have cognitive impairments. RELEVANCE TO CLINICAL PRACTICE:Findings provide foundational knowledge on strategies nurses use when caring for patients with TBI who have cognitive impairments, which could be used to direct evidence-based nursing care of this patient population.

journal_name

J Clin Nurs

journal_title

Journal of clinical nursing

authors

Oyesanya TO,Thomas MA

doi

10.1111/jocn.14958

subject

Has Abstract

pub_date

2019-11-01 00:00:00

pages

4098-4109

issue

21-22

eissn

0962-1067

issn

1365-2702

journal_volume

pub_type

杂志文章

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Strategies nurses use when caring for patients with moderate-to-severe traumatic brain injury who have cognitive impairments.