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Citation |
Olson DM, McNett MM, Lewis LS, Riemen KE, Bautista C. Am. J. Crit. Care 2013; 22(5): 431-438. |
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Affiliation |
DaiWai M. Olson was an assistant professor at Duke University Medical Center, Durham, North Carolina, when this article was written. He is now an associate professor in the Department of Neurology and Therapeutics at University of Texas Southwestern Medical Center in Dallas. Molly M. McNett is director of nursing research at Metrohealth Medical Center in Cleveland, Ohio. Lisa S. Lewis is a nursing instructor at Watts School of Nursing in Durham, North Carolina. Kristina E. Riemen is a clinical research coordinator at Duke University Medical Center. Cynthia Bautista is a clinical nurse specialist at Yale-New Haven Hospital in New Haven, Connecticut. |
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Copyright |
(Copyright © 2013, American Association of Critical-Care Nurses) |
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DOI |
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PMID |
23996423 |
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Abstract |
Background Intracranial pressure is a frequent target for goal-directed therapy to prevent secondary brain injury. In critical care settings, nurses deliver many interventions to patients having intracranial pressure monitored, yet few data documenting the immediate effect of these interventions on intracranial pressure are available. Objective To examine the relationship between intracranial pressure and specific nursing interventions observed during routine care. Methods Secondary analysis of prospectively collected observational data. Results During 3118 minutes of observation, 11 specific nursing interventions were observed for 28 nurse-patient dyads from 16 hospitals. Family members talking in the room, administering sedatives, and repositioning the patient were associated with a significantly lower intracranial pressure. However, intracranial pressure was sometimes higher, lower, or unchanged after each intervention observed. Conclusion Response of intracranial pressure to nursing interventions is inconsistent. Most interventions were associated with inconsistent changes in intracranial pressure at 1 or 5 minutes after the intervention. Language: en |