Semin Neurol 2024; 44(03): 357-361
DOI: 10.1055/s-0044-1787048
Review Article

Nursing Interventions in Neurocritical Care

Sarah L. Livesay
1   Department of Adult and Gerontological Nursing, Rush University College of Nursing, Chicago, Illinois
› Author Affiliations

Abstract

Highly educated and skilled nursing care is critical to improving patient outcomes in general and in specialties like neurocritical care. Nursing interventions reflect nursing knowledge, critical thinking, and decision-making and is generally rooted in the nursing process. Nursing interventions are also a key focus of research to better understand how nursing care influences patient outcomes. This review describes the literature regarding nursing interventions in key neurocritical diagnoses and contextualizes it within the broader discussion about the nursing process and nursing interventions research. Publications about nursing interventions in neurocritical care emphasize key themes, including managing neurophysiologic parameters, providing psychosocial support, managing the environmental milieu, and interventions to prevent complications. Further study of how to best support nurses in collecting and interpreting data to form nursing interventions is needed, as is understanding the benefits and limitations of the nursing process in low- and middle-income countries.



Publication History

Article published online:
24 May 2024

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  • References

  • 1 Doenges ME. Mary Frances Moorhouse, Murr AC. Nursing Care Plans. F.A. Davis; 2019
  • 2 NANDA (Herdman). NANDA International Nursing Diagnoses: Definitions and Classification 2021–2023. Thieme; 2021
  • 3 Spilsbury K, Meyer J. Defining the nursing contribution to patient outcome: lessons from a review of the literature examining nursing outcomes, skill mix and changing roles. J Clin Nurs 2001; 10 (01) 3-14
  • 4 Forbes A. Clinical intervention research in nursing. Int J Nurs Stud 2009; 46 (04) 557-568
  • 5 Coster S, Watkins M, Norman IJ. What is the impact of professional nursing on patients' outcomes globally? An overview of research evidence. Int J Nurs Stud 2018; 78: 76-83
  • 6 Waddell GH. Status epilepticus: nursing management. Adv Neurol 1983; 34: 405-409
  • 7 Livesay SL. The bedside nurse: the foundation of multimodal neuromonitoring. Crit Care Nurs Clin North Am 2016; 28 (01) 1-8
  • 8 LaBuzetta JN, Hirshman BR, Malhotra A, Owens RL, Kamdar BB. Practices and patterns of hourly neurochecks: analysis of 8,936 patients with neurological injury. J Intensive Care Med 2022; 37 (06) 784-792
  • 9 LaBuzetta JN, Kamdar BB, Malhotra A. Reassessing hourly neurochecks. J Clin Neurosci 2023; 110: 71-73
  • 10 Kishore K, Cusimano MD. The fundamental need for sleep in neurocritical care units: time for a paradigm shift. Front Neurol 2021; 12: 637250
  • 11 Chotai S, Chen JW, Turer R. et al. Neurological examination frequency and time-to-delirium after traumatic brain injury. Neurosurgery 2023; 93 (06) 1425-1431
  • 12 LaBuzetta JN, Kazer MR, Kamdar BB. et al. Neurocheck frequency: determining perceptions and barriers to implementation of evidence-based practice. Neurologist 2023; 28 (03) 160-165
  • 13 De Leon Benedetti AM, Bhatia R, Ancheta SR, Romano JG, Koch S. How well do neurochecks perform after stroke?. Stroke 2021; 52 (03) 1094-1097
  • 14 Nye BR, Hyde CE, Tsivgoulis G, Albright KC, Alexandrov AV, Alexandrov AW. Slim stroke scales for assessing patients with acute stroke: ease of use or loss of valuable assessment data?. Am J Crit Care 2012; 21 (06) 442-447 , quiz 448
  • 15 Lee CF, Venketasubramanian N, Wong KS, Chen CL. CHIMES Study Investigators. Comparison between the original and shortened versions of the national institutes of health stroke scale in ischemic stroke patients of intermediate severity. Stroke 2016; 47 (01) 236-239
  • 16 McNett MM, Gianakis A. Nursing interventions for critically ill traumatic brain injury patients. J Neurosci Nurs 2010; 42 (02) 71-77 , quiz 78–79
  • 17 Amatangelo MP, Thomas SB. Priority nursing interventions caring for the stroke patient. Crit Care Nurs Clin North Am 2020; 32 (01) 67-84
  • 18 Wuchner SS, Bakas T, Adams G, Buelow J, Cohn J. Nursing interventions and assessments for aneurysmal subarachnoid hemorrhage patients: a mixed methods study involving practicing nurses. J Neurosci Nurs 2012; 44 (04) 177-185 , quiz 186–187
  • 19 McNett MM, Olson DM. Evidence to guide nursing interventions for critically ill neurologically impaired patients with ICP monitoring. J Neurosci Nurs 2013; 45 (03) 120-123
  • 20 Nyholm L, Steffansson E, Fröjd C, Enblad P. Secondary insults related to nursing interventions in neurointensive care: a descriptive pilot study. J Neurosci Nurs 2014; 46 (05) 285-291
  • 21 Pullen Jr RL. Protecting your patient during a seizure. Nursing 2003; 33 (04) 78
  • 22 Hickey J, Duffy LV, Hinkle JL. et al. Scholarship in neuroscience nursing. J Neurosci Nurs 2019; 51 (05) 243-248
  • 23 Zamanzadeh V, Valizadeh L, Tabrizi FJ, Behshid M, Lotfi M. Challenges associated with the implementation of the nursing process: a systematic review. Iran J Nurs Midwifery Res 2015; 20 (04) 411-419