Experiences of giving and receiving care in traumatic brain injury: An integrative review

Kivunja, Stephen; River, Jo; Gullick, Janice

doi:10.1111/jocn.14283

Cited by 14 publications

(13 citation statements)

References 44 publications

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“…15 A recent review about experiences of giving and receiving care in TBI found that NPS, specifically verbal and physical aggression, hindered the provision of quality care and required the implementation of proactive nursing strategies to maintain safety for both patients with TBI and nurses. 16 Indeed, NPS may prompt prescription of psychotropic drugs. However, antipsychotics, prescribed for the treatment of psychosis, agitation, and aggression, may have adverse effects on cognition.…”

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confidence: 99%

The Prevalence and Determinants of Neuropsychiatric Symptoms in People With Acquired Brain Injury in Nursing Homes

Kohnen¹,

Lavrijsen²,

Akkermans

et al. 2020

Journal of the American Medical Directors Association

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Objectives: Establishing the prevalence and determinants of neuropsychiatric symptoms (NPS) in patients with acquired brain injury (ABI) in nursing homes. Design: Cross-sectional, observational study. Setting and Participants: Patients 18-65 years old with ABI in special care units in Dutch nursing homes. Methods: Nursing homes were recruited through the national expertise network for patients with severe ABI, regional brain injury teams, and by searching the Internet. Patient characteristics were collected through digital questionnaires. NPS were assessed with the Neuropsychiatric Inventory-Nursing Home version (NPI-NH) and the Cohen-Mansfield Agitation Inventory (CMAI), cognition with the Mini-Mental State Examination, and activities of daily living with the Disability Rating Scale. Psychotropic drug use (PDU) was retrieved from the electronic prescription system. Individual NPS were clustered. Associations between determinants and NPS were examined using multilevel multivariate linear regression models. Results: In a population of 118 patients from 12 nursing homes, 73.7% had 1 or more clinically relevant NPS and 81.3% 1 or more agitated behaviors. The most common NPS were agitation, in particular aberrant motor behavior (24.6%), repetitious sentences/questions (35.5%), and constant requests for attention (34.6%), verbal (33.6%) and physical (50.5%) aggression, and irritability (28.0%). Male patients were more likely to display hyperactivity. Being married was associated with less verbally agitated behavior and pain was associated with a higher CMAI total score. PDU increased the likelihood of a higher NPI-NH total score. Conclusions and Implications: NPS are common in patients with ABI 65 years of age residing in nursing homes. This is a first step to fill in the knowledge gap concerning NPS in this population. An increasing number of patients with severe ABI may survive the acute phase and will reside many years in nursing homes. It is important to shed more light on these NPS, with regard to course, magnitude, and severity, to ultimately develop appropriate care for this vulnerable group of patients.

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confidence: 99%

The Prevalence and Determinants of Neuropsychiatric Symptoms in People With Acquired Brain Injury in Nursing Homes

Kohnen¹,

Lavrijsen²,

Akkermans

et al. 2020

Journal of the American Medical Directors Association

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“…Few studies have explored what receiving care is like for sufferers of TBI (see Kivunja et al, 2018), and we could only locate a single study that considered women's experiences of receiving care post-TBI (see Alston et al, 2012). For Alston et al (2012), their participants also expressed having negative experiences of receiving care from their male-informal caregivers and similarly kept those sentiments from their partners.…”

Section: Discussionmentioning

confidence: 99%

Women’s Gendered Experiences of Traumatic Brain Injury

et al. 2020

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Despite recognizing that women have worse outcomes after traumatic brain injury (TBI), little is known about how gender influences their experiences of this critical injury. Past research has been dominated by androcentrism and quantitative approaches, leaving the lived experience of women with TBI insufficiently examined. To gain insight into their experiences, this qualitative study interviewed 19 Canadian women with mild and moderate-to-severe TBIs. Applying a thematic analysis, we discerned three themes: Gender prevails considers choosing to do gender over complying with physician advice; Consequences of TBI impeding performativity explores how women frame themselves as terrible people for being unable to do gender post-TBI; and Perceptions of receiving care looks at gendered caregiving expectations. These results broadly align with research on how doing gender influences recovery and health outcomes. We discuss the implications of our findings for knowledge translation, future research on women’s TBI recovery, and clinical practice.

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“…Patients with ABI will benefit from this study. A recent review about experiences of giving and receiving care in TBI showed that NPS hindered the provision of quality care and required the implementation of proactive nursing strategies to maintain safety for both patients with TBI and nurses (Kivunja, River, & Gullick, ). Provision of quality care may be enhanced, e.g., by giving nursing home staff, who are responsible for the daily care of patients with ABI, the tools to improve handling NPS through educational programs.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and characteristics of neuropsychiatric symptoms, quality of life and psychotropics in people with acquired brain injury in long‐term care

Kohnen¹,

Lavrijsen²,

Smals³

et al. 2019

Journal of Advanced Nursing

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AimEstablishing the prevalence of neuropsychiatric symptoms (NPS), quality of life and psychotropic drug use in people aged ≤65 years with acquired brain injury in nursing homes.DesignCross‐sectional, observational study among patients aged 18–≤65 years with acquired brain injury admitted to special care units in Dutch nursing homes.MethodsAccording to the Committee on Research Involving Human Subjects in January 2017 this study did not require ethics approval. Nursing homes will be recruited through the national acquired brain injury expertise network for patients with severe brain injury, the regional brain injury teams and by searching the internet. Patient characteristics will be collected through digital questionnaires. Neuropsychiatric symptoms will be assessed with the NeuroPsychiatric Inventory‐Nursing Home version, the Cohen–Mansfield Agitation Inventory and the St. Andrews Sexual Behaviour Assessment; cognition with the Mini‐Mental State Examination, quality of life with the Quality of Life after Brain Injury Overall Scale and activities of daily living with the Disability Rating Scale. Medication will be retrieved from the electronic prescription system. Data collection commenced in 2017 and will be followed by data analysis in 2019. Reporting will be completed in 2020.DiscussionLittle is known about NPS among patients with acquired brain injury in nursing homes. In patients up to the age of 65 years, only six studies were found on prevalence rates of NPS.ImpactPatients with severe acquired brain injury experience lifelong consequences, that have a high impact on them and their environment. Although there is increasing attention for the survival of this vulnerable group of patients, it is also important to enlarge awareness on long‐term consequences, specifically the NPS, quality of life and psychotropic drug use in acquired brain injury. Insight into the magnitude of these issues is necessary to achieve appropriate care for these patients.

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Experiences of giving and receiving care in traumatic brain injury: An integrative review

Cited by 14 publications

References 44 publications

The Prevalence and Determinants of Neuropsychiatric Symptoms in People With Acquired Brain Injury in Nursing Homes

The Prevalence and Determinants of Neuropsychiatric Symptoms in People With Acquired Brain Injury in Nursing Homes

Women’s Gendered Experiences of Traumatic Brain Injury

Prevalence and characteristics of neuropsychiatric symptoms, quality of life and psychotropics in people with acquired brain injury in long‐term care

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