The Use of Aesthetic Knowledge in the Management of Brain Injury Patients

Alverzo, Joan P.

doi:10.1002/j.2048-7940.2004.tb00316.x

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…Our findings add to the literature by documenting nonpharmacological strategies nurses use to manage agitation and behaviour problems in patients with TBI who have cognitive impairments (Alverzo, ; Mortimer & Berg, ). Recent research on nursing management of agitation in patients with TBI also recommends nurses promote patients' sleep–wake cycles and use alternative strategies such as aromatherapy, massage therapy and music to prevent and address agitation in this patient population (Mortimer & Berg, ).…”

Section: Discussionsupporting

confidence: 55%

“…The three most commonly used types of nursing strategies were cognitive techniques, communication techniques and patient safety techniques. This study has generated new knowledge on this topic, as few studies have assessed strategies providers use to care for patients with cognitive impairments, including patients with moderate‐to‐severe TBI (Alverzo, ; Collis & Bloch, ; Oppikofer & Geschwindner, ).…”

Section: Discussionmentioning

confidence: 99%

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

Oyesanya

Thomas

2019

Journal of Clinical Nursing

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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.

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Section: Discussionsupporting

confidence: 55%

Section: Discussionmentioning

confidence: 99%

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

Oyesanya

Thomas

2019

Journal of Clinical Nursing

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“…Nurses in this agency plan that the minimum standards of care developed from these findings will be integrated with aesthetic knowledge, as recommended by Alverzo (2004). Standardized languages express the similarities of care in working with people with TBI, not the differences.…”

Section: Discussionmentioning

confidence: 99%

Consensus-Validation Study Identifies Relevant Nursing Diagnoses, Nursing Interventions, and Health Outcomes for People with Traumatic Brain Injuries

Lunney

McGuire²,

Endozo³

et al. 2010

Rehabilitation Nursing

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A consensus‐validation study used action research methods to identify relevant nursing diagnoses, nursing interventions, and patient outcomes for a population of adults with traumatic brain injury (TBI) in long‐term care. In meetings totaling 159 hours to reach 100% consensus through group discussions, the three classifications of NANDA International's (NANDA‐I's) approved nursing diagnoses, the Nursing Interventions Classification (NIC), and the Nursing Outcomes Classification (NOC) were used as the basis for three nurses experienced in working with adults with TBI to select the elements of nursing care. Among almost 200 NANDA‐I nursing diagnoses, 29 were identified as relevant for comprehensive nursing care of this population. Each nursing diagnosis was associated with 3–11 of the more than 500 NIC interventions and 1–13 of more than 300 NOC outcomes. The nurses became aware of the complexity and the need for critical thinking. The findings were used to refine the facility's nursing standards of care, which were to be combined with the interdisciplinary plan of care and included in future electronic health records.

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“…Accordingly, it is more important now than ever to define the goals of nursing by using an aesthetic approach” ( 17 ). In fact, the lost art of nursing, which has been neglected for many years, is now being revived and contains new pretensions and requests ( 18 , 19 ). Unfortunately, despite the emphasis of documents and contemporary theories on the belief that nursing is a science and an art in care, a review of published studies shows that only the nursing science has developed.…”

Section: Introductionmentioning

confidence: 99%

“…Austgard says, “The primary difficulty is that the nurse’s experience can never be a totally inward experience concerning his/her own private feelings, but will always have to occur in the context of the relationship and interaction with the patient” ( 10 ). On the other hand, good nursing should be evaluated by the nurses who have complete dominance on science and philosophy of caring; moreover, their experience should be considered ( 9 , 19 ). Since there are no studies to explain perception of nursing care aesthetics in our nursing culture, we decided to conduct this study to answer this question: which aspects of nursing care do nurses and clients recognize as aesthetics or part of the art of nursing?…”

Section: Introductionmentioning

confidence: 99%

Nursing Care Aesthetic in Iran: A Phenomenological Study

Radmehr¹,

Ashktorab²,

Abedsaeedi³

2015

Nurs Midwifery Stud

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Background:Despite the emphasis of contemporary nursing theories on the belief that nursing is a science and an art in care, published studies show that only the nursing science has developed. Many experts believe that by recognizing and perceiving this concept, the clinical field can develop aesthetic knowledge in nursing and education of students.Objectives:The purpose of this study was to explain clients and nurses perspective of nursing care aesthetics.Patients and Methods:Using an interpretive phenomenology, 12 clients and 14 nurses were interviewed. Participants in this study were purposefully selected and their experiences were analyzed using Van Manen’s hermeneutic phenomenological framework.Results:Emerged themes were as follows: subjective description, overt spirituality, opening desperate impasse, sense of unity, continue to shine, and painful pass and pleasing. According the participants experiences, nursing care aesthetics includes subjective description of spiritual and desirable caring behaviors combined with sense of unity and sympathy between the nurse and the patients, which leads to opening in desperate impasse with creating the feeling of satisfaction and peace in the patient. It is a shining of clinical capabilities and an action beyond what should be combined with a decorating care that leads to a pleasant ending against the pain and suffering of the others for the nurse.Conclusions:Many caring behaviors associate with aesthetic experience for both patients and nurses and despite two different views, findings of this study showed that these experiences were similar in most cases. The aesthetics of nursing care was defined as what reflects the holistic nature of nursing with an emphasis on spirituality and skill. Results of this study are effective in identification of the values existed in nurse caring behaviors and developing of profession by instruction, implementation, and evaluation them.

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The Use of Aesthetic Knowledge in the Management of Brain Injury Patients

Cited by 5 publications

References 18 publications

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

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

Consensus-Validation Study Identifies Relevant Nursing Diagnoses, Nursing Interventions, and Health Outcomes for People with Traumatic Brain Injuries

Nursing Care Aesthetic in Iran: A Phenomenological Study

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