A key concern when caring for a patient with an transformed level of awareness is "giving the individual the opportunity", where interventions are focused on learning about the patient, safeguarding and monitoring patient position, talking to the patient and working with the family (Villanueva, 1999).
Neuroscience intensive care and attention device nurses carry numerous interventions when caring for a critically sick traumatic brain injured patient. With this study, their specific interventions, that they consistently perform, are diagnosed. Quantitatively and qualitatively, nurses regularly keep an eye on hemodynamic considerations such as O2 saturation, BP and temperatures and other physiological parameters, screen intracranial pressure and cerebral perfusion, and providing mental support. While qualitative analyses entirely showed that the other medical interventions that they actually could be grouped as neurophysiological interventions, psychosocial interventions, injury reduction interventions, and interventions that preserves therapeutic environment. This review would present proofs of the detailed role of the neuroscience rigorous care device nurses looking after Traumatic Brain Injured patients and can be used in future research workers that would like to check out the contribution of neuroscience intensive care product nurses' interventions to the progression of the patient's condition.
After increasing an endorsement from the institutional review boards and nursing administration, a survey was done to 67 nurses who work in 3 different ICUs from two level-I injury centers who regularly look after critically sick TBI patients. Those two injury centers were chosen because they were both comparable in conditions of delivery and company of nursing attention, career ratios, and nurse characteristics to be able to not have bias on the analysis. The respondents were listed nurses that worked well for at least three months as a full-time or part-time medical bedside nurse within an ICU that manages critically sick Traumatic Brain Injured patients. These were approached throughout their unit staff conferences and change-of-shift record times and invited to take part in the study. They were then given a questionnaire that was comprised of 3 parts: Part A was made up of group of questions about their recently taken care of TBI patient, part B included case situations wherein they used nursing judgments, and part C compiled demographic information about the nurse respondents.
For the quantitative data, all neuroscience rigorous care product nurses indicated that they were in charge of the monitoring of the patient's blood pressure, air saturation, and heat. And roughly 50% of the nurses suggested that they were also accountable for the monitoring of the ICP and CPP. For the qualitative data, there have been 4 categories where in the nurse's interventions were grouped. The first one is the Neurophysiological Interventions. It is comprised of monitoring and keeping the physiological variables to ensure neurological balance in TBI patients. In addition to that parameter, they also supervised pulmonary artery and central venous pressure reading, cerebral vertebral fluid drainage, serial laboratory values, and carbon dioxide parameters. Keeping these worth within the standard range, nurses help TBI patient to avoid secondary brain injury and also to uphold neurological steadiness. The second an example may be the Psychosocial Interventions. In this particular category, nurses make meetings between the relative and various customers of the healthcare team. Meetings between your family are organised to provide education and background of the program of good care being rendered to the patients and to give information about the possible patient outcomes and rationales for the therapies. The third you are the Injury Avoidance Interventions. This category seeks to avoid additional complications to the individual and also to ensure patient's security. The principal interventions for this category are maintenance of backbone precautions and consistent reorientation of the individual. Other interventions like elimination of skin malfunction and ventilator-associated pneumonia, elimination of falls and analysis for the need of restraints to prevent disruption of medical devices are considered usual look after any vitally unwell patient. The fourth and the last category is Preserving Therapeutic Milieu. In this category, nurses give ideal environment for the individual and provide their special needs. Restricting visitors, decreasing lighting, minimizing noise, preventing disruption of the patient's sleep-wake cycle will be the interventions done in this group. Which are carried out to provide best care and snooze periods to the individual thus limits further increase in ICP.
Neuroscience nurses indeed have an essential part in the treatment of the critically sick traumatic brain injured patients. Their interventions talk about preventing secondary brain harm and complications and provide significant support and direction for the family. Therefore, they may have a major contribution to the patient's positive results, but there is still no research documenting their multifaceted role on the patient's development. These data are had a need to acknowledge the exceptional contribution of neuroscience ICU nurses within the interdisciplinary team caring for TBI patients so when a base for future research investigating how ICU nurses impact patient and family recovery from TBI through the acute level of harm.