Marianjoy Library

Online Nursing Journal Club

August, 2013

Welcome to the online Nursing Journal Club! The articles for this month will count for 1 continuing education credit and will be available through August 31.

Discussion Via Google Docs/Drive

Reading Assignment:

Patterns of agitated behaviour during acute brain injury Rehabilitation

Brain Injury, September 2010; 24(10): 1214–1221

Nott MT, Chapparo C, Heard R, Baguley IJ.


Objective: To monitor daily shift-by-shift changes in agitated behaviour during adult brain injury rehabilitation.

Design: A prospective, descriptive study.

Methods: Eight participants were monitored daily for up to 28 days. The Agitated Behaviour Scale (ABS) evaluated behaviour during three nursing shifts (morning, afternoon, night). Severity of agitation, peak intensity and concomitant behaviours were calculated. Shift differences and patterns of behavioural changes were analysed.

Results: Four hundred and seven recordings were taken with the ABS. All participants demonstrated multiple agitated behaviours (between 3-13 concomitant behaviours per person); the most common behaviours were representative of the ABS Disinhibition sub-scale. Weekly peak intensity ranged from 14-55 on the ABS. Mean ABS scores were highest during the afternoon shift and lowest at night. Improved cognition was associated with resolving agitated behaviour; while persistent agitated behaviour was associated with low levels of cognition. Minimal agitated behaviour was observed in participants who emerged from post-traumatic amnesia.

Conclusions: Agitated behaviour during acute brain injury rehabilitation has a complex clinical presentation. High levels of agitation observed during the afternoon shift may be associated with low levels of structured activities available at that time, higher levels of environmental stimuli during visiting times and increased cognitive fatigue. Lower cognitive ability was related to consistently higher levels of agitated behaviour and vice-versa.


The purpose of the online Nursing Journal Club is to facilitate the use of evidence-based practice in providing excellent nursing care.


  • Identify at least 2 factors associated with agitation in patients with brain injury
  • Identify at least 2 nursing interventions that may decrease agitation

Contact Person: Cindy Bright, E-mail   Phone: 630.909.8027                 
Provide your e-mail address

  • you may use either your personal or Marianjoy e-mail address
  • Article will be e-mailed to you
  • Google Docs/Drive will be used for discussion

For further information or any questions, please contact Cindy Bright

Sign Up: SIGN-UP by July 31 to receive article by August 1.

Available Credits: 1Contact Hour

Instructions for receiving the credits:

There are 3 parts to earning CE credit for this article. All components must be completed between August 1 and August 31, 2013:

  1. After reading the article, there is a short post-test on the Learning Link. To get to the module, open and login to Learning Link, click View course catalog, select All courses, and then enter PRCH4013 to find the August journal module. You must complete the post-test on or before August 31 and score at least 80% correct to earn CE credit.
  2. An evaluation of this learning opportunity is required to obtain the CE credit. A link to the evaluation will be found at the end of the post-test.
  3. As part of the requirements to earn the CE credit, you must participate in a discussion about the articles. This discussion will take place via Google Docs/Drive. A Nursing Journal Club designee will generate the discussion. You must respond / participate in the discussion at least 1 time by August 31 to be compliant.

To add some extra excitement to our Journal Club, we will be offering a $25 gift card in a raffle drawing for members that earn CE credit over the next three months. Raffle will take place at the end of September. Be sure to participate so your name will be included in the drawing. As an additional perk, if a participant encourages another Journal Club member to join in the discussion (and the referred member states the referring member’s name in their discussion), we will add the referring member’s name an additional time in the drawing. Remember that both members must earn their CE credit for the month for the referring member to be entered an additional time in the drawing.

The winner will be notified by e-mail and the gift card will be sent to them within 2 weeks after the close of the month.

Instructions to access the Google Docs/Drive Web page for Discussion and to post comments:

  • Click on Google Docs/Drive or the following Link/URL:

  • Ignore the message to upgrade to a modern browser, such as Google Chrome and click on Dismiss (this message may appear on the top)
  • Click on the Comments button (top Right hand) to add your comment
  • Please sign your full name after each comment
  • After typing your comments, click on Comments one more time; you will be able to see your comments
  • For a reply to a specific comment, you may use the Reply button; the comment will appear next to that specific comment, or you may generate your own comment

It should take you approximately 1 hour to read the articles, take the quiz and complete the evaluation. 

As a member of the Nursing Journal Club, you will automatically receive subsequent articles on the first of each month. If you would like to cancel your membership at any time, please contact Cindy Bright via e-mail or contact her at 630.909.8027. We will send out a flyer announcing the next article approximately 2 weeks prior to sending it out.

We are excited that you are interested in this new opportunity. We welcome any comments or suggestions you may have.

Marianjoy Rehabilitation Hospital- Professional Practice Committee, (OH-387, 9/28/2013) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

As required by the American Nurses Credentialing Center’s Accreditation Program, we would like to make you aware of all potential conflicts of interest(s). This educational activity’s planners and presenters have indicated that they have no bias or conflict of interest. Marianjoy Rehabilitation Hospital has not received any commercial support for this program. There will not be any endorsement of products or discussion of off-lable use.

The Marianjoy Online Nursing Journal Club is a joint effort between the Nursing Department, the Medical Library, and the Research Department







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