Online Nursing Journal Club
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.
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.
Contact Person: Cindy Bright, E-mail firstname.lastname@example.org Phone: 630.909.8027
For further information or any questions, please contact Cindy Bright
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:
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:
It should take you approximately 1 hour to read the articles, take the quiz and complete the evaluation.
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