Canadian journal of neuroscience nursing
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Can J Neurosci Nurs · Jan 2014
Development of clinical practice guidelines for urinary continence care of adult stroke survivors in acute and rehabilitation settings.
This study developed evidence-based clinical practice guidelines for the urinary continence care of adult stroke survivors in acute and rehabilitation settings. The research team conducted a comprehensive review of the literature on urinary continence interventions and outcomes. The team then developed a set of recommendations outlined in the resulting clinical practice guidelines titled Clinical Practice Guidelines (CPGs) for the Urinary Continence Care of Stroke Survivors in Acute and Rehabilitation Settings. ⋯ This study assessed nurses' knowledge, attitudes, and beliefs regarding urinary continence challenges using a survey before and after the pilot. Chart reviews before and after the pilot implementation audited the nurses' urinary continence practices for patients and uptake of the selected guidelines' recommendations. Study findings suggested the implementation of the CPGs' recommendations improved nurses knowledge of the continence needs of stroke survivors.
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Can J Neurosci Nurs · Jan 2014
Promoting rest using a quiet time innovation in an adult neuroscience step down unit.
Sleep and rest are fundamental for the restoration of energy needed to recuperate from illness, trauma and surgery. At present hospitals are too noisy to promote rest for patients. ⋯ In this paper, a description of the importance of quiet time and how a small butfeasible innovation was carried out in an adult neuroscience step down unit in a large tertiary health care facility in Canada is provided. Anecdotal evidence from patients, families, and staff suggests that quiet time may have positive effects for patients, their families, and the adult neuroscience step down unit staff Future research examining the effect of quiet time on patient, family and staff satisfaction and patient healing is necessary.