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Multicenter Study Observational Study
Significant practice pattern variations associated with intracranial pressure monitoring.
- DaiWai M Olson, Lisa S Lewis, Mary Kay Bader, Cynthia Bautista, Rachel Malloy, Kristina E Riemen, and Molly M McNett.
- University of Texas Southwestern, Dallas, TX, USA. DaiWai.Olson@UTsouthwestern.edu
- J Neurosci Nurs. 2013 Aug 1;45(4):186-93.
PurposeThe purpose of this study was to describe nursing practice in the care of patients with intracranial pressure monitoring. Although standards for care of such patients have been established, there continue to be variations in the nursing practice.MethodsThis was an observational study in which data were collected from 28 nurse-patient dyads at 16 different hospitals across the United States. Each dyad was observed for 2 hours; nursing actions and patient responses including intracranial pressure readings were documented.ResultsDifferences in the care of patients with intracranial pressure monitoring were prevalent. Variations in practice were prompted by healthcare provider prescriptions as well as nursing decisions. Prescriptions and interventions were often not supported by the available scientific evidence.Video AbstractFor more insights from the authors, see Supplemental Digital Content 1, at http://links.lww.com/JNN/A7.
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