2025 Virtual INNRS Education Session Descriptions
All times are in the Central time zone (CDT).
Friday, January 24, 2025
Welcome & Introduction
9:00 am CDT
Nursing Outcome Quality Indicators for Ischemic Stroke Patients Receiving Thrombectomy Treatment
9:05 am CDT
Author: Werayuth Srithumsuk, DSN RN (Thailand)
The study revealed 28 nursing outcome quality indicators by the post-procedure of thrombectomy treatment had a greater number compared to pre and intra-procedures. Therefore, prevention complications after thrombectomy is very important for nurse’s role.
AI in Neurocritical Care: Current Applications, Future Implications, and the Evolving Role of Nursing
9:15 an CDT
Author: Khalil Yousef, PhD RN (Dubai)
This presentation will explore recent literature on AI in neurocritical care, examine potential future implications, and highlight the role of nurses in this evolving field
The Impact of Primary Nursing on Delirium Duration During Intensive Care Unit Stay: A Randomized Feasibility Trial
9:40 am CDT
Author: Lars Krüger, MSc RN (Germany)
We tested the feasibility of a randomized controlled trial for comparing primary nursing with standard care. Primary clinical outcome was duration of delirium, secondary outcome was, among others, the incidence of delirium. During primary nursing and standard care, 18 and 24 patients developed a delirium, with a median duration of 32 (IQR: 14-96) and 24 (IQR: 8-44) hours (P = 0.10), while the risk difference of delirium for primary nursing versus standard care was 11 %.
Transforming Early Stroke Care Through Mobile Stroke Treatment Unit Rendezvous with Rural Emergency Medical Services in Florida
9:50 am CDT
Author: Nicolle Davis, PhD RN SCRN ASC-BC FAHA (United States)
While MSTUs have improved stroke care throughout the US and abroad, it is unknown if the rendezvous process with rural EMS in Florida is effective. I will discuss stroke outcomes metrics between patients treated on the MSTU vs the standard process of EMS to the ED, with special attention to patients evaluated through the rural rendezvous process.
Perceived Social Support for Family Caregivers of Medically Complex Children: Research Tools to Assess Influencing Factors
10:45 am CDT
Author: Heather M. Kennedy, MS APRN PCNS-BC CNRN CCRN-P CWOCN (United States)
This study explores factors influencing perceived social support for family caregivers of children with medical complexity (i.e., epilepsy, neurodevelopmental conditions, progressive neuromuscular conditions, mitochondrial and metabolic disorders, hydrocephalus). Medical complexity contributes to health disparities, particularly for children from diverse racial and ethnic backgrounds. Research using validated tools to assess social determinants of health risk and perceived social support in a diverse sample of family caregivers is critical to understanding the factors that impact perceived social support for family caregivers.
Pupil Light Reflex Measurements for the Prediction of Delirium Following Traumatic Brain Injury
10:55 am CDT
Author: Caroline Arbour, PhD RN (Canada)
Caroline Arbour is an associate professor in the Faculty of Nursing at the Université de Montréal. Her research focuses on validating new wearable technologies to improve nursing practice in critical and specialized care settings. In this presentation, she will share findings that highlight the advantages of using automated pupil assessment to assist nurses in making clinical decisions related to delirium in ICU patients.
Improving Organizational Health Literacy of the MGH Neuroscience ICU for Patients Requiring Tracheostomy
11:20 am CDT
Author: Benchize S. Fleuraguste, MSN RN (United States)
Prior research suggests inadequate information is provided to patients during shared decision making for tracheostomy that both incorporate patient preferences and explains long term outcomes. To improve shared decision making, understanding perceptions of clinicians and nurses around communication practices and standards is an important first step. Assessment of staff using a validated Org-Health Literacy tool, Neuro ICU staff perceive limited access and utilization of various formats of health information and is a major barrier to tracheostomy shared decision making.
The Pusher Syndrome in Stroke Affected Patients: A Modellising Body-Massage as a Treatment Option
11:30 am CDT
Author: Bianca Schmidt-Maciejewski, M.Sc. (Germany)
The pusher syndrome is a severe complication of stroke, which leads to a deteriorated patients' outcome and to a higher need for care even after hospital discharge. Yet therapeutic options, useful in nursing care, are missing. A modellising body-massage can recalibrate the subjective postural vertical of the patients and can therefore be an approach to reducing the symptoms of pusher behavior. During the presentation a definition of the pusher syndrome will be given as well as a short overview of todays treatment options. Finally the modellising body-massage will be described and the effects of this intervention on the subjective postural vertical and on the symptoms of pusher behavior will be shown.
End-of-Life Symptoms and Outcomes in Patients Diagnosed with Stroke
11:55 am CDT
Author: Hanna Ramsburg, PhD RN AGPCNP-BC (United States)
The purpose of this secondary analysis of the National Health and Aging Trends Study (NHATS), a longitudinal prospective cohort study of Medicare beneficiaries, was to explore the place of death, care intensity, EOL symptom prevalence, and management of pain, dyspnea, and emotional distress among patients diagnosed with stroke, and to compare the place of death, care intensity, symptom prevalence, symptom management, and overall rating of care between patients diagnosed with stroke to patients diagnosed with cancer in the last month of life.
Top Rated Poster Abstract: Exploring the Imbalance in Scoring Fallouts for Stroke Center Certification
12:05 pm CDT
Author: Anjali Perera, BSN RN CCRN (United States)
More information coming soon!
Average Ventilator Days Among Neurocritical Patients in a Tertiary Hospital in Western Kenya
2:00 pm CDT
Author: Faith Sila, MSN RN (Kenya)
The core study aims to assess the relationship between Neuro-assessment training and patient outcomes including Average ventilator days. The presentation will cover baseline data before the training program.
Essential Components of a Neuroscience Nursing Orientation: A Delphi Study
2:10 pm CDT
Authors: Mary McKenna Guanci, MSN RN CNRN SCRN FNCS; Marianne Beare Vyas, PhD RN ANP-BC CNRN (United States)
The essential components of an effective neuroscience nurse orientation program for those caring for the adult general care population have not been well defined or standardized. Neuroscience nursing orientation experts who participated in this study provided consensus and determined
Exploring Association Among Community Factors and Prehospital Delays To Emergency Care In Acute Stroke Patients
2:35 pm CDT
Author: Ranisha Parker, MSN RN SCRN (United States)
This research study examined associations between social determinants of health and prehospital delays for stroke care. While studies have analyzed these factors at the macro level, this team focused on socioeconomic and demographic variables using data more specific to patients’ geographic location.
A Statewide Approach to Improving Acute Stroke Care
2:45 pm CDT
Author: Nicky Anderson, BSN RN SCRN ASC-BC (United States)
The Minnesota Department of Health (MDH) received legislative authorization in 2013 to create the Minnesota Stroke System (MSS) and designate stroke-ready hospitals. The MSS is charged with identifying disparities and improving health equity, implementing clinical practice, policy, and systems changes that will positively impact process metrics that reflect best practices, national guidelines, and health outcomes for acute stroke patients.
NCC Palliative Care Screening Tool
3:25 pm CDT
Author: Julia Valenziano (United States)
We evaluated the feasibility and acceptability of a preliminary palliative care screening tool for neurocritical care patients. This presentation will describe the findings of the study and next steps.
Strongly Disagree: Evaluating the Patient's Perioperative Journey
3:35 pm CDT
Author: Scott Wilson, MA M.Litt RN (Scotland)
I shall discuss the evolution and various iterations of the Institute of Neurological Sciences Perioperative Patient Experience Questionnaire (INSPPEQ). I shall focus on how what point we ask for feedback influences response, and techniques to parse useful service improvement data from the feedback.
The Investigation of Plasma Protein Biomarkers in the Military Population with Persistent Symptoms after a Mild Traumatic Brain Injury
4:15 pm CDT
Author: Denise M. Rios, PhD ACNP-BC (United States)
The study was conducted to investigate an association of elevation of brain, metabolic, and inflammatory plasma protein biomarkers to symptom severity of mTBI. This study utilized existing clinical data and plasma protein samples from a recently completed Department of Defense study, that focused on neurophysiological symptoms
Humanizing Care in the ICU: Patient and Provider Perspectives on the Get to Know Me Board
4:25 pm CDT
Author: Lori M. Rhudy, PhD APRN CNS ACNS-BC CNRN (United States)
Critically ill patients are at heightened risk of anonymity, loss of dignity and may be viewed as a an impersonal bed location or conglomeration of syndromes. This results in the harm of dehumanization. A Get to Know Me Board (GTKMB) is a personal patient profile designed to rescue patient from anonymity. This presentation will highlight research on patient/family and provider perspectives on use of this tool.
"Kaginhawahan": Nature of Health, Wellness and Relational Harmony Among Filipino Post Stroke Older Persons Living in the Community
4:55 pm CDT
Author: Rudolf Cymorr Kirby Martinez, PhD MA RN CGNC SGHN FFNMRCSI (Philippines)
This research explores how the concept of "kaginhawahan" is understood and lived among community dwelling Filipino older person who suffered from stroke. Kaginhawahan is an expression of health, wellness and relational harmony among Filipinos. Implications from the findings of the study that aim to improve care for persons living with post-stroke condition will also be discussed.
The Current State of Long COVID in Japan Related to Neuroscience Nursing: Results of Questionnaire and Interview Surveys
5:05 pm CDT
Author: Nobuko Okubo, PhD RN (Japan)
Long COVID with cognitive dysfunction is a problem in Japan. We investigated the current situation of Long COVID in Japan and suggested nursing practice from the field of neuroscience nursing.