A novel approach to explore how nursing care affects intracranial pressure

Dai Wai M. Olson, Camille Parcon, Aljean Santos, Guilla Santos, Ryan Delabar, Sonja E. Stutzman

Research output: Contribution to journalArticlepeer-review

3 Scopus citations


Background Intracranial pressure is measured continuously, and nursing behaviors have been associated with variations in the measurements. Methods A prospective pilot observational study was done to develop a comprehensive list of nursing behaviors that affect patients' intracranial pressure. Data on nurses were obtained by self-reports and video recording. Patient-level data were collected via chart abstraction, video recording, and patients' monitors. Results Data on 9 patients and 32 nurses were analyzed. A total of 6244 minutes of data were video recorded. Intracranial pressure was changed because of a nursing intervention during 3394 observations. Compared with baseline levels, intracranial pressure was significantly higher if a nursing intervention was performed (odds ratio, 1.96; 95% CI, 1.71-2.24; P < .001). Conclusion Studying nursing behaviors is feasible. Synchronizing and analyzing mutually exclusive and exhaustive behaviors indicated that nursing behaviors have an effect on patients' intracranial pressure.

Original languageEnglish (US)
Pages (from-to)136-139
Number of pages4
JournalAmerican Journal of Critical Care
Issue number2
StatePublished - Mar 1 2017

ASJC Scopus subject areas

  • Critical Care


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