Evidence map›Paper›PMID 34851388›Full record

ReviewCritical care nurse2021

Understanding Disorders of Consciousness: Opportunities for Critical Care Nurses.

Malissa Mulkey

Open access · greenAbstract readReview
In one paragraph

Review in Critical care nurse, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 32% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 5 citations in OpenAlex.

  1. Observational
  2. Article
  3. Best Practices in Oral Care.Critical care nurse · 2023
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

1 author at 1 institution in 1 country.

Malissa MulkeyMalissa A. Mulkey is a postdoctoral research fellow at Indiana University-Purdue University, Indianapolis, Indiana, and a clinical nurse specialist at University of North Carolina-Rex Hospital.
Indiana University Hospital · US

Funding

Advanced Training in Self-Management Interventions for Serious Chronic ConditionsT32NR018407 · NINR · INDIANA UNIVERSITY INDIANAPOLIS · PI KNOPF, AMELIA S, MILLER, WENDY RENEE · 2019 to 2023
$1.8M
NINR NIH HHS T32 NR018407
6 · The paper itself

Abstract

backgroundDisorders of consciousness are powerful predictors of outcomes including mortality among critically ill patients. Encephalopathy, delirium, and coma are disorders of consciousness frequently encountered by critical care nurses but often classified incorrectly.

objectiveTo provide a greater understanding of disorders of consciousness and to provide standardized assessments and nursing interventions for these disorders.

methodsA literature search was conducted by using the terms consciousness, mental status, awareness, arousal, wakefulness, assessment, disorders of consciousness, delirium, encephalopathy, coma, vegetative state, and minimal consciousness. Articles were published in the past 10 years in CINAHL and PubMed. Articles were excluded if they were not in English or directly related to caring for patients with a disorder of consciousness. The remaining 142 articles were evaluated for inclusion; 81 articles received full review.

resultsA disorder of consciousness signifies that the threshold for compensation has been surpassed with potentially irreversible damage. Altered thalamocortical interactions and reduced cortical activity impair communication networks across the various parts of the brain, causing a disturbance in consciousness. DISCUSSION: The cue-response theory is a model that describes the process and impact of nursing care on recovery from acute brain injury. Appropriate standardized assessments and interventions must be used to manage altered levels of consciousness in critically ill patients.

conclusionsPaying close attention to neurological changes and monitoring them with standardized assessments are critical to implementing early measures to prevent complications.

Indexed as

ComaConsciousnessCritical CareCritical IllnessHumans

Identifiers

PMID34851388
PMCPMC9639022
OpenAlexW3217037940

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.