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Cognitive Rest: An Integrated Literature Review
1Austin Community College, Austin, TX, USA The University of Texas at Tyler, Tyler, TX, USA k_schneider@yahoo.com.
Cognitive rest, crucial for student athletes after a concussion, is defined as freedom from discomfort, avoiding mental exertion, and achieving balance. This concept guides nursing interventions and return-to-classroom protocols for concussion management.
Area of Science:
- Sports Medicine
- Neurology
- Nursing Intervention
Background:
- Cognitive rest is a proposed treatment for concussions in student athletes.
- The concept of cognitive rest lacks a clear, comprehensive definition in existing literature.
- This ambiguity hinders effective implementation in clinical and educational settings.
Purpose of the Study:
- To provide a comprehensive definition of cognitive rest.
- To establish defining attributes and empirical referents for cognitive rest.
- To guide the development of nursing interventions and return-to-classroom protocols.
Main Methods:
- An integrative literature review was conducted.
- Avant and Walker's concept analysis format guided the synthesis.
- Model cases were used to illustrate the concept.
Main Results:
- Three defining attributes of cognitive rest were established: freedom from physical or mental discomfort, abstinence from mental exertion, and mental and emotional balance.
- Empirical referents were identified to operationalize the concept.
- A protocol framework for school nurses was proposed.
Conclusions:
- A clear definition of cognitive rest is essential for concussion management in student athletes.
- The established attributes provide a foundation for consistent application of cognitive rest.
- The proposed protocol aids school nurses in developing individualized cognitive rest and return-to-classroom plans.
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