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Controlled Cortical Impact Model for Traumatic Brain Injury
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Secondary Brain Injury: A Concept Analysis.

Stefany Ortega-Pérez1, María Consuelo Amaya-Rey

  • 1Questions or comments about this article may be directed to Stefany Ortega Pérez, PhD(c) MSc RN, at srortega@uninorte.edu.co. She is an Assistant Professor, Nursing School, Universidad del Norte, Barranquilla, Colombia. Becario Colciencias 757. PhD student at Universidad Nacional de Colombia, Bogotá, Colombia. María Consuelo Amaya Rey, PhD MSN BS FNP RN, is a Full-Emeritus Professor, Nursing School, Universidad Nacional de Colombia, Bogotá, Colombia.

The Journal of Neuroscience Nursing : Journal of the American Association of Neuroscience Nurses
|July 10, 2018
PubMed
Summary

Secondary brain injury (SBI) results from brain trauma or vascular disease, causing disabilities. Defining SBI improves recognition and prevention strategies for better patient outcomes.

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Area of Science:

  • Neurology
  • Nursing Science

Background:

  • Traumatic brain injury and cerebrovascular disease can cause significant motor, behavioral, and cognitive disabilities.
  • These conditions initiate a cascade of events leading to secondary brain injury (SBI), a preventable cause of adverse neurological outcomes.
  • Effective prevention strategies are crucial for mitigating long-term disabilities.

Purpose of the Study:

  • To perform a concept analysis to establish a unified definition of secondary brain injury (SBI).
  • To provide a clear definition for nursing personnel to enhance understanding and recognition of SBI.

Main Methods:

  • A comprehensive concept analysis was employed to clarify the definition of SBI.
  • An extensive literature search was conducted across major databases (PubMed, MEDLINE, Ovid, Wiley, ProQuest) from 1995 to 2016.

Main Results:

  • A refined definition and description of SBI's attributes, antecedents, and consequences were established.
  • Enhanced understanding of SBI is expected to improve recognition and facilitate the development of risk-reduction strategies.
  • This can lead to reduced long-term disability and improved clinical outcomes.

Conclusions:

  • This concept analysis identifies key phenomena relevant to nursing practice concerning SBI.
  • The findings provide a foundation for future research aimed at enhancing nursing interventions.
  • This work supports the development of educational programs and healthcare policies for SBI prevention and consequence mitigation.