Publications by authors named "Brittany R Doyle"
Background: External ventricular drains (EVDs) are placed in patients with increased intracranial pressure (ICP) to serve as a cerebrospinal fluid (CSF) pressure flow diverter and ICP monitor. EVD management practice among institutions and practitioners varies greatly, with little evidence supporting ideal ICP recording and CSF drainage practice.
Objective: This study's aim is to determine variations in ICP across 21 min before and after CSF drainage.
Background: Assessing pupil size and reactivity is the standard of care in neurocritically ill patients. Anisocoria observed in critically ill patients often prompts further investigation and treatment. This study explores anisocoria at rest and after light stimulus determined using quantitative pupillometry as a predictor of discharge modified Rankin Scale (mRS) scores.
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- High-quality, validated tools are necessary to assess changes in knowledge or skills resulting from educational interventions in neurology due to the absence of a universal test.
- A study of 135 healthcare professionals evaluated the Neurologic Assessment Test (NAT), finding that while time spent and knowledge scores were nonnormally distributed, higher knowledge correlated with increased accuracy and confidence.
- The NAT exhibited initial content and construct validity, indicating it can effectively measure changes in knowledge for future educational projects, though there is room for improvement.
BACKGROUND: Staffing models within nursing units have long been a hot topic of discussion. The COVID-19 pandemic exacerbated this discussion by straining the national nursing environment and workforce. Before the pandemic, the neuroscience intensive care unit (NSICU) primarily used an acuity-adjusted staffing model and aimed for a nurse-to-patient ratio of 1:1.
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