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Secondary Brain Injury: A Concept Analysis

Ortega-Pérez, Stefany; Amaya-Rey, María Consuelo

Journal of Neuroscience Nursing: August 2018 - Volume 50 - Issue 4 - p 220–224
doi: 10.1097/JNN.0000000000000384
Article

ABSTRACT Background: Traumatic brain injury and cerebrovascular disease may lead to motor, behavioral, and/or cognitive disabilities. The associated neurologic and vascular damage triggers a chain of events that lead to a secondary brain injury (SBI), a preventable cause of adverse neurological outcomes. Proper prevention of these factors may limit undesirable outcomes. This article presents a concept analysis that aims to form a single definition of the term secondary brain injury for nursing personnel. Methodology: Concept analysis was used to clarify the concept of SBI. An electronic search was performed on existing nursing literature dating from 1995 to 2016 on PubMed, MEDLINE, Ovid Journal, Wiley, and ProQuest. Results: A clear definition and description of the attributes, antecedents, and consequences of SBI increases the knowledge and level of recognition of the secondary injuries. This may lead to strategies that reduce the risk of long-term effects (disability) and poor clinical outcomes. Conclusions: This concept analysis contributes to the endeavor of identifying phenomena that are pertinent for nursing; it also provides a basis for future research that leads to improving nursing interventions and creating educational programs and healthcare policies that prevent or eliminate the consequences of SBI.

Questions 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 authors state that they have no conflict of interest.

© 2018 American Association of Neuroscience Nurses