Effects of nursing interventions on intracranial pressure.

Journal Article (Multicenter Study;Journal Article)


Intracranial pressure is a frequent target for goal-directed therapy to prevent secondary brain injury. In critical care settings, nurses deliver many interventions to patients having intracranial pressure monitored, yet few data documenting the immediate effect of these interventions on intracranial pressure are available.


To examine the relationship between intracranial pressure and specific nursing interventions observed during routine care.


Secondary analysis of prospectively collected observational data.


During 3118 minutes of observation, 11 specific nursing interventions were observed for 28 nurse-patient dyads from 16 hospitals. Family members talking in the room, administering sedatives, and repositioning the patient were associated with a significantly lower intracranial pressure. However, intracranial pressure was sometimes higher, lower, or unchanged after each intervention observed.


Response of intracranial pressure to nursing interventions is inconsistent. Most interventions were associated with inconsistent changes in intracranial pressure at 1 or 5 minutes after the intervention.

Full Text

Duke Authors

Cited Authors

  • Olson, DM; McNett, MM; Lewis, LS; Riemen, KE; Bautista, C

Published Date

  • September 2013

Published In

Volume / Issue

  • 22 / 5

Start / End Page

  • 431 - 438

PubMed ID

  • 23996423

Electronic International Standard Serial Number (EISSN)

  • 1937-710X

International Standard Serial Number (ISSN)

  • 1062-3264

Digital Object Identifier (DOI)

  • 10.4037/ajcc2013751


  • eng