Neuromonitoring in Neuroscience Nursing: Collaboration From the 2025 International Neuroscience Nursing Symposium
Charles J. Shamoun, Priya Baby, Cynthia Bautista, Byron A. Carlisle, Mary Guanci, Shripal Gunna, Sabrina Distefano, Sonia Joseph, Lars Krüger, Yuan Li, Rudolf Cymorr Kirby Palogan Martinez, Roberto da Silva, Nobuko Okubo, Kathrina B. Siaron, Faith Sila, Scott Wilson, Khalil Yousef, DaiWai M. Olson
Abstract
ABSTRACT: INTRODUCTION: Neuromonitoring enhances patient assessment in neuroscience nursing, yet its integration varies globally. At the 2025 International Neuroscience Nursing Research Symposium, nurses from 16 countries discussed the adoption of neuromonitoring devices. This proceedings article explores international perspectives on neuromonitoring use, barriers, and facilitators. METHODS: Participants summarized their country's neuromonitoring technology level, key facilitators and barriers to adoption, and devices with the greatest potential impact. RESULTS: Significant disparities exist in neuromonitoring accessibility. Developed countries frequently use continuous electroencephalography, intracranial pressure monitoring, and pupillometry, whereas lower-resource settings face financial and training limitations. Key facilitators include policy support, funding, and interdisciplinary training, whereas barriers include cost, limited resources, and competency gaps. CONCLUSION: Nurses worldwide recognize how neuromonitoring may improve outcomes. International collaboration, standardization of training, and technological advancements could help bridge disparities in access and implementation. Addressing systemic barriers and investing in education and policy support will enhance equitable neuromonitoring integration, ultimately improving neurological patient care across diverse healthcare settings.