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Introduction: Poor adoption of stroke guidelines is a problem internationally. The Quality in Acute Stroke Care (QASC) trial demonstrated significant reduction in death and disability with facilitated implementation of nurse-initiated Methods: This was a multi-country, multi-centre, pre-test/post-test study (2017–2021) comparing post implementation data with historically collected pre-implementation data. Hospital clinical champions, supported by the Angels Initiative conducted multidisciplinary workshops discussing pre-implementation medical record audit results, barriers and facilitators to FeSS Protocol implementation, developed action plans and provided education, with ongoing support co-ordinated remotely from Australia. Prospective audits were conducted 3-month after FeSS Protocol introduction. Pre-to-post analysis and country income classification comparisons were adjusted for clustering by hospital and country controlling for age/sex/stroke severity. Results: Data from 64 hospitals in 17 countries (3464 patients pre-implementation and 3257 patients post-implementation) showed improvement pre-to-post implementation in measurement recording of all three FeSS components, all p < 0.0001: fever elements (pre: 17%, post: 51%; absolute difference 33%, 95% CI 30%, 37%); hyperglycaemia elements (pre: 18%, post: 52%; absolute difference 34%; 95% CI 31%, 36%); swallowing elements (pre: 39%, post: 67%; absolute difference 29%, 95% CI 26%, 31%) and thus in overall FeSS Protocol adherence (pre: 3.4%, post: 35%; absolute difference 33%, 95% CI 24%, 42%). In exploratory analysis of FeSS adherence by countries’ economic status, high-income versus middle-income countries improved to a comparable extent. Discussion and conclusion: Our collaboration resulted in successful rapid implementation and scale-up of FeSS Protocols into countries with vastly different healthcare systems.

Stroke is still the leading cause of disability. Traveling stroke reduces the quality of life in the functional and psychological sphere. The European Stroke Initiative recommends that patients with stroke should be assured with rehabilitation as soon as possible. The most important goal of stroke rehabilitation is to restore all the functions lost by the patient as a result of the disease and also to compensate those which have been irretrievably lost. The latest data from the literature show that the best period in terms of potential for improvement of the functional status after stroke is the first three months of the onset of the stroke incident. To review the literature in the area of stroke rehabilitation and its importance for the improvement of the functional state.

Introduction. Each year 80 000 Poles are suffering from stroke. The most common risk factors are hypertension, diabetes and complications, hyperlipidemia, obesity, atrial fibrillation. Lifestyle modification, such as diseases controlling, diet changing, exercises, stop smoking and limiting alcohol consumption are known as stroke prevention. Thrombectomy and thrombolytic therapy definitely increase long-term survival and prognosis. Aim. Objective of the work is assessment of surgical nurses knowledge level about postoperative stroke. Material and Methods. The research was conducted on a group of 55 randomly chosen surgical nurses. The diagnostic survey method with a proprietary questionnaire was used for the research. Results. Nurses knowledge was poor. Education and age affect to answers. Higher education qualification nurses have higher knowledge level relative to less educated nurses. Younger nurses have higher knowledge level than older nurses. Conclusions. Cardiosurgery and vascular surgery are charged as the most risk onset postoperative stroke. Knowledge of surgical nurses about risk factors, prevention, symptom, complications and procedures in case of stroke onset have particular meaning in postoperative caring. (JNNN 2020;9(4):138–144) Key Words: knowledge, nursing care, postoperative period, stroke